Army Medical Department

ACTIVITIES REPORT( Reports Control Symbol MED-41 ( R4 ) )

1985

DEPARTMENT OF THE ARMY

HEADQUARTERS

ACADEMY OF HEALTH SCIENCES,

UNITED STATES ARMY

FORT SAM HOUSTON, TEXAS 78234

ARCUH398A188

I I

.1985I.

AHS CY 85

FORWARD

The Army Medical Department Activities Report for the Academy of Health

Sciences, United States Army [Reports Control Symbol MED-41 (R4)], for

calendar year 1985 is prepared in accordance with provisions of AR 40-226.

This report includes the activities of the main elements of the Academy of

Health Sciences, United States Army; the United States Army Medical Equip-

ment and Optical School and the United States Army School of Aviation

Medicine.

Major General, USACommandant

I

AHS CY 85

DISTRIBUTION

No. ofCopies

Headquarters, Academy of Health Sciences, United States Army

Commandant 1

Assistant Commandant, Proponency Action Office 1

Organizational Strategic Planning Office 1

Commander, Academy Brigade 1

Director, C4 Task Force 1

Director of Combat Developments 1

Director of Evaluation & Standardization 1

Director of Training & Doctrine 1

Chief, Information Management Office 1

Dean, Medical Field Service School 1

Chief, Personnel Liaison Office 1

School Secretary 1

Stimson Library 3

President, US Army Medical Department Board 1

Commander, Detachment 1, School of Health Care Sciences, USAF (ATC) 1

Naval School of Health Sciences, Bethesda Detachment 1

Commander/Dean, US Army Medical Equipment & Optical School, AHS, 1

(HSHA-MEO), Aurora, CO 80045

Dean, US Army School of Aviation Medicine, Fort Rucker, AL 36362-5333 1

Commander, US Army Health Services Command, ATTN: HSOP-SP, Fort Sam 3

Houston, TX 78234-6000

HQDA (DASG-HCZ, Washington, DC 20310 3

ii

AHS CY 85

TABLE OF CONTENTS

FORWARD i

DISTRIBUTION ii

TABLE OF CONTENTS iii

MISSION 1

COMMAND RELATIONSHIPS 1

ORGANIZATION 1

PERSONNEL 5

PROPONENCY ACTION OFFICE 10

ORGANIZATIONAL STRATEGIC PLANNING OFFICE 13

SPECIAL STAFF 14

ACADEMY BRIGADE 16

DIRECTORATE OF COMBAT DEVELOPMENTS 18

DIRECTORATE OF EVALUATION & STANDARDIZATION 36

DIRECTORATE OF TRAINING & DOCTRINE 38

INFORMATION MANAGEMENT OFFICE 45

MEDICAL FIELD SERVICE SCHOOL 49

SCHOOL SECRETARY 78

US ARMY MEDICAL DEPARTMENT BOARD 87

US ARMY MEDICAL EQUIPMENT & OPTICAL SCHOOL 89

US ARMY SCHOOL OF AVIATION MEDICINE 93

DETACHMENT 1, SCHOOL OF HEALTH CARE SCIENCES, USAF (ATC) 95

NAVAL SCHOOL OF HEALTH SCIENCES, BETHESDA DETACHMENT 96

GLOSSARY OF ABBREVIATIONS AND ACRONYMS 97

iii

AHS CY 85

MISSION

Develop concepts and systems for health services support of the Army in combat(combat developments).

Determine doctrine and training requirements; systematically develop courses,training devices, manuals and sustainment materials to ensure soldier medicand unit readiness in peace and war.

Provide progressive education and training related to the health caredisciplines for AMEDD officers and enlisted personnel, qualified personnelfrom other services, foreign nationals and DA/DOD civilians.

Perform independent worldwide evaluation of the effectiveness of Academytraining and education programs and Academy developed supporting materials.

Test and evaluate new and replacement items of equipment having medicalimplication.

Act as proponent for medical support, theater medical services and medicallogistics force design.

COMMAND RELATIONSHIPS

The Academy of Health Sciences, United States Army, is a subordinate element

of the United States Army Health Services Command (HSC), one of the major

commands of the United States Army. With guidance from The Surgeon General

and under the command of Headquarters, HSC, the Academy directs, administers

and supervises all educational programs for the Army Medical Department. By

memorandum of agreement between the commanders of HSC and TRADOC (United

States Army Training and Doctrine Command), the Academy deals directly with

TRADOC on AMEDD combat developments matters.

ORGANIZATION

On 31 December 1985, the organizational structure of the ACADEMY OF HEALTH

SCIENCES, UNITED STATES ARMY, was as indicated below (Organization Chart,

Page 4).

OFFICE OF THE COMMANDANTCommandantDeputy CommandantAssistant CommandantExecutive OfficerAide-de-CampCommand Sergeant Major

PROPONENCY ACTION OFFICE

AMEDD Enlisted Proponency Office

Medical System Program Review

ARNG/USAR Advisors

AHS CY 85

ORGANIZATIONAL STRATEGIC PLANNING OFFICE

SPECIAL STAFFC4 Task ForceInspector GeneralChaplainJudge AdvocateEqual Opportunity OfficePersonnel Liaison OfficeSecurity OfficerInternal Review

ACADEMY BRIGADESl/AdjutantS3S41st Battalion2d Battalion3d Battalion

DIRECTORATE OF COMBAT DEVELOPMENTSOperations Analysis OfficeConcepts DivisionOrganization DivisionMateriel DivisionTAMMIS Project Office

DIRECTORATE OF EVALUATION & STANDARDIZATIONStandardization/Analysis DivisionEvaluation Division

DIRECTORATE OF TRAINING & DOCTRINEProgram Management and Administrative Office

Individual Training DivisionUnit Training DivisionCourse Development DivisionDoctrine & Training Literature Division

INFORMATION MANAGEMENT OFFICEAutomation Management DivisionVisual Information DivisionAdministrative Services Division

MEDICAL FIELD SERVICE SCHOOLAdministrative Support DivisionStimson Library

Staff & Faculty Division

Learning Resources Laboratory

Resident Training Management Division

Medicine & Surgery Division

Behavioral Sciences Division

Preventive Medicine Division

AHS CY 85

MEDICAL FIELD SERVICE SCHOOL (CONT.)Dental Science DivisionNursing Science DivisionHealth Care Administration DivisionMilitary Science DivisionVeterinary Science DivisionLaboratory Science DivisionCombat Medical Specialist DivisionLow Intensity Conflict DivisionExtension Services Division

RESOURCE MANAGEMENT DIVISIONBudget BranchManagement Branch

SCHOOL SECRETARYPublic Affairs OfficeUS Army Medical MuseumAllied Student & Visitor Support DivisionRegistrar/Academic Records DivisionSecurity, Plans & Operations DivisionHealth Sciences Media DivisionLogistics Division

US ARMY MEDICAL DEPARTMENT BOARDMedical Equipment Test DivisionTest Support Division

US ARMY MEDICAL EQUIPMENT & OPTICAL SCHOOL

Academic Support DivisionOptical DivisionBiomedical Equipment Division

US ARMY SCHOOL OF AVIATION MEDICINEEducation/Training DepartmentProfessional Education ServicePhysical Training ServiceAeromedical Training Service

AHS CY 85

ACADEMY OF HEALTH SCIENCES, UNITED STATES ARMY

ORGANIZATIONAlSTRATEGICPLANNING

OFFICE

ISCHOOL

SECRETARY

USA MEDICAL EQUIP-MENT & OPTICALSCHOOL

USA SCHOOL OFAVIATION MEDICINE

DIRECTORATEOF

COMBATDEVELOPMENT

IUS ARMYMEDICAL

DEPARTMENTBOARD

IDIRECTORATE

OFTRAINING

& DOCTRINE

I

ACADEMYBRIGADE

PROPONENCYACTION

S OFFICE

I

INFORMATIONMANAGEMENT

OFFICE

OFFICE OF THE COMMANDANT

COMMANDANTDEPUTY COMMANDANT

ASSISTANT COMMANDANTEXECUTIVE OFFICER

SPECIAL STAFFC4 PROGRAM OFFICE

INSPECTOR GENERALCHAPLAIN

JUDGE ADVOCATE

EQUAL OPPORTUNITY OFC

PERSONNEL LIAISON OFCSECURITY OFFICER

INTERNAL REVIEW

RESOURCEANAGEMENTDIVISION

MEDICAL FIELDSERVICESCHOOL

DIRECTORATEOF

EVALUATION

STANARDIZATONSTANDARDIZATION

now

I -~sl · · '1 ' I - II C _I· - Irqr-

~

- I I -i r r L II Ir I ·I _ I L

_ I ---

AHS CY 85

Authorized as

MC DC MSC

21 7 276

Assigned as of

26 8 269

Grade and Name

MG William P.

COL Richard F.

COL Raymond Le

LTC William P.

CSM Howard R.

CSM Joe D. McL

COL Donald W.

LTC Bruce D. A

LTC Roy A. Bry

MAJ Frederick

LTC

MAJ

COL

LTC

COL

Raymond D.

Brian K. D

Frederick

David A. S

John R. Wa

LTC Jesse K. F

PERSONNEL

of 31 December 1985:

ANC AMSC VC WO OTHER ENLISTED

40 12 9 11 19 1,196

31 December 1985:

40 12 11 14 15 1,106

ROSTER OF KEY PERSONNEL

Position

Winkler Jr. Commandant

Neitzel Deputy Commandant

ahey Assistant Commandant

DeBree Executive Officer

Harrell Command Sergeant Major

,ain Command Sergeant Major

McSwain Chaplain

nderson Chaplain

ran Inspector General

Seidel Chief, InformationManagement Office

Boyd Equal Opportunity Officer

)avis Equal Opportunity Officer

A. Eaton Personnel Liaison Officer

;klar Command Judge Advocate

ird Commander, Academy

Brigade

'ulfer Executive Officer,

Academy Brigade

CIVILIAN TOTAL

579 2,179

564 2,065

Incumbency

15 Oct 83

15 Nov 83

7 Jan 85

17 Dec 82

1 Jul 80 - 17 Apr 85

18 Apr 85

24 Jan 84 - 28 May 85

29 May 85

11 Jul 83

14 Jul 84

27 Jul 83 - 7 Jan 85

8 Jan 85

25 Jul 83

10 Sep 84

5 Jul 84

16 Jan 84 - 8 Jul 85

AHS CY 85

Name and Grade

LTC Idus W. Adams

LTC

LTC

LTC

LTC

LTC

COL

Paul B.

Michael

Jimmy D.

Thomas 1

Chester

George I

SGM Ronnie

MAJ Robert

Maykuth

E. Herndon

Alexander

4. Driskill Jr.

E. Duncan

. Brown

J. Lee

. Marslender

COL Francis L. McKeever

MAJ Charles F. Frost

COL Thomas E. Schafer

COL Gary P. Hyde

COL George W. Hausler

COL Raymond Leahey

COL James P. Laible

COL Donald A. Lacey

COL Donald A. Lacey

Position Incumben

Executive Officer, 9 Jul 85Academy Brigade

Commander, 1st Battalion 10 May 81

Commander, 2d Battalion 8 Jul 83

Commander, 2d Battalion 25 Jun 8-

Commander, 3d Battalion 22 Mar 8:

Commander, 3d Battalion 9 May 85

Commander/Dean, US Army 1 Jul 82Medical Equipment &Optical School (USAMEOS)

Sergeant Major, USAMEOS 1 Oct 82

Chief, Biomedical 10 Feb 81Division, USAMEOS

Director, Directorate of 17 Dec 8KCombat Developments

Executive Officer, DCD 21 Jun 81

Chief, Concepts Division, 6 Jul 84DCD

Chief, Materiel Division, 1 Aug 84DCD

Chief, Operations 1 Jul 82Analysis Division, DCD

Director, Directorate 13 Jul 8]of Training & Doctrine

Director, Directorate of 7 Jan 85Training & Doctrine

Chief, Program Manage- 21 Dec 8;

ment Office, DOTD

Chief, AMEDD Proponency 7 Jan 85

Office

cvy

4

- 25 Jun 85

5

3 - 9 May 85

4

4

L - 7 Jan 85

2 - 7 Jan 85

Grade and Name

LTC James Tyler

LTC Laurence Christman

LTC Frank B. Holland

James P. Laible

Brian K. Davis

Thomas M. McCrary

Douglas E. Jones

Kenneth Andrews

Archie D. Pollock Jr.

Thomas S. Luckey

Bradley Freeman

Lyle W. Carlson

David L. Garber

Herchel Billingsley

Don C. Hobaugh

Richard C. Harder

Position

Chief, Unit TrainingDivision, DOTD

Chief, Doctrine & Train-ing Literature Division,DOTD

Chief, Doctrine & Train-ing Literature Division,DOTD

Chief, Individual Train-ing Division, DOTD

Chief, Individual Train-ing Division, DOTD

Chief, Individual Train-ing Division, DOTD

Chief, Course Develop-ment Division, DOTD

Chief, Course Develop-ment Division, DOTD

Dean, Medical FieldService School

Assistant Dean, MedicalField Service School

Chief, Admin SupportDivision, MFSS

Chief, Admin SupportDivision, MFSS

Chief, BehavioralScience Division

Chief, Basic MedicalSpecialist Division

Chief, Dental Science

Division

Chief, Health Care

Administration Division

7

AHS CY 85

Incumbency

16 Jul 84

1 Aug 83 - 25 Jul 85

10 Jul 85

21 Jul 82 - 7 Jan 85

7 Jan 85 - 16 Jun 85

17 Jun 85

1 Jun 81 - 1 Jun 85

21 May 85

1 Dec 84

6 Jun 83

10 Jul 83 - 7 Jan 85

7 Jan 85

1 Nov 83

16 Jul 84

18 Jun 84

20 Sep 82 - 3 Jan 85

COL

MAJ

LTC

LTC

LTC

COL

LTC

CPT

CPT

COL

COL

COL

COL

Grade and Name

COL Joseph F. Constable

LTC Gerald D. Jacobs

LTC George N. Michels

COL Demetrios Tsoulos

COL Larry L. Grabhorn

COL James R. Sawyer

COL Betty Brice

COL John M. Sowell

COL Francis L. O'Donnell

COL Mylo M. Hagberg

LTC Ronald N. Hood

CPT Cynthia L. Eaton

CPT Lyle W. Carlson

CPT Ronald Sumner

CPT Dudley J. Schroeder

LTC Gerald R. Bearce

Position

Chief, Health CareAdministration Division

Chief, LaboratoryScience Division

Chief, LaboratoryScience Division

Chief, Medicine &Surgery Division

Chief, Medicine &Surgery Division

Chief, Military ScienceDivision

Chief, Nursing ScienceDivision

Chief, PreventiveMedicine Division

Chief, PreventiveMedicine Division

Chief, VeterinaryScience Division

Chief, ExtensionServices Division

Chief, Resident TrainingManagement Division

Chief, Resident TrainingManagement Division

Chief, Staff & FacultyDevelopment Division

Chief, Staff & Faculty

Development Division

Chief, Staff & Faculty

Development Division

AHS CY 85

Incumbency

3 Jan 85

1 Jul 82 - 15 Jul 85

15 Jul 85

1 Oct 84 - 10 Jun 85

8 Jul 85

6 Jul 84

1 Oct 83

1 Jul 81 - 30 Jun 85

22 Aug 85

15 Jul 82

18 Jun 84

4 Jan 83 - 8 Jul 85

8 Jul 85

18 Jun 84 - 7 Jan 85

7 Jan 85 - 1 Nov 85

1 Nov 85

Grade and Name

COL Roger Labat

LTC Willie H. Boyd

LTC Michael H. Todd

CPT Calvin E. Williams

COL Donald R. O'Haver

MAJ Gary E. Madden

CPT Ronald L. Sumner

MAJ Theodore J. Nelson

CPT Leary E. Bonnett

COL John D. Hayes

LTC Richard L. Coleman

LTC Thomas C. Whitesell

Position

School Secretary

Chief, Logistics Division

Chief, Logistics Division

Adjutant General

Chief, Health SciencesMedia Division

Chief, Foreign Student &Visitor Support Division

Chief, Foreign Student &Visitor Support Division

Chief, Security, Plans& Operations Division

Chief, Security, Plans& Operations Division

President, US ArmyMedical Department Board

Chief, Resource Manage-ment Division

Director, Evaluation &Standardization

AHS CY 85

Incumbency

1 Dec 84

15 Jun 84 - 3 Jun 85

28 Jun 85

16 Dec 81

23 Aug 83

27 Dec 82 - 14 Jan 85

14 Jan 85

1 Jun 81 - 30 Apr 85

24 Jun 85

1 Dec 83

31 May 83

3 Jan 84

9

AHS CY 85

PROPONENCY ACTION OFFICE

The Medical System Program Review (MSPR) after action report identified 79major issues that resulted from the 17-18 Dec 84 briefing to the Vice Chiefof Staff Army (VCSA). The VCSA was provided an update on the status ofcertain issues at a briefing 10 Jul 85 at AHS.

As the MSPR process continues, interim status reports have been briefed tothe Chief of Staff Army and the VCSA, and an update was provided the Com-bined Arms Center (CAC). The Proponency Action Office (PROACTO) scheduledtwo general officer steering committee meetings, 10 May and 5 Jun 85, toreview progress and status of issues as preparation continued for the updateto the VCSA.

As a result of the MSPR conducted in December, five aeromedical evacuationairlift issues were identified. The VCSA directed that these issues beresolved through the Airlift Concepts and Requirements Agency (ACRA) atScott AFB, IL. The five issues identified for resolution were:

1. Aeromedical evacuation of more seriously ill, stabilized patients.

2. Dedicated aeromedical evacuation aircraft.

3. Control, return, direct exchange of medical supplies and equipment.

4. Determine inter and intra theater aeromedical evacuation requirements,capabilities and shortfalls.

5. Prioity of aeromedical evacuation missions and exercise of the priorityduring joint exercises.

The Academy of Health Sciences hosted the initial conference 5-7 Feb 85. Thepurpose was to define joint issues, sub-issues and requirements of aeromedicalevacuation airlift for consideration by the Joint Action Steering Committee(JASC). Progress on these issues continues through joint meetings with HQ,Military Airlift Command (MAC), TRADOC and AHS. The issues are worked down toa recommended action and then presented to the appropriate service surgeongeneral level or JCS level for further consideration and resolution. Anexhaustive staffing process must occur on each issue when presented forchanges in new or existing joint service (USA/USAF).

Major issues presented at the 10 Jul 85 update were categorized into thefollowing presentation abstracts, in focus with the continuum of medicalcare from Front Line of Own Troops (FLOT) to the CONUS Base:

1. Pre-deployment/Division

2. Corps/COMMZ

3. Evacuation/CONUS Base

4. Force Analysis

10

AHS CY 85

The first presentation, titled Pre-deployment/Division, included issues thatkeyed in on the role medical forces play in conserving the fighting strengthby maximizing soldier return to duty rates. New innovative concepts wererevisited, such as Self/Buddy Aid, Combat Lifesaver and the establishment ofwellness/fitness promotion centers. Additionally, further emphasis was placedon the commanders role in prevention of illness and injury.

The second presentation, titled Corps/COMMZ, provided further detail ofhealth services rendered by Echelon Above Corps (EAC) units. Hospitalization,preventive medicine, veterinary services, blood and lab services, medicallogistics support and dental services were presented, based on an acceptedwargaming scenario to validate the basis of allocation in the force structureanalysis.

The third presentation, titled Evacuation/CONUS Base, was designed to includeAir Force representation and participation. Discussion included the AF abili-ties to support emerging Army medical doctrine. A highlight of the briefingwas proposed concept for dedicated strategic aeromedical lift and the jointefforts between MAC, TRADOC, ACRA and AHS to reach this goal. This presentationended with a summation of the previous six months work to carve TOE units fromexisting TDA structure and the impact on Reserve Component units to realignto fit the modular design for war concept.

Final presentation, titled Force Analysis, explained the process for transit-ioning from the current hospital system to the proposed. This briefing examinedthe impact upon the force structure requirements for various evacuation policies,evacuation schedules and decrements in strategic evacuation capability. Thisanalysis provided the analytical underpining for the entire transition process.The overall driver of the design process was the requirement that the newconcept adequately support AirLand Battle.

The IPR was a gigantic step forward in reaching the goal of providing the bestpossible medical care for the soldier and his family.

AMEDD Enlisted Proponency Office

During CY 85, the AMEDD Enlisted Proponency Office conducted the MedicalFunctional Review and built the proponent charts and provided data; conductedthe 91B IPR, which resulted in an action planning document that will mandatechanges in the length of training, number of personnel trained and set a man-datory date for the 91B Course attendance.

Office personnel briefed the OTSG on the status of the 91B, 91P and 35G/U MOS;

briefed E-7, E-8, E9/SMA boards on the status of the 91 CMF and briefed the

senior NCOs from USAREUR on major proponency issues.

The office was given the task of administering the Physical Demands Analysis

Program for AHS. It established the AMEDD Delayed Entry Program, to include

sending welcome letters and packets to all AMEDD soldiers waiting for school

starting dates.

11

AHS CY 85

Articles were provided for Medical OUTLOOK, which resulted in the EnlistedProponency Office becoming a point of interest for AMEDD soldiers desiringinformation.

During FY 85, the following MOS updates were approved by the DA DCSPER inJun 85:

1. 91S, Environmental Health Specialist

2. 91E, Dental Specialist

3. 91R, Veterinary Food Inspection Specialist

4. 91T, Animal Care Specialist

During FY 85, the office developed and implemented an automated system forthe Enlisted Proponency Office. The system provides access and analysiscapability of Army-wide AMEDD authorization data.

ARNG/USAR Advisors

In Jan 85 the Reserve Component Advisors Section was reorganized under theAssistant Commandant to ensure a smooth transition to HSSALB doctrine in RC.

MAJ David Elder, USAR Advisor, was re-assigned to Medical Operations Officer,124th ARCOM, Ft. Lawton, WA, in Aug 85. MSG Melvin Miller was assigned asUSAR Training Space NCO in Jul 85. MSG Craig Vandemark, ARNG Training CenterLiaison, AHS, was re-assigned to Training Center Liaison, Ft. Gordon, GA, inSep 85. SFC John Franklin was assigned as ARNG Training Space NCO in Sep 85.LTC Gerald Moses was assigned as USAR Advisor in Nov 85.

