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DEPARTMENT OF THE NAVYBUREAU OF MEDICINE AND SURGERY7700 ARLINGTON BOULEVARDFALLS CHURCH VA 22042Canc: Jun 2019IN REPLY REFER TOBUMEDNOTE 1500BUMED-M719 Jun 2018BUMED NOTICE 1500From: Chief, Bureau of Medicine and SurgerySubj: PHASED MEDICAL READINESS TRAUMA TRAINING REQUIREMENTSRef:(a)(b)(c)(d)(e)(f)(g)(h)OPNAVINST 6320.7A/MCO 6320.4COMNAVSURFPACINST 5450.6/COMNAVSURFLANTINST 5450.6BUMEDINST 1500.15FBUMEDINST 1510.25AUSCENTCOM 301155Z Aug 17, Fiscal Year 17-18 Theater Training RequirementsBUMED memo 6000 Ser M9/I11UN093000775 of 9 Sep 2011MCCDC ltr C134 of 13 Nov 2013DoD Instruction 6495.02 of 7 July 2015Encl: (1) Trauma Training Requirements for Deploying Navy Medical Department Personnel1. Purpose. To meet the training requirements of the Combatant Commands (CCMD) anddeploying medical staff. Enclosure (1) identifies and specifies the trauma training requirementsfor Navy personnel per references (a) through (h).2. Cancellation. BUMEDNOTE 1500 of 14 Jan 2016.3. Scope and Applicability. This notice applies to all Budget Submitting Office (BSO) 18personnel.4. Policy. All Navy Medicine commands will assure their deploying personnel are trained tomeet CCMD requirements.5. Navy Medical Readiness Trauma Training. Training will be coordinated and conducted inthree phases:a. Phase I. Phase I trauma training requirements have been identified (enclosure (1)) andapply to BSO 18 personnel assigned to or deploying with an operational medical platform orsourced globally for missions across the full range of military operations. Command leadershipis responsible for ensuring the member's completion of all Phase I trauma training requirementsspecific to their corps, i.e., advance trauma life support, trauma nurse core course, or tacticalcombat casualty care (TCCC). Phase I trauma training requirements include individual medicaland trauma skills training.
BUMEDNOTE 150019 Jun 2018b. Phase II. Phase II trauma training requirements are platform specific and include trainingthat occurs in the environment, on the equipment, and with the unit construct similar to what themember is expected to encounter when deployed on that platform. Command leadership isresponsible for ensuring member's completion of all Phase II trauma training requirementsspecific to their assigned platform.c. Phase III. Phase III training is mission specific training as defined by the CCMD. Thistraining is provided whenever possible and usually just in time to those individuals deploying toan identified area of responsibility (AOR). Phase III training will not always be possible;therefore, it is imperative that emphasis be placed on meeting a substantial readiness posturethrough the completion of Phase I and II training and designating Phase III training to providerefresher or mission specific training.6. The special information and comments section, contained within enclosure (1), providesadditional guidance for course coordination. Enclosure (1) delineates phased trauma trainingcourses required to be completed prior to the member reporting to the receiving command forpre-deployment training.7. The commander, commanding officer (CO), or officer in charge (OIC) of the member’scommand is responsible for ensuring completion of all Phase I and Phase II requirements for alldeploying personnel. The member’s commander, CO, or OIC will ensure the most currentversion of NAVPERS 1300/22 Expeditionary Screening Checklist, is completed.8. Commanders, COs, and OICs are responsible for funding assigned personnel courseattendance to meet identified training requirements. The special information and commentssection (enclosure (1)) provides