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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. Seismic Changes. Foundation for Transformation of Military Medical Education and Training

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transformation of the ameddc s to a joint medical training center
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

seismic changes
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
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

precepts
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
precepts5
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
precepts6
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
precepts7
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
transition management
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
slide9

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

facility footprint
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
slide13

Medical Education

and Training Campus

facilities program status
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
migration chart
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)

action plan timeline by fy
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

health care itro process
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

metc training process

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

slide19

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

transformation concepts
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
issues
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
issues23
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
issues24
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
slide25

Medical Education and Training Center (METC)

The Nation’s leader in Medical Education and Training