Transformation OF THE AMEDDC&S TO A JOINT MEDICAL TRAINING Center

1. Transformation OF THE AMEDDC&S TO A JOINT MEDICAL TRAINING Center MG George W. WeightmanCommanding General Army Medical Department Center and School and Fort Sam Houston

2. Seismic Changes Foundation for Transformation of Military Medical Education and Training State of the Art Joint Academic Institution of Excellence Pathway to Future Unified Medical Education and Training Command

3. Medical education and training center • Mission We Produce The World’s Best Healthcare Personnel To Support The Nation • Vision The Nation’s Leader In Medical Education And Training

4. Precepts • Consolidate 5 Major Learning Institutions • World’s largest medical education and training institution • Average daily student load over 9000 • Faculty and staff over 3600 • Capture “best practices” • Integrated Learning Environment • Faculty monitored vs faculty delivered • Self-paced • Collaborative learning

5. Precepts • Phased Evolution Into A Joint Medical Education And Training Institution • Joint Organizational Leadership with Service Specific Components • Common core curriculum using the ITRO process • Maintain service specific training and CONOPS • University-like walking campus • DoD Standard Barracks • Barracks parity across all services

6. Precepts • Federal Degree Granting Institution • CCAF/ USUHS Affiliation • Accreditation for Associates Degrees • Potential for Bachelors Degrees • Maximize Clinical Training In The San Antonio Area • Integrated clinical experience • Life Long Learning • Sustainment training • Integrated Leadership Development

7. Precepts • Joint Force Medical Readiness Training Center • Camp Bullis Training Site • AF Expeditionary Medicine Training Center • Joint Medical Futures Center • Lessons learned repository • Knowledge Management • Scope of practice reviews

8. Transition Management • Senior Advisory Council • Flag Officer Steering Committee (FOSC) • Council of Consultants • Executive IPT • Tri-service and Joint Leadership • Oversees Functional IPTs • 5 Internal Work Groups • Senior Enlisted Advisory Council • Healthcare ITO • Functional IPTs • Tri-service and Joint Leadership and Membership • 9 primary and 13 secondary IPTs • 4 work groups

9. Draft Organization Chart J-1 Commander J-2/3 J-4 Deputy (SES) Chief of Staff J-6 J-8 Personal Staff Dean for Academic Affairs (Flag Officer/SES) Dean for Student Affairs (Flag Officer) Teaching Depts Academic Support Division Futures Center (J-9?) Potential Center Activities • E&T Strategic Studies • Data Analysis • Lessons Learned • Knowledge Management • Test & Evaluation • Combat Developments • Personnel Proponency • MEDEVAC Proponency • Doctrine Development Air Force Group Navy Ship’s Company Army Brigade

10. METC ADSL

11. METC STAFF

12. Facility Footprint • Instructional and Laboratory Space – 1.2 M GSF • Campus Environment • Student Dorms • Proximity to Classrooms • Total of 1800 rooms, one head per room • Student Support Complex • Dining, Processing, AAFES, Recreation Center, Gym

13. Medical Education and Training Campus

14. Facilities Program Status • Area Development Plan (ADP) • FSH component is 95% complete • Camp Bullis AF Readiness Training Site underway • Program for Design (PFD) funded and ongoing • EIS underway • Expect completion by 23 Apr 07 • Synchronized construction of instructional and student support facilities • Dorms not currently on the ACSIM FYDP

15. MIGRATION CHART TOTAL EXPECTED GROWTH 13,575 AMF / Other 1,749 MEDICAL TRAINING 934/151/5260/6345 MEDICAL RESEARCH 114/116/183/148/561 HQS / SUPPORT 87/1693/1780 USAR/ ARNG MIL/CIV/1,200 MEDICAL CARE 1,608 / 332 / 1,940 IMA - IMA NWRO Fifth Army NS Great Lakes CFSC AFRC Brooks City Base First Army Sheppard AFB AEC 59th Med Wing (Wilford Hall Med Center) NS Great Lakes NMC San Diego Sixth Army ARMY FAMILY LIAISON OFFICE Bethesda NMC Portsmouth NETCOM NWRCIO 470th MI BDE ACA • ACA E-Commerce Region • ACA Southern Hemisphere Region • ACA So Region Office Walter Reed Borden Institute (Disc Move) ACA SRCC East (Disc Move) • MIL / CIV / TOTAL • AMF • BRAC • OTHER CHPPM South (Disc Move) AAA Aberdeen Field Office (Disc Move)