12

AHS CY 85

ORGANIZATIONAL STRATEGIC PLANNING OFFICE

On 1 Oct 85 the Organizational Effectiveness Office became the OrganizationalStrategic Planning Office (OSPO) and its office symbol became HSHA-ZSP.

Its assigned mission is advising the Commandant and, as appropriate, subord-inate commanders and supervisors, by employing a management process designedto enhance Army readiness and using techniques from management and behavioralsciences to effect changes within AHS.

Major projects included involvement in the preparation for the MSPR IPR andthe HSSALB IPR.

CPT Alex W. Valadez presented two papers, "OE Involvement in Major ArmyStudies" and "Facilitative Consultation" at the OE Professional DevelopmentConference at Beckley Springs, WV, in March.

Among OSPO's internal functions were the Commandant's team building meetingand the AHS Corporate meeting in January; transition and team building meet-ing for the Dean, MFSS, and other assistance to MFSS, C4, PROACTO, UnitTraining Division, Health Sciences Media Division, Nursing Science Divisionand Military Science Division.

CPT Valadez presented two classes to the 1st Cavalry Division, Ft. Hood, TX,on Stress Management and Counseling the Mid-Level Soldier. He also served asa facilitator at the 1st Cavalry Division Commander's Strategic PlanningSession and the 1st Cav Commander's Action Planning Update.

Other external operations included assistance at BAMC; HSC Commander's Con-ference at Fitzsimons AMC; HSC OE Office; AMEDD Senior NCO Conference; ArmySpace Study; 309 Diagnoses/MPM panels; HSC Dental Conference and 1st US ArmyMedical Evacuation Conference at USASAM, Ft. Rucker, AL.

13

AHS CY 85

SPECIAL STAFF

C4 Task Force

The Combat Casualty Care Course (C4) Task Force took on a new mission withthe addition of the Combat Casualty Management Course (C4-A) to its curric-ulum. The C4 Task Force also began training Advanced Trauma Life Support(ATLS) instructors under the auspices of the American College of Surgeons.

Based on tasking from the Joint Medical Readiness Education Committee, theC4 Task Force presented two Combat Casualty Management Course prototypesduring Mar 85. Designed to prepare fully-trained, mid-level, medical depart-ment officers to assume leadership roles in medical treatment facilities atthe rear of a battlefield, the C4-A prototypes were well received by allattending and C4-A was approved for addition to the Task Force curriculum.

The first regularly scheduled C4-A was conducted from 2-9 Nov 85 with 50students. Eighteen C4 classes were conducted during CY 85, including onereserve-intensive class. In all, the C4 Task Force trained approximately2,300 students, 210 MSC tactical officers and 70 MC tactical officers. Threeabbreviated ATLS courses were conducted in conjunction with C4 courses.Twenty-two ATLS providers were certified as ATLS instructors as a result ofthe courses.

MAJ Thomas Loftus, MC, USAF, detached from duty as Assistant Director, AF, tobegin a residency in aerospace medicine at Brooks AFB, TX. His successor isCOL William S. Thornton, MC, USAF. MAJ Larry Draper, MSC, Army, detached fromduty as Army Operations Officer and was replaced by CPT Roberto Gonzalez, MSC,Army. Joe L. Guinn, Executive Officer, C4, was promoted to colonel on 1 Oct 85.

Equal Opportunity Office

The Equal Opportunity Office instituted a series of briefings covering theequal opportunity program for all newly-arrived students (enlisted) in theAcademy Brigade.

The EO managed and presented instruction in the prevention of sexual harass-ment to approximately 400 civilian employees throughout the academy. This wasa DA-directed program.

EO sponsored Academy participation in various ethnic observance/recognitionactivities, including:

Dr. Martin Luther King's birthday, 15 Jan 85Black Heritage Month, Feb 85Asian-Pacific Islander Week, May 85

Hispanic Heritage Week, Sep 85

Native American Day, 23 Sep 85

Federal Women's Week, Oct 85

14

AHS CY 85

Internal Review

Internal Review furnishes the Commandant with an independent and objectiveevaluation of operations and related internal controls. Audit complianceservices include follow-up audits of all external and internal audit reports.

The office performs internal audits in areas where problems exist, or areanticipated, to locate causes of difficulties or deficiencies and recommendsolutions which will eliminate the cause of the problems noted.

It serves as the focal point and monitors all actions related to audits,surveys and reviews performed by external agencies, such as the GeneralAccounting Office (GAO), DOD IG and Army Audit Agency (AAA).

It serves as consultant to assist operating officials in resolving problemsrelating to changes in programs, missions, funds and systems, and providestechnical advisory service to managers regarding internal control of assets.

Audits completed during CY 85 include Stimson Library, security vulnerabilityof buildings, 2d Battalion, .0012 Contingency Fund, Information Program fundsVeterinary Science Division, Dental Science Division, Health Sciences MediaDivision, time and attendance reports on civilian employees, outside employ-ment of Army physicians, fund controls and reimbursements, AHS mail operations,staff and administrative travel and unliquidated obligations.

Inspector General

One hundred seventy-five formal Inspector General action requests were acted

upon during CY 85. Three inspections were conducted by the AHS Inspector

General Office.

DA IG special inspections were conducted of the AHS Command Inspection Program

and Mobilization Planning. AHS successfully completed a US Army Health Services

Command general inspection during Sep 85.

Staff Chaplain

The Staff Chaplain conducted an annual 45-day advanced training in hospital

ministry for approximately 15 chaplain candidates (staff specialists) 16 Jun

to 30 Jul 85.

A chaplain was assigned to work exclusively with 2d Battalion. He has worked

with the commanders, first sergeants and cadre to enhance their relations with

the soldiers. This assignment has proven worthwhile.

In the early part of the year, the Staff Chaplain was told that due to the

lack of Catholic chaplains, one would not be assigned to the Academy Chapel. It

became necessary to contract a civilian priest.

On 22-27 Sep 85, a workshop on Hospital Ministries was held for 25 chaplain

assistants (71Ms) from HSC, to expose them to the hospital setting and how to

work in it.

15

AHS CY 85

ACADEMY BRIGADE

The total contribution for the 1985 Combined Federal Campaign in the AcademyBrigade was $18,321.66, compared to last year's contribution of $8,201.30.

The Brigade coordinated the Academy's Army Emergency Relief (AER) Campaign,during which $32,349 was collected, $12,663.44 more than the previous year.Second Battalion sponsored the Combat Medic Golf Tournament in May 85, whichnetted iore than $800 for the AER.

A total of 197 soldiers were re-enlisted during CY 85; the US Army HealthServices Command objective was 163. Another 182 re-enlistment transactionswere completed during this time frame. Also, Brigade exceeded the DA qualitypoint average goal of 66 for first-term enlistments.

Food Service dining facilities served 1,926,749 meals during CY 85.

The Common Task Test (CTT) was placed on hold by the Installation TrainingStandards Officer until verification of receipt of one CTT manual per fivesoldiers in each unit.

The Brigade S-3 assisted the 3457th USA Medical Training Center (USAR), ofHouston, in conducting the Expert Field Medical Badge test 4-9 Nov 85. Fifteencandidates successfully completed the test.

NCO Professional Development conducted a Cadre Development Course during 16 -20 Sep 85, with 14 initially starting the class and 12 graduating.

A meeting with representatives from 3d Bn, 2d Bn and Student Personnel thatwas orchestrated and monitored by Brigade on 3 Sep 85 resulted in a new work-ing agreement being initiated for the reorganization of the Driver's TrainingProgram.

The Brigade coordinated the logistical and detail support for the Combat MedicMemorial Mini-Marathon VIII on 19 Oct 85. The Mini-Marathon was supported by150 casual personnel and 75 permanent party personnel. It was estimated that792 runners participated, and $2,108.85 was contributed to the AMEDD MuseumFoundation.

Brigade S-3 coordinated the HSC Combined Monthly Reviews and other FM 22-5ceremonies, including the 2d Bn change of command on 5 Jul 85 and the con-version ceremony for E-5s in AHS on 1 Oct 85.

Brigade S-3 was provided 2,371 casual students from the 2d Bn to provide supportwithin the AHS system and directorates. A total of 16,965 casuals were provided

for special requests to C4 Task Force; S-4; Brigade; Company C, 3d Bn Arms

Room; Warehouse, Central Issue and AHS Food Service for KPs and drivers.

16

AHS CY 85

First Bn assumed responsibility of the 91C Course.

The mission and assets of the Maintenance Section, Company C, 3d Bn, weretransferred to the Maintenance Branch, Logistics Division, in Sep 85. Thisincluded the two 52E mechanics and the generator equipment and M51 pods.

Members of 3d Bn provided personnel and equipment to support the FrenchParachute Surgical Unit Airdrop on 19 Mar 85.

Three teams of runners from Company F, 3d Bn, paricipated in the Children'sAssociation for Maximum Potential Jog-a-Thon on 13 Apr 85. The teams finishedsecond, fourth and fifth among 92 teams and raised over 1,500 for the cause.On 20 Apr 85, 130 members of 3d Bn participated in the annual El Rey FeoFandango 5K race.

Soldiers from Company F, 3d Bn, participated in the Fourth of July parade indowntown San Antonio, and soldiers from the company also participated in theFt. Sam Houston POW/MIA ceremony in Sep 85.

Company C, 3d Bn, supported 22 separate courses, 116 FTXs and 16,780 studentsduring the year, while Company E, 3d Bn, supported 20 iterations of C4 and2,400 students from all services during the year.

The new Command Logistics Review Program (CLRP) was implemented by S-4 duringthe 1st Qtr of FY 86. This program is designed to outline the procedures thatwill be used to inspect, assist and provide guidance to the commanders andthe supply activities assigned to the Brigade. The program is proactive innature and will serve to standardize supply procedures throughout the Brigade,as well as resolving supply problems before they become serious or chronic.

The HSC FY 85 General Inspection found that adherence to regulatory guidancefor maintenance of Organizational Clothing and Equipment (OCIE) records wouldpreclude waste of government assets. As a reult of this finding, Brigade S-4and the Chief, Logistics Division, AHS, jointly developed a standard operatingprocedures (SOP). The SOP established responsibilities and procedures for thecontrol and utilization of OCIE property by the Brigade supply administrationcenters.

The first volume of "Log Tips & Other Stuff" was published on 31 Oct 85. Thisis an unofficial newsletter published by the Brigade S-4 to educate its readersabout logistical support received from S-4 and other logistical systems on Ft.Sam Houston. The newsletter contains an overview of current requirements andhappenings in the supply world, and covers other topics that come under theS-4 umbrella but are not directly related to supply functions. The unofficialpublication has greatly improved the standardization and communication oflogistical affairs throughout the Brigade.

The new 1,150-man training barracks was 86 percent complete as of 31 Dec 85

and is tentatively scheduled for completion in Jun 86. The 1100 area barracks

were re-roofed and completed in Nov 85.

.A new half-mile clay surface running track was constructed and in use as of

Oct 85.17

AHS CY 85

DIRECTORATE OF COMBAT DEVELOPMENTS

Concepts Division

AHS continues to assess the clinical data base as it relates to theater bed,operating room and evacuation assist requirements. This data base was expandedto include requirements for ME III scenarios and scenarios other than ME III(other target areas of the world). The program is currently under revisionbased on results of MSPR/IPR initiatives and clinical review panel meetingsconducted 1st Qtr FY 86.

Proposals submitted for inclusion in the Artificial Intelligence and Robotics(AI/R) programs continued patient locator-communicator, computer assistedmanakin, interactive video disc and computer simulations of a battlefield.

The following actions on medical field units were initiated, accomplished orcontinued under the "umbrella" of Army 86/AOE studies:

Airborne/Air Assault Division 86 TOEs under modular medical support systemshave been completed and boarded.

The concept (Annex 0) for Army 21 (ALB 2000) has been finalized. TRADOC andDA will determine final publication date.

Light Infantry Division TOEs are being implemented in 7th Infantry Divisionwith evaluation scheduled for FY 86.

Interoperability US/GE/UK Medical Handbook disclosure date has been set forthe third week of Feb 86.

Work continues on MSPR three hospital system. All actions are expected to be

completed for 8610 CTU. Tentative schedule calls for MSPR Area Support Battalion,

Heavy Division, Heavy Separate Brigade, ATDD, 2d Infantry Division actions tobe completed by the 8610 CTU.

Force Structure Branch was established in Aug 85. Major activities of the new

branch have included the following: Participation with the Deep Battle Program

Office, US Army Combined Arms Center, to enhance medical readiness for deep

operations in AirLand Battle; identified officer and warrant officer COMPO 1

TOE spaces for potential billpayers to compensate for Total Army Analysis (TAA)

1992 overstructure; the Scenario Oriented Recurring Evaluation System (SCORES)

Section continued its studies in evaluating the adequacy of health service

support; supported the AMEDD Aviation Proponency Office in preparing a Cost

and Operational Effectiveness Analysis (COEA) for the new light helicopter

family and force structure requirements for it and completed wargaming of the

AirLand Battle Study; planning and coordination initiated for AHS participation

in the Combined Arms Mission Area Analysis (CAMAA); and the Threats Section

finalized a paper on the threat analysis and study of blast weapons, as well

as completion of Chapter 5, Medical Support, for Field Circular 50-10, "Soldier

Dimensions on the Nuclear Battlefield."

18

AHS CY 85

Efforts continue to refine the requirements and characteristics for a suit-able Collective Protection System (CPS) to replace the M-51 CPS.

The Army Chemical Action Plan (ACAP) and the Army Nuclear Action Plan (NUCAP)are being used as models for the development of new methods of providingmedical support in a biological environment by incorporating the best featuresand addressing the problems areas that have surfaced in reviewing comments.The chemical school has responsibility on the biological phamplet.

Coordinating efforts by AHS to support the Chemical Effects Data Requirements(CEDAR) continue.

Coordinating efforts by AHS to support the medical requirements for the Tri-Service D049 project continue.

Ongoing analyses of Army needline requirements for record traffic and datatraffic are being performed in order to properly size theater signal support.AMEDD involvement constitutes additions, deletions and changes to the BC2SRdata base for voice, data, page, facsimile and pouch modes of communications.The project involves providing input to the BC2SR study and periodic attend-ance at meetings at USA Signal Center at Ft. Gordon, GA, and USA LogisticsCenter at Ft. Lee, VA. BC2SR efforts address emerging communications systemssuch as Improved High Frequency Radio (IHRF), Single Channel Ground and Air-borne Radio Subsystem (SINCGARS), Position Location Reporting System/JointTactical Information Distribution System Hybrid (PJH), and Mobile SubscriberEquipment (MSE).

In Sep 83, VCSA directed an Army wide effort to review battlefield communi-cations in support of the AirLand Battle. The thrust of this effort was totrim the signal force and its common user system to a more manageable size.To field smaller, lighter, more compact signal equipment requiring less man-power is paramount. The first requirement was to determine the workload ofdata distribution on the signal community. This exercise involoving all schoolsand centers is ongoing. The original COMSR documentation is being supersededby a new study entitled Communications Requirements Data Base (CDB) that hasbeen contracted to Bell Technical Operation of TEXTRON, Inc., with input fromthe Army schools/centers and BC2SR.

Actions continue on the refinement of an operational concept for the manage-ment of combat stress and battle fatigue casualties. Specialties of occupationaltherapy and psychiatric nursing have been incorporated into the field mentalhealth team staffing concept and will continue to be evaluated during fieldexercises in the coming year.

An Occupational Physical Therapy and Nutrition Care Clinical Data Base Studyhas been initiated. Data derived from these studies have been incorporated

into the SKO DEPMEDS task, time, treater file.

AHS has and will continue to provide information and assistance for the Medical

Operations portion of the Combined Arms in a Chemical/Nuclear Environment

Study (CANE II A and B) organized by the TRADOC Combined Arms Test Activity

(TCATA) at Ft. Hood, TX.

19

AHS CY 85

Action continues on "Land Warfare Systems Vulnerability Program" to reviewvulnerability of certain medical units based on a given scenario and ascer-tain detrimental effects of loss of essential personnel and equipment.

Major actions in the area of field water supply criteria and requirementshave continued and included development and refinement of water consumptionplanning factors for field medical treatment facilities and re-evaluation ofexisting policy for the treatment of heat casualties and definition of waterand equipment requirements for their treatment. In conjunction with these,and related actions, AHS has continued to be represented at the DOD WaterResources Management Action Group (WRAMAG) meetings. In addition, AHS hascontinued to participate as a member of DOD's Steering Group for Field WaterQuality Data Base Assessment. The group is responsible for reviewing con-tractor performance in development of field water quality criteria, evaluationof human health effects of NBC and other contaminants and recommending fieldwater monitoring requirements.

Materiel Division

Three personnel of the division completed the Combat Development Course at

the Combined Arms Center, Ft. Leavenworth, KA; two completed the TRADOC test

officer refresher course at Ft. Sam Houston; one completed the Command and

General Staff College course of instruction by correspondence and one attended

a course on C31 and survivability in a chemical warfare environment at McLean,

VA.

Two DECmate III computers, manufactured by Digital Equipment Corp., with

associated word processing equipment, were received and installed.

The division provided test criteria to the AMEDD Board for the Concept Eval-

uation Plan (CEP) testing of the SKED rescue system, dental operating units

and chairs for modular med sets, trauma treatment and sick call sets for the

heavy divisions; MMS, dental operatory; MMS, surgical squad and Resuscitation,Individual Device, Chemical (RIDC).

It provided test criteria to OTEA to support a DA directed follow-on evaluation

of the HMMWV Maxi-Ambulance.

The division coordinated a draft letter requirement (LR) for a hospital ward

food service transport system with TRADOC/AMC agencies. The system will be

compatible with the standard NATO litter and will mount on a wheeled litter

carrier to provide a one-person servicing line.

The following requirements documents were approved:

LR, Analyzer, pneumatic

LR, tester, phototachometer

LR, test set, tracker

LR, analyzer, IV pump

LR, watt meter, RF, ultrasound

O&O Plan, imaging systems, field diagnostic

20

AHS CY 85

O&O Plan, medical materiel support of modular health service supportelements in a division

O&O Plan for a personnel casualty decontamination system (Med inputonly)

Division personnel participated in the following:

An IPR at USAMBRDL resulting in tentative termination of efforts on theEthylene Oxide Sterilization System (EOS). Efforts to develop a steam vacuumpulse sterilization system (SVP) will continue through OT-IIA.

USAMMDA/AHS coordination meeting to establish the Medical Mission AreaMateriel Plan (MMAMP) which parallels the Army's Mission Area Materiel Plan(MAMP). The MMAMP aligns medical R&D projects with identified mission areadeficiencies.

As AMEDD representative in the preparation of the update to the Mission AreaDevelopment Plan which depicts medical mission area deficiencies with allcategories of corrective actions (doctrine, training, organization and materiel).

AMEDD representative in providing input into the Army's Mission Area MaterielPlan. This program aligns non-medical R&D programs with medical mission areadeficiencies.

As AMEDD representative in the prioritization of medical mission areadeificiencies into the Battlefield Development Plan (BDP). This plan is aprioritization of all 13 mission area deficiencies into a single document.

Preparation of the complete revision of the DA Long Range Research, Develop-ment and Acquisition Plan (DA LRRDAP) into a document depicting funding incre-

ments for R&D programs rather than the funding of individual R&D program ele-ments.

As host in an OTSG requested JWG to formulate the medical logistic supportconcept for AirLand Battle. A draft concept for support of an immature theater

and support for a deep strike maneuver was prepared. Staffing of this draft is

expected to be completed in May 86.

Two JWGs on the liner, heated, patient holding and evacuation system. One on

the rewriting of the LR and one on the test evaluation master plan. An interim

buy of 300+ Norwegian charcoal fueled heat distribution systems is underway

to fill an urgent operational requirement in Alaska. Expanded DT and user

evaluation testing is scheduled to be completed by the end of Mar 86.

An IPR on field refrigeration for a non-developmental acquisition strategy

decision. The IPR requested the LR be updated to clarify the essential charac-

teristics and the mission profile. A market investigation was requested also

to determine the availability of commerical refrigerators. These actions were

completed in Dec 85. Another IPR will meet in early 1986 to decide the best

acquisition strategy for the refrigerator.

21

AHS CY 85

An IPR on medical protective containers to review available commercial pro-ducts and to pursue non-developmental acquisition. The IPR requestedadditional data on the standard medical chest which is being revised by themateriel developer prior to making a final decision. The materiel developeris changing the seal to make the standard chest capable of being decontam-inated. If successful, the requirements for a new protective container maybe cancelled. The future procurement of medical equipment with protectivecontainers also supports the cancellation of the project.

As guest speaker for a drug symposium hosted by the Medical Research andDevelopment Command. The participants were from the MRDC research activities.The speaker provided an information briefing on the concepts based require-ments system.

An IPR on aerosolized atropine. Work will continue with aerosolized drug anti-dotes using atropine as the experimental drug.

A meeting to update the TM on the Water Quality Analysis Unit: Purification.Validation of the operating instructions with the manual was the primarypurpose of the meeting.

A decontamination master plan users meeting for NBC at Columbus, OH. Thepurpose of the meeting was to protect decontamination needs 15 years and beyond.

A workshop on laser protection at Brooks AFB, TX.

A Health Hazard Assessment (HHA) workshop at Aberdeen Proving Grounds, MD. Theworkshop provided an update of current methods and procedures in HHA.

As combat developer representative at a contract review for the high capacity

X-ray at Mayfield, OH. An update presented by Picker International revealed

that the overall project is on schedule and all target dates for delivery

and testing are attainable.

As AMEDD representative in type classification of the Distribution, Illumin-

ation System, Electrical (DISE). Follow-on evaluation (FOE) is tentatively

scheduled to be conducted by the US Armor/Engineer Test Board in FY 87. The

FOE test unit has not been designated.

As AMEDD combat developer representative to several JWGs for a Family of

Medium Tactical Vehicles (FMTV). The FMTV requirements document has been

expanded to include large capacity ambulance FMTV varients.