additional guidance for course coordination.9. Effective immediately, all Navy Medicine commands will implement this policy for all NavyMedical Department personnel in their AOR who are globally sourced or assigned to anoperational platform. Additionally, commands will take proactive action to ensure personnelmaintain their basic specialty skills training as part of their overall medical readiness whetherassigned to a platform or not. Tracking training completion and compliance is required using theFleet Training Management and Planning System (FLTMPS), SWANK, and Navy MedicineLearning Management System. This information is used to update the Defense Medical HumanResource System internet (DMHRSi) and Expeditionary Medicine Platform, Augmentation,Readiness, and Training Systems (EMPARTS).10. Phased Medical Readiness Trauma Training is required for Reserve Component medicalpersonnel assigned to operation platforms. Funding sources and documentation of completedphased medical readiness training will be coordinated with Bureau of Medicine and SurgeryReserve Policy and Integration (BUMED-M10); Commander, Navy Reserve Forces Command;and other key stakeholders.2
BUMEDNOTE 150019 Jun 201811. Records Management. Records created as a result of this notice, regardless of media format,must be managed per SECNAV Manual 5210.1 of January 2012.12. Forms. NAVPERS 1300/22 Expeditionary Screening Checklist is available from the NavyPersonnel Command Web site at: ms/NAVPERS/Documents/NAVPERS 1300-22 Rev02-17.pdf.Releasability and distribution:This notice is cleared for public release and is available electronically only via the NavyMedicine Web site at: s.aspx.3
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT nt*Combat CasualtyCare Course (C4)Once in career, preferablywithin 2 yearsof accessionMANDATORYOPNAVINST 6320.7A/MCO 6320.7APhase I TrainingMC specific designatorsestablished byBUMEDINST 1500.15F,Medical Corps officersassignedto NAVMEDAugmentation Program(NMAP) billets, asIndividual Augmentees,or in other contingencybilletsThose assigned to:Forward ResuscitativeSurgical System(FRSS) and ShockTrauma Platoon (STP)USMC BilletsATLS and AdvancedCardiovascularLife Support (ACLS) PhaseI TrainingMANDATORYSpecial Information/CommentsAdvanced TraumaLife Support (ATLS) is included in C4 for physicians.Naval Medicine quota managed and funded by Navy MedicineOperational Training Center (NAVMEDOPTRACTR)Acceptable Alternatives1. Bushmaster Course (Bushmaster is conducted at UniformedServices University of the Health Sciences).2. Prior deployed “combat care” experience with FleetHospital/Expeditionary Medical Facility (EMF)/Duty with UnitedStates Marine Corps (USMC) or Army.ATLS certification is good for 4 yearsACLS certification is good for 2 yearsPrior to assignmentBUMEDINST 1500.15FExecutive Sponsors: American College of Surgeons (ACS) AmericanHeart Association (AHA)NoneMANDATORYNavy Trauma TrainingCenter (NTTC)for FRSS/STP USMC Billetsregardless of theater location - Marine Corps CombatDevelopment Center (MCCDC) ltr C134 of 13 Nov 2013NTTC holds 11 iterations/year and has 24 seats/class(6 MC seats, 3 Nurse Corps (NC) seats,and 15 Hospital Corpsman (HM) seats)1. Training conducted at any Service-specific trauma training center(e.g., Los Angeles, Miami, Baltimore, Cincinnati, etc.).2. Completed Trauma Fellowship within last 3 years.Physicians, (surgeonsand non-surgeons)assigned to patient caredelivery positions in aRole 1; Role 2 LightManeuver (LM)(Forward SurgicalTeams (FST)); Role 2plus and Role 3Hospitals (i.e., FST)Physicians, (surgeonsand non-surgeons)assigned to patient caredelivery positions in aRole 1; Role 2 LM(FST); Role 2 plus