The US Surgeon General is not in the US Navy, but heads a separate organization called the US Public Health Service Commissioned Corps. The member of that organization do wear US navy-style uniforms but with the USPHSCC branch insignia.
http://www.surgeongeneral.gov/about/corps/index.html
They look like epaulettes worn by all RCAF officers on ceremonial parades. My father, a retired Squadron Leader/Major, owned a set and I can remember him wearing them on parades. Also I started my military service during the transition from the old pre-unification uniforms to the CF uniforms...
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