West's historic promotion to be the second black female major general took place on April 19, 2013. Of her promotion, West said, "I never really thought about that part. My parents taught me to work hard and be the best I can be and things will work out. I’m just really honored. If anything at all, I hope I can be an inspiration to any one or any group that has not seen themselves in certain positions. We all want to see people who look like us doing certain things to give us inspiration. Hopefully, I can inspire someone to be able to say, 'I can do that.'" She has claimed an early, positive influence was seeing a black, female character on the bridge of Star Trek's USS Enterprise. On December 11, 2015, the Senate confirmed the nomination of West to be promoted to lieutenant general and she became the 44th Army Surgeon General. This made West the Army's first black Surgeon General, as well as the Army's first black woman to hold the rank of lieutenant general and the Army's highest ranking woman who graduated from the United States Military Academy. Lt. Gen. West was promoted on February 9, 2016, and formally assumed command of MEDCOM on February 10, 2016. West completed her Family Medicineinternship and residency at Martin Army Hospital. She deployed during Operation Desert Storm and Operation Desert Shield while assigned there. West finished her residency in dermatology at Fitzsimons Army Medical Center and University of Colorado Medical Center. She was Chief, Dermatology Service at Heidelberg Army Hospital in Germany. West obtained a Master of Science in National Security Strategy. Of her military medical career, West says, "If you want to feel inspired about what military medicine does, see how appreciative these men and women are for the care they’ve received. It’s right here. It’s the reason the military health system exists: to take care of brave men and women like them." West's previous command positions include Commanding General, Europe Regional Medical Command; Commander, Womack Army Medical Center; and Division Surgeon, 1st Armored Division, Army Europe and Seventh Army, Germany. West was Joint Staff Surgeon, Joint Staff, Washington. West is a Fellow of the American Academy of Dermatology and the American Academy of Family Physicians..
Awards and recognitions
In 2017, the American Legion of Honor Society awarded West with the "Four Chaplains Gold Medallion" award.