andRole 3 Hospitals.NAVMED quota managed and funded by NAVMEDOPTRACTRPhase I for USMC Phase IIIfor all othersPrior to deploymentMANDATORYOne-time experience if goingto Role 2 LM unitsWill earn approximately 65 Continuing MedicalEducation (CME) creditsHighly recommended for other appropriate specialties3. Actively engages in ongoing care of trauma patients(moonlighting as defined by Parent Command).4. Theater Trauma Systems Clinical Practice Guidelines (CPG)familiarization training within past 3 months.Highly recommended per United States Central Command(USCENTCOM) FY 17-18 Theater Training Requirements DateTime Group (DTG) 301155Z Aug 171. Joint Forces Trauma Management Course (JFCTMC) offeredthrough the Army Medical Department Center and School(AMEDDC&S).Emergency War SurgeryCourse (EWSC)MANDATORYWithin 180 days priorto deployment.Phase I TrainingUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 17EWSC is offered through Defense Medical Readiness Training Institute(DMRTI) and is open to surgeons, physicians, nurses, advanced practiceregistered nurses (APRN), and physician assistants (PA)2. NTTC or other service trauma training program (i.e., ArmyTrauma Training Center ((ATTC)/Center for Sustainment andTrauma Readiness Skills (CSTARS)).Quota management provided by surgery specific specialty leader3. Completed Trauma Fellowship within last 3 years.4. Actively engaged in the ongoing practice of Trauma Surgery(moonlighting at Level 1 Trauma Center, as defined by ParentCommand).Courses offered on Navy Knowledge Online (NKO):1. Traumatic Brain Injury 201: "Overview for Health CareAllConcussion/Mild TraumaticBrain Injury (mTBI) in thedeployed settingPhase I TrainingMANDATORYWithin 3 months ofdeploymentN/ABUMED Policy Memo 6000 SerM9/I11UN093000775 of 9 Sep 2011Personnel" (NM-12-TBI201-1.0)Target Audience: All active duty providers and clinical supportstaff working in direct patient care areas where initial diagnosisand/or treatment of TBI may occur.2. Traumatic Brain Injury 301: "Battlefield Management for MildTraumatic Brain Injury" (NM-12-TBI301-1.0)Target Audience: All deploying medical personnel.3. Traumatic Brain Injury 401: "Primary Care, Assessment andManagement for Concussion" (NM-12-TBI401-1.0)Target Audience: All primary care managers, all mental healthproviders and other providers involved with traumatic brain injury(TBI) care.Enclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT PERSONNELPhysiciansCourseTimingRequirement*Special Information/CommentsAcceptable AlternativesTraining should be completed at parent command.Target Audience: Deploying providers (physician, nurse practitioner(NP), PA, nurse, psychologist, occupational therapist (OT),physical therapist (PT), social worker (SW), speech languagepathologist (SLP), and PT technician) and those who train deployersor hold key positions at the school houses.MANDATORYAll deployingphysiciansMilitary Acute ConcussionEvaluation (MACE)/CPG/Department of DefenseInstruction (DoDI) CourseWithin 3 months ofdeploymentUSCENTCOM Fragmentary Order (FRAGO) 09-1734Concussion/mTBI Management and Tracking**Commands wanting MACE trainers to be trained should contact NavyMedicine (NAVMED) East)/NAVMED West Wounded, Ill, and Injured (WII)representatives:USCENTCOM FY 17-18 Theater TrainingRequirements DTG 301155Z Aug 171. Traumatic brain injury (TBI) for Deploying Providers a 2-day,tri-service, "train-the- trainer" course sponsored by the Army.2. TBI for Deploying Providers course is a "train-the-trainer"course, offered quarterly at the National Intrepid Center ofExcellence (NICoE).NAVMED East - 757-953-0464NAVMED West - 619-767-6664Provides standardized training for all trauma