Joint Medical Education and Training

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Joint Medical Education and Training
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Agenda

• Strategy Overview
• Medical Education and Training Campus (METC)
  Development
• Joint Medical Education and Training (JMET)
  Transformation
• Panel Discussion

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Joint Medical Education TrainingStrategy
Overview
The JMET Strategy is Driven by the BRAC and QDR
to Achieve the Joint Medical Education and
Training Strategic Capstone
BRAC 2005/BP 172
Strategic Capstone
JMET Strategy
QDR 2006
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Joint Medical Education TrainingStrategic
Capstone
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Joint Medical Education TrainingStrategic
Mission
Medical Education Training Capabilities
Mission Delivery
Joint and Service Specific Medical
Life Long Learning
Joint Force Health Protection
Leader Development
Joint Medical Readiness
Initial Education Training
Curriculum
Army
Navy
Air Force
Joint
Joint and Service Specific Operational
Continuing Education
Life Long Learning
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Joint Medical Education TrainingStrategic
Outcomes

• Education and Training An Effective Joint and
  Service Specific Military Healthcare Personnel
  Education and Training Process
• Environment An Adaptive and Efficient
  Environment to Support Military Medical Education
  and Training
• Leader Development An Effective Joint and
  Service Specific Medical Leader Preparation
  Process
• Readiness Training A Transformed Military
  Medical Readiness Training that Enhances
  Integrated Operations

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Joint Medical Education Training Strategic
Phases
METC Capability
ONE STRATEGY
ONE VISION
ONE PLATFORM
Theme
Joint Interoperability
Training Synergy / Integration
Center Development
Phase
Doctrine
Joint
Doctrine
Service
Consolidation
Integration
Organization
Organization
Training
Joint
Standardized Joint Synch Updates
Training
Service
Standardized Service Synch Updates
Materiel
Materiel Solutions
Materiel Solutions
Materiel Solutions
Materiel
Innovation Solutions
Leadership
Joint
Service
Personnel
Joint
Service
Facilities
BRAC 05
METC Upgrades
AMEDD Mods
JMET capabilities support JMET strategic
decision making across the DOTMLPF spectrum
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Joint Medical Education TrainingHigh Level
Operational Concept
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Medical Education and Training
Campus(METC)Development
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Joint Medical Education TrainingHigh Level
Operational Concept
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METC Mission and Vision

• Mission
• We Produce The Worlds Best Military Healthcare
  Personnel To Support The Nation
• Vision
• The Nations Leader In Military Medical Education
  And Training

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METCOrganizational Concept
SERVICES
JOINT ORG TBD (e.g. JTF, DHA, J/UMC, etc)
FOSC
METC COMMANDER/PRESIDENT
AIR FORCE COMPONENT COMMAND
ARMY COMPONENT COMMAND
NAVY COMPONENT COMMAND
METC HEADQUARTERS STAFF
OPCON/ADCON TACON ADVICE
AIR FORCE WING
ARMY BRIGADE
NAVY SHIPS COMPANY
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METCOperating Principles

• USC Title 10 Authority retained under three
• Service Colleges/Components (OPCON/ADCON)
• An integrated campus under a single campus
  Administration (TACON)
• Provides interface with Service USC Title 10
  Authority
• Standardized courses and a common core curriculum
• One of Three Interlocking Joint Pillars
• Joint Service Lifelong Learning Center of
  Excellence
• Center for Medical Education and Training
  Excellence
• Performance-Based Joint Service Leader
  Development

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METCOperating Principles

• Promote an understanding of the capabilities,
  traditions, and procedures of all Services
• Facilitate the concept of Service identification
  while promoting Joint synergy and Joint
  interoperability at every level
• Coordinating with the Senior Enlisted Advisory
  Council (SEAC) for Joint Policies

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METCScope of Challenge

• METC to be the largest consolidation of Service
  training in history of the DOD
• Active duty student load 9003
• 2272 Air Force (24)
• 3873 Army (45)
• 2858 Navy (31)
• Staff and faculty 3610
• 534 Officers
• 1878 Enlisted
• 1198 Civilians

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METCScope of Challenge

• METC to be largest military medical education and
  training institution in the world
• Deliver over 100 courses annually
• Estimated annual throughput 32,000 (represents
  enlisted/ officer training and education)