As US Army voting member to ongoing Quad-service Ad Hoc Committee for Power

Generation and Environmental Control (PGEC) systems.

As AMEDD representative to three JWG meetings to develop requirements for

the Palletized Loading System (PLS).

As AMEDD combat developer and co-proponent to three JWG program reviews for

the development of a Chemically/Biologically Hardened Shelter (CBHS). Par-

ticipated in the JWG to review a draft Letter of Agreement (LOA) for the CBHS

program.

22

AHS CY 85

A JWG at MRDC resulting in a Test and Evaluation Master Plan (TEMP) for theResuscitation, Individual Device, Chemical (RIDC). This TEMP established allmilestones involving the testing of the RIDC. The JWG also reviewed and com-mented on the IEP for the CEP of the RIDC. These were consolidated into theIEP which was made part of the TEMP.

As a co-contributor for AHS with the Army Aviation Center to study if theLHX (light helicopter experimental) could be used as an aircraft for medicalevacuation. The results of this study will be incorporated into the LHXcost operation effectiveness analysis. As a result, two panels have met toperform the following:

1. Determine the minimum space requirements within air and ground ambu-lances to provide adequate medical care. This must consider use of litters,aidmen and crew chief (where appropriate) and associated medical treatmentequipment.

2. Evaluate unique medical requirements for medical air ambulance andprioritize these requirements.

In a critical design review of the oxygen generating system being developedby the Guild Corporation. Critical design reviews will be conducted in FY 86for the other two vendors on the contract, Pall Pneumatic and Clifton Pre-cision.

As AMEDD/AHS representative on the Aviation Research and Development Commandsource selection board for the Personnel Locator System. This system will beused in medevac aircraft to anable the crew to rapidly locate downed aircrewsand extract them without giving their location away and minimizing the mede-vac's exposure to enemy fire.

A presentation of the current accomplishments/future requirements for AMEDDaviation materiel at the world-wide Aviation Safety and Standardization Con-ference at Ft. Sam Houston and at the world-wide Army Aviation Industry Con-ference at Ft. Rucker, AL.

As AHS representative at several JWGs on the Army's input to develop testissues (criteria for the Army portion of the C-17 operational test). The C-17is scheduled for its first flight in FY 88 with the test being conducted inFY 89. This AF C-17 will have the capability to carry 112 litters.

Provision of AMEDD input at JWGs for development of an Army O&O plan for theU-22, Osprey.

Represented the directorate and provided significant input to the ongoing AMEDD

Medical Materiel Acquisition Handbook. The first draft was reviewed in Jan

85 and was found unsatisfactory and, with comments, was given back to the

contractor for review. Since the evaluation required major adjustments to the

original schedule and statement of work, the contract offices required the

statement of work to be rewritten. Simultaneously, the contract expired.

Therefore, the project was re-bid with a new contractor winning the project.

The new contractor's first two drafts have been encouraging.

23

AHS CY 85

The AVSCOM study to determine the feasibility of aeromedical evacuation ofdecontaminated patients from a chemically decontaminated area. The studyconcluded that it was feasible to perform this function if the aircraft wasmodified with adequate filtration devices, an environmental control unit andencapsulated cargo compartment.

A contractor information transfer meeting at Germantown, MD, and an IPR forthe Identification/Diagnostic System Biologic Agent, Rapid, Field (IDSBARF)at USAMMDA. Test kits involving two different technological approaches areto be moved into the system's advanced development phase.

A TWIG for the chemical warfare agent, protective patient wrap at Ft. Detrick,MD. A test evaluation master plan was developed to guide future developmental/operational testing.

A TWIG at CRDC on Simplified Collective Protection Equipment (SCPE) P31 toinsure AMEDD requirements are incorporated into the TEMP.

The Environmental Science and Engineering Workshop held at Fitzsimons AMC. Theworkshop was concerned with the mission capabilities, personnel, and equipmentand materiel requirements of the new preventive medicine squad.

A contractor information transfer meeting at USAMBRDL. Discussions concernedproducts that have the capability to disinfect water as effective as the currentchlorine compounds.

A TWIG and TCG meeting for the Mark II autoinjector held at Germantown. DT andOT test criteria issues were reviewed and finalized.

A JWG at TRADOC on the Personnel Casualty Decontamination System (PCDS). Com-ments from the world-wide staffing of the O&O plan were discussed and includedin the plan.

A JWG at USAMMA. An O&O plan for medical defense against infectious diseaseswas developed and staffing initiated.

A joint service task force meeting at USAMRICD, Edgewood, MD, to establishdecontamination criteria and determine chemical warfare agent effects.

Operations Analysis Office

The rewrite of the Combat Zone Assessments and Requirements (CZAR) Model was

completed.

The rewrite of the Hospital Model was completed, with improvements to create

the new Facilities Model.

The facilities data base was sent to the Defense Medical Standardization Board

for approval.

A panel was convened to identify health care factors for the Medical Planning

Module (MPM) of the Joint Operations Planning System (JOPS).

24

AHS CY 85

Organization Division

Manpower Requirements Criteria (MARC) actions:

MARC studies are based on published doctrine and are reviewed and revisedon a three-year cyclic basis. In order to be responsive to the developingHealth Services Support AirLand Battle (HSSALB) organizations, the three-year review cycle has been adjusted to permit the addition of new studiesnot previously addressed and/or specifically related to HSSALB.

Problem Analysis Papers (PAP) have been initiated on the following newstudies scheduled for completion in FY 86:

Deployable Emergency Surgical Services (AOC 61M, 61J, 66F, 66H, MOS 91C,91D). This study will address the HSSALB Surgical Squad.

Internal Medicine Services (AOC 61F).

Hospital Surgical Services (AOC 61J, 61K).

Patient Holding Services (MOS 91A, 91C).

Post Anesthesia Recovery Services (AOC 66H, MOS 91A, 91C).

As of 4th Qtr 85, the Unit Impact Annex in all MARC studies include bothdoctrinal and HSSALB organizational references.

Personnel status:

TDA HSO 0187 MARC Requirements 8Authorizations 6Actual 6

MARC workload justifies 9 requirements.

Interim Schedule X submitted Aug 85

Two USAR/USNG positions requested through the AGR program, Aug 85.

The current staffing of four management analysts, tasked with the research

and writing of MARC studies is insufficient to meet requirements. Therefore,

numerous cyclic reviews and new MARC studies will be delayed and/or repro-

grammed in FY 86.

MARC Non-Availability Factors (NAF):

A contract for a new NAF study was awarded by the Department of the Army to

Decision Science Consortium, Inc., of Falls Church, VA, with a scheduled

completion date of Sep 86. The new factors will be used for MARCs Army-wide.

.MARC Branch hosted a pre-study information gathering conference at DCD on

17 Oct 85. Contractor representatives and staff members representing AHS and

HSC attended. An additional conference is planned for CY 86.

25

AHS CY 85

HQ TRADOC tasked MARC on 5 Nov 85 to review the AMEDD position for the "Sleep"NAF. Currently, the AMEDD supports 6-8 hours in a 24-hour period as theminimum amount of sleep required by a soldier in a sustained action environ-ment. A search of current sleep-related research is in progress.

MARC studies approved by HQ DA in CY 85 for publication in AR 570-2:

Study Title Completion Date Approved Date

Respiratory Care (MOS 91V) Aug 84 Mar 85

Ear, Nose and Throat Services (AOC 60T, Jun 84 Mar 85MOS 91U)

Cardiac Services (AOC 60H, MOS 91N) May 84 Apr 85

Emergency Medical Treatment Services (AOC Dec 83 Apr 8562A, 66H, MOS 91A, 91B)

Hospital Food Service Operations (AOC 65C, Apr 83 Apr 85

MOS 94F)

Medical Nuclear Services (AOC 68B, MOS 91X) Jul 84 Apr 85

Patient Administration Services (AOC 67E, Jul 84 Apr 85

MOS 71G)

Community Health Nursing Services (AOC 66B) Feb 84 May 85

Radiology Services (AOC 61S, MOS 91P) Aug 84 May 85

Podiatric Medicine (AOC 68L) Mar 83 Aug 85

Physicians Assistant (MOS 011A) Jul 84 Sep 85

Food Inspection (AOC 64A, 64B, MOS 051A, 91R) Feb 85 Oct 85

Veterinary Animal Care (AOC 64 series, Apr 85 Oct 85

MOS 91T)

Occupational Therapy/Physical Therapy Apr 85 Nov 85

AOC 65A, B, MOS 91J, L)

Final Manpower Requirements Analysis Reports (MRAR) forwarded through

TRADOC to HQ DA, awaiting approval:

Clinical Nurse Manager Positions in TOE Hospitals Oct 85

(AOC 66A, 66C, 66H)

Hospital litter bearers (MOS 91A) Oct 85

26

AHS CY 85

Preventive Medicine Activity (AOC 60C, 68B/G/N/P, MOS 91S) Aug 85

Social Work/Psychology Services (AOC 60W, 68R/S/U, MOS 91G) Aug 85Returned for additional coordination and re-write

Hospital Medical Laboratory Support (AOC 68 series, MOS 92B, 92E) Dec 85

MARC studies in progress:

Hospital Medical Supply and Services (AOC 67K, MOS 76J). PAP approved by HQTRADOC May 85. Coordination MRAR being prepared.

Pharmacy Services (AOC 68H, MOS 91Q). PAP approved by HQ TRADOC Aug 85. MRARbeing prepared for local coordination.

Hospital Ward Nursing (AOC 66H, MOS 91A/C). PAP approved by HQ TRADOC Jan85. Study in data collection phase.

Gynecology Service (AOC 60J). PAP approval received Mar 85. Few, if any,changes anticipated in cyclic review. Study preparation scheduled for mid-1986.

Dental Services (AOC 63 series, MOS 42D, 91E). PAP submitted to HQ TRADOC Oct85.

Division and Unit Level Medical Support, Evacuation and Treatment (AOC 61H/J,66F/H, MOS 91A/B/C/D/Q, 92B, 011A). This study addresses the Health ServicesSupport AirLand Battle modular medical concept. Jul 85 PAP disapproved byTRADOC. Re-submitted Dec 85.

Visual Health Care (AOC 68K, MOS 42E, 91Y). Final MRAR being prepared pendingresolution of problem areas identified during coordination.

MARC study problem areas:

Aeromedical Evacuation (AOC 67J, MOS 91B, 100B). Study has been at USAMARDAawaiting approval since Aug 78. Although problem areas have recently beenresolved, the study as written, is no longer current. A complete revision ofsubject MARC is required and will be re-programmed into the schedule.

Central Materiel Services (CMS) (AOC 66E8K, MOS 91D). Final study has beenat USAMARDA for approval since Sep 84. Approval for 91D less the 66E require-ment received Nov 85. Additional data clarification will be incorporated intothe study for re-submission to TRADOC/USAMARDA.

Commencing in May 85, 23 PAPs or MRARs from non-proponent schools in the MARC/

TRADOC community were reviewed and coordination completed.

27

AHS CY 85

Test & Evaluation Branch

Effective Jan 85, Test Branch was separated from TOE Developments and TestBranch to become a separate element of the Organization Division.

This gave formal sanction to an actual separation of functions which hadexisted since Apr 84. One of the primary purposes of this separation was toreduce conflict of interest and enhance quality control/quality assuranceby following the staffing guide for US Army service schools in accordancewith DA Pam 570-558.

An interim Schedule X was developed, based on the 12-month period Apr 84 -Mar 85, citing performance data and workload projections justifying projectedrequirements and proposing establishment of a separate Test and EvaluationDivision to effectively eliminate conflict of interest and fully implementthe US Army service schools staffing guide.

Appropriate staffing to meet projected workload was included, and a requestfor temporary hire of civilian personnel was initiated in July as an interimfix for enhancement to the two spaces currently authorized by TDA. Presentstaffing is inadequate to meet present and future mission requirements asdirected by the Commandant, AHS; TRADOC; OTSG and the non-medical Army community.

In Aug 85, a request was submitted for approval of a unique office symbol toreduce confusion and avoid misrouting of message and mail correspondencedestined for Test & Evaluation Branch. On 21 Oct 85, office symbol HSHA-CTE wasapproved.

2d Armored Division:

An informal user evaluation was conducted of the Modular Medical Support Concept

at the National Training Center during the 2d Armored Division rotation in Apr85. The final test report was written, de-briefed to the Commandant, AHS, andapproved in Aug 85. Guidance was received at that time for a subsequent de-brief to the Surgeon General and to the Infantry and Armor schools.

Light Infantry Certification:

Front-end analysis to the four proposed medical test issues was completed in

Jun 85. Subject matter expert (SME) criteria and requirements for incorpor-ation into the Outline Test Plan (OTP) was completed in Sep 85. Data require-

ments regarding medical play for the certification exercise were developed and

justified to the test activity in Oct 85. Liaison was established between AHS

and the player unit (7th Medical Battalion), and AHS assistance was offered.

In preparation for three brigade and one division-size FTXs to be conducted

with the TRADOC Combined Arms Test Activity (TCATA), Combined Arms Center

(CAC), US Army Combat Developments Experimentation Center (CDEC), I Corps and

the 7th Infantry Division (Light). Coordination has been made with AHS for a

by-name list of AHS SMEs. This was completed in Dec 85.

28

AHS CY 85

Field Evaluation of Deployable Medical Systems (DEPMEDS):

Significant follow-on activities to the test conducted 30 Oct - 8 Nov 84 atFt. Hood, TX, were accomplished in CY 85. A tri-service panelling effort wascoordinated in early March as a test report IPR to address the draft evalu-ation. The panel consisted of participants in the Nov 84 test.

The final test report incorporating changes and additions from this conferencewas approved and published in Mar 85. It was subsequently submitted to theDefense Medical Standardization Board, the three surgeons general and otheragencies.

Anticipated follow-on activities include updates and changes to the DEPMEDSdata base, refinement of modules, overlay of DEPMEDS on the current data basestructures and application to evolving concepts and doctrine.

Liaison:

Liaison has been conducted for the purpose of presenting and training theModular Medical Support Concept to the 2d Armored Division, 25 InfantryDivision and 7th Infantry Division.

Health Service Support AirLand Battle Hospital Tests:

Following a tasking from the MSPR for the Vice Chief of Staff, Army, in Dec84, preparations have been ongoing for development of DA level documentationrequirements for conduct of Force Development Test and Experimentation (FDTE)of Combat Support Hospital (CSH), Evacuation Hospital (EVAC) and GeneralHospital configured with DEPMEDS equipment.

These hospitals will be restructured in a configuration proposed as replace-ment of the seven hospitals in the current force structure far combat zone (CZ)and communications zone (COMMZ) medical support. The CSH and EVAC hospitalshave been restructured to meet respective CZ primary missions of supportingreturn to duty (RTD) patient populations in the CSH and trauma stabilizationin the EVAC for ultimate removal of such casualties from the theater of oper-ations.

Objective of the FDTE process is evaluation of internal mission capabilityand organizational mobility of these hospitals. Tentative schedule of FDTEs

is spring of 1988 for the EVAC, fall of 1988 for the CSH and spring of 1989for the GH. The initial test concept was submitted to TRADOC following internaland external staffing. It was approved in May 85, and an updated working draft

of the Independent Evaluation Plan (IEP) was submitted to TCATA in Dec 85 as

the basis for preparation of the OTP.

Problems:

Automation in the form of personal computers and capability to interface with

the TRADOC Test and Evaluation Net via modem is essential for documentation

and exchange of documentation within the testing community, plus preparation

and editing of the voluminous documentation in all the various stages of test

preparation through writing the final test report.

29

AHS CY 85

Action is being pursued to upgrade from present typewriter capability withgoal of a portable computer, capable of hard disk storage for manipulationof test data bases, which can be transported to the field for on-site up-dates and communication with the test agency.

TOE Development Branch

The branch participated in the AMEDD Functional Area Analysis (FAA) conductedin Oct 85. It provided input on unit organizations and critical equipment,and also provided critical BOIPs for each SRC being reviewed during the FAA.

It upgraded current computer information system (Mohawk Data System 21) in CY85 and added two additional CRTs for a total of seven, added a letter qualityprinter and a high speed printer capable of 600 lines per minute. Total costof the upgrade was $22,000, for a total system cost to date of $87,000.

HQ TRADOC DOCMOD initiatives resulted in the TRADOC purchase of 3.5 milliondollars worth of computer systems for placement into all schools and centers.DCD, AHS, received at no cost one eight-user system consisting of eight per-

sonal computers, a system terminal, a central data processor, three printers,

software and cables. The system cost was in excess of $35,000. AHS is respons-

ible for all systems maintenance contracts, which is approximately $12,000 a

year, and any future upgrades of the system. The entire TRADOC system is

scheduled for integration/operation by late summer of CY 86.

The branch conducted an interim Schedule X, revealing a requirement for 18

personnel. This is a 100 percent increase over present recognized require-

ments.

The TOE Development Branch and the Test and Evaluation Branch were re-organ-

ized into two separate branches. All civilian personnel job descriptions were

updated to reflect their current duties, brought about by increased activity,

increased involvement and re-organization of the Army under the Documentation

Modernization (DOCMOD) program.

The branch had representative participation in the TRADOC sponsored pilot

training course at Ft. Leavenworth for development of the four-week Combat

Developers Course, used to teach future combat development personnel.

Living TOEs were developed/boarded for the following organizations:

08065L000 - Medical Battalion Airborne08066L000 - HQ & Spt Co, Med Bn Airborne08067L000 - Forward Medical Support Co Airborne

08446L000 - Hq Detachment, Medical Evacuation Battalion

08447L100 - Air Ambulance Co (UH IV), Medical Evacuation Bn

08447L200 - Air Ambulance Co (UH60), Medical Evacuation Bn

08448L000 - Ground Ambulance Co, Medical Evacuation Bn

08477L000 - Medical Troop, ACR

30

AHS CY 85

Living TOEs were developed for the following units:

08507LA00 - Medical Squad, Surgical08507LB00 - Medical Squad, Surgical (Airborne)08458L000 - Medical Co Holding

Tentative TOEs were boarded for:

08711T500 - Evacuation Hospital08727T500 - Combat Support Hospital08747T500 - General Hospital

The branch prepared MTOE overlays of DEPMEDS equipment on the following "H"

series hospitals:

08123H000 - Combat Support Hospital08581H400 - Evacuation Hospital08303H800 - 1,000- bed General Hospital

Changes to existing AMEDD TOEs were submitted to TRADOC on the following units:

08047J40008028J50008026J50008027J50008670H8HA08137H20008137H22008620HOOH08581H40008287H60008620HOLB08066L00008157H50008157H52008660HORA0866)HORG08620HOLA

The branch submitted 158 USAMMA/TSG-directed changes to AMEDD TOE and 192

changes to non-AMEDD TOE and reviewed 167 non-medical draft plan TOE from all

TRADOC schools to insure that those with medical significant personnel and

equipment are prepared, staffed and conform to current AMEDD standards and

doctrine.

It developed working TOE for Heavy Separate Bde and Heavy Division as an

assistance to the Allen Corporation of America, which was contracted by HQ

TRADOC to develop these TOE under Army contract.

The branch jointly developed with USAMMDA and USAMMA 40 AMEDD proponent basis

of issue plan feeder plan data and QQPRI that did not fall under the DEPMEDS

purview fielding program and staffed, consolidated input and developed the

above basis of issue plan automated data base and submitted BOIP/QQPRI pack-

ages to TRADOC for DA approval.

31

AHS CY 85

It hosted a JWG comprised of DA, MACOM and tri-service representatives forreview, approval and MOS decision of an excess of 100 BOIP/QQPRI feeder docu-ments for DEPMEDS. Subsequently, it updated the BOIP automated data base andforwarded documents to TRADOC for submission to DA for approval.

It reviewed and provided written and BOIP automated data base input for AMEDDrequirements to approximately 35 non-AMEDD proponent BOIP/QQPRI documents.

The branch developed and configured DEPMEDS equipped/configured hospitals.

It reviewed 1,000 BOIP during the semi-annual update for Consolidated TableUpdate (CTU) 85/04 and 1,200 BOIP during semi-annual update for CTU 85/10.There were 1,300 changes submitted for 85/04 and 1,800 changes submitted for85/10 CTU.

It reviewed the 9th Inf Div TOE in preparation for the Living TOE process andreviewed 500 non-AMEDD BOIPs for AMEDD requirements.

Sets, Kits and Outfits Branch

During CY 85, the SKO Branch continued actions pertaining to the developmentand refinement of the AMEDD Deployable Medical Systems. Accomplishmentsincluded:

1. Participation in the management of the Joint Services Clinical ReviewGroup (CRG) meeting, Feb 85, at Bolling AFB, Washington, DC. CPT Thomas A.Brown and MAJ Joe M. Kana of the SKO Branch prepared data enabling the CRG toreview the DEPMEDS Task, Time, Theater File for the first time, Additionally,numerous changes, both "across the board" and individual lines were recommendedand incorporated into a new CRG workfile to be created by the SKO Branch.

2. Hosting and participating in the Physical Therapy/Occupational Therapy/Nutrional Care Panels, 6-10 May 85. At the request of ASD-HA and TSG, thepanels met at AHS to re-evaluate previously established data for PT/OT. SinceNC was not considered by the original panels, both TTT and per-patient con-sumption data were established for NC.

3. Participation in the conduct of the first DEPMEDS Form, Fit and FunctionTest at Ogden, UT, Aug - Sep 85. CPT Brown, augmented by MAJ Kana and LT PhillipS. Fordice, was on site for the duration of the project, during which a meth-ology was developed to capture location information for items to be packedinto ISO or ward containers by the depot.

4. Hosting the Joint Services Clinical Review Group on 28 Oct - 1 Nov 85at AHS. SKO Branch participated and assisted the CRG in implementing numerouschanges to the DEPMEDS data base. Included were reviews of the Ft. Hood test

report of Nov 84, approval of most of the "augmentation sets" and refinement

of the TTT File. Following review of the 6 May PT/OT/NC panels, the CRG

recommended that the PT/OT panels reconvene and combine tasks and equipment

where possible.

32

AHS CY 85

5. Participated in the JOPS-MPM panels 9-20 Sep 85. LT Fordice was theprincipal SKO participant in assisting the CRG members in preparation andinterpretation of the DEPMEDS data files that were to be analyzed during theMPM process.