care at the pointof injury and for tactical evacuation.All deploying providersinvolvedin direct patientcare deployed tocombined jointoperationsTactical Combat CasualtyCare (TCCC)MANDATORYWithin 180 days ofdeploymentTraining should be completed at parent command or Naval ExpeditionaryMedical Training Institute (NAVEXMEDTRAINST) by TCCC trainers.BUMEDINST 1510.25ADirect TCCC training questions or concerns to Naval ExpeditionaryMedical Training Institute (NAVEXMEDTRAINST) Training Officer at(760) 725-7121 ext. 217 milUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 17CESC is offered at:All orthopedicsurgeonsNonePhase I TrainingCombat ExtremitySurgery Course (CESC)New orthopedic surgeons:within their 1st yearPhase I TrainingAll other orthopedicsurgeons: every 3 years1. ATTC.Strongly recommended - not required2. Society of Military Orthopedic Surgeons Conference Quotamanagement provided by Orthopedic specialty leader.1. NTTC.2. EWSC.3. Completed orthopedic trauma fellowship in last 3 years.Actively engaged in the ongoing practice of orthopedic traumasurgery (moonlighting as defined by parent command).4. Theater Trauma Systems CPGs familiarization training withinpast 3 months.2Enclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT PERSONNELDentists/Oral SurgeonsAll Dental Corpsofficers assigned tooutside contiguousUnited States(OCONUS) dutystations, operationalassignments orto NMAPCourseTimingRequirement*Special Information/CommentsC4, or ATLS, or PrehospitalTrauma Life Support (PTLS)Prior to assignmentTo the greatest extent possibleATLS is included in C4.NAVMED quota managed and funded by NAVMEDOPTRACTR.Acceptable AlternativesNoneBUMEDINST 1500.15FNote: Physician training is primary ATLS emphasis and target audience.Non-physician attendance is contingent on quota availability.Phase III TrainingTraining should be completed at parent command.MANDATORYAll Deploying DentalOfficersMACE/CPG/DoDI CourseWithin 3 months of deploymentUSCENTCOM FRAGO 09-1734 Concussion/mTBI Managementand TrackingUSCENTCOM FY 17-18 Theater TrainingRequirements DTG 301155Z Aug 17Target Audience: Deploying providers (physician, NP, PA, nurse,psychologist, OT, PT, SW, SLP, and PT tech) and those who traindeployers or hold key positions at the school houses.TBI for Deploying Providers a 2-day, tri-service, "train-the-trainer"course sponsored by the Army.**Commands wanting MACE trainers to be trained should contactNAVMED East/NAVMED West WII representatives:TBI for Deploying Providers course is a "train-the-trainer"course offered quarterly at the NICoE.NAVMED East – (757) 953-0464NAVMED West – (619) 767-6664All oral surgeonsassigned to OCONUSduty stations,operational assignmentsor to NMAPATLS and ACLSPhase I TrainingAll Deployedoral surgeonsC4Phase I TrainingPrior to assignmentMANDATORYATLS certification is good for 4 yearsACLS certification is good for 2 yearsBUMEDINST 1500.15FExecutive Sponsors: ACS AHANoneOnce in careerDesirable, but not requiredOPNAVINST 6320.7A/MCO 6320.7ANAVMED quota managed and funded by NAVMEDOPTRACTR.3NoneEnclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT PERSONNELNursesAll deployment criticalsubspecialties(primary, secondary,tertiary) of 1945,1950, 1960, and 1972CourseTimingRequirement*Trauma Nurse CoreCourse (TNCC)Maintain current at alltimes with recertificationevery 4 yearsMANDATORYExecutive Sponsor: Emergency Nurses Association (ENA) Certificationgood for 4 years1. Advanced Trauma Nurse Course Sponsored by: Society ofTrauma Nurses.All 1945, 1950, 1960 and 1972 Specialty CodesBUMEDINST 1500.15FFor Certified Registered Nurse Anesthetists and NPs, ATLS is preferredStrongly Recommended for all others2. Actively