Maj. Gen. Tom Travis, 59th Medical Wing commander (left), and Brig. Gen. Joseph Caravalho, Jr., Brooke Army Medical Center commander (right), present Texas Snake Stone bookends to Air Force Surgeon General Lt. Gen. James Roudebush during the San Antonio Uniformed Services Health Education Consortium awards and graduation ceremony June 5 in the University of Texas Health Science Center. During the graduation portion of the ceremony, 243 graduates from 36 graduate medical education programs and 50 graduates from 13 allied health care programs received diplomas. (U.S. Air Force photo/Alan Boedeker)