What to Expect at EFMB

1. EXPERT FIELD MEDICAL BADGE TEST CONTROL OFFICE What to Expect at EFMB Prepared by SFC Brian Chase SFC William Ott Expert Field Medical Badge Test Control Office

2. Topics • In-processing • Standardization • Testing • Out-processing • Frequently Asked Questions Expert Field Medical Badge Test Control Office

3. References • AMEDDC&S Pam 350-10 • Additional Information Available on the EFMB Web Site on AKO • https://www.us.army.mil/suite/page/140048 Expert Field Medical Badge Test Control Office

4. In-processing • Candidates arrive at EFMB In-processing site • It is the candidate and their chain of command’s responsibility for coordinating transportation to the EFMB site • In-processing site location may require host unit to transport candidates out to field EFMB site • Complete in-processing paperwork • Host unit may require administrative paperwork to be completed Expert Field Medical Badge Test Control Office

5. In-processing

6. In-processing Cont. • Provide copies of required documentation: • Commander’s Recommendation Memo • APFT Card • Weapon Qualification Card • CPR Certification Card/Memo • Equipment shakedown • Layout all required equipment necessary for completing EFMB Testing • See Table 2-2 AMEDDC&S Pam 350-10 and host unit EFMB MOI or Candidate Letter Expert Field Medical Badge Test Control Office

7. In-processing Cont. Expert Field Medical Badge Test Control Office

8. In-processing Cont. • Issued sensitive items • See MOI or Candidate Letter • May be required to bring from unit • Issued sleep area • Normally broken down by platoons • Candidate will move bags to sleep area • In-briefing • Host unit will give a briefing to address safety, rules, and other issues Expert Field Medical Badge Test Control Office

9. In-Briefing

10. Standardization • What is Standardization Week? • Standardize the candidates on how the host unit will conduct EFMB testing IAW the standards of AMEDDC&S Pam 350-10 • Training prior to EFMB is the responsibility of the candidate’s chain of command, not the unit hosting the EFMB • Most sites do not cover the written test subjects • Time Frame • Normally conducted over 4 or 5 days Expert Field Medical Badge Test Control Office

11. ExampleEFMB Standardization Week

12. Standardization Cont. • Daily Schedule (Determined by Host Site) • Wake up and personal hygiene • Breakfast (Usually a hot meal) • Formation and movement to lanes • Lane standardization • Lunch (Usually a MRE eaten on the lane) • Lane standardization • Movement back to site • Dinner (Usually a hot meal) • Study hall Expert Field Medical Badge Test Control Office

13. Standardization Cont. • Lane Standardization • Standardize how tasks will be tested and CTLs will be ran during testing • This is the candidates time to ask questions or clarify any “grey” areas • Day and night land navigation can only be negotiated one time during standardization Expert Field Medical Badge Test Control Office

14. Standardization Cont.

15. Standardization Cont.

16. Standardization Cont.

17. Standardization Cont. • Study Halls • Host unit is not required to hold study halls • Most sites conduct study halls to assist the candidates. Also, conducted test week. • Evaluators assist candidates with any questions or allow them to practice on equipment • Excellent opportunity for the candidates to get one-on-one with the evaluators Expert Field Medical Badge Test Control Office

18. Study Halls

19. Testing • What is Testing Week? • Candidates will be evaluated on every EFMB task IAW the standards in AMEDDC&S Pam 350-10 • Candidates will normally go by platoons to CMLs for testing • Time Frame • Conducted over no longer than 120 hours from start of written test until the end of road march Expert Field Medical Badge Test Control Office

20. ExampleEFMB Testing Week

21. Testing Cont. • Daily Schedule (Determined by Host Site) • Wake up and personal hygiene • Breakfast (Usually a hot meal) • Formation and movement to lanes • Lane testing • Lunch (Usually a MRE eaten on the lane) • Lane testing • Movement back to site • Dinner (Usually a hot meal) • Study hall or night land nav or rebuttal board Expert Field Medical Badge Test Control Office

22. Testing Cont. • Written Test • Combat Testing Lanes (CTLs), comprised of: • Tactical Combat Casualty Care (TCCC) Tasks • Communication Tasks • Warrior Skills Tasks • Medical and Casualty Evacuation Tasks • Day and Night Land Navigation • Road March Expert Field Medical Badge Test Control Office

23. Testing Cont. • Written Test • Test Briefing • Complete Administrative Portion of Bubble Sheet • Complete Written Test • Turn-in paperwork and write rebuttal • Receive Go/No-Go Expert Field Medical Badge Test Control Office