engaged in the on-going practice of Emergency TraumaResuscitation Nursing (moonlighting at a Level 1 Trauma Center, asdefined by Parent Command).Phase I TrainingSpecial Information/CommentsAcceptable AlternativesNote: TNCC is taught the first 3 days of C4 for NC officersAll deployment criticalsubspecialties(primary, secondary,tertiary) of 1945,1950, 1960, and 1972ACLSPhase I TrainingMaintain current atall times withrecertification every2 yearsCertification good for 2 yearsMANDATORYNoneAll 1945, 1950, 1960 and 1972 Specialty CodesBUMEDINST 1500.15FExecutive Sponsor: AHATNCC is included for nurses.NAVMED quota managed and funded by NAVMEDOPTRACTRC4AllOnce in careerStrongly recommended-not requiredPrior deployed "combat care" experience with Fleet Hospital/EMF/duty with USMC or ArmyPhase I Training1. JFCTMC offered through AMEDDC&S Army.Those assigned topatient care deliverypositions in a Role 1;Role 2 LM (FST);Role 2 plus andRole 3 Hospitals.MANDATORYEWSCPhase I TrainingUSCENTCOM area ofresponsibility (AOR):Within 180 days prior todeploymentOne-time requirementEWSC is offered through DMRTI and is open to surgeons, physicians,nurses, APRNs, and PAs. Quota management provided by surgeryspecific specialty leaderfor USCENTCOM AORUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 172. NTTC or other Service trauma training program (ATTC/CSTARS).3. Actively engaged in the ongoing practice of Trauma Care(moonlighting at Level 1 Trauma Center).4. Theater Trauma Systems CPGs familiarization training within past 3months.ACLS is a prerequisite for JECCJECC is offered through the U.S. Army School of Aviation Medicine,Fort Rucker, Alabama. Navy point of contact (334) 255-9425MANDATORYThose assigned toEnRoute Care (ERC)roles/billetsJoint EnRoute CareCourse (JECC)Within 3 yearsof deploymentfor Registered Nurses (RN) assigned to USMC ERC billets andthe critical care nurse for each of the nine FSTsNot Waiverable if assigned to USMC ERC billetsClass II Flight Physical required prior to attending JECC. Must successfullycomplete Naval Aviation Survival Training Program (NASTP)class III/V-22 survival trainingERC nurses MUST be Critical Care (1960) orEmergency/Trauma (1945) Specialties. Do not substituteMed-Surg nurses or other nurse specialtiesPhase I or III TrainingUSMC ERC: MARADMIN; ERC Team TrainingRequirements; DTG 251454Z May 10 andCOMNAVSURFPACINST 5450.6/COMNAVSURFLANTINST 5450.6Currently, only USMC billets associated with FRSSs/STPshave coded ERC billetsStrongly recommended for other 1960s and 1945s assignedto Fleet and USMC platforms1. Training conducted at any Service-specific trauma training center(e.g., Los Angeles, Miami, Baltimore, Cincinnati, etc.).MANDATORYThose assigned to:FRSS/STP USMCbillets and thoseassigned to patientcare delivery positionsin a Role 1;Role 2 LM (FST);Role 2 plus andRole 3 Hospitals(i.e., FST)for FRSS/STP USMC Billets regardless of theater locationMCCDC ltr C134 of 13 Nov 2013This training meets the EWSC requirement carriesadditional qualification designator (AQD) whichis good for 2 yearsNTTCPrior to deploymentPhase I for USMCPhase III for all others2. Actively engages in ongoing care of trauma patients (moonlighting atLevel 1 Trauma Center as defined by Parent Command).MANDATORYNTTC holds 11 iterations/year and has 24 seats/class (6 MC seats,3 NC seats, and 15 HM seats)NAVMED quota managed and funded by NAVMEDOPTRACTR Highlyrecommended for other applicable specialty areasOne-time experience if going toRole 2 LM units3. Theater Trauma Systems CPGs familiarization training within past 3months.Highly recommended per USCENTCOM FY 17-18Theater Training Requirements DTG 30115Z Aug 174Enclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT PERSONNELNursesCourseConcussion/mTBI in thedeployed settingAllTimingWithin 3 months ofdeploymentPhase I TrainingRequirement*Special Information/CommentsAcceptable AlternativesCourses offered on NKO:1. Traumatic Brain Injury 201: "Overview for Health CarePersonnel" (NM-12-TBI201-1.0)Target Audience: All active duty providers and clinical support staffworking in direct patient care areas where initial diagnosis and/ortreatment of TBI may occur.MANDATORYBUMED Policy Memo 6000 Ser M9/I11UN093000775of 9 Sep 2011N/A2. Traumatic Brain Injury 301: "Battlefield Management for MildTraumatic Brain Injury" (NM-12-TBI301-1.0)Target Audience: All deploying medical personnel.3. Traumatic Brain Injury 401: "Primary Care, Assessment andfCi"(12401 1 0Training should be completed at parent commandTarget Audience: Deploying providers (physicians, NP, PA, nurse,psychologist, OT, PT, SW, SLP, OT, and PT tech) and those who traindeployers or hold key positions at the school housesMANDATORYAll assigned to theaterhospitals/Role 2E/Role 3 unitsMACE/CPG/DoDICourse3 months of deploymentUSCENTCOM FRAGO 09-1734 Concussion/mTBIManagement and Tracking**Commands wanting MACE trainers to be trained should contactNAVMED East/NAVMED West WII representatives:USCENTCOM FY 17-18 Theater Training RequirementsDTG 301155Z Aug 171. TBI for Deploying Providers a 2-day, tri-service, "train-the-trainer"course sponsored by the Army.2. TBI for Deploying Providers course is a "train-the-trainer" course,offered quarterly at the NICoE.NAVMED West – (619) 767-6664NAVMED East – (757) 953-0464Provides standardized training for all trauma care at thepoint of injuryand for tactical evacuationTraining should be completed at parent command orNAVEXMEDTRAINSTby TCCC trainersMANDATORYTCCCAll deployingNC OfficersPhase I TrainingWithin 180 days ofdeploymentBUMEDINST 1510.25AUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 17All deploymentcritical subspecialties(1945s, 1950s, 1960s)Emergency NursingPediatrics CourseWithin 2 years prior todeploymentDirect TCCC training questions or concerns to NAVEXMEDTRAINSTTraining Officer at (760) 725-7121 ext. 217 milCertification good for 4 yearsNoneStrongly recommended-not requiredExecutive Sponsor: ENA, see ENA Web site (http://www.ena.org) to finda list of courses offered by StatePhase I TrainingAll deployment criticalsubspecialties(1945s, 1950s, 1960s)Advanced Burn Life Support(ABLS)NoneWithin 2 years prior todeploymentABLS is offered through DMRTI exportable training. For list of coursescontact DMRTI ABLS Section, (210) 295-0358E-mail address: ABLS@amedd.army.milRegistration good for 4 yearsStrongly recommended-not requiredPhase I Training5NoneEnclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT PERSONNELPhysician AssistantsCourseTimingRequirement*Special Information/CommentsC4AllOnce in careerStrongly recommended-not requiredAcceptable AlternativesPHTLS or ATLS is included in C4 for PAs.NAVMED quota managed and funded by NAVMEDOPTRACTRPrior deployed "combat care" experience with Fleet Hospital/EMF/duty with USMC or ArmyATLS certification is good for 4 yearsACLS certification is good for 2 yearsExecutive Sponsor: ACS and AHANonePhase I TrainingATLS and ACLSAllMaintain current throughdeploymentPhase I TrainingMANDATORYBUMEDINST 1500.15F1. JFCTMC offered through AMEDDC&S Army.PAs assigned to patientcare delivery positions in aRole 1; Role 2 LM (FST);Role 2 plus and Role 3HospitalsEWSCUSCENTCOM AOR:Within 180 days prior todeploymentPhase I TrainingOne-time requirementMANDATORYEWSC is offered through DMRTI and is open to surgeons, physicians,nurses, APRNs, and PAs. Quota management provided by surgeryspecific