6. Hosted the DEPMEDS data base re-paneling conference 3-20 Dec 85. Atthe direction of ASD-HA, SKO Branch and AHS conducted a three-week exercise,attended by approximately 60 of the three services' SGO level specialtyconsultants, with the goal of presenting the DMSB a recommendation on thefollowing areas:

a. Validation of the existing data bases (Sets & TTT).

b. Establish a DEPMEDS "User's Manual."

c. Where possible, "lighten" the sets, within the "austere butadequate" guidelines.

d. Develop and document rationale for packages and trays.

e. TTT File refined to "drive" the sets.

f. Validate the 309 patient conditions.

g. Initiate data on a "clean sheet" for Level 5.

During CY 85, Army sets, kits and outfits development and maintenance effortscontinued in the following areas:

An Army nutritional care assemblage development panel met in Nov 85 to definethe supplies and equipment needed to augment the Combat Field Feeding Systemfor patient feeding missions in Army field hospitals. The panel's recommend-ations are expected to culminate in several carefully considered food servicesets, each of which was designed for a specific sized facility. Final actionon these sets is not expected until CY 86.

Prototype medical assemblage actions were initiated. A number of completelynew sets have been started this year. These include: MES, Trauma Treatment(Heavy Divisions); MES, Sick Call (Heavy Divisions); MES, Combat Lifesaver;MES, Combat Behicle Crewman Survival Vest; MES, Special Forces, Large AnimalVeterinarian; MES, Special Individual Survival, and numerous medical assem-blage resupply sets which define the consumable supplies needed to reconsti-tute selected field units on a proactive basis following initial missiondeployment. In addition, the nutritional care activity referenced above willeventually result in at least eight updated sets.

Prototype medical assemblages were forwarded to the AMEDDTC for approval. A

number of sets developed earlier by SKO Branch have undergone final logistical

support analysis and have been forwarded through USAMMA to the AMEDD Technical

Committee for review and approval. These include VES, Veterinary Service,

Field; VES, Biological Collection and Postmortem; MES, Trauma Treatment,

Lightweight; MES, Sick Call, Lightweight; MES, Patient Holding Facility,

Field, and MES, Laboratory, Field.

33

AHS CY 85

Annual update of all Army major medical assemblages was made. During theearly part of CY 85, SKO Branch completed the establishment of computerizedproject officer working files for all Army major medical equipment sets.Throughout the year, these sets were kept up-to-date as changes were deter-mined to be needed. For example, obsolete items were replaced with newitems as these were identified. In Oct 85, SKO Branch furnished the USAMMAwith a complete update of all Army major MESs. Since USAMMA functions as thecatalog activity for AMEDD, it will publish the updated MES listings so thatall field medical units can have current set component lists which includethe latest change details. This entire process represents a significant im-provement in the ability to get accurate MES change data into the hands offield medical personnel in a timely manner.

The 7th Medical Battaion, 7th Infantry Division, Ft. Ord, CA, has beenselected as the first unit to receive the new Light Infantry Division (LID)MES. The battalion has these sets on hand and is presently using them forboth training and patient care missions. Feedback from the 7th suggests ahigh degree of user satisfaction. Some changes have been recommended andthese are being evaluated.

Historically, book sets have been updated annually. This frequent updatingresulted in considerable expenditure of funds for reference materials that

were not kept within the field medical units long enough to provide benefits

that were worth the cost. Consequently, a change in the review intervaland review methodology has been proposed by the SKO Branch. Beginning with

CY 85, book sets for field medical units will receive a minor review everyyear and a major review every fifth year. Minor reviews will be primarily

administrative reviews, but will include verification that all Army publi-

cations included in the book sets (technical manuals, field manuals, etc.)

are current issue sleections. The major review will be accomplished by a

panel specifically convened for this purpose. During the major review, eachtextbook and publication will be evaluated for its merits within the book

set(s).

During CY 85, the medical assemblage review process and methodology wasformalized, as was the interval for MES reviews. It is felt that formal

reviews by specially convened panels should be accomplished every five years

(more often in certain special situations). The SKO Branch is able to perform

a continuous review of all Army MESs in terms of identifying and replacing

obsolete or terminal status items. This on-going review plus evaluation of

field user comments and other recommendations received will constitute the

minor review process. Using this approach, all sets will be kept up-to-date

at all times and will be formally reviewed at least once every five years.

The three panels (PT/OT/NC) which met 6-10 May 85 recommended that PT/OT re-

panel and combine tasks and equipment wherever possible.

At the request of DOD-HA and TSG, the PT, OT and NC panels meet 6-10 May 85

to re-evaluate previously established data for PT and OT. Since NC was not

considered by the original panels, both TTT and per-patient were established

for NC.

34

AHS CY 85

TAMMIS

The TAMMIS Phase II In-Process Review was held in Sep 85. The review boardwas satisfied with the progress to date and authorized the start of PhaseIII.

Changes to TAMMIS now are being made through configuration management. Localprototyping will continue through Jan 86. Beginning in Feb 86, prototypingwill continue to enhance the system by giving functional users in fieldmedical units an opportunity to evaluate the system. After prototyping, thesystem will undergo structured testing followed by government acceptance.Fielding is scheduled to begin in Jan 87.

The TAMMIS contract was modified to include the development of TAMMIS-D, withwork beginning on TAMMIS-D in Oct 85. Site visits and data collection forTAMMIS-D development were completed in Dec 85.

The medical portions of the Unit Level Computer System (ULCS) Required Opera-tional Capability, Economic Analysis, Basis of Issue Plan and QQPRI weresubmitted to the Logistics Center.

Actions continued on the automation and communication projects. The projectsinclude Combat Service Support Automation/Communication Transition Plan, theArmy Command and Control Master Plan (AC2MP), the Army Battlefield InterfaceConcept (ABIC) and Command and Control of Subordinate Systems.

35

AHS CY 85

DIRECTORATE OF EVALUATION & STANDARDIZATION

CPT Florence M. Ellevan began serving as Chief, External Evaluation Branch,on 16 Dec 85; CPT Clark R. DuCharme became Chief, Internal Evaluation Branch,31 May 85.

The directorate planned, developed and operated the AMEDD Branch TrainingTeam (BTT) program.

It continued to utilize the Systematic Feedback Loop (SFL) system by whichsupervisor satisfaction with AHS AIT graduates was assessed for 14 MOSs. AHSAIT graduates also provided feedback on how well they assessed themselves in

applying what they learned on their jobs.

Internal feedback was.collected and compiled on the effectiveness and theefficiency of resident training and training support materials.

The Student Assessment Questionnaire (SAQ) was utilized to analyze studentcritique data for all courses of two weeks duration or longer.

DOES planned, developed and implemented a system, as directed by DCSPER, to

determine the quality of new soldier accessions required for the AMEDD Career

Management Field (CMF) MOSs. This involves the analysis of the Armed Services

Vocational Aptitude Battery (ASVAB) scores and course attrition rates.

DOES evaluated, analysed and provided feedback on the Combat Casualty Care

Course (C4) and Combat Casualty Management Course (C4A); began preliminary

planning for observing and evaluating the medical plan at National Training

Center (NTC); set up an evaluation plan for the HSC-FORSCOM integration and

researched and compiled information for the Center for Army Lessons Learned

(CALL) program. DOES has been tasked to be the AMEDD point of contact for the

program.

The BTT completed its on-site visits for CY 85. The schedule included nine

CONUS sites, Panama and Alaska. Trip reports were completed for each visit

and the annual fiscal report was distributed in Oct 85.

Eight reports summarizing the data collected via the Systematic Feedback Loop

in recent graduates of the Dental Laboratory Specialist (42D10), Medical

Supply Specialist (76J10), Behavioral Science Specialist (91G10), Dental

Specialist (91E10), X-Ray Specialist (91P10), Veterinary Specialist (91R10)

and Medical Specialist (two reports) courses were published. The SFL was

revised in Feb 85 ro provide more specific questions of the AIT graduates job

role.

Four quarterly reports summarizing feedback on the student assessment of the

AHS training environment via the Student Assessment Questionnaire (AHS Form

539) were published. The questionnaire was revised (1 Oct 85) to reflect

Academy Brigade, Directorate of Training & Doctrine and Medical Field Service

School input, and will go into effect 1 Apr 86.

36

AHS CY 85

Questionnaires from 22 iterations of the Combat Casualty Care Course (C4)were analyzed and printouts were distributed to the C4 task force. The annual

C4 Student Assessment report was completed in Dec 85. The course was rated

higher on all items of the questionnaire in FY 85 than FY 84. Questionnaireswere analyzed and copies distributed for the two C4A pilot courses conducted.

The FY 87 Quality of Accessions Requirements Report for CMF 91 was submitted

to Soldier Support Center - National Capitol Region based on FY 85 academic

performance and skill level 3 NCO performance testing. This request is sub-

mitted yearly and is used by DCSPER and USAREC to determine the quality

(mental ability) of new soldiers enlisting in the AMEDD Career Management

Field (CMF).

A report summarizing the evaluation of the 91B30 Medical NCO Exportable

training Package (ETP) was prepared, approved and distributed. The findings

reveal that the conduct of the 91B30 ETP is feasible from an instructional

quality perspective and is feasible with modification from a logistical per-

spective. Recommendations were proposed to improve the conduct of the train-

ing.

An analysis of course critique data from the Student Assessment Questionnaire

indicated that students, as a whole, are well satisfied with the AHS training

experience. Students indicated high levels of satisfaction with many important

aspects of the training environment, especially those relating to actual

instruction.

37

AHS CY 85

DIRECTORATE OF TRAINING & DOCTRINE

In Jan 85 the position of Deputy Director, Directorate of Training & Doctrine(DOTD), was established, with James B. Lund in that capacity.

This reorganization has resulted in increased continuity of operations duringthe absence of the Director. Subordinating the activities of the Administrativeand Program Management Offices under the Deputy Director allows the Directorto concentrate more time on the management of training requirements, develop-ments and training products.

Program Management Office

During CY 85, there were two important changes to the mission of the ProgramManagement Office. First, the functions and personnel of the Office of EnlistedProponency were reassigned to the newly created Proponency Action Office. Sec-ond, in response to increased automation within the directorate, the ProgramManagement Office assumed central responsibility for the directorate's auto-mated systems.

There were significant personnel changes due to the expanding role of the PMOin DOTD's management projects. LTC Lonnie James Jr. arrived on 23 Sep 85 toassume duties as the Chief, and SFC Paul W. Pfeifer was assigned as the Oper-ations NCO on 8 Jul 85.

Course Development Division

LTC Kenneth Andrews was assigned as Chief, Course Development Division, on 21May 85.

Correspondence Course Branch

Number of subcourses revised/developed 32

Number of subcourses sent to printer 23

Number of subcourses returned from printer and released for 21student use

Individual Training in Forces Branch

Accomplishments in CY 85:

Sickle Cell Trait Condition and You - Development continues for a 30-minute

videotape and supporting material on the subject. Training will be given by

community health nurses in the military.

Epidural Analgesia for Nurse Anesthetists (EANA) - Training in this course was

directed by OTSG. Fielding will occur pending approval of the Commandant.

91A10 Sustainment Training Package - The material was researched, developed

and designed for 91A10 personnel to sustain combat critical skills.

38

AHS CY 85

Nutritional Aids GTAs - Graphic Training Aids 21-7-3A (1-12) and 21-7-3B(1-12) - This series of 12 pocket booklets and 12 posters developed andtargeted for all soldiers to promote sound nutritional habits in an effortto increase fitness was coordinated with OTSG and TRADOC. The projectbegan in Mar 84 and completed in Aug 85 for publication by DA printers.

Preventive Medicine Coutermeasures for company size units GTA was reviewed,with no changes needed on how to protect against weather, insects, etc.Project was completed in Oct 85. Its purpose is to instruct each soldierArmy-wide.

Heat Injury Prevention and First Aid GTA - This GTA was reviewed and changeswere made to update the content. The completion month was Mar 85. Intendeduse of the pocket card is to know the symptoms, prevention and treatment ofheat injuries.

Adverse Effects of Cold Cause and Symptoms GTA - Revisions were made andproject was completed in Jan 85. The purpose of the card is to providesoldiers with the dangers of working in a cold environment and the preventionand treatment of cold injuries.

Military Proficiency Training - Research initiated and development is forth-coming.

91P - Research initiated; presently on hold.

Combat Lifesaver Course - Development has been completed; and staffingthrough TRADOC and FORSCOM, in addition to AHS, is completed. Marketing ofthe course and its concept was presented at seven cities in the US, including

the 1985 AUSA and AMSUS conventions, among others. Fielding is scheduled

for 2d Qtr FY 86 pending TRADOC approval.

Area Support Squad Cross Training Package - Development was based upon the

concept of merging the 91A10/General Medical Orientation tasks. This package

was part of Far Forward Care. It has completed AHS staffing and will be fielded

pending Commandant approval.

Battle Fatigue GTA - Due to MSPR emphasis on problems relating to battle

fatigue, three GTAs have been developed to service three different categories

of military personnel. They are being staffed with AHS and coordination with

TRADOC continues. Fielding is scheduled for CY 86.

Battle Fatigue Exportable Package - A package on battle fatigue is being final-

ized and will be sent to on-line units for training by E7 through 03. This

ESTP will be fielded by 31 Mar 86, as per GEN Maxwell Thurman.

AMEDD National Training Center Videotape - A 30-minute orientation videotape

is being developed for use at the NTC rotations to orientate soldiers on the

new medical responsibilities to be taught at NTC.

39

AHS CY 85

91P Exportable Sustainment Training Package - Need and scope of traininghas been researched and is presently on hold pending additional directives.

Military Working Dog - Exportable training package has been researched andcoordination with Walter Reed AMC and other agencies has occurred. Bydirective, the project has been placed on hold.

National Nutrition Month Poster - Poster was designed and developed as aresult of a National Nutrition Care Planning Committee determination todesignate Mar 86 as National Nutrition Month. Project was started in May85 and completed in Aug 85.

Training Extension Course Branch

During May 85, a decision was made to reduce both TEC Branch personnel andmission from Jun 85 to Jun 87. The reduced mission was to involve, solely,the accomplishment of required annual reviews and revisions resulting fromannual reviews. Subsequently, permission was granted to continue selectednew development lessons which were near completion rather than cancellingthem.

Key statistics for CY 85:

New lessons commenced 0

Revision of lessons commenced 11

Annual reviews accomplished 121

Lessons filmed 8

New lessons completed 8

Revision of lessons completed 14

Lessons validated 11

Lessons cancelled 56

Doctrine & Training Literature Division

The Doctrine Literature and Training Literature Branches were functionallycombined for better control and more efficient use of resources.

LTC Frank B. Holland was assigned as Chief, Doctrine and Training Literature

Division, on 10 Jul 85.

Doctrine and Training Literature Branches shipped, in final form for printing,

FM 21-11, First Aid for Soldiers; FM 8-250, Preventive Medicine Specialists;

DA Pam 40-13, Training in First Aid and Emergency Medical Treatment, and TM(J)

8-285 Change 2, Treatment of Chemical Agent Casualties and Conventional Mili-

tary Chemical Injuries.

40

AHS CY 85

In addition, one technical manual, three field circulars and four fieldmanuals were distributed for world-wide staffing. A total of 3,486 printedpages were produced.

Performance Measurement Branch produced 89 Skill Qualification Tests (SQT)and 22 Soldier's Training Publications (STP). STP and SQT for MOS 18D wereadded to the mission.

A SQT Developers Workshop was held in March.

An IPR was hosted on the Expert Field Medical Badge (EFMB) in July andAugust. The IPR focused on the history of the EFMB, changes in the regulationand program, training and learning objectives, difficulty of the written testand standards for awarding the badge.

Individual Training Division

LTC Thomas M. McCrary was assigned as Chief, Individual Training Division, on17 Jun 85. MAJ Raymond Blythe was assigned as Chief, Enlisted DevelopmentBranch, on 15 Jul 85, and MAJ Morris Jackson was assigned as Chief, OfficerDevelopment Branch, on 12 Aug 85.

Accomplishments in CY 85:

The division assisted Army Training Support Center (ATSC) in hosting an IPRon Shared Task Management for representatives from other service schools,10-12 Dec.

Officer Basic Course - Completed the POI for the revised course which wenton line in June. Currently working on design for inclusion of MC, DC and VCin the OBC.

Officer Advanced Course - Completed Training Support Packages (TSPs) forcommon core training. Presently preparing revised POI for OAC Reserve Com-ponent. Held Task Selection Board for a MC tract, extending training from13 to 20 weeks. Design is underway.

Military Qualification Standards (MQS) - MQS I was revised in 1985. The AMEDDinput to this "common" included 22 first aid (Self-Aid/Buddy-Aid) tasks.Officer Development Branch completed drafts of 50 task summaries for the MQSII manual. MQS III has not been tasked; however, a task inventory is beingprepared for task selection for both Army-wide and Branch manuals.

AMEDD Aviator Training - Received and analyzed feedback from students in thenew AMEDD Aviator Advanced Course (2C-F8).

05/06 Pre-command Training - Completed POI for a combined TOE and TDA class.

Delivered to class advisor in May.

Health Service Support AirLand Battle - Military Intelligence Lesson Plan -

Completed lesson plan intended for OAC common core use. Delivered to Military

Intelligence School in December.

41

AHS CY 85

Officer Education and Training in AMEDD Study - Completed a review andanalysis of existing training.

Algorithm Directed Troop Medical Care - Assisted training needs in responseto the request of the Commander, HSC, and Commandant, AHS.

91C Practical Nurse Course - Course was completely revised utilizing theSystems Approach to Training (SAT) process.

91B30 Exportable Training Course - Revision was completed and the exportableRC course began the initial two pilots in 1985. Additionally, a third pilotwill begin in the spring of FY 86. The exportable program in toto will beavailable for RC use by the summer ADT. Additional studies are underway todetermine how best to train all 91As (active and reserve) to ensure thiscrucial Level Three training is completed prior to promotion to E6.

A complete review and update of the 91A Medical Specialist Course GeneralMedical Orientation and 91A instructional materials was completed. HealthService Support AirLand Battle and an analysis of the GMO, 91A and othermedical POIs brought about a study resulting in an eight-week pilot 91A coursethat was conducted Oct-Dec. This strategy mandates that 17 MOSs will require91A as a prerequisite and a saving of 18 man years on the Transit TraineesHoldover Student (TTHS) account.

In order to facilitate the incorporation of DEPMEDS into the AMEDD, the 35G/35Ucourses conducted at USAMEOS were examined for revision to ensure the medicalequipment repairman was able to handle the task at hand. The course is underrevision and will be on line by Oct 86.

Initiated design to Combat Lifesaver Program. Responsibility for developmenttransferred to the Course Development Division.

Self Aid/Buddy Aid was finalized and forwarded to HQ TRADOC for implementationin 1986 into basic combat training.

A Far Forward Care display was developed in conjunction with the Armed ForcesInstitute of Pathology (AFIP). This display was shown at meetings and conven-tions throughout the US.

An Army-directed change to NCO training was received late in 1985. Review ofthe current NCO Basic Course was initiated. The change will result in modifi-cation of all Level Three training currently conducted at AHS.

One team was given responsibility for writing all outstanding enlisted Individ-ual Training Plans. These are to be completed by the end of CY 86.

One education specialist was assigned the responsibility for completing the

required analysis for Mobilization POIs. Mobilization POIs were completed by

the end of FY 85.

42

AHS CY 85

Problem Areas:

The Education Specialist, GS-1710-09 position vacancies continued to be apersonnel problem in 1985. By the end of the year five of these positionswere vacant and the local applicant list was such that all positions wereannounced Army-wide. This will increase hire time in all areas.

In order to preclude further erosion of the Individual Training Divisioneducation specialist expertise, two GS-lls were transferred to existingGS-11 positions within the directorate to provide the opportunity for upwardmobility for those GS-9s assigned to the division. Although two additionalGS-9 positions will be created, the GS-11 positions could be filled fromwithin, and thereby, the experience of the individuals will not be lost fromthe division.

Unit Training Division

The mission workload was significantly increased by DEPMEDS and MSPR approval.

UTD sponsored a JWG meeting on 6-9 May 85 with OTSG, OCAR, FORSCOM, NGB andAHS for the development of training strategy for regional medical trainingsites. Funding was secured from OTSG to provide staff to train doctrine andtactical training for first units equipped, starting 3d Qtr 1987 and subse-quent year. Two education specialist interns received training in ARTEP Branch.

Unit Training Division has taken the lead on HSSALB issues for DOTD to developtraining material, establish doctrine for or initiate doctrine training lit-erature IAW MSPR after action plan.

UTD is working on initiatives for Light Infantry Division Branch specific

training, i.e., LFC Phase II.

A Program Development Increment Plan (PDIP) was initiated for the support of

the Deployable Medical Set for Training (DMSET).

Form, Fit and Function of DEPMEDS Medical Material Sets was completed at Ogden,

UT, during the spring and summer.

Development of draft for the DEPMEDS training set for Reserve Components will

be ready for staffing to the AHS subject matter experts and for major command

review.

UTD assisted USAMMA in the development of the Army Modernization Information

Memorandum (AMIM), a first for the AMEDD.

The division received and installed a Tactical Army Combat Service Support

Computer System (TACCS) in Bldg 1195. The system includes a master workstation

and 23 remote workstations. The system will be used to train individuals on

the use of TACCS.

The division conducted and/or attended JWGs for the continued development of

the final training device requirements for the Computer Assisted Health

Services Simulation (CAHSS).

43

AHS CY 85

It forwarded and received an approved training device needs statement for theComputer Assisted Manikin for the Army (CAMA) project.

The Medical Module for the Maneuver Battalion Medical Platoon (MED MOD), MedicalPackage for the Medical Company of the Divisional Medical Battalion (MED PAK1), and Medical Package for the Division Medical Battalion Headquarters (MEDPAK 2) were designed for the modular concept. Copies of MED MOD and MED PAK1 were shipped to the 7th Infantry Division for validation.

The division supported casualty generation and medical supply usage for FieldTraining Exercise Dusty Bull 85.

The division briefed the VCSA on Biological Defense Functional Area Assess-ment, Medical Functional Area Assessment.