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METCFacility Footprint

• Total New Construction of over 2 million GSF
• Total Instructional/Laboratory Space 1.2 M GSF
• 700K new
• 500K existing
• Student Dorms
• 1800 rooms (3600 spaces) new
• One bathroom per room

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METCFacility Footprint

• Student Support Facilities
• Dining Facility
• Gym
• Troop Walks, Lighting
• Parking
• Processing Center, AAFES, Recreation Center
• Medical Readiness Training Site at Camp
  Bullis

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METCConstruction Timelines
Fiscal Year
2007
2008
2009
2010
2011
2012
BRAC MILCON
1Q 2Q
1Q 2Q 3Q 4Q
1Q 2Q 3Q 4Q
1Q 2Q 3Q 4Q
1Q 2Q 3Q 4Q
3Q 4Q
Design / Build / Furnish
Headquarters 1
Headquarters 2
Design / Build / Furnish
Design / Build / Furnish
Dorm 1
Dining Facility 1 and 2
Design / Build / Furnish
Design / Build / Furnish
Dorm 2
METC Instructional Facility 1
Design / Build / Furnish
Phase 1 BMET Radiology
Phase 2 Dental
METC Instructional Facility 2
Design / Build / Furnish
Phase 2 Specialty
METC Instructional Facility 3
Design / Build / Furnish
Dorm 3
Design / Build / Furnish
METC Instructional Facility 4
Design / Build / Furnish
Phase 3 Hospital Corps
Medical Instructional Facility (MIF)
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METCConsolidation Strategy

• Facility design driven by Curriculum
  Consolidation
• Consolidate like courses together in single
  location to maximize efficiencies for student
  movement, faculty availability, and classroom
  utilization
• Curriculum Consolidation based on ITRO Process
• Based on maximum achievable consolidation with
  existing resources
• Adopt best practices across Services
• Program accreditation/certification
• Iterative process for improvement that must be
  included as additional POM requirements

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METCCurriculum Consolidation (Current)
Army Functional Areas
Air Force Functional Areas
Navy Functional Areas

• NOTES
• Degree of consolidation within each functional
  area varies from approximately 15 to 100.
• Includes only MOS, NEC, AFSC, and special
  identifier awarding functional areas.
• Does NOT include functional areas unique to one
  Service
• Includes functional areas that will not be
  physically located at FSH

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METCCurriculum Consolidation (Projected)

• NOTES
• Degree of consolidation within each functional
  area varies from approximately 15 to 100.
• Includes only MOS, NEC, AFSC, and special
  identifier awarding functional areas.
• Does NOT include functional areas unique to one
  Service
• Includes functional areas that will not be
  physically located at FSH

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METCDevelopmental Strategy

• METC will be Lead for all enlisted training
  except aerospace medicine
• Utilize a single standard for Instructional
  System Design and Registrar activities
• Utilize a single standard for Faculty
  Qualifications
• Increased resource requirements no initial
  savings
• Systems Integration
• Employ common training management and registrar
  systems
• Employ common training delivery, information
  management and knowledge management systems
• Interfacing with USUHS for coordinated
  acquisition of common education and training
  systems, e.g., medical simulators

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METCDevelopmental Strategy

• Standard of Practice Analysis (RAND)
• Developing a standard of practice for each
  specialty as a baseline for training requirements
  to enhance interoperability
• Evaluate and standardize accreditation,
  certification and competency levels for each
  capability set
• Determined initial obstacles to a common training
  paradigm for each capability set
• Published initial report on Standard of Practice
• Researching Surgical Technician as pilot project
  for standard of practice analysis

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METC Institutional Accreditation

• Becoming the first non-AF CCAF affiliated
  institution
• Utilizing a single METC standard for faculty
  development and qualification that meets CCAF
  accreditation requirements
• Engaging Commander of Air University to overcome
  legislative barrier to allow degree granting
  authority to other Services by CCAF
• Evolving to a Medical Community College of The
  Armed Forces through legislative change

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METCFuture Initiatives

• Medical Vocational Educational and Training
  Research
• Developing an Analysis and Evaluation Center for
  continuous improvement in education delivery
• Extending evidence-based approaches in patient
  care to the delivery of medical vocational
  education and training.
• Collaborating with DARPA and other academic
  institutions for enhanced training development

