AVM Tracy Smart joined the Air Force in 1985 and completed her medical training at the Flinders University of South Australia in 1987. After completing Intern and Resident Medical Officer training at Adelaide hospitals, she commenced full time duty in the RAAF in January 1989, serving as a Medical Officer at RAAF bases Amberley (1989) and Pearce (1990), and Senior Medical Officer (SMO) at RAAF Pearce in 1991.
AVM Smart undertook specialist training in Aviation Medicine during a posting with the Royal Air Force (RAF) in 1992-3, completing a Royal College of Physicians Diploma of Aviation Medicine and instructing in the subject at the RAF Aviation Medicine Training Centre, RAF North Luffenham. On return to Australia she was promoted to Squadron Leader and posted as SMO 6 RAAF Hospital (1993), and then as SMO RAAF Williamtown (1994-5). During the latter posting, AVM Smart was deployed to the United Nations Assistance Mission in Rwanda as senior RAAF officer and aeromedical evacuation coordinator (1995).
AVM Smart completed tours as Chief Instructor (1996) and, upon promotion to Wing Commander, Commanding Officer of the RAAF Institute of Aviation Medicine (AVMED) from 1997 to 1999. As part of these duties she was the Investigating Medical Officer on a fatal RAAF F-111 accident investigation in Malaysia in 1999, for which she was awarded a Chief of Air Force Commendation.
AVM Smart undertook an exchange tour with the United States Air Force from 2000 to 2001, holding the positions of Chief, Flight Medicine Operations, and Chief, Flight Medicine Safety and Human Performance, in the Command Surgeon’s Office, Air Combat Command, Langley Air Force Base, Virginia. Upon return to Australia in 2002 she was posted as Staff Officer 1 Clinical Policy, Defence Health Services Branch, but immediately deployed to Timor Leste as Chief Health Officer, HQ Peacekeeping Force and Australian Senior Health Officer in Timor Leste from January to August of that year.
AVM Smart was again posted as Commanding Officer, AVMED in February 2003. During this posting she deployed to the Middle East Area of Operations as Senior ADF Health Officer and Deputy Validating Flight Surgeon in support of coalition operations in Iraq and Afghanistan.
In August 2004, AVM Smart was promoted to Group Captain and assumed the role of Officer Commanding, Health Services Wing. In this role she commanded all Air Force health units and dispatched health teams in response to a number of operations and natural disasters. AVM Smart also deployed as part of a Medical Assessment Element to assist in evacuation operations in Beirut during the July 2006 war in Lebanon.
AVM Smart attended the Australian Defence College’s (ADC) Defence Strategic Studies Course in 2008. She was promoted to Air Commodore on 5 February 2009 and assumed the dual positions of Director General Corporate Health Management in Joint Health Command, and Director General Air Force Health Services. From 2010 to 2012 inclusive AVM Smart performed the role of Director General Garrison Health Operations in Joint Health Command, in which she managed health care at over 70 locations on Defence bases throughout Australia and oversaw a major reform in health service delivery in the ADF. From 2013 to 2015 inclusive AVM Smart was Director General Strategic Health Coordination with responsibility for policy and research coordination, military medical advice, the Australian Army Malaria Institute, the ADF Family Health Program, and the development and implementation of the Defence eHealth System.
In November 2015, AVM Smart was promoted to Air Vice-Marshal and assumed the positions of Commander Joint Health and Surgeon General of the ADF on 3 December 2015.
AVM Smart was awarded a Master of Public Health (Defence) from the University of Queensland in 2007 and a Master of Arts (Strategic Studies) from Deakin University in 2009. She is a Fellow of the Royal Australasian College of Medical Administrators, the Australasian of College of Aerospace Medicine, the Aerospace Medicine Association (US) and the Centre for Defence and Strategic Studies; and an Academician of the International Academy of Aviation and Space Medicine. AVM Smart is also an Honorary Fellow of the Australasian College of Health Service Management and is a graduate of the Harvard Business School Advanced Management Program. She has authored, or co-authored, fifteen published articles, a book chapter, and over 80 papers for presentation at scientific meetings in Australia and internationally, primarily in the areas of aviation medicine, aeromedical evacuation, and military medicine.
AVM Smart is a member of the Prime Minister’s Advisory Council for Veterans’ Mental Health.
AVM Smart was made a Member of the Order of Australia (AM) in the 2012 Queen’s Birthday Honours List.