Nadja Yudith West is a retired United States Army lieutenant general and the 44th Surgeon General of the United States Army and former Commanding General of the United States Army Medical Command. West, a physician, was the first black Army Surgeon General, and was the first black female active-duty major general and the first black female major general in Army Medicine. West is also the first Army black female lieutenant general. She is the highest ranking woman to have graduated from the United States Military Academy.