Transformation OF THE AMEDDCS TO A JOINT MEDICAL

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

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 Medical Education and Training Center 2

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 Medical Education and Training Center 3

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 Medical Education and Training Center 4

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 § Do. D Standard Barracks § Barracks parity across all services Medical Education and Training Center 5

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 Medical Education and Training Center 6

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 Medical Education and Training Center 7

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 Medical Education and Training Center 8

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) Air Force Group Navy Ship’s Company Teaching Depts Army Brigade 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

METC ADSL COBRA Course HOHUR* Variance Total Sheppard 1578 572 122 2272 Great Lakes 1700 (174) 0 1526 Portsmouth 350 221 0 571 San Diego 1337 (616) 0 721 Walter Reed 30 0 0 30 AMEDD C&S 2904 797 150 3851 Total 7899 800 272 8971 Medical Education and Training Center 10

METC STAFF Officer Enlisted Civilian Total Sheppard 69 436 71 576 Great Lakes 20 123 8 151 Portsmouth 11 84 10 105 San Diego 27 216 25 268 Walter Reed 0 1 4 5 AMEDD C&S 426 1016 1082 2524 Total 553 1876 1200 3629 Medical Education and Training Center 11

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 Medical Education and Training Center 12

Medical Education and Training Campus

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 Medical Education and Training Center 14

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

Action Plan Timeline By FY 2006 2007 METC (Prov) 2008 2009 2010 METC 2011 BRAC MILCON EIS Study Instructional / Dorms Instructional/ Dorms EIS Study Camp Bullis Readiness Training Instructional/ Dorms Concurrent Army MILCON at Fort Sam Houston General Instructional Building (GIB)Nursing Sciences Instructional/ Dorms Medical Instructional Facility (MIF)Physician Specialists Proposed Replacement Barracks Construction Phased Move Phase I: Early C 2, 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 Medical Education and Training Center 16

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

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

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

Transition IPT Organization Healthcare Executive IPT Strategic Studies Resource Readiness Management Training Finance Manpower Logistics ITO Accreditation Charter WG WG E&T Command Organizational and Control WG Structure WG Marketing and Senior Enlisted Communications Advisory Council Facilities Academic Technology Scope Lifelong of Practice Learning Leadership Registrar Instructional Information JSO Services Systems Design Technology Development Faculty Clinical Knowledge Qualification Training Management Licensure and Qual. Assurance Education Credentialing & Improvement Technology Medical Education and Training Center 20

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 Medical Education and Training Center 21

Issues • Business Plan 172 b 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 Medical Education and Training Center 22

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 Medical Education and Training Center 23

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 Medical Education and Training Center 24

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