It completed and distributed ARTEP Mission Training Plan 8-47-7 (test),Ambulance Platoon/Divisional Medical Company and completed training and eval-uation outlines for Division Surgeon's Functions, Medical Platoon organic toHeavy Battalion and Light Division Medical Battalion.

The division completed draft ARTEP Mission Training Plans for Light Division-Battalion Headquarters, Medical Company and Treatment Platoon. Distribution

will be Feb 86.

It completed analysis for Combat Support and Evacuation Hospitals, completeddraft drills for Ambulance Platoon and Vertical Rescue and completed the

training plan for TOE/TDA Hospital Integration and for MSPR Issues.

The division provided three senior medical personnel for assessment and vali-

dation of the Forward Support Medical Company at the National Training Center.

44

AHS CY 85

INFORMATION MANAGEMENT OFFICE

The major event of CY 85 for the Automation Management Office (AMO) was theimplementation of the Army's Information Mission Area (IMA), and its appli-cation to AHS. The IMA includes:

a. Automation, including word processing;

b. Communications, both administrative telephones and dedicated computerand data communications facilities;

c. Visual information, formerly known as audio-visual;

d. Records management and

e. Printing and publications.

IMA implementation affected all aspects of the automation program at theAcademy of Health Sciences. In Apr 85, Headquarters, US Army Health ServicesCommand, directed AHS to begin a three-phased process, to culminate in areorganized AHS support element including all aspects of IMA.

The first step in this process was to create an AHS Information ManagementPlan (IMP) to replace the Automated Information System Master Plan. The IMPwas completed by a planning support working group, representing a crosssection of AHS. IMP not only contains broad policy directions, but alsoserves as the program document for the IMA budget process. The AHS IMP wasapproved and submitted to HQ HSC on 25 Jun 85.

Following the approval of the IMP, AHS began the "realignment" phase of theIMA reorganization process. During CY 85, existing AHS organizations whichhad functions reflected in the IMA were examined for possible realignmentinto an Information Management Office (IMO). The same planning support workgroup met again to consider the effects on AHS, and to develop the coordinatedresponse to HSC and HQDA directions.

The IMO was officially established on 1 Nov 85, which also marked the initiationof functional realignment at AHS. The IMO has the mission of planning andcoordinating all IMA activities and resources at AHS.

The following elements of AHS were realigned to create the Information Manage-ment Office:

Automation Management Office

Adjutant General Division

Medical Graphics and Photography Branch, of Health Sciences Media Division

Elements of the Classroom Support Branch of Resident Training Management

Division and the Television Branch of Health Sciences Media Division.

45

CP

1nUT

AHS CY 85

The locations and individual functions of these elements have not changedsignificantly.

A new mission and functions document was prepared and sent to the Chief,Resources Management Division to be included in the update of AHS Regulation10-1. During the remainder of 1985, IMO continued to consolidate the changesmade earlier, and to plan for 1986.

Other significant developments:

With the constant turnover of clerk typists, backlog of workload and diffi-culty in filling positions, five temporary overhire clerk typist positionswere created in September.

The Alliance 250 Word Processing System was phased out and replaced with theVS85 Word Processing System in Jun-Jul. Prior to the phase-out, two individualswere sent TDY to Houston for the training on the new system.

The week of 5-9 Aug 85 was a brief training period for users on the appli-cations of the new VS system before implementation. To familiarize users withother applications of the system, VS85 Wang office training was conductedduring the period of 6-19 Sep 85.

In addition to the IMA changes in CY 85, AHS received approval from HQDA andOffice of the Surgeon General for the upgrade of the office automation system.During CY 85, the Wang Alliance processors were replaced with a Wang VS85 tobring the system up to the performance levels required by the contract. Theapproved upgrade will expand the capacity of the overall system in four phases.The series of incremental expansions will not only increase the processingcapacity of the central units, but also increase the availability of thesystem to users throughout AHS. Further expansion will allow the connection ofremote users not on Ft. Sam Houston through the Defense Data Network. Theexpansion project will continue for the next four fiscal years.

HQ HSC approved the Mission Element Need Statement (System Milestone 0) forthe Extension Training Management System (ETRAMS). This system will replacethe current Extension Services Division (ESD) computer system, which runs on

VIABLE hardware, and also will replace the Automated Nonresident TrainingGraduate System (ANTGRADS) which runs on IBM equipment at the Air Force 2dInformation Systems Group (formerly San Antonio Data Services Centet). ETRAMS

will include an inventory control module to facilitate materials support to

students. Concept definition documentation is under review at HQ-HSC. Approvalof this package will allow system design and development. System implementation

is projected for mid-1987.

HQ TRADOC (Training & Doctrine Command) agreed to provide the Automated Instruc-

tional Management System (AIMS) to AHS. AIMS will support the teaching activities

of the Medical Field Service School (MFSS) and the academic records function of

the School Secretary. This system is provided to AHS without cost, except for

supplies, through the Syscon Corp. AHS will receive a Digital Equipment Corp.

VAX 11/750 mini-computer and 64 workstations. Installation is expected to begin

in early 1986. The combination of AIMS and ETRAMS will allow AHS to become

independent of outside agencies in the areas of system development and mainten-

ance.

47

AHS CY 85

Administrative Services Division

The Adjutant General Division was transferred from Special Staff andrealigned under the Information Management Officer on 16 Dec 85, as theAdministrative Services Division.

All matters pertaining to the AHS Awards Program and Faculty Board weretransferred to Personnel Liaison Office, to include the military personnelclerk position.

Telephone work requests were transferred from Logistics Division to theAdministrative Services Division.

48

AHS CY 85

MEDICAL FIELD SERVICE SCHOOL

Behavioral Science Division

The videotape "Suicide Prevention," TVT 8-93, was completed in Apr 85, Thevideotape has subsequently been distributed to training and audiovisualcenters throughout the Army for use in the US Army Suicide Prevention Pro-gram.

Combat Psychiatry Mobile Training Team: During Wounded Warrior '85 at CampRoberts and Ft. Hunter-Liggett, CA, a mobile training team of BehavioralScience officer and NCO personnel assisted in the deployment of a full-strength mental health field unit (OM team). Throughout the FTX, BSD per-sonnel directed combat psychiatric casualty play in conjunction with medical-surgical casualty play. They advised and evaluated the OM Team as it testednew doctrine for such units.

Health Service Support AirLand Battle In-Process Review - Combat StressControl: BSD personnel were subject matter experts on battle fatigue andcombat stress for the HSSALB IPR in Jul 85. The importance of the CombatStress Control concept, which optimized mental health preventive servicesand treatment on the modern battlefield, was emphasized by the Vice Chiefof Staff of the Army. BSD staff have developed training packages to educateline commanders and NCOs in response to the Vice Chief's tasking.

Alcohol and Drug Abuse Prevention and Control Clinical Certification Program:In Jun 85, the Behavioral Science Division assumed proponency for theAlcohol and Drug Abuse Prevention and Control Clinical Certification Program.Testing and certification of clinical directors and rehabilitation counselorsare managed by the Behavioral Science Division.

Revision of the Alcohol and Drug Abuse Prevention Control Program ManagementCourse: In Aug 85, the Behavioral Science Division began revising the ADAPCPManagement Course. This initiative was undertaken in response to the need toprovide more job-specific training for alcohol drug control officers (ADCO)and Education Coordinators (EDCO), civilian program coordinators, clinicalprogram consultants and clinical directors. The revision established separateone-week courses for ADCOs and EDCOs, civilian program coordinators and clin-ical program consultants and clinical directors. The ADCO and EDCO coursesare scheduled for two iterations in FY 86 and the Civilian Program Coordin-ators and Clinical Program Consultants/Clinical Directors Courses for oneiteration. The first iteration of the revised courses will begin 6 Jan 86.

Revision of the Alcohol and Drug Abuse Team Training Course: In Nov 85, theBehavioral Science Division completed a major revision of the POI for the

Alcohol and Drug Abuse Team Training Course. The revision reduced the length

of the course from two weeks to one and facilitates the attendance of a larger

number of students. The first iteration of the revsed course began 18 Nov 85.

The course is scheduled for eight iterations in FY 86.

49

AHS CY 85

Family Advocacy Staff Training Course: in Sep 85, the Behavioral ScienceDivision conducted the first iteration of the Family Advocacy Staff Train-ing Course. The three-week course was taught to 70 active duty military andDOD/DA civilians working in family advocacy programs world-wide. The courseis scheduled for one iteration in FY 86.

Continuing Education Presentation: Three staff members from the BehavioralScience Division conducted a Family Assessment and Treatment Workshop forbehavioral science specialists in Ludwigshaffen, Germany, 2-5 Dec 85.

A major revision of the 302-91F10, Pyschiatric Specialist Course, was com-pleted and approved 22 Nov 85. This project comprised the revision of alllesson plans, student mimeos, instructional aids, Course Evaluation Plan andtesting procedures.

A joint task force composed of Army and Navy Psychiatric Specialist Courseinstructors was hosted by the Psychiatric Nursing Branch in Jan 85. The taskforce reviewed, revised and standardized the Phase II curriculum for thePsychiatric Specialist Course.

The Psychiatric Nursing Branch conducted two three-day training/orientationprograms for the USAR faculty conducting the Psychiatric Specialist RC Course.

A major revision of the 302-91F10, non-resident, Psychiatric Specialist RCCourse was completed and approved 22 Nov 85. The course is being conductedby the 5501 US Army Hospital, Ft. Snelling, MN, and the 2291st US Army Hos-pital, Columbus, OH.

A two-week Advanced Clinical Skills Course was presented for mid-grade E5 and

E6 91Fs in Feb 85.

LTC Larry M. Weigum and SFC Johnny Cannon were designated as consultants for

the 91F, Psychiatric Specialist MOS. They provided consultation to 91F MOS

revision conducted by AMEDD Personnel Proponency Office.

The Psychiatric Nursing Branch provided SME input to field training exercises

Dusty Bull, Ft. Hood, TX, and Wounded Warrior in California.

Site visits were made to the Navy Phase II training sites at Portsmouth, VA,

and San Diego, CA.

A review of the Standards for Grade Authorization for the Behavioral Science

Specialist (91G) MOS was conducted with the Office of Enlisted Specialty Pro-

ponency.

The revised POI for the 302-91G10 Course was approved by the Curriculum Com-

mittee and Course Director. The POI has been forwarded to the Dean of MFSS

for approval.

A clinical psychologist and social work officer from Behavioral Science

Specialist Branch participated in the DEPMEDS DOD panel. Clinical psychology

and medical social work tasks were identified to be performed at Corps, COMMZ

and CONUS medical facilities.

50

AHS CY 85

Combat Medical Specialist Division

Mission accomplishments during CY 85 included adding 28 hours of chemicalcasualty treatment training to the Medical Specialist Course (300-91A10),completing a pilot run of an eight-week Medical Specialist program ofinstruction and completing the second year of training of the 16-week MedicalNCO Course (300-91B30). The Medical Specialist Course added six continuoushours of mission oriented protective posture (MOPP) training.

The growing commitment of resources to Vertical Rescue training necessitatedthe formation of a formal Vertical Rescue Committee within CMSD.

Among the losses of key personnel from CMSD were that of CPT Lisa Nance,Section OIC, Br III, Jun 85; MSG Ricky Berry, NCOIC, Br II, Apr 85, and SGMEddie Scott, Dec 85. Gains included MAJ Susan Conner assigned as a sectionOIC, Br III, May 85. Also arriving in Aug 85 was MSG Mickey J. Brinker, asNCOIC, Br II.

Of paramount concern in the personnel management within CMSD was the continuedlack of TDA slots for 91B Medical NCO Course instructors. Slots authorized forthe Medical Specialist Course were utilized to provide instructors for theMedical NCO Course.

CPTs Juan Sandoval, Anthony Ettipio and William E. Finney completed CAS3

Four iterations of EMT training were programmed and completed. As a result ofthis training, approximately 80 personnel obtained Texas EMT licenses. SFCNickey J. Luera acted as primary instructor.

Approximately 15 CMSD NCOs completed the AMEDD NCO Advanced Course, sixattended PLDC and four attended senior leadership courses. Seven NCOs assignedto CMSD completed the Medical NCO Course and three attended the Master FitnessCourse. Four NCOs attended the Medical Management of Chemical Casualties Courseand CPT Patricia A. Harvey attended C4 in Jun 85.

CMSD ran four iterations of NBC casualty treatment classes. The classes con-

sisted of three days of intense training uder the cirection of CPT Charles K.

Stetz to update CMSD instructors in preparation of the addition of NBC train-

ing to the 91A10 Course.

SFC Patrick Quinn and SSG Brian Hinman attended Tactical Army Computer Systemand Instructor Key Personnel training in Oct 85.

In July, CMSD upgraded its Vertical Rescue instructor capability by holdinga three-day Vertical Rescue Training Seminar for 20 instructors.

A complete review of all CMSD lesson plans occurred in CY 85. The review

resulted in major rewriting of the 91B Medical NCO lesson plans and changes

and resequencing of the 91A10 lesson plans.

The Medical NCO Course had 621 students enrolled, with an average attrition of

20 percent, graduating 492 Medical NCOs (91B); 1,747 General Medical Orienta-

tion students completed training and an additional 7,080 Medical Specialist

(91A) students graduated.

51

AHS CY 85

Joint training was provided during the Medical Specialist (91A10) FTX forstudents of the Advanced Nurse Course, Officer Advanced Course, OfficerBasic Course and Behavioral Science Course.

The 3457 USAR School, Houston, provided annual training for 16 (91A) Reservestudents utilizing a CMSD classroom in Sep 85.

Sixteen CMSD instructors participated in a CEP test for Vertical Rescuedoctrine on behalf of the US Army Medical Department Board from 4-8 and 15-22Nov 85.

Two CMSD Vertical Rescue teams competed in the state competition at GarnerState Park 10-12 Oct 85. The two teams took first and third in their respec-tive categories.

CMSD instructors provided a considerable amount of training in courses outsidethe division. In Feb, Basic Cardiac Life Support was provided to 70 OfficerAdvanced Course students. BCLS training was provided for 17 special educationinstructors of the Ft. Sam Houston Independent School District. First aidclasses were presented to JROTC students at Robert E. Lee High School in Apr85 and Churchill High School JROTC cadets in May 85.

In Jun 85, SSG Gene Luce provided cardiopulmonary resuscitation training topersonnel serving as lifeguards at the post swimming facilities. In July SFCNicky Luera provided a spinal injury mobilization class to physician assis-tant students. In Aug 85, 12 instructors from Section E provided 16 hours offirst aid and bandaging and splinting instruction to Officer Basic Coursestudents. On 30 Sep and 1 Oct, MSG Joyce A. Barrett and SFC Jacob D. Jones

provided two hours of bandaging and splinting instruction to Officer Advanced

Course students.

MAJ Philip W. Wyssling acted as the AHS site coordinator for Armed Forces Day

85, which was held at Randolph AFB. Nine members of Section F, under the super-

vision of CPT Stetz provided demonstrations of Vertical Rescue techniques to

the military and civilian personnel attending Armed Forces Day 85.

CMSD personnel went TDY to assist in and evaluate training at the 127th Medical

Group (Alabama) and at the 5045th USAR School (Wisconsin), which are piloting

the exportable Medical NCO Course, in Oct 85.

Approximately 4,605 General Medical Orientation, Medical Specialist and Medical

NCO students used the Learning Resources Lab operated in Bldg 1445 by CMSD

personnel.

In CY 85, a major upgrading of CMSD classrooms was undertaken, to include

replacing bulletin boards, replacing audiovisual stands, televisions, land-

scaping of parking area and outside of several classroom buildings; an intens-

ive maintenance program was instituted, drapes installed on all classroom win-

dows, two out-buildings were procurred to enhance supply support capability,

and chalkboards and projection screens were purchased and soon will be installed.

52

Dental Science Division

330-91E10, Dental Specialist (Basic) Course

The 330-91E10, Dental Specialist (Basic) Course provides enlisted personnelwith the skills necessary to perform tasks required of a dental assistant inthe examination, care and treatment of dental diseases and disorders. Subjectsinclude preventive dentistry, basic dental sciences, dental records and equip-ment and duties of the dental assistant.

Eighteen classes were conducted in FY 85 with total student input of 448 (with13 relieved from the course) in the following categories: 211 Regular Army,189 Enlisted Reserve, 45 National Guard and 3 Allied Students.

Three Reserve Component, Phase II, classes were scheduled. One class wascancelled because of inadequate student input.

The projected student input required for FY 86 was increased by 150 students.To accommodate the increase, two classes were added to the schedule. Thedivision recognizes the need for expertly trained dental auxiliaries to assistin the increased productivity, readiness and quality care goals of the US Armydental care system. To this end, a POI has been revised to include new lessonplans, primarily in radiology, dental materials and dental records. To increasethe clinical applicability of the course, a hands-on practical exercise withdental officers has been included. Also included in the revised POI is a finalcomprehensive examination which more closely simulates a clinical situation,including greeting and dismissing the patient, patient records, assisting andsterilization. The revised POI has been carried to final draft stage and willbe sent for approval in early FY 86, for implementation in FY 86.

The requirements for enrollment in Phase II, 330-91E10, RC Course have beenchanged. A statement of successful completion of Phase I, signed by the com-mander, must be brought with the service member and presented to the DentalScience Division before the service member is allowed to enroll.

The maximum class size has been changed to 40 students, the seating cpacityof the classroom.

330-X2, Dental Hygiene Course

Four classes of the 330-X2, Dental Hygiene Course, were completed in FY 85,with 76 students graduated and awarded the X-2 additional skill identifier.Four classes are scheduled for FY 86, with a projected student input of 100to 120 students. The POI will be updated with minor revisions during FY 86,including instruction on the alternate wartime role of the Dental Care HealthService and the HSSALB. The evaluation plan for the course was updated andapproved in Jul 85.

A Dental Hygienist (Expanded Duties) Student Graduate Assessment Form was

approved by the Course Director. The form will provide commanders with infor-

mation that may be useful in individual training plans, supervisory controls

and credentialling procedures in order to overcome the problem of failing

students who are deficient only in expanded functions, but are proficient in

hygiene. The division has arranged to provide the students with a certificate

of attendance stating they are proficient in hygiene procedures.

53

AHS CY 85

Career Development Courses

The Dental Executive Management Course, 7M-F6, was completed in CY 85,graduating 50 students. One Dental Executive Management Course, 7M-F6 (RC),was completed in CY 85.

Two Dental Administrative Courses, 330-F1, were completed, graduating 45students.

The Dental Science Division also participated in the dental tracks and com-mon core parts of two 6-8-C22, AMEDD Officer Advanced Courses, with a totalof 85 DC officers.

The Dental Science Division participated in the dental track and core ofseven 6-8-C20A (MC, DC, VC) AMEDD Officer Basic Courses in CY 85.

The Career Development Section also provides instruction to several othercourses, including NCO Basic and Advanced, Physician Assistant Course andinstruction for Special Forces. The Dental Science Division is not adequatelystaffed to provide sound instruction in the Career Development Section. Thereare no full-time dedicated instructors in this teaching section. Consequently,the quality of instruction has been compromised and support to other AHSdirectorates has been diluted.

42D Training

The new 19-week 42D10, Dental Laboratory Specialist (Basic) Course concept hasbeen approved to combine the present 8-week 42D10 Dental Laboratory Specialist(Basic) Course with the existing 15-week 42D20 Dental Laboratory Specialist(Intermediate) Course and provide a new, more comprehensive 19-week basiccourse.

The present Dental Laboratory Basic Course does not produce the technicallyproficient personnel necessary to meet the Army's needs. Experience has demon-strated that more training at the onset of the dental laboratory technician'scareer is needed to increase the quality and productivity of these technicians.Additionally, the present intermediate course takes personnel away from theirduty sections for an extended period of time, resulting in lost productiontime and costly TDY expenditures.

The POI was approved by the Commandant, AHS, on 7 Oct 85 and the start datefor the new course is 9 Mar 86.

Provisions have been made for the training of present 42D10 basic coursegraduates who have not yet had the opportunity to attend the 42D20 intermediate

course. The new course will be taught in two phases, with Phase I (the first

five weeks) covering the basic introductory skills now taught in the inter-

mediate course. Phase II will cover the material and skills now taught in the

intermediate course. Now, AIT service members will begin their training with

Phase I and continue on for the entire 19 weeks.

54

AHS CY 85

Present 42D10 basic course graduates will be allowed to join the coursestarting with the sixth week, which is the beginning of Phase II, andremain with the course throughout the final 14 weeks. Listed are the report/close dates for Phases I and II of the new course for classes to be held forthe remainder of FY 86:

Phase I Phase II

Class # Report Close Report Close

4 9 Mar 86 11 Apr 86 13 Apr 86 22 Jul 86

5 20 Apr 86 23 May 86 29 May 86 3 Sep 86

6 2 Jul 86 8 Aug 86 10 Aug 86 19 Nov 86

7 27 Jul 86 29 Aug 86 1 Sep 86 12 Dec 86

8 7 Sep 86 10 Oct 86 13 Oct 86 6 Feb 87

Service members wishing to join the course in Phase II, should make appli-cation on DA Form 4187 (Request for Personnel Action), through commandchannels to MILPERCEN.

A thorough review was carried out on FM 8-226-1, FM 8-226-2 and FM 8-226-3,Dental Laboratory Procedures, Volumes 1, 2 and 3, the texts presently servingas the field manuals for the 42D dental laboratory specialist training program.The three-volume set of texts is a very high quality professional publication;however, it is the feeling of the Dental Laboratory Branch that the publicationis not appropriate for the level of training sought here.

They are geared more for the dental officer, or at best, a very senior dentallaboratory technician. The present 10 and 20 level students have an extremelydifficult time comprehending the subject matter presented in the texts, andin some instances are unable to understand the material.

A recommendation was made and approved that the 42D dental laboratory specialisttraining program readopt the old field manual. A total revision of 8-226, DentalProsthetic Specialist, was authorized and is underway. This single volumemanual will serve as an ideal reference text for the Academy course, as wellas a study manual for 42D SQT testing. The revised manual is to be designedto support the basic and intermediate dental laboratory instruction but willalso contain material that is applicable to the senior level course. This newcomprehensive manual will be well illustrated and clearly appropriate for theArmy dental laboratory technician because the materials, equipment and pro-cedures demonstrated and described are standard for the Army Dental Care System.