Specialty Leaderfor USCENTCOM AORUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 172. NTTC or other service trauma training program (ATTC/CSTARS).3. Actively engaged in the ongoing practice of Trauma Care(moonlighting at Level 1 Trauma Center).4. Theater Trauma Systems CPGs familiarization training within past3 months.MANDATORYCarries AQD which is good for 2 yearsThose assigned to:FRSS/STP USMCbillets and those assignedto patient care deliverpositions in a Role 1;Role 2 LM (FST); Role 2plus and Role 3 Hospitals(i.e., FST)for FRSS/STP USMC Billets regardless of theaterlocation - MCCDC ltr C134 of 13 Nov 2013NTTCPhase I for USMC Phase IIIfor all othersPrior to deploymentNTTC holds 11 iterations/year and has 24 seats/class(6 MC seats, 3 NC seats, and 15 HM seats)PAs may fill any of the empty class seatsMANDATORYOne-time experience if going toRole 2 LM units1. Training conducted at any Service-specific trauma training center(e.g., Los Angeles, Miami, Baltimore, Cincinnati, etc.).2. Theater Trauma Systems CPGs familiarization training within past3 months.NAVMED quota managed and funded by NAVMEDOPTRACTRWill earn approximately 65 CME creditsHighly recommended for other applicable specialty areasHighly recommended per USCENTCOM FY 17-18 TheaterTraining Requirements DTG 301155Z Aug 17Courses offered on NKO:1. Traumatic Brain Injury 201: "Overview for Health Care Personnel"AllConcussion/mTBI in thedeployed settingWithin 3 months ofdeploymentPhase I TrainingMANDATORYN/ABUMEDINST 6310.12(NM-12-TBI201-1.0)Target Audience: All active duty providers and clinical support staffworking in direct patient care areas where initial diagnosis and/ortreatment of traumatic brain injury may occur.2. Traumatic Brain Injury 301: "Battlefield Management for MildTraumatic Brain Injury" (NM-12-TBI301-1.0)Target Audience: All deploying medical personnel.3. Traumatic Brain Injury 401: "Primary Care, Assessment andManagement for Concussion" (NM-12-TBI401-1.0)Target Audience: All primary care managers, all mental healthproviders, and other providers involved with TBI care.Training should be completed at parent commandMANDATORYAllMACE/CPG/DoDICourseWithin 3 months ofdeploymentUSCENTCOM FRAGO 09-1734 Concussion/mTBIManagement and TrackingTarget Audience: Deploying providers (physician, NP, PA, nurse,psychologist, OT, PT, SW, SLP, OT, and PT tech) and those who traindeployers or hold key positions at the school housesUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 17**Commands wanting MACE trainers to be trained should contactNAVMED East/NAVMED West WII representatives:1. TBI for Deploying Providers a 2-day, Tri-Service, "train-the- trainer"course sponsored by the Army.2. TBI for Deploying Providers course is a "train-the-trainer" course,offered quarterly at the NICoE.NAVMED West - 619-767-6664NAVMED East - 757-953-04646Enclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT t*Special Information/CommentsProvides standardized training for all trauma care at thepoint of injury and for tactical evacuation.Training should be completed at parent command orNAVEXMEDTRAINST by TCCC trainers.MANDATORYTCCCAll deploying PAsWithin 180 days ofdeploymentBUMEDINST 1510.25APhase I TrainingDirect TCCC training questions or concerns toNAVEXMEDTRAINST Training Officer at (760) 725-7121ext.217 or lUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 17ABLSAllWithin 1 year prior todeploymentAcceptable AlternativesNoneCertification is good for 4 yearsStrongly recommended-not requiredNonePhase I TrainingCourse is offered through DMRTI exportable training.CESCAll orthopedic PAsPhase I TrainingWithin 1 year prior todeploymentStrongly recommended-not requiredApplies