Defense Superior Service Medal

The Defense Superior Service Medal (DSSM) is a senior American military decoration of the Department of Defense, awarded to members of the United States Armed Forces who perform "superior meritorious service in a position of significant responsibility".
The decoration is most often presented to senior officers in the flag and general officer grades, followed by a lesser number of Colonels and USN and USCG Captains. The medal is presented in the name of the Secretary of Defense and was established by President Gerald R. Ford on February 6, 1976 in Executive Order 11904. It is analogous to the Legion of Merit, albeit awarded for service in a "joint" duty capacity.