To maintain comparability with the new 19-week 42D program, the MOS 42D10,

Dental Laboratory Specialist (Basic) RC Course (non-resident/resident) would

have to be rewritten and expanded tremendously.

55

AHS CY 85

Most RC units have found the required criterion of unrestricted access todental laboratories to be an insurmountable obstacle. Because of this, duringthe past four years, only four students have successfully completed the pro-gram. With an expansion of the course, in terms of time and laboratoryrequirements, the success rate would be even less.

A recommendation has been made and approved by the Dean, MFSS, for thetermination of the 331-42D10 Dental Laboratory Specialist (Basic) RC Course(non-resident/resident) to be effective upon completion of the resident Class#1, 6-18 Jul 86. The three units currently teaching the non-resident phasehave been notified of the final iteration of the MOS-producing resident phasewith sufficient lead time for qualifying.

Extension Services Division

A new computer system concept (Extension Training Management System) wasapproved by HSC pending funding.

Extension Services Division vacated the condemned warehouse, Bldg 4207, andset up operations in Bldg 4200 as the first step in total consolidation of allelements.

Two major pieces of equipment to be used for stuffing and metering envelopesand for wrapping outgoing books were purchased and installed.

Health Care Administration Division

Health Care Organization & Analysis Branch

In a reorganization internal to AHS, two authorized instructor positions wereeliminated from the branch. The positions were Biomedical Information Systemsofficers. Loss of the positions reduced significantly the capabilities of thebranch to provide quantitatively oriented instruction.

A new course was initiated in response to direction from OTSG. The TDA Pre-Command Course is designed to help preface senior MC and DC officers for theirduties as commanders of medical and dental treatment facilities.

A new microcomputer laboratory was opened to support instruction in the AMEDDOfficer Advanced Course and the US Army-Baylor University Graduate Program inHealth Care Administration. Eighteen Wang microcomputers have been procurredand are available to provide hands-on training and skill development for thesestudents. All aspects of computer literacy development is available and includesthe latest in computer software utilization.

Military Medical Jurisprudence Branch

MAJ William Williams departed to Ft. Hood, and CPT Brenda Coleman arrived from

the JAG Advanced Course.

New lesson plans and mimeos were made in the instruction of the classes for

the AMEDD Officer Basic Course, pursuant to new guidance from TRADOC.

56

AHS CY 85

Platform hours were increased from 755.41 to approximately 1,185 in CY 85.Changes include adding pre-commissioning course, enlarging military lawhours from 9 to 28 in the officer basic course and taking over Line ofDuty instruction from the Patient Administration Branch.

Human Resources Management Branch

The branch was tasked to provide a response for the Academy to the TRADOCand DA Army Mentoring Program initiatives.

Hours devoted to leadership, ethics and written communication continued toexpand in the C20 and C42 courses.

LTC James H. Tudor continued as the AHS representative to the Center for ArmyLeadership. In this role he visited Ft. Leavenworth, KS, and helped in thedevelopment of courseware and input to the Leadership Instructor TrainingCourse.

LTC Tudor, MAJ Timothy I. McCarthy and CPTs David Hagey and Stanley J. Kingattended the Leadership Instructor Training Course.

LTC Arthur K. Fischer attended the Doctoral Consortium and presented a paperat the national meeting of the Academy of Management.

Nutrition Care Branch

The enlisted instructor (MOS 94F) shortage experienced for the past two yearswhich caused cancellation of courses has been corrected. All enlisted author-izations are filled.

The Clinical Management Workshop for Senior Enlisted MOS 91J, 91L and 94F, anAMEDD PPSC, was conducted 11-15 Mar 85. The course was designed to providesenior enlisted personnel in supervisory positions with the necessary skillsto perform in the areas of communication, counseling, supervision, peer relat-ionships, decision making, resource management, property management and accoun-tability and cost control procedures.

The Nutrition Care Branch staff conducted a food service seminar for the 807thMedical Brigade 11-12 May 85. Approximately 60 reserve personnel (94Fs, 94Bs,dietitions, food service officers/advisors and nursing personnel) attendedthe week-end seminar. The focus of the seminar was to increase awareness andunderstanding of field medical food service.

A new PPSC, the AMSC Teaching Facilities Course, was held 3-7 Jun 85. Thecourse provided chiefs of nutrition care, physical therapy and occupational

therapy and clinical instructors in these professional programs, with infor-

mation to improve the overall effectiveness of the Army educational programs

in their respective fields.

57

AHS CY 85

The first field nutrition oriented PPSC was held at AHS 16-20 Sep 85. TheAdministration for Food Service in Field Hospitals Course provided currentconcepts and hands-on training for Army dietitians. It provided a forum fordietitians with FTX and combat (Vietnam) experience to interact with 65CPROFIS designees in a field kitchen setting and to have hands-on experiencein revised medical field feeding concepts supporting the new Combat FieldFeeding System (CFFS).

From 2-13 Dec 85, the AMSC Clinical Management PPSC was conducted at AHS.Dietitians, occupational therapists and physical therapists attended thetwo-week middle management course.

The 800-94F30 Hospital Food Service Specialist (Advanced) Course POI wasrevised and approved in Apr 85.

The issue of changing the aptitude area for recruiting personnel for MOS 94Ffrom Operator/Food (OF) to Skilled Technician (ST) continues to be a concern.Efforts to resolve this issue will continue in 1986.

A Tri-Service Nutrition Care Sub-panel Committee Meeting was held in May andchaired by a Nutrition Care Branch dietitian instructor to determine nutritiontasks, treaters and times for 309 combat patient classifications to be usedfor the nutritional care module for DEPMEDS hospitals.

A dietition instructor was selected to be the independent medical evaluatorfor medical/nutrition issues of the Combat Field Feeding System-Force Develop-ment Testing and Evaluation test conducted in Hawaii in Aug-Sep 85. Finalizingthe report required TDY to both Ft. Leavenworth, KS, and Natick, MA.

A presentation, "Realistic Goals for Enlisted AMSC Personnel Training," wasgiven at the Nov 85 meeting of the Association of Military Surgeons of theUnited States (AMSUS).

The new 91C POI included eight periods of nutrition classes. The first iterationbegan Nov 85.

Nutrition care test issues were developed for Combat Developments for futurecombat field US Army hospitals. A pre-test is scheduled for Jan 87 with afollow-on test, including all sections of the hospital, scheduled for summer1987.

A considerable amount of subject matter expert tasking continues to be gener-ated requiring assistance and support from the Nutrition Care Branch officerand enlisted instructors. Input on the Combat Field Feeding System continuesto require considerable work. In addition, work was done on DEPMEDS, MSPR,Medical "B" Ration and a transport system for patient meals in combat hospitals.

Participation in tri-service committee meetings on developing a nutritional

set for the 309 diagnoses and identifying medical field feeding requirements

for DEPMEDS also was accomplished.

58

AHS CY 85

Field Medical Food Service, FM 8-505, is 65 percent complete. It is thefirst field manual being written for medical food service.

CMF 94F courses continued to be scrutinized for reduction/cancellations. Aproposal to reduce the career progression courses in 1987 was rescinded.Providing training for 94F personnel comparable to 94B personnel trainingwill continue to be a concern in 1986.

A lesson plan, to include slides, on the Combat Field Feeding System was

completed and sent to the regional medical centers and others to be used at

MEDDACS/MEDCENS to familiarize them with CFFS.

A survey was sent to the field on training circulars (TC) used in dietinstruction. Once the results have been tallied, TCs will be revised to meet

the needs of the field.

Information from after-action reports, written by dietitians on field train-

ing exercises since 1980 were consolidated for HSC. An after-action report

format also was devised.

The branch received a kitchen, company level field feeding system for train-

ing.

The roadway and selected areas at Field Site 10A, where 94F field training

is conducted, were resurfaced with gravel.

Branch personnel wrote the training and evaluation outline for providing hos-

pital food services in ARTEP 8-727J for the proposed 252-bed combat support/

evacuation hospitals under the HSSALB concept.

Administration of the branch was improved considerably after receiving a

copier. This eliminated transporting work to Aabel Hall two miles away.

The NCOIC of the branch attended two Quartermaster School sponsored meetings.

Continued interaction with the US Army Quartermaster School remains imperative

for the branch to coordinate training.

The branch coordinated with Troop Support Agency in writing an appendix to

AR 30-1, which gives non-fixed hospitals guidance for patient ration account-

ing.

Medical Materiel & Facilities Branch

In addition to the normal resident training mission, this branch conducted

on-site training at the following HSC activities:

USAMEDDAC, Ft. Jackson, SC, 20-27 Jan 85

William Beaumont AMC, El Paso, TX, 21-25 Jan 85

USAMEDDAC, Ft. Campbell, KY, 27 Jan - 1 Feb 85

USAMEDDAC, Ft. Sill, OK, 10-15 Mar 85

59

AHS CY 85

Dwight David Eisenhower AMC, Ft. Gordon, GA, 14-20 Apr 85USAMEDDAC, Ft. Carson, CO, 15-19 Jul 85USAMEDDAC, Ft. Leonard Wood, MO, 26-30 Aug 85USAMEDDAC, Panama, 7-11 Oct 85USAMEDDAC, Ft. Riley, KS, 28 Oct - 1 Nov 85USAMEDDAC, Ft. Hood, TX, 2-6 Dec 85

Due to funding constraints, the FY 86 Medical Logistics Exportable Training

Program was terminated by MFSS in Dec 85.

CPT Vincent E. Ashley, MSG Lonnie Winley and SFC Larry Johnson conducted a

Theater Medical Logistics Seminar (Reserve funded) at the 980th MEDSOM,

Sacramento, CA, 17-25 Aug 85. SFC Robert L. Jones and SFC Joe T. Wright

conducted an exportable reserve training course funded by the 145th MEDSOM,

Texarkana, AR, 29 Jul - 9 Aug 85. The branch conducted a reserve training

course in San Antonio for the 324th MEDSOM 29 Jul - 9 Aug 85. The 63d ARCOM

requested and funded two instructors to conduct medical logistics instruction

to 16 units at Newport Beach, CA.

CPT Ashley and SFC Johnson participated in a major training exercise, Wounded

Warrior 85, at Camp Roberts, CA, in Jun 85. The branch conducted a Medical

Logistics Enlisted Supervisors Course from 23-27 Sep 85. MAJ Richard L. Ursone,

CW2 Ronald E. Plumley, SFC Jones and SFC Washington attended TACCS training at

Tysons Corner, VA.

The POI for the Medical Logistics Management Course (RC) was updated, the

first revision since 1980.

In Apr 85, MAJ Ursone participated in a meeting at OTSG-LOG to develop the

automation requirements in medical logistics management for the 1990s through

the year 2000.

LTC Jerome J. Micek and MAJ Ursone developed and presented, along with Navy

and Air Force medical logisticians, a four-hour seminar in medical logistics

management to senior tri-serivce medical officers attending the Combat Casualty

Care Course - Advanced (C4-A).

From 3-6 Jul 85, MAJ Ursone assisted the US Army Reserve Components Personnel

and Administration Center (RCPAC) in their conversion from a manual to auto-

mated property book. The conversion required just four days to complete with

MAJ Ursone furnishing RCPAC personnel with system training, data collection

assistance and technical assistance throughout the effort.

At the request of HSC, MAJ Ursone and CPT Francis G. Ferguson participated in

a MEDCASE Seminar conducted with representatives from each medical MACOM,

OTSG and USAMMA. From the discussion and recommendations of the attendees,

MAJ Ursone synthesized the basic ideas and developed a general functional

description of the MEDCASE program requirements from user level to DA level.

60

AHS CY 85

The branch is asisting HSC in the development of a bar code application forthe collection of medical maintenance management data. The ARTEP for fieldhospitals was updated.

CPT Ashley served as the logistics inspector on the HQ HSC IG team for theannual general inspection of the USAMEDDAC, Ft. Leonard Wood, MO, andUSAHC, Ft. Sheridan, IL.

SFC Jones revised and narrated a training film on hand receipts. The film is

aimed at all AMEDD hand receipt holders. SFC Wright went TDY to Ft. Knox,KY, on 16-17 Dec 85 to edit and make revisions to the script and the 76J

recruiting film. MSG Winley, SFC Johnson, SFC Jones and SFC Wright worked ona project to identify and select 76J tasks to be trained at AHS during mobil-ization.

The medical materiel storage warehouse used to train 76J students was re-

located from Bldg 4012 to Bldg 4200.

The branch received 12 additional computer terminals which will be used to

train 76J students on the AMEDDPAS and viable terminal operations. Terminals

are not installed and MMFB is awaiting engineer support to install electrical

outlets.

Patient Administration.Branch

As a result of authorization cuts -- one officer and one NCO -- an internal

reorganization of the branch resulted in the implementation of a NCOIC of the

Patient Administration Branch.

CPT Cynthya J. Davis was assigned as Chief, Enlisted Section, of the branch on

31 May 85.

CPT Pollyanne Marcieski was the Patient Administration controller for the

medical cell at the two-week Logistic Exercise (LOGEX) at Ft. Pickett, VA,

for USAR personnel in Aug 85. SFC Lee Lockhart participated in Exercise

Wounded Warrior, Camp Roberts, CA, in Jun 85.

The branch reinstituted exportable training to USAR and NG units.

Both the Patient Administration officer and enlisted course incorporated

additional hours addressing readiness, concerned care and quality assurance

into their respective courses.

The 71G10, Patient Administration Specialist Course, graduated 565 RA, USAR

and NG personnel, with an academic attrition rate of less than three percent.

61

AHS CY 85

US Army-Baylor University Graduate Program in Health Care Administration

The US Army-Baylor University Graduate Program in Health Care Administrationis to provide HCA graduate education of high quality in accord with thestandards of the Accrediting Commission for Education in Health ServicesAdministration.

Several changes in the faculty occurred during CY 85. COL Joseph Constablesucceeded COL Richard Harder as Course Director and Chief of the Health CareAdministration Division. LTCs Arthur L. Badgett and Robert Moore and MAJDennis Chaffee departed. COL Melvin Modderman continued as Program Director,and LTC Wayne Sorensen, MAJ Robert Galloway and MAJ Benjamin Sewell wereappointed instructors.

Further improvements in the graduate program curriculum were achieved withthe addition of fourth semester special studies electives in productivity,special problems in mobilization hospital operations and applied microeconomicanalysis. The additions were in support of strengthening the curricular themesand improving the depth and skill levels available to program graduates.

A number of research activities were begun, and several faculty members sub-mitted papers for publication. COL Constable was notified of acceptance for

publication of a paper on burnout among nurses, by the Journal on Human Stress.

LTC Arthur D. Fischer had a paper accepted by the referree board of the Academy

of Management and was an invited presentor to the Academy of Management annual

meeting in San Diego, CA, in August.

MAJ Donald Krieger, Program Administrator and Assistant Professor of Health

Care Administration, was an invited lecturer to two sessions of the Inter-

agency Institute of Federal Healthcare Executives, Washington, DC, in Feb and

Apr 85.

In late 1985 planning was initiated for a complete review of the curriculum

and update of all courses. The review process will be conducted during FY 86

with an intent of producing a revised POI in Jan 87.

COL Modderman was selected and served as a Fellow of the Accrediting Commis-

sion on Education for Health Services Administration during CY 85.

Low Intensity Conflict Division

The Low Intensity Conflict Division (LICD) and the Special Operations Medical

(SOMED) Branch, established in CY 84, underwent significant changes in CY 85.

LICD expanded from one officer and one secretary to four personnel with the

addition of two NCOs.

LICD became involved with the Joint Low Intensity Conflict (JLIC) project at

Ft. Monroe, VA, interacting with military and federal civilian agencies in the

development of definitions, problems, issues and doctrine for LIC.

62

AHS CY 85

SOMED Branch received approval of the Special Operations Medical Sergeant(MOS 18D30 Special Forces Aidman) Phase I POI. This POI was implemented ina phased transition from a 13-week course to a 17-week course with a greatincrease in field training.

The scheduling basis for 18D30 Phase I changed also, from three iterationsper year to six; this increased student input from approximately 180 to 300annually.

Phase III (clinical proficiency) of the course began formal training in Hon-duras at the US Joint Task Force Hospital.

The major problem encountered in CY 85 is personnel shortage; this is beingaddressed, though very slowly through appropriate channels. Shortage of fundsfor Clinical Proficiency Training has been resolved for FY 86 although FY 87remains to be addressed.

Learning Resources Laboratory

A significant change was made late in CY 85 when AHS began receiving computer-based instruction services from Army sources.

The Joint Computer Based Instructional System (JCBIS) began service to theArmy during FY 85 and AHS began receiving Computer Based Instruction (CBI)from Ft. Leavenworth in November.

The dominant Army users, Ft. Ord, Ft. Campbell, Ft. Knox, Ft. Belvoir, Red-stone Arsenal, AHS and the Air Force School of Health Care Sciences are allsharing course materials at a level not seen among other users of CBI in thepast.

The common military educational and training requirements and the ease with

which instructional materials can be delivered to the individual soldier by

the JCBIS is facilitating use of the system by the soldier and in sharing ofcourse materials.

Laboratory Science Division

LTC Gerald D. Jacobs, Chief, Laboratory Science Division, was reassigned as

the Laboratory/Blood Bank Program Staff Officer, HSC, effective 15 Jul 85.LTC Jacobs had been associated with the division since 1977. He was succeeded

by LTC Joe Michels, Chief, Microbiology Branch, LSD.

The Laboratory Science Division is the proponent for the 311-92B10 Basic

Medical Laboratory Specialist Course. This is a bi-service course conducted

at AHS for Army and Navy students. Although the division has had Navy enlisted

instructors on the teaching staff for some time, an officer billet was only

recently filled, LCDR Joseph L. White, in Aug 85.

63

AHS CY 85

LTC Michels conducted a seminar entitled, "Field Medical Laboratory Deploy-ments, 1983-84," at the Medical Laboratory Sciences Tri-Service Short Course,24-28 Mar 85 in Reno, NV. The seminar was approved by the Air Force Manpowerand Personnel Surgeon's Office for five hours of Category I, ContinuingMedical Education credit.

The Microbiology Branch is now responsible for teaching clinical microbiologysubjects in the revised 300-91C30 Practical Nurse Course. Instructionalmaterials were completed and presented to the first class in Nov 85.

The division experienced significant increase in requests for personnel tofunction as subject matter experts in field laboratory medicine for theProponency Action Office, the Directorate of Combat Developments, Directorateof Training Development and the US Army Medical Department Board. Most of theprojects were in support of DEPMEDS and HSSALB activities.

The Laboratory Science Division was approved as an Associate (Institutional)Member of the American Association of Blood Banks in Sep 85.

Medicine & Surgery Division

Medicine & Surgery Division was tasked with the development of doctrine forthe Low Intensity Conflict Division.

The professional staff has been heavily involved in SME responsibilities forthe development of MC training program, revision of the MC Officer Basic andAdvanced Courses, analysis of Phase II training to develop an AHS policy andrevision of two "orphan" courses, the 91V and 91H, which will result in PhaseI for both courses being conducted at AHS.

Review of the 91P (X-Ray) Course was initiated. This included an analysis of

the impact of the Randolph Bill and effects of quality assurance from loss ofcertification.

Anatomy & Physiology Branch

The Brooke AMC ENT Resident Course and the 300-91C Clinical Specialist Course

have been added to the Anatomy & Physiology Branch.

A problem has been the inability to find qualified applicants to fill the

vacant Assistant Professor of Anatomy position (GS-12). Having exhausted all

normal civilian personnel office (CPO) procedures for applicant search and

screening, an effort was made to advertise nationally in the Science Journal.

The initial response from the advertisement was encouraging and may result in

the position being filled. The lack of a person to fill the position has meant

that the Professor of Anatomy has had to carry an excessive workload (nearly

two-fold) for a year.

64

AHS CY 85

Central Materiel Services Branch

Central Materiel Services Branch accomplished the mission to support medicaltraining with all medical supplies necessary for training. During CY 85, CMSsupported the 91A, 91D Operating Room Specialist, Special Operations MedicalSergeants, 91Y Eye Specialist, 91K Urology, 91U ENT and 91B30 courses on aroutine basis.

Other AHS courses were supported on a "for need" basis. This included order-ing, stocking and delivery of all medical supplies and the preparation ofsimulated sterile supplies.

CMS individually wrapped approximately 21,000 dressing sets, 600 linen packsand 800 gowns for different classes.

To meet the mission of IV therapy and injections modules, CMS delivered

130,000 needles along with the necessary supplies, including syringes, IV

fluids and tubing.

CMS experienced severe staffing shortages maintaining a less than 75 percent

staffing fill. With these staffing shortages CMS was only able to send one

person to PLDC, and the 90-day rotation for 91Ds to BAMC Operating Room has

been curtailed until staffing comes back to workable strength. CMS was able

to send three medics to the three-week EMT training held at AHS.

CMS had three re-enlistments, two extensions and only one ETS. Two 91Ds were

Faculty Development Unit qualified. The NCOIC slot was converted from a 91D

to a 91B. The 91B is necessary at CMS since the major support requirements

are to the field medic.

During the year CMS also experienced six changes of NCOICs. This was extremely

disruptive administrately and resulted in morale problems among the young

soldiers assigned to CMS.

Occupational Therapy Branch

The Occupational Therapy Assistant Course, 303-91L10, will be developing a

one-day field training exercise in coordination with the 91G10 Course, They

will work together in the management of the battle fatigued soldier in support

of HSSALB and AR 40-216, Neuropsychiatry and Mental Health. There will be no

marked impact on personnel, hours, budget, space or materiels.

In Jun 85, ADM Lewis H. Seaton, Navy Surgeon General, signed paperwork to re-

instate Navy occupational therapists and occupational therapy assistants. An

informal contact is being maintained with Navy personnel who are developing

plans to send students to AHS. If this occurs, the 303-91L10 Course has the

potential to become a tri-service training program again.

