“Overview of Navy Medicine Readiness Training”

1. “Overview of Navy Medicine Readiness Training” Total Force Workshop 24 Sept 09 UNCLASSIFIED

2. Agenda • Alignment to the requirement • Developing requirements into training programs • NAVMED pre-deployment training • NAVMED platform-specific training • Tactical Combat Casualty Care (TCCC) • Expeditionary Medicine AQD UNCLASSIFIED

3. Collective Training MPS Sea Power 21 MPS (T&R) NTSP NMETL UNTL METL ROC – POE MCTL ORD Alignment with the Requirement NEC- NOBC Individual Training (T&R) UJTL UNCLASSIFIED

4. Deliberate HSS Requirement Development NMIMC Information DOD- DON NMLC Logistics Requirement Validation NMCPHC Population Health OPNAV BUMED NMSC Policy – Resources NHRL Research Labs Fleet – Force MPTE Training & Education UNCLASSIFIED

5. NKO “Medical Deployer” Webpage • Warfare Enterprises • USMC web pages • Web-based training products

6. NKO – Navy Medicine Education & Training Operational Pause 44 Health Services skill enhancement courses for officers and enlisted. UNCLASSIFIED

7. NKO – Expeditionary Medicine Web Based Training (EMWBT) Program Management Option NAVMED POLICY 07-016: Requires all newly accessed NAVMED personnel (officer, enlisted, Active, Reserve)to complete EMWBT within their first 2 years.

9. Pre-deployment training • Lessons Learned; • NTTC realigned to NOMI.

11. Navy Platform Requirements OPNAVINST 3501.161C, Required Operational Capabilities and Projected Operational Environment (ROC/POE) forT-AH-19 (MERCY) Class Hospital Ships, 03 June 1997 OPNAVINST 3501.176C, Required Operational Capabilities and Projected Operational Environment (ROC/POE) the Navy Fleet Hospital (FH) and Expeditionary Medical Facility (EMF), 16 October 2007 OPNAVINST 3501.347, Required Operational Capabilities and Projected Operational Environment (ROC/POE) fot the Navy Forward Deployable Preventive Medicine Unit (FDPMU), 03 February 2005 BUMEDINST 3500.4, Fleet Hospital (FH) Program and Training Strategy, 30 September 2002 UNCLASSIFIED

12. Navy Platform Required Training NAVY TRAINING SYSTEM PLAN FOR THE NAVY FLEET HOSPITAL PROGRAM, 093-NTSP-X-80-0301/D, February 2003 NAVY TRAINING PLAN FOR THE T-AH 19 CLASS HOSPITAL SHIP MEDICAL TREATMENT FACILITY, N093-NTP-S-30-8609B, 2007 NAVY TRAINING SYSTEM PLAN FOR THE NAVY FOR THE NAVY FORWARD DEPLOYABLE PREVENTIVE MEDICINE UNIT (FDPMU), DRAFT, 03 November 2005 UNCLASSIFIED

13. TCCC Guidelines Change Approval Process Asst Secretary of Defense Health Affairs POLICY Defense Health Board Service Secretaries RESOURCES Defense Health Board on Trauma & Injury Subcommittee Service Chiefs INNOVATION Committee on TCCC Service Surgeon Generals EXECUTION UNCLASSIFIED

14. TCCC Changes 2009/2009 • No hemostatics in Care Under Fire • Updated tourniquet use plan • Combat Gauze • Mgt of tension pneumothorax • Mgt of sucking chest wounds • Mgt of penetrating eye trauma • TCCC Casualty Card • Third phase of care: “Tactical Evacuation Care” UNCLASSIFIED

15. Navy Medicine TCCC Sustainment Strategy • Just-in-Time Option • Program Management Option • Status Quo Option • BUMEDINST 1510.23C - approved • NEMTI Implementation Plan - pending • Conduct Enterprise-wide implementation - pending • Monitor – Improve • Commands continue to train TCCC skills along with HMSB sustainment UNCLASSIFIED

16. Expeditionary Medicine Additional Qualification Designation (67B) • Identifies qualified leaders in operational Health Services requiring executive competencies, knowledge of the joint operational environment, and operating force experience to enable success while deployed. • Joint and Service training prepares, qualification, and assignment distinguish officers for award of the AQD. • This AQD guides professional development or designate officers as fully prepared for leadership in the joint operating environment. • Approved by CHNAVPERS 2008; reference is Officer Personnel Manual. UNCLASSIFIED

17. Expeditionary Medicine Additional Qualification Designation (67B) • What’s in It For Me (WIFM) factor - • Complete 8 “core” training programs; • at least 7 of the assignment-specific operational programs; • and 1 of the qualifications … • … demonstrates commitment to operational Health Services and progress towards leadership of an operating force platform detachment or activity; • … distinguishes you on a FITREP from your peers – “dedicated to meeting the full range of health service missions to meet the needs of the Navy and Marine Corps warfighter;” • … provides an objective metric for detailers, career planners, and selection boards to identify the best qualified candidate. UNCLASSIFIED

18. Expeditionary Medicine AQD 67B Assignment, Training, & Qualification Matrix UNCLASSIFIED

19. Questions UNCLASSIFIED

20. NAVAL OPERATIONAL MEDICINE INSTITUTE - ASTC Whidbey Island, WA Naval Undersea Medical Institute (NUMI), Groton, CT - ASTC Patuxent River, MD - ASTC Norfolk, VA - ASTC Lemoore, CA - ASTC Cherry Point, NC Naval Special Operations Medical Institute (NSOMI), Ft. Bragg, NC • Navy Trauma Training Center, Los Angeles, CA Naval Expeditionary Medical Training Institute (NEMTI), Camp Pendleton, CA - ASTC Miramar, CA Surface Warfare Medicine Institute (SWMI), San Diego, CA - ERC, Fort Rucker, AL COMMAND, NAVAL OPERATIONAL MEDICINE INSTITUTE - ASTC Jacksonville, FL Detachment, Training Institutes • NAVAL OPERATIONAL MEDICINE INSTITUTE (NOMI), • PENSACOLA, FL • R. E. Mitchell Center for Repatriated Prisoners of War • Medical Lessons Learned • Naval Aerospace Medical Institute (NAMI) • Naval Survival Training Institute (NSTI) • - ASTC Pensacola • Training Centers: i.e., Aviation Survival Training • Center (ASTC) NOMI FACTS • 65 Courses • 45 Facilities • 14 Locations • 30,000+ Students • 43,000 Aeromedical Dispositions • 600 Repatriated POW Evaluations • 60 International Students • Air Force and Army Staff Members