24. Written Test

25. Testing Cont. • Combat Testing Lanes • Lane and Safety Briefings • Negotiate Lane • Receive Go/No-Go • Candidate writes rebuttal at this time Expert Field Medical Badge Test Control Office

26. [Estimated time for lane] 2 hours 2 min SP EP SNIPER FIRE 3 5 Start New Candidate Every 30 minutes CTL 1 (Example) Testing Lane Flow Diagram 3 Identical Lanes 1 PCI’s CARE UNDER FIRE Control bleeding w/Tourniquet {5 min} Move under direct fire {5 min} 1 2 3 Correct malfunction of M16A2/M4 [<1 min] M16A2/M4disassemble, assemble, & function check [4 min] 2 Control bleeding w/Hemostatic Dressing {10 min} Conducted at various points on lane Perform a TCCC patient assessment {20 min} Triage casualties {5 min} One-person carries/drags {5 min} TACTICAL FIELD CARE 6 4 Open head wound {5 min} Control bleeding with dressings {5 min} Start Next Candidate Initiate treatment for shock/Prevent hypothermia {5 min} Treat eye injury {5 min} 4 Immobilize fractured arm {5 min} 1 2 Treat penetrating chest wound {5 min} Open abdominal wound {5 min} Initiate saline lock and IV {10 min} Perform needle chest decompression {5 min} Two-person carries/drags {5 min} IED ATTACK 1 Insert nasopharyngeal airway {2 min} 2 5 Start Next Candidate LEGEND FRAGO Candidate Casualties Noncandidates 1 2 Load FLA [15 min} # CASEVAC

29. SP EP Start New Candidate Every 45 minutes CTL 2 (Example) Testing Lane Flow Diagram [Estimated time for lane] 1 hour 35 min 1 PCI’s React to UXO {5 min} React to indirect fire {5 min} MOPP IV [8 min] Don protective mask {1 min} Explosive Hazard Report [5 min] Self decon [5 min] NBC 1 Report [10 min] 2 M9 disassemble, assemble, & function check [3 min] 3 Nerve agent self-aid [5 min] 4 Identical Lanes w/ 2 Lanes Rotating Candidates on Vehicles Start Next Candidate MOPP gear exchange [20 min] ALL CLEAR 4 Store protective mask [1 min] Load 5-ton [15 min] LEGEND FRAGO Candidate Casualties Noncandidates 5 # Load M998 [15 min]

31. SP EP CTL 3 (Example) Testing Lane Flow Diagram Start New Candidate Every 40 minutes [Estimated time for lane] 1 hour 20 min 1 Extricate from vehicle {15 min} PCI’s SKED {5 min} 3 Move over, through, or around obstacles {5 min) 2 4 Assemble & operate SINCGARS [5 min] Load FH/COMSEC [10 min] Start Next Candidate 3 Identical Lanes w/All Lanes Rotating Into the UH-60 Litter carries {15 min} MEDEVAC request [5 min] Load UH-60 [10 min] LEGEND FRAGO Candidate Casualties Noncandidates 6 5 # Establish LZ {10 min}

32. Expert Field Medical Badge Test Control Office

33. Testing Cont. • Day and Night Land Navigation • Lane and Safety Briefing • Verify Pace Count and Compass Verification • Shake Down • Issue Map and Grade Sheet • Move to Start Points • Negotiate Course • Turn-in Map and Grade Sheet • Receive Go/No-Go Expert Field Medical Badge Test Control Office

34. Land Navigation

35. Testing Cont. • Rebuttal Board • Test Board Given Rebuttal Form(s) for Review • Candidate Appears Before Test Board • Candidate reports to Test Board Chairperson (TBC) • Renders his/her side of the story • Candidate dismissed and asked to wait outside • Evaluator and Lane NCOIC Appear Before Test Board • Evaluator and Lane NCOIC report to TBC • Render their side of the story • Dismissed and asked to wait outside Expert Field Medical Badge Test Control Office

36. Testing Cont. • Rebuttal Board Continued • Test Board Deliberates • May call Candidate or Evaluator again if more questioning is required • Test Board votes • Test Board Chairperson has the deciding vote if there is a tie • Test Board Renders Decision to Candidate • Test board chairperson will decide if candidate will be informed of board’s outcome or if results will be given at the end of EFMB testing • Test Board writes decision on rebuttal form and signs Expert Field Medical Badge Test Control Office

37. Rebuttal Board

38. Testing Cont. • Road March • Pre-Inspection • Route and Safety Briefing • Road March • Post-Inspection • Medical Clearance Expert Field Medical Badge Test Control Office

39. Road March

40. Testing Cont. • Graduation Ceremony • Rehearsal • Formation • Speaker • Presentation of Badges • Post Ceremony Expert Field Medical Badge Test Control Office