65

AHS CY 85

303-91L10 Occupational Therapy Specialist Course in FY 85:

Started Graduated % Graduated % Attrition

Army 7 6 86 14

Enlisted Reserve 20 16 80 20

Air Force 6 5 83 17

TOTAL 33 27 82 18

An Army Medical Specialist Corps Mobilization Training Advisory Group (MTAG)was organized with the senior AHS AMSC officer in charge.

The Chief, Occupational Therapy Branch, has initiated an as-needed informationletter to all field Army and Air Force occupational therapists and physicaltherapy assistants to keep them informed as to the impact of HSSALB on thecurrent 91L10 training program.

Pharmacy Branch

The third annual Medication Therapy and Drug Distribution Course for PharmacyNCOs was cancelled due to the lack of TDY funds to bring students to AHS.

The Pharmacy Branch initiated computer training for Pharmacy Specialist Coursestudents using the TRIMIS Computer System.

The Pharmacy Branch experienced only a 78 percent fill rate for the PharmacySpecialist (MOS 91Q) Course, with a training requirement of 362 and an enroll-ment of 284.

Both officer and enlisted strength for the branch remained under authorizedlevels for the fiscal year. At the close of the FY, two officer and three NCOinstructor positions were vacant.

Physical Therapy Branch

The Physical Therapy Branch conducts the 303-91J10 Physical Therapy SpecialistCourse, the 6H-65B US Army-Baylor University Program in Physical Therapy andthe two-week Neuromusculoskeletal Evaluation Course for Physical Therapists.In addition, the staff provides instructional support for out-of-branch coursesat AHS, and some serve as members on various committees of the Graduate School,Baylor University.

Personnel shortages continue to be a problem in the branch, especially officer

personnel. Percent of authorizations to requirements per 851002 TDA are offi-

cer, 55; enlisted, 80, for a total of 64.

Such understaffing places a hardship on the officer personnel, necessitating

considerable overtime to meet the mission, without accounting for all of the

overtime required to complete additional assignments.

66

AHS CY 85

There appears to be no relief to staffing shortages in the near future. TheChief Physical Therapist, OTSG, states that there are no physical therapistsavailable to assign to the Academy. In addition, the branch will be shortanother officer for approximately six months in FY 86.

In an effort to relieve the teaching load of the staff, three Reserve PTswere utilized to instruct in branch courses in lieu of annual training withtheir units.

The branch conducted and graduated the following courses:

Three 303-91J10 Physical Therapy Specialist Courses, for a total of 150students.

One 15-month 6H-65B physical therapy graduate program of 16 students, Mar85. Two other classes are in progress.

One two-week, tri-service Neuromusculosketal Evaluation Course for Physical

Therapists, 22 Jul - 2 Aug 85. Thirty-one officer physical therapists attended.

The staff provided logistical support for the Fitness Facilitators Course,

25-29 Mar 85; provided project officers for two AMSC short courses -- the

Teaching Facilities Course, 3-7 Jun 85, and the AMSC Clinical Management Course,

2-13 Dec 85 -- and provided instructors for the following out-of-branch courses:

Orthotics Specialist Course, Special Forces, OT Specialist Course, ANC-AMSC

Officer Basic Course, Officer Advanced Course, Physician Assistant Course,

Operating Room Specialist Course, University of Texas PT Course and Air Force

Musculoskeletal Evaluation Short Course.

The branch has been given proponency for the Fitness Facilitator Course, Sep

86, and Advanced Clinical Competencies for the 91J (new), summer 1986.

The 6H-65B POI was extensively revised as part of an annual review and update

and to meet accreditation standards.

Severe budget restraints for FY 86 will impact negatively on the branch. No

money is available for Phase II site visits for the 303-91J10 Course, Baylor

University liaison visits (an accreditation requirement) and minimal (if any)

funds for continuing medical education. Insufficient funds will prohibit bring-

ing PT clinicians teams TDY for the orals board for the 6H-65B students.

Questionable funding for mission essential student travel for Phase I trips

for the 91J students or for clinical affiliations for the 6H-65B students is

cause for real concern.

Physician Assistant Branch

A PA Branch TDA surgeon slot was converted to a civilian slot. The individual

was to function as the education coordinator for the branch. Unfortunately,

the proposed authorization for that slot was lot to another teaching branch

:shortly after the requirement was approved.

67

AHS CY 85

Some major changes were made to the POI for the Military Physician AssistantCourse (6H-O1A). The most important was the addition of an Advanced CardiacLife Support (ACLS) Provider Course and an Advanced Trauma Management Review(ATMR) Course which parallels the American College of Surgeon Advanced TraumaLife Support Provider Course. The POI is undergoing complete revision.

One ACLS and one ATMR Course were conducted in Jan 85 for PA Class 1-84 andagain in Jul 85 for PA Class 2-84.

The Military PA Course was reviewed by an evaluation team from the Committeeon Allied Health Education on Accreditation on 4-5 Apr 85 and received re-accreditation on 24 Oct 85. The course received exceptionally laudatorycomments from the evaluation team.

PA training was found to be noteworthy during a HSC general inspection of AHSin Sep 85.

SSG Gardner T. Douglas participated in a medical training Mobile Training Teamto Monrovia, Liberia, Apr-Sep 85.

CW3 Edward A. Colon presented a paper entitled, "Burnout and the PA," during

the American Academy of Physician Assistant annual convention in San Antonio

26-30 May. The paper was subsequently submitted to the PA Health Practitioner

Magazine for publication in Jun 85.

CPT David D. Teuscher graduated as the distinguished honor graduate from the

Flight Surgeon Course at Ft. Rucker, AL, in Nov 85.

The PA Branch acted as a sponsor for the administration of the PA National

Recertifying Examination on 9 Mar 85 and the PA National Certifying Examination

on 10-11 Oct 85. The tests were not only administered to US Army PAs but also

to PAs from the other Armed Forces and from the civilian community.

The PA Branch conducted an ATLS Instructor Course on 13-15 Aug 85 in cooper-

ation with BAMC. Eleven BAMC physicians and four AHS physicians were trained

in the course.

Physicians Extender Branch

Revision of the POI for the 91N10, Cardiac Specialist Course, was approved 1

Jul 85. The new POI supports an increase of Phase I from two to four weeks.

The 91Y10 Course changed the sequence of Phase I training to relate more closely

to the AHS school catalog and grading system. Major construction within the

facilities of Bldg 605, second floor, was accomplished to facilitate improved

security for training equipment.

Revision of the POI for the Ear, Nose and Throat Specialist Course, 91U10, was

approved on 27 Jun 85. The Phase I of this training program was increased from

four to six weeks.

68

AHS CY 85

The POI for the Urology, 300-F12 Course, was approved on 29 Apr 85. The TDAwas changed to correctly identify the MOS of an urology instructor.

Revision of the POI for the 2C-F7, Essential Medical Training for AMEDDAviators, was approved 29 Apr 85. CPT Alvis T. Perry was assigned to the PEBranch in Jul 85, and as a qualified flight surgeon, became the class advisor.

The 42C10, Orthotics Specialist Course, had a 100 percent turn-over ofinstructor personnel in CY 85. There now are three enlisted instructorsassigned. COL Ole A. Lindefjeld is the class advisor.

Improvements to the facilities of the Physicians' Extender Branch, includingthe teaching sections, continued in the 600 area. Work was begun by theengineers in refurbishing an additional male latrine, upgrade of classroomsand installation of exterior lighting.

The Administration Section, Office of the Chief, obtained a word processorin CY 85. The majority of lesson plans and mimeos have been placed on thecomputer, which aids immensely in the upgrading and maintenance of instructionmaterials. The PE Branch also has taken full advantage of editorial reviewperformed by Individual Training Division.

X-Ray Branch

The first annual Seminar in Continuing Education for the X-Ray Branch and SanAntonio Community of Radiologic Technologists was held on 6 Apr 85 in BlesseAuditorium. Subjects and guest speakers included Charles A. Stewart, Methodsof Teaching; CPT Fred Garland, Teacher Burnout; LTC John H. Bell, Management,and Ray Goldsworthy, Radiography Educational Programs.

Completion of comprehensive research investigations concerning the evolutionof Army radiography resulted in the following three articles approved by AHSfor publication and acceptance for publication by Radiologic Technology, thejournal of the American Society of Radiologic Technologists: "Radiography inthe United States During World War I," "Radiography in the United States ArmyDuring World War II: Part I," and "Radiography in the United States Army Dur-ing World War II: Part II." All were written by CPT 0. Gary Lauer, Chief ofthe X-Ray Branch.

He also has completed research investigation on "A Comparison of the US ArmyX-Ray Specialist Curriculum to Professional Curricular Standards."

The branch completed an IPR on MOS 91P on 25-26 Nov 85. This is the first timethe entire 91P training mission was scrutinized. At issue was the proposed 50-week 91P X-Ray Specialist Course, designed to graduate students that would be

eligible for national or state credentialing. Additionally reviewed was the

need for additional skill identifiers for Computerized Axial Tomography - CAT,

Magnetic Resonant Imaging - MRI, Diagnostic Medical Sonography - DMS, and

Special Radiographic Procedures - SRP. Also at issue was the need for continu-

ing education or sustainment training, once formal training in these areas is

completed and the rank structure to be mapped out in relationship to MOS 91P

and additional ASI training.

69

AHS CY 85

Military Science Division

Responsibility to provide the class advisor and Deputy Course Director forthe C20B, AMEDD Officer Basic Course, was moved from General Subjects Branchto the Operations Branch.

A new tasking was given to provide general subjects instruction to the 91C30Course.

MSD's mission to train 460 RC basic officers was increased to 1,400 a year.

The "all corps" OBC format includes a pre-OBC class of three weeks. This classwill provide Military Qualification Standards I (MQS I) training for new MSCofficers with no prior military experience. The core OBC is 12 weeks in length,which will provide MQS II common military subjects as well as AMEDD specifictraining. The core will consist of all MSC officers, to include those officerswho have completed the pre-OBC course. A follow-on 67 SSI series track of twoweeks follows the core OBC. This track prepares the MSC officer to assumemedical platoon leader positions in maneuver/forward support battalions as wellas other medical TOE organizations.

Military Science Division has contracted five civilian instructors to teach thebulk of the maintenance instruction to the basic and advanced officer and NCOcourses.

Additional instructors will be provided on a limited basis through an agreementwith the 3457th Medical Training Center (RC), Houston. It is planned for twoinstructors to be provided to supplement instruction to the RC class beginningin Feb 86.

The AMEDD Aviator Advanced Course (2C-F8) was developed and implemented. Twoiterations of the course were conducted in 1985.

One instructor served as the AMEDD representative on the TRADOC New OrganizationTraining Team (NOTT) for the Light Infantry Division.

The division provided mobile training teams which conducted instruction forseveral reserve component units and the Multifunctional Battalion/Brigade Pre-

command Course at the USALOGCEN. AMEDD instruction in the latter programs wasincreased from two hours to eight hours.

One instructor served as the AHS action officer for Tactical Seminar IV (TACSEMIV) at Ft. Leavenworth. This exercise will produce new TRADOC common tacticalscenarios.

The division provided action officers/briefers for MSPR.

Prior to CY 85 21 hours of maintenance training was taught to various classesthroughout the Academy. The added emphasis on maintenance resulted in an in-

crease of maintenance hours to 78, the bulk of which is taught to the C20BCourse.

70

AHS CY 85

Logistical Exercise (LOGEX) was conducted at Ft. Pickett, VA, during theperiod 8-23 Aug. LOGEX is a Joint Chiefs of Staff coordinated, DA sponsored,TRADOC directed Communications Zone/Corps level command post exercise (CPX)conducted primarily for the commanders and staff of RC units.

Medical Unit Staff in Operation (MUSIO) Exercise, a semi-annual CPX, wasconducted at Camp Bullis, TX, 20-24 May and 16-20 Sep. MUSIO is a semi-freeplay CPX administered as a requirement for all 6-8-C22 AMEDD Officer AdvancedCourse students.

Nursing Science Division

The first phase of the two-phase Practical Nurse Course (300-91C20) was imple-mented in October. One hundred eighty-seven students began the course; 176successfully completed Phase I, reflecting a significant reduction in attri-tion. They proceeded to three Phase II sites for further training.

Twenty-two ANCs began the Anesthesiology for Army Nurse Corps Officers Courseunder the new affiliation with Texas Wesleyan College. As a pilot project, afully-qualified certified registered nurse anesthetist is attending the course

for degree completion. The student will attend Phase I at AHS and then be

awarded the master of health science degree.

An Operating Room Course for Reserve components at Fitzsimons AMC is operational.

A non-resident dialysis training program for ANCs is being developed. The course

concept includes six weeks at Brooke AMC followed by a three-month preceptor-

ship at an Army MEDCEN.

The first and second ANC History Days were held for ANC participants in the

AMEDD Officer Advanced Course. All active duty and retired ANCs in the San

Antonio area were invited to hear presentations by the ANC historian and by

LTC Hattie Brantley (ret.), spokeswoman for the ANCs held captive by the

Japanese on Corregidor and Bataan during World War II.

The research study titled "The Effects of a 5 Week and a 16 Week Physical Fit-

ness Program on Selected Physiological and Psychological Parameters" was accepted

by Military Medicine for publication.

The publishing company, Aspen Systems Corp., has accepted a proposal for its

topical journal, Emergency Care Quarterly. Members of the Nursing Science

Division will be contributing authors on the topic, "Care of the Combat Wounded:

A Nursing Perspective."

Data collection is in progress for a study titled, "The Effects of a 9 Month

Fitness Program on Selected Physiological and Psychological Parameters." The

data collection portion of the study will conclude in Jun 86.

71

AHS CY 85

Preventive Medicine Division

Community Health Practices Branch

The senior Medical Corps position remains unfilled. A general medical officer(SSI 60B) was assigned to the CHP Branch to assist with instruction of recur-ring preventive medicine topics conducted in the AMEDD Officer Basic and someof the enlisted training courses. An interim Schedule X has been submittedrequesting additional personnel to meet the teaching obligations within thefive enlisted and 17 officer courses currently scheduled for the branch.

The Veterinary Corps officer (SSI 64A) assigned to the branch completed hiscertification by the American College of Veterinary Preventive Medicine as aDiplomate of Veterinary Preventive Medicine. Due to the changes in the gradu-ation dates of the AMEDD Officer Basic Course for Medical Service Corps offi-cers, the three branch courses start dates were changed. The new dates elimin-ated the ability of the staff to attend many of the annual meetings of publichealth organizations conducted in the fall or the late winter seasons. Thestaff was able to attend some other conferences concerned with public healthaspects as part of their continuing education activities.

The revised 6A-F5, Principles of Military Preventive Medicine Course, and 6A-F7,

Preventive Medicine Officer Orientation Course, proved successful. Due to the

changes in the start dates for branch courses, there was no 6A-F6, Preventive

Medicine Program Management Course.

Environmental Quality Branch

An officer from the Environmental Quality Branch (EQB) devoted over 600 man-

hours as a member of the Academy Information System Planning Team. A member

of EQB also was sent TDY to Mexico City for one week to provide environmental

health assistance following the September earthquake in Mexico.

One member served as the OTSG representative at an Educational Testing Service

Meeting for the development of a national certification examination program for

food service personnel.

In terms of man-hours consumed, the major workload for the Environmental Eng-

ineering Section (EES) consists of teaching field water disinfection and field

waste disposal in the Preventive Medicine Countermeasures II block of instruc-

tion. EES personnel, as well as other volunteers from EQB, taught approximately

14,000 students in CY 85 in 19 courses of instruction at AHS. Staffing consid-

erations indicate the need for two additional instructors to be assigned to

EQB, and preferably to EES, to meet this workload in addition- to the conven-

tional classroom instruction.

The National Institute for the Foodservice Industry (NIFI) applied foodservice

sanitation instruction has been incorporated into the 322-91S10, Preventive

Medicine Specialist Course. The students passing the final examination in

this phase of training receive NIFI certification in applied foodservice sani-

tation.

72

AHS CY 85

The Preventive Medicine Specialist FTX was moved to a remote site (Area6A) at Camp Bullis and its length increased to four days. These changeshave made the FTX the high point of the entire course by providing studentswith a realistic field preventive medicine training experience.

The Industrial Hygiene Section (IHS) conducted a basic industrial hygieneworkshop at Rock Island Arsenal, IL, 18-22 Mar 85. The workshop was providedat the request of the US Army Armament, Munitions and Chemical Command (AMC-COM) surgeon. The workshop was designed to provide an introduction to theArmy Occupational Safety and Health Program and training in the accomplish-ment of basic industrial hygiene tasks. Approximately 30 safety professionals(DAC and contract employees) from 29 ammunition facilities participated asstudents in the workshop. AMCCOM provided funding for the members of the IHSstaff.

On 18 May 85 EES members demonstrated to an audience of civilian and militaryspectators, estimated at more than 1,000, the purposes and methods of opera-tion of four different field water testing kits. The demonstration was con-ducted at Randolph AFB.

A major revision of the 322-91S10 Preventive Medicine Specialist Course POI

was approved 31 Oct 85.

Medical Zoology Branch

Two instructors for the branch conducted an on-site DOD Pest Management Certi-

fication Course at the US Army MEDDAC, Panama, in May at the request of the

MEDDAC, which also provided the funding. Cost savings (to the US Army, Panama)

by bringing the course on-site were estimated at $31,240.

One branch member was TDY to Honduras for six months. SFC Gilbert Gonzalez

assumed duties as NCOIC on 1 Oct 85, replacing MSG James Gray. The departure

of MSG Gray created a shortage of one enlisted instructor within the branch.

An enlisted instructor attended the DOD Aerial Application Pest Control Course

at Rickenbacker ANGB, OH, and received a three-year aerial application certi-

fication. An entomology instructor served as a controller for the two MUSIO

exercises conducted by the Military Science Division in CY 85.

Liaison was established between the branch and the USDA Laboratory at Kerr-

ville, TX. The results to date have been the addition of 10 new colonies of

medically or economically important insects to the branch laboratory. These

colonies serve as training aids in six AHS courses.

Nuclear, Biological & Chemical Sciences Branch

During FY 85, NBC Sciences Branch established a laboratory for the Phase I

training of health physics technicians. In addition, the US Nuclear Regulatory

Commission licensed this facility to use radioisotopes for health physics

training.

73

AHS CY 85

With these improvements in capability, the POI for the course was revisedto include laboratory experience in Phase I and reduce the requirements forPhase II. Goals for FY 86 will be to implement the revised POI at a costsavings per student instructed.

Further, the NBC Sciences Branch was responsible for over 5,000 contact hoursof instructor time and 1,000 hours of time devoted as doctrinal support forsubject matter relating to NBC defense. Of this time, roughly 50 hours ofinstruction was presented by officers of the branch in support of the ChemicalCasualty Management Course, USAMRICD, Edgewood, MD. This effort was the resultof a memorandum of understanding between AHS and USAMRICD.

Support for the Chemical Corps Senior Staff Officer Course and the World-wideChemical Conference was provided by officers from the NBC Sciences Branchpresenting lectures on the doctrine supporting the treatment of chemicalcasualties.

In addition, officers from the branch visited the division headquarters of

the 101st Airborne Division (Assault) to review standard operation procedures

for the processing of chemical casualties. This type of support also was pro-

vided to the division surgeons of the 1st Cav and 2d Armored Division.

Not only were the FORSCOM units directly supported by members of the branch,

but the branch also supplied officers to assist the organization in testing

procedures for the Mark II nerve agent antidote kit.

Within AHS, the NBC Sciences Branch operated the Radiation Protection Office

which, among other tasks, conducted annual radiation safety training for

radiation workers of AHS.

Resident Training Management Division

The officer in charge of the Training Input Branch assumed the role of Chief,

Resident Training Management, while maintaining responsibility for the TIB as

a subordinate branch.

This action resulted in the placement of Administrative Service Division under

the responsibility of the civilian administrative officer and eliminated the

time delays and "rubber stamping" that had previously taken place. The other

gains from this action were improved communication in the training management

actions, as well as allowing the officer position to shift into the teaching

side of the Medical Field Service School.

Vacancies created when two of the scheduling clerks left to take other jobs

resulted in increasing the productivity of the remaining scheduling clerks.

This action also allowed two slots to be transferred to work areas where the

workload was greater than the assigned personnel were capable of accomplishing

during the normal duty day.

74

AHS CY 85

Stimson Library

Stimson Library upgraded its collection with the addition of 12,942 volumes,25 percent of the total collection. Standard lists for book selection werereviewed and a collection development policy was drafted and approved by theLibrary Committee.

Purchases of new shelving and equipment provided better access to materialsand made the facility more attractive.

A plan for the evaluation of library effectiveness was drafted and implementedin the library's annual report for FY 85.

Training Input Branch

Training Input Branch scheduled over 35,000 students through AHS residentcourses, and approximately 2,000 students through the Medical Treatment Facil-ities (MTF) utilized as Phase II training sites throughout CONUS.

The following chart represents a breakdown of the courses that were managedthrough the use of the Army Program for Individual Training (ARPRINT) and the

Army Requirements and Resources System (ATRRS) by the TIB personnel throughoutthe year.

Category Initial Skill Skill Progression Functional Totals

Location Officer Enlisted Officer Enlisted Officer Enlisted-------- -------- ---------- - - -

AHS 18 29 16 14 33 3 113

USAMEOS 2 1 6 9

USASAM 1 1 1 1 1 1 3

MTF 5 2 3 5 8 23

Totals 24 33 19 21 48 3 148

Capsulized highlights of the year included:

Revision and lengthening of the 6-8-C20 Officer Basic Course to 14 weeks with

the inclusion of various phasing for specific officer specialties.

Revision and expansion of the 6-8-C22 Officer Advanced Course to 280 students

per iteration with sub-specialty tracks for specific officer specialties.

Deletion, as a separate course, of the 7M-F10 AMEDD Company/Detachment Pre-

command Course when it became a sub-specialty track portion of the Officer

Advanced Course.

Revision of the 300-F1 Special Forces Airman (Airborne) to the 011-18D30

Special Operations Medical Sergeant. This was done in concert with the John F.

Kennedy Center for Special Warfare, Ft. Bragg, NC.

75

AHS CY 85

300-91B10 became 300-91A10 Basic Medical Specialist Course, a 10-week coursewhen combined with 300-F10 General Medical Orientation (four weeks). An eight-week pilot of this course was prepared for implementation during the latterpart of the year.