ONLY to PAs holding the 6HL AQD.7NoneEnclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING REQUIREMENTS FOR DEPLOYING NAVY MEDICAL DEPARTMENT pecial Information/CommentsProvides standardized training for all trauma care at thepoint of injury and for tactical evacuation.Training should be completed at parent command orNAVEXMEDTRAINST by TCCC trainers.Direct TCCC training questions or concerns to NAVEXMEDTRAINSTTraining Officer at (760) 725-7121 ext. 217 milMANDATORYTCCCAllPhase I TrainingWithin 180 days ofdeploymentBUMEDINST 1510.25AUSCENTCOM FY 17-18 Theater Training Requirements DTG301155Z Aug 17AllField Medical ServiceTechnician (FMST) SchoolPhase I or III TrainingNoneFMST is currently 8 weeks of training and is held at the Field MedicalTraining Battalions at Camp Pendleton and at Camp Lejeune.MANDATORYOnce in career, preferablywithin 2 years of accessionAcceptable AlternativesNOT waiverableFor assignment with USMCMANDATORYThose assigned to:FRSS/STP USMCBillets and thoseassigned to patient caredeliver positions in aRole 1;Role 2 LM(FST); Role 2 plus andRole 3 Hospitalsi.e., FST)for FRSS/STP USMC Billets regardless of theater locationMCCDC ltr C134 of 13 Nov 2013NTTCPhase I for USMC Phase IIIfor all othersPrior to deploymentNTTC holds 11 iterations/year and has 24 seats/class(6 MC seats, 3 NC seats, and 15 HM seats)MANDATORYNAVMED quota managed and funded by NAVMEDOPTRACTRHighly recommended for other applicable specialty areasOne-time experience if going toRole 2 LM unitsTraining conducted at any Service-specific trauma training center(e.g., Los Angeles, Miami, Baltimore, Cincinnati, etc.)Highly recommended per USCENTCOM FY 17-18 TheaterTraining Requirements DTG 301155Z Aug 17Courses offered on NKO:1. Traumatic Brain Injury 201: "Overview for Health Care Personnel"All deploying HMsConcussion/mTBI in thedeployed settingWithin 3 months ofdeploymentPhase I Training(NM-12-TBI201-1.0)Target Audience: All active duty providers and clinical support staffworking in direct patient care areas where initial diagnosis and/ortreatment of TBI may occur.MANDATORYN/ABUMEDINST 6310.122. Traumatic Brain Injury 301: "Battlefield Management for MildTraumatic Brain Injury" (NM-12-TBI301-1.0)Target Audience: All deploying medical personnel.3. Traumatic Brain Injury 401: "Primary Care, Assessment andManagement for Concussion" (NM-12-TBI401-1.0)Target Audience: All primary care managers, all mental healthproviders, and other providers involved with TBI care.Training should be completed at parent command.MANDATORYAll deploying HMsMACE/CPG/DoDICourseWithin 3 months ofdeploymentUSCENTCOM FRAGO 09-1734 Concussion/mTBI Managementand TrackingTarget Audience: Deploying providers (physician, NP, PA, nurse, psychologist,OT, PT, SW, SLP, OT, and PT tech) and those who train deployers or hold keypositions at the school houses.**Commands wanting MACE trainers to be trained should contact NAVMEDEast/NAVMED West WII representatives:USCENTCOM FY 17-18 Theater TrainingRequirements DTG 301155Z Aug 171. TBI for Deploying Providers: A 2-day, tri-service, "train-thetrainer" course sponsored by the Army.2. TBI for Deploying Providers course is a "train-the-trainer" course,offered quarterly at the NICoE.NAVMED West – (619) 767-6664NAVMED East – (757) 953-04648Enclosure (1)
BUMEDNOTE 150019 Jun 2018TRAUMA TRAINING R
2. NTTC or other service trauma training program (i.e., Army Trauma Training Center ((ATTC)/Center for Sustainment and Trauma Readiness Skills (CSTARS)). 3. Completed Trauma Fellowship within last 3 years. 4. Actively engaged in the ongoing practice of Trauma Surgery (moonlighting at Level 1 Trauma Center, as defined by Parent Command). All