41. Graduation Ceremony

42. Out-processing • Check in with EFMB TOC and coordinate transportation/pick-up • Clear sleep area • Turn in sensitive items, if applicable • Complete out-processing/paperwork • Sign out of EFMB site • NOTE: Steps may vary dependent on the point of EFMB testing that you out-process Expert Field Medical Badge Test Control Office

43. Frequently Asked Questions • I want to go out for EFMB. How do I get a slot? • Check with your chain of command and training NCO to inform them that you are interested in going out for EFMB • Check the EFMB Web Site for approved EFMB Test sites, dates, & POC information https://www.us.army.mil/suite/page/140048 • Go through your chain of command to contact POC and obtain a slot Expert Field Medical Badge Test Control Office

44. Frequently Asked Questions • Who is authorized to be awarded the EFMB? • Officers must be assigned or detailed to an AMEDD corps. This includes Army officers in training at the Uniformed Services University of the Health Sciences. It also includes Army officers enrolled in the Health professions Scholarship program. • Warrant officers must have an AMEDD primary MOS controlled by The Surgeon General. Warrant officer pilots with a “D” special qualifications identifier (Aeromedical Evacuation Pilot) and assigned to an air ambulance unit are also eligible. • Enlisted personnel must have an AMEDD primary MOS or MOS 18D. This includes all MOSs in the 68-CMF. • Other service and allied candidates must be either medical personnel or serving in comparable medical positions Expert Field Medical Badge Test Control Office

45. Frequently Asked Questions • What qualifications/paperwork is required to go out to EFMB? • Ensure the following are completed correctly/current IAW AMEDDC&S Pam 350-10 & EFMB Website: • Commander’s Recommendation Memo: See EFMB website. Figure 2-2 of AMEDDC&S Pam 350-10 example has changed. • APFT Scorecard: Passed within 6 months of EFMB test end date. No alternate events authorized. • Weapon Qualification Card: Qualified within 1 year of EFMB test end date. • CPR Certification Card/Memo: Valid through the EFMB test end date. NOTE: See the MOI or Candidate Letter for any additional documentation required. Expert Field Medical Badge Test Control Office

46. Frequently Asked Questions • What do I need to bring to EFMB? • All equipment listed in Table 2-2 of AMEDDC&S Pam 350-10 • Make sure everything is operational and serviceable • See the MOI or Candidate Letter put out by the unit hosting the EFMB for any additional required items and guidance • Some sites may require you to bring your M16A2/M4, protective mask, cot, etc. while other sites may issue this equipment on site Expert Field Medical Badge Test Control Office

47. Frequently Asked Questions • What additional items should I bring? • Baby wipes • Personal hygiene items (i.e. toothbrush, toothpaste, soap, razors, shaving cream, tampons, towel, washcloth, flip flops, etc.) • Rags to clean weapon, mask, boots, etc. • Weapon cleaning kit • Extra batteries for flashlight • Extra ink pens and paper • Extra t-shirts, socks, under garments, etc. Expert Field Medical Badge Test Control Office

48. Frequently Asked Questions • What additional items should I bring (Cont)? • Sleeping bag/mat, poncho liner, Cold/Wet weather gear • Extra protractors and mechanical pencils, small clipboard, 3 x 5 cards, and zip lock bags (land nav). An extra compass is a good idea too. • References (AMEDDC&S 350-10, STP 8-91W15-SM-TG, ST 4-02.46, FM 4-25.12, and STP 21-1-SMCT) and additional EFMB study material (i.e. Written Test Training Workbook) • Copies of CDR’s memo, APFT/Weapon/CPR Cards. See website to ensure correct!!!!!!! Expert Field Medical Badge Test Control Office

49. Frequently Asked Questions • The unit I’m assigned to isn’t issued some of the equipment listed on the packing list and/or MOI. What do I do? • It is you and your chain of command’s responsibility to obtain all required items • For CIF issued items, have your CDR sign a memo listing required items & reason needed. Take memo to CIF. • For other items, make contact with a local TOE unit or other unit who has these items organic to them (i.e. M291 Kit, Chemical Light Stick) • If problems, contact EFMB host unit prior Expert Field Medical Badge Test Control Office

50. Frequently Asked Questions • I don’t have the old ruck sack, LBE, ballistic helmet, etc. Can I use the newer versions that were issued to me? • Yes you can. If you were issued any of the new equipment (i.e. LBV, MOLLE ruck, MITCH helmet, etc.), these can be used in lieu of the old equipment. • You may also use a hydration system (i.e. camelback) in lieu of the second canteen. Expert Field Medical Badge Test Control Office