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Medical Education and Training Campus
The Nations Leader in Military Medical Education
and Training
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Joint Medical and Education (JMET)
Transformation
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Joint Medical Education TrainingHigh Level
Operational Concept
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Categories of Training CJCSI 3500.01D, Joint
Training Policy and Guidance for the Armed Forces
of the United States (2007)

• Service
• Joint

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Current ApproachInterservice Training

• Two or more Services training together,
  including consolidated, collocated, quota or DOD
  Executive Agent courses. It does not address
  joint doctrine, tactics, techniques, and
  procedures.

Interservice Training, 2006 AR 351-9 OPNAVINST
1500.27F AFI 36-2230 MCO 1580.7D
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With the increase in joint operations, joint
training to facilitate interoperability and
intraoperability is becoming necessary
BRAC 2005 Medical Joint Cross Service Group Report
BRAC MJCSG Report, MAY 05
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QDR 2006 Report Joint Training

• it is clear that further advances in joint
  training and education are urgently needed to
  prepare for complex, multinational and
  interagency operations in the future.

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Joint Force Health Protection CONOPS

• The joint force needs to solve the basic
  military medical challenge of how to more
  effectively provide health protection to a joint
  force that will operate in a complex and diverse
  operational environment and collaborate with
  other organizations, agencies, nations, and
  cultures.

JFHP CONOPS (July 2007)
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Current Future Missions Require Joint Skill
Sets for Medics
Humanitarian Assistance (HA)
Major Combat OPS and Stability, Security,
Transition, and Reconstruction OPS (SSTRO)
Counter CBRNE
Civil-Military Operations (CMO) and
Coordination
Army
Air Force
Allied Coalition Civilian NGO
Navy Marines
First Responder
Theater Hospitalization
Airfield and Aeromedical Evacuation OPS
Shipboard and Port Medical OPS
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Way Ahead ApproachJoint Training

• Training, includes mission rehearsals, of
  individuals, units, and staffs using Joint
  Doctrine or Joint Tactics, Techniques, and
  Procedures to prepare Joint Forces or Joint
  Staffs to respond to strategic, operational, or
  tactical requirements considered necessary by the
  Combatant Commanders to execute their assigned or
  anticipated missions."

DODD 1322.18 (2004) CJCSI 3500.01D (2007)
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Joint Training Efforts

• Leveraging the ITRO process to evaluate
  potential for incorporating other Joint training
  requirements and opportunities
• Engaging RAND to facilitate Joint life-long
  learning and Joint leader development
• Leveraging DoD Training Transformation
  capabilities
• Joint Knowledge Development and Distribution
  Capability (JKDDC)
• Joint National Training Capability (JNTC)
• Joint Assessment and Enabling Capability (JAEC)

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Enlisted Professional Military Education Policy
(EPMEP)

• Provides guidance to military education and
  training institutionsin order to achieve the
  goal of expanding Jointness to all appropriate
  levels of the US Armed Forces
• Expansion of Joint operating environment to all
  levels of war necessitates expansion of JPME to
  enlisted personnel
• While not mandated by law (as is the case for
  officers), this policy is a recognition that
  operating in Joint, interagency, multinational,
  and coalition warfighting organizations and
  staffs requires Joint learning objectives must be
  made available to all enlisted personnel

CJCSI 1805.01 Enlisted Professional Military
Education Policy (EPMEP)(2007)
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Enlisted Professional MilitaryEducation Policy
(EPMEP)
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Joint Medical Education and TrainingTransformatio
n Program Management Office

• Establish a Joint Medical Education and Training
  Transformation Program Management Office (T-PMO)
• Implements BRAC MJCSG intent
• Fosters Joint culture and Joint interoperability
  from METC inception
• Implements QDR Roadmap for Medical Transformation
  Initiative 5 to include Joint life-long learning
  and Joint leader development
• Captures opportunity to fully leverage DoD
  Training Transformation Capabilities for joint
  medical community
• Aligns MHS training and education programs and
  requirements
• Fulfills vision and strategy for joint medical
  education and training
• Concept approved by the Surgeons General
• Final approval pending further resource analysis

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Panel Discussion