16. Action Plan Timeline By FY 2008 2009 2010 2006 2011 2007 METC METC (Prov) BRAC MILCON EIS Study Instructional / Dorms Instructional/ Dorms Instructional/ Dorms Camp Bullis Readiness Training EIS Study Instructional/ Dorms Concurrent Army MILCON at Fort Sam Houston General Instructional Building (GIB)-Nursing Sciences Medical Instructional Facility (MIF)- Physician Specialists Proposed Replacement Barracks Construction Phased Move Phase I: Early C2, Readiness Training and Early Transition Phase II: Specialty Training Phase III: Med Lab and Specialty Training Phase IV: Dental and Specialty Training Phase V: Surgical and Specialty Phase VI: Basic Medic Training

17. Health Care ITRO Process QUICK LOOK GROUP DETAILED ANALYSIS GROUP IMPLEMENTATION DAG Convenes • Complete curriculum analysis • Develop course models • Recommendation Establish Quick Look Group (QLG) • HC-ITO facilitates • Each Service has one voting member and SMEs HC-ITO issues Interservice Executive Order (IEO) HC-ITO staffs DAG recommendations for Service concurrence QLG Convenes • Macro look for commonality • If GO, transition to Detailed Analysis Group (DAG) DAG transitions to Implementation Planning Team • Refine milestones • Finalize MOA • Transfer equipment/resources • Other actions as necessary * ITAB Approval Resource Requirements Analysis (RRA) Convenes • Manpower/Facility/Cost • POA & M • Draft MOA • Recommendation IMPLEMENT HC-ITO staffs RRA recommendations for Service concurrence * Interservice Training Advisory Board (ITAB) is a TriService Approval Authority for HC-ITRO decisions. * ITAB Approval

18. COMMON COMPETENCIES A 1 B 2 C 3 D 4 5 E 6 F 7 G 8 H 9 I J 10 11 K L 12 1, 3, 5, 7 1, 2, 5, 8 SPECIALTY COMPETENCIES 2, 5, 7, 9 INPT OPT SIM A, C, E B, C, F, G C, D, F CLINICAL PRACTICUM METC Training Process NAVY AIR FORCE ARMY PHASE I SERVICE SPECIFIC TNG PHASE II PHASE III TRAINED TO REQMT

19. Critical Task List SME Critical Task List Review ID Common Critical Tasks ID Non Common Critical Tasks Not Critical Critical/Common Critical/Not Common Tri Svc Department Head Review Critical/Not Common-Train a. Approve outside parameters* Critical/Not Common-Train w/Mods No Agreement b. Approve w/i parameters* Review by Tri Service Objective Tm c. Can’t Agree Flags Review A&C and Decide Course Input Proposed Scope of Practice Review Process Doctrine/Mission Requirements Review To be defined

20. Transition IPT Organization

21. Transformation Concepts • Conduct a scope of practice review • Conduct ITRO review • Common core curriculum • Maintain service specific training and CONOPS • Develop a joint life long learning program • Sustainment training • Leadership development • Develop a performance-based joint leader training program • Enhance current leader training

22. Issues • Business Plan 172b under SA Medical BRAC Integration Office (SAM-BIO) • MILCON Requirement vs. COBRA allocation • Recurring Operational Funding (Service POM) • Resource Process/Flow • Synchronization of Dorms/Education Facilities • 9 DEC Memorandum to the ACSIM through SWRO requesting correction of synchronization disconnect

23. Issues • Phased Faculty And Student Moves • Achieving Required Savings/Training Process • Location And Timing Of Clinical Training • Joint Medical Readiness Training Site At Camp Bullis • EMEDS training from Sheppard AFB and Brooks City Base to be integrated at Camp Bullis • Marine FMSS integration • Officer Training Requirements • Coordination with Joint Staff, JFCOM, and FHP Council • Joint Force Leader Development (JSO) Track

24. Issues • METC Charter and Activation • Governance and Oversight • Unified/Joint Medical Command • Service Training and Education Commands • Academic Board of Regents • Organizational Structure • Joint staffing and joint billets • Transition Support • Personnel and Funding • Accreditation Affiliation • Academic Board of Regents • CCAF/AU, USUHS, SOC, ACE, SACS, etc

25. Medical Education and Training Center (METC) The Nation’s leader in Medical Education and Training