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In general, a Department of Defense (DoD) instruction would take precedence over a Bureau of Medicine and Surgery (BUMED) instruction when it comes to overarching policy and guidance. DoD instructions establish policies that apply across the entire military, while BUMED instructions are specific to Navy medical operations. Therefore, if there is a conflict between the two, the DoD instruction would typically prevail. However, BUMED instructions may provide more detailed guidance specific to Navy medical practices within the framework established by DoD.

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