300-91B30 Medical NCO Course (16 weeks) became an official course at the con-clusion of the pilot and was scheduled for 12 iterations of 60 students.

300-91C30 Practical Nurse Course (52 weeks) became a two-phased course with

the six-week Phase I portion being taught at AHS and the 46-week Phase IIportion being taught at the previously utilized MTF.

A complete revamping of the "drug and alcohol series," in lengths and/orfrequency was undertaken by the Behavioral Science Division.

Nursing Science Division reduced the length of three courses from 22 to 20weeks:

6F-F5 Critical Care Nursing (formerly titled Intensive Care Nursing)

6F-66D Pediatric Nursing (formerly titled Nurse Practitioner/Pediatrics)6F-66G OB/GYN Nursing (formerly titled Nurse Practitioner/OB-GYN)

The following courses were implemented/added during the year:

2C-F8 AMEDD Aviator Advanced Course (4 weeks/three days)

6A-C4A Combat Casualty Management Course (7 days, all at Camp Bullis)

6F-66E (RC) Operating Room Nursing for ANC Officer (8 weeks at Fitzsimons AMC)

6G-F6/321-F6 Depot Veterinary Services (2 weeks)

7M-F9 AMEDD TDA Pre-Command Course (2 weeks)

The following courses were deleted:

311-F12 Medical Technology, conducted at BAMC

5H-F20/302-F20 Family Advocacy Staff Training Course.

Veterinary Science Division

COL Mylo M. Hagberg, VC, served as the Division Chief, and LTC Larry S. Oldham

as Assistant Chief during FY 85. LTC Carl T. Kyzar, VC, replaced MAJ Lafon C.

Lively Jr. as Chief, Combat Service Support Branch, in Mar 85. MSG Jimmy L.

Pennington, 91R, replaced MSG Christina M. Hansen, 91R, as Chief Enlisted

Instructor, Jul 85. Wallace 0. Olson joined the division as a GS-9 food inspec-

tion specialist instructor in Feb 85.

The attrition rate for the Food Inspection Specialist Course (Basic) rose from

just under 10 percent for CY 84 to just over 13 percent during CY 85. It is

not felt that this change in attrition is significant when compared to the 12

percent rate experienced in CY 83. In fact, it is the impression of the VSD

that as a whole, CY 85 AIT students were the best to attend the course in many

years. In addition to Army AIT students, 107 Air Force and 14 Marine students

attended the basic 91R10 Course.

76

AHS CY 85

To provide for a recognized field need for specialized training for thoseindividuals assigned to Defense Supply Agency Depots and those assigned toDSA supply points, two new functional course POIs were developed and approved.First, the Depot Veterinary Services Course, 6G-F6/321-F6 POI was approved 1May 85. The second, the Supply Point Veterinary Service Course, 6G-F4/321-F4POI was approved 4 Mar 85.

In addition to OTSG, Defense Personnel Support Center and HSC personnel,numerous guest speakers from other government agencies made themselves avail-able to AHS. These included the US Department of Agriculture, Department ofCommerce and Food and Drug Administration. Others were from the Troop SupportAgency, Army and Air Force Exchange Service and the Navy Food Service SystemsOffice. The total cost of travel and per diem, all borne by the variousagencies, exceeded $5,600. Participation by these agencies in AHS courses isvital to the Veterinary Service food quality assurance and wholesomenessinspection teaching program in preparation for overseas mission accomplishment.

At the request of various MACOMs, four Veterinary Technical Liaison Team (VTLT)

visits were conducted during CY 85. At the request of HSC, two VTLT missions

were conducted. The first from 2-7 Feb to Ft. Dix MEDDAC activities at Bay-

onne, NJ, and Philadelphia, PA; the second from 20-26 Oct at Walter Reed AMC

activities, to include supply activities at Laurel, MD.

At the request of the 7th Medical Command a VTLT was conducted in Europe by

Harry E. Bates, Consultant in Quality Assurance, 1-5 Apr and SSG Jerry L.

Becker, 91R, 23 Mar - 7 Apr. At the request of the 18th Medical Command and

US Army Japan, a VTLT was conducted 2-13 Dec. The VTLT visits are essentially

Branch Training Team missions designed to teach and evaluate prior students

and to identify current overseas and CONUS problem areas to enhance Academytraining programs.

Renovation of Bldg T-3840, Animal Holding Facility, was 90 percent completed

by the San Antonio Real Property Maintenace Activity. The renovation provides,

for the first time, student toilet facilities, plus hot water to enhance

facility sanitation. Further, it includes the addition of curbing around the

concrete pad to assist in reducing the amount of rain water and soil entering

the sanitary sewer system.

Renovation of Room 0201, Bldg 2840, was completed. The room is dedicated to

the Veterinary Science Division for use as a food inspection laboratory and

classroom. Renovation consisted of painting all walls, installation of a

speaker's platform and a film screen, as well as rheastat controlled ceiling

lights. The following items were purchased: student tables and chairs, a

remote microphone system, a remote controlled 35mm slide projector, a video

cassette and incubator for use in food deterioration classes.

77

AHS CY 85

SCHOOL SECRETARY

SGM Ronald F. Still was assigned as Sergeant Major of the School SecretaryDirectorate in Apr 85.

From 16 Sep to 13 Dec 85, the School Secretary, COL Roger J. Labat, was TeamLeader for the AHS Information Systems Planning (ISP) Study, which was con-ducted by seven AHS personnel to assess the information problems of AHS andto specifically identify an approach to information systems management whichwill best serve the needs of the organization.

The specific objectives of the ISP were to identify the current informationsystems used by AHS; analyze AHS information needs, recommend prioritizedactions to meet AHS information needs and document non-information problemsand provide prioritized recommendations for resolution.

The study effort concluded with the publishing of an executive summary andstudy report of approximately 100 pages.

Major activities supported by the School Secretary during CY 85 were the

installation of a new roof on Bldg 2840 and Bldg 2841; a complete replacement

of all of the plaza areas between and around the two buildings; complete

washing of their exteriors and the painting of the interiors of the class-

rooms, laboratories, offices and other rooms.

The IPR of the MSPR, held in Jul 85, was another major project which received

maximum support from the School Secretary Directorate.

A reorganization of the Motor Pool operation occurred in the last quarter of

CY 85, which improved maintenance and control of all AHS tactical vehicles.

Academic Records Division

As a result of the accreditation of AHS, which became effective on 13 Dec 83

and implemented on 1 Oct 84, the mission of Academic Records Division in two

areas, transcript requests and academic grade sheets, has increased approxi-

mately 75 percent. Approximately 16,800 students applied for credit under the

accreditation of AHS.

In Dec 85, the General Assembly of the Southern Association of Colleges and

Schools was held in New Orleans, LA. It was attended by the Registrar/Chief,

Academic Records Division, and the Dean of the Medical Field Service School,

who represented the Academy.

Four new courses were added to the accreditation program, bringing the number

being serviced to 75. The 1985/86 AHS School Catalog, AHS PAM 351-13, is at

the printers and completed copies are expected at AHS in Mar 86.

78

AHS CY 85

Allied Student & Visitor Support Division

Allied military trainees (AMTs) from 24 countries utilized 87 formal coursespaces; 11 participated in on-the-job training and 27 participated inobserver training at AHS, Brooke AMC and the Institute of Surgical Research(ISR).

Countries represented were Botswana, Canada, Dominican Republic, Ghana,Greece, Ivory Coast, Jamaica, Japan, Jordan, Kenya, Korea, Kuwait, Liberia,Malawi, Malaysia, Norway, Pakistan, Philippines, Saudi Arabia, Spain, Taiwan,

Thailand, Trinidad Tobago and Yugoslavia. (See chart on Page 81 for train-

ing breakdown).

A total of 35 informational program activities were conducted during the year,four of which were sponsored by the Council of International Relations, a

local civilian organization. In addition, five slide presentations were given

to the military and civilian community by Allied Students on their respective

countries.

The US Army Health Services Command's Executive Agent for Security Assistance

Training provided assistance to all medical centers, the US Army Medical

Equipment and Optical School, US Army School of Aviation Medicine and the

Army Medical Department Activity at Ft. Sill, OK.

The division served as the administrative cell for the In-Program Review of

the Medical System Program Review in Jul 85. The administrative cell was

responsible for the development and implementation of the administrative

support plan, including invitations, billeting, transportation, escorts, food

services, desk plates, name tags, seating plans, registration, collection of

fees, communications center, lounge for general officers and invitees, view-

ing rooms and the reception desk.

The Academy conducted tours of its facilities for six high school groups, the

Up With People troupe, four nursing educators and two nursing student ROTC

tours. The purpose of the tours is to acquaint students and educators with

the educational and career opportunities in the Army Medical Department. Sup-

port was provided for visits of 68 flag officers, 80 colonels, two senior

government civilians and 21 visitors from other countries. Visitors from

other countries included:

Australia

BG William Rodgers, plus two staff officers

Canada

LTC D. Chester Brown, Canadian Liaison to OTSG

El Salvador

COL Giron Flores, Surgeon General

79

AHS CY 85

Jordan

BG Nail Ajluni, Deputy Director, Field Medical Service

Pakistan

Brigadier Khurshid Anwar Imami, Surgeon GeneralBrigadier Syed Qamar uz ZamanBrigadier Riaz Ahmed ChowhanCOL Azadar Hussain Syed

Saudi Arabia

BG Saleh Al-Akel, Director of TrainingBG Abdul Hameed Al-Fraidi, Surgeon GeneralCOL Ketah Alotiebi, Chief Surgeon

Sudan

LTG Ahmed Abdel Aziz Yacoub, Surgeon General

BG Eltahir Abdel Rahman Elshiekh, Infantry Training OfficerBG Kamal Mekki Elmanna, Medical Corps, Training Officer

COL Salah Eldin Mohmed Hamad, MC, Chief Pharmacist and Medical Corps Supply Chief

Taiwan

LTG Pan, Surgeon General, plus 13 of his staff

United Kingdom

COL Michael B. Mummery, British Medical Liaison to OTSG

COL lan Creamer, British Liaison to OTSGLTC Terry Taylor, UK Liaison Officer, QWIG

West Germany

COL Dieter NechvatalBG Dr. Reinhard Schaefer

80

BOTSWANA

CANADA

DOMINICAN REPUBLI(

GHANA

-GREECE

IVORY COAST

JAMAICA

JAPAN

JORDAN

KENYA

KOREA

KUWAIT

LIBERIA

MALAWI

MALAYSIA

NORWAY

PAKISTAN

PHILIPPINES

SAUDI ARABIA

SPAIN

TAIWAN

THAILAND

TRINIDAD TOBAGO

YUGOSLAVIA

TOTAL

AHS CY 85

C4

I

1

1

2

2

2

1

2

1

1

13

mI

C)

00

1

1

2

1

3

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Fm

I

'6

1-

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1

4

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3

I

0C%4

00

-o

1

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1

2

I

ILf

\

l

1

1

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0

1

1

a'

C

2

1

0

0

r-4

r,

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I

1

0

a'

Io

1

L

0

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m

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1

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1

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ECT

2

81

C)ri0>

1

2

0

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1

1

1

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-

5

0

SI

3

2

3

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1

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2

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4

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1

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0a

1

4

5

1

3

2

4

1

2

3

1

27

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1

1

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1

11

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mm"mmilWMMAmmlIMOmwllýmmmlý022NummimmýmwmllýmvýmmýmlmýmmwýmmrýI mImmýmmMORMaI ·

1

8

2

7

3

11

33

2

8

3

9

1

4

7

!6

1

5

6

1

1

.2535 F

AHS CY 85

Health Sciences Media Division

Health Sciences Media Division (HSMD) relinguished responsibility for themanagement of Health Services Command's audiovisual program. This functionwas absorbed by the newly formed HSC Deputy Chief of Staff for InformationManagement (DCSIM), which is the initial step in the formation of the HSCInformation Management Organization (IMO).

The responsibility for graphic and photographic support has been realignedunder the AHS IMO, which will be finalized in 1986.

The Medical System Program Review that was completed in July placed anunusually heavy workload on Medical Graphics and Photo Branch, HSMD. Over6,000 graphic or photographic items beyond the normal workload were producedfor MSPR.

The three-dimensional (Tri-D) facility was closed in CY 85 due to a general

lack of need for the product produced.

A production crew of five individuals from HSMD spent two and a half weeks in

1985 shooting throughout Europe. The production is a documentation of the Army

Veterinary Corps mission change to include DOD-wide responsibility for veter-

inary services. It will be used to inform other DOD agencies of this mission

change, and it is an excellent demonstration of HSMD's unique, world-wide

mission capability.

HSMD received a computer graphics system. When all operators are trained and

competent, HSMD's graphic production capability will be greatly enhanced.

The position of TV Branch Chief (GS-14) was deleted from HSMD's TDA. Conse-

quently, the two sections (production and engineering) under the TV Branch

have been redesignated as branches, i.e., Production Branch (TV) and Engineer-

ing Branch (TV).

The incumbents of three TDA positions [AV Program Officer (GS-12), AV Support

Representative (GS-9) and Reports Clerk (GS-4)] have been detailed to HSC

DCSIM to perform the HSC audiovisual management function. This is the initial

step in forming HSC's IMO, and upon its completion, both incumbents and posit-

ions will be transferred to HSC DCSIM.

The Medical Graphics and Photo Branch has been realigned under the AHS IMO.

Along with this, AHS IMO will be the proponent for maintenance of the Academy's

classroom television receivers and recorders. This action reduces HSMD's

authorizations by 24 positions. Equipment, budget and other assets will be

transferred to IMO at a later date.

All HSMD personnel attended a four-hour class on sexual harassment during the

past year.

HSMD completed 383 productions that run for 192 hours, 57 minutes and 28 seconds.

HSMD completed 8,136 dubs in 1985, 165,545 slides and 21,500 still photos.

82

AHS CY 85

Logistics Division

Supply Branch

Property Management Section:

Beginning balance of the AHS Property Book was $26,751,899; ending balancewas $27,239,241. The number of AHS hand receipts stabilized at 100, anincrease of five since Jan 85.

The Property Management Section processed 18,100 lines of supply requestsvalued at $5,877,909; 23 Reports of Survey for equipment valued at $16,750;held four classes for hand receipt holders on supply topics, with averageattendance of 60; processed 12,230 transactions in AMEDDPAS and conducted a100 percent physical inventory of the property book.

Central Issue Section:

The Central Issue Section conducted over 60,000 issues and turn-ins of TA-50field gear for AHS students and permanent party personnel, and issued AHSstudents over $568,000 of hospital duty white uniforms.

CIS processed 28 Reports of Survey for TA-50 and organizational clothingvalued at $2,133. In addition, there were 150 Cash Collection Vouchers witha value of $1,191, and 413 Statements of Charges with a dollar value of $8,337.

Storage and Issue Section:

Total dollar value of equipment turned in from all AHS hand receipt holders toStorage and Issue was $350,000; total dollar value of medical excess turnedin from all AHS hand receipt holders was $89,526; total value of medicalexcess transferred to other HSC activities and PDO was $256,900 and total valueof turn-ins from AHS Storage and Issue to Defense Reutilization Materiel Office(DRMO), comprising 713 lines, was $3,859,353.

Support of external operations:

The division provided logistical support for approximately 25 personnel assignedto the Medical Training Team (MTT) assigned to El Salvador. This consisted ofa complete issue of TA-50 hot weather gear plus the procurement and shipmentof approximately $25,000 in supplies.

Approximately 15 personnel were outfitted with a complete issue of TA-50 hotweather gear in preparation for training exercise in Honduras.

It returned the Israeli Aid Station to Israeli control through the US Embassy

in Tel Aviv.

The division supplied TA50 field gear in support of the training exercises

conducted by the 1077th US Army Reserve.

83

AHS CY 85

Medical Care Support Equipment (MEDCASE) Program:

The AHS Program Budget Advisory Committee (PBAC) considered 87 equipmentrequirement line items totaling $1,989,131. Of these, 39 line items valuedat $724,721 were purchased. This inclued requirements for USAMEOS and USA-SAM.

Twenty-one line items were cancelled by USAMEOS because of DEPMEDS.

Capital Expense Equipment Program:

The Capital Expense Equipment Program supported AHS through purchase of 169line items (with a unit price of $1,000-$2,999), with a total dollar valueof $654.847.

Facilities Engineering Branch

The Chief of Facilities Branch position was filled at the GS-11 level.

Funds amounting to $84,000 were acquired to perform an Inspection and RepairAs Necessary (IRAN) on the hypobaric chamber installed at USASAM.

A training barracks facility, started in FY 84, was near completion at theend of FY 85. Occupancy is expected in Jun 86. The 1,500-person barracks wasconstructed under the MCA program at a cost of $15,298,000.

Projects completed under the AHS minor construction and alteration programincluded renovation of Bldg 2785 for 311-91X20 Course; modification of Room0215, Bldg 2841, for new X-ray equipment, modification of Bldg 2840 forProponency Action Office and painting classroom and office areas in Bldg 2841.

Projects started in CY 85 include paving road work, Bldg 3395; roofing 1100area buildings; alarm and lighting project in 900 area and Bldg 2264; removaland replacement of carpet with floor tile, 900 area; area lighting in 600area; installation of movable partitions in rooms in Bldg 2841; constructrooms around telephone equipment in Bldgs 603 through 615 and repair down-spouts and grade around buildings; install walls with locking doors in hallsto separate bays in Bldgs 1374, 1375, 1379 and 1380, and install sink, commode,drainage and renovate goat pens at Bldg 3840.

Maintenace Branch

After a study on relocation of Sub Motor Pool to Camp Bullis, MaintenanceBranch received 91 percent concurrence for the move; closed down, relocatedpersonnel and assets to Camp Bullis on 31 Aug 85.

The branch improved scheduled maintenance of tactical vehicles from 46 to 90

peroent. It received 27 commercial utility cargo vehicles (CUCV) and turned

in the M151 series utility trucks.

84

AHS CY 85

Beginning on 1 Sep 85 the Motor Pool changed its hours of operation to 0530 -1800. This provided an additional 17.5 hours of support per week. Since thechange (1 Sep - 20 Dec 85) an additional 262.5 hours, equal to 32 3/4 daysof additional support, was provided at Camp Bullis.

The Generator Section was transferred from C-3 to Logistics Division. Assetsgained inclued two generator mechanics, 12 generators, five M51 ProtectiveShelter Units, one 400,000 BTU heater duct.

The Drivers Training and Generator Section trained and licensed 451 drivers.The Generator Section trained and licensed 18 generator operators from 1 Octto 20 Dec 85 and supported 29 generator and M51 support missions from 1 Sep to20 Dec.

In Sep 85 the Logistics Division was given the responsibility of accountingand maintaining the M51 Protective Shelter Units.

AHS has some confusion of the different levels of maintenance required by apiece of equipment. The Generator Section and Maintenance Branch of LogisticsDivision is required to perform organizational maintenance on the M51 Shelterunits. TM 3-4240-264-12 identifies the operator's maintenance which eachoperator/customer is required to perform on the unit before the unit is placedinto operation; during operation and after the operation of the unit. The Gen-erator Section is not staffed to perform the extensive maintenance required,and operator's maintenance is not being consistently conducted by users toclean the shelters after they have been caked with mud.

The patching of rips and holes is not being accomplished by users.

Safety Section:

A 15-minute new employee safety orientation videotape was completed. It depictstypical environmental and work hazards related to South Texas and AHS.

An airborne SOP was completed and staffed; this is a new SOP for AHS.

A new safety technician position was authorized. This is being processed bythe Civilian Personnel Office and will significantly improve the performanceof the safety activity.

Medical Museum

A one-year temporary GS-7 museum technician for 1986 was added. A two to sixmonths part-time GS-3 clerk typist position was filled in FY 85.

The Curator and the technician attended the 13th annual Army Museum Confer-

ence in San Antonio. The technician attended the 14th annual Army Museum

conference in Oct 85 in Seattle, WA.

The museum has 25,000 visitors -- 80 percent military and 20 percent civilian.

85

AHS CY 85

The staff catalogued the entire collection of artifacts; installed shelvingand clothing containers in the vault storage area, Bldg 4201, and moved thecollection out of Bldg 337 into the vault.

Public Affairs

The Public Affairs Office played the lead role in the marketing of the ArmyMedical Department's Health Service Support to AirLand Battle operations.

Under the umbrella of Far Forward Care, marketing has been done throughTrainer Magazine, Soldier's Magazine, DOD Public Affairs and the CommandInformation Division of the Chief of Public Affairs, DA. Also, free lancewriters, local news media and DA Book Branch, New York, all have been exposedto the Self Aid/Buddy Aid and Combat Lifesaver programs.

Thomas Kerns joined the staff in Oct 85 as Editor of the Medical OUTLOOK, the

AMEDD enlisted training newsletter.

Security, Plans & Operations Division

CPT Leary E. Bonnett, MSC, joined Security, Plans & Operations Division in

Jul 85 as Chief, and SFC Bruce C. Hawley joined the division in Aug 85 as

NCOIC.

86

AHS CY 85

US ARMY MEDICAL DEPARTMENT BOARD

The US Army Medical Department Board manages user tests/examinations ofmedical and designated non-medical equipment having application to theAMEDD health care delivery system. Tests are conducted at corps leveland below and TDA medical activities. It provides equipment inquiry (El)services to medical activities on medical and designated non-medicalequipment.

The key personnelDec 83; LTC JamesE.J. Hall, Chief,

and incumbency includeA. Taylor, Chief, TestTest Support Division,

COL John D. Hayes, President, 1Division, 1 Jul 85, and CPT Jan14 Apr 84.

Personnel strengths as of 31 December 1985:

Required Authorized

9

Warrant Officer

Enlisted

Civilian

TOTAL

13

23

46

The disparity between personnel required (as per CY 82 manpower survey) and

assigned continues to adversely impact on the quality of the AMEDD user test

program, especially in the areas of logistical supportability testing;

reliability, availability, maintainability (RAM) testing and resourcesplanning/budgeting/management. Personnel shortfalls also have resulted in

required tests and evaluations being deferred.

Workload Data

User test projects

USAMEDDBD managed/monitored 74 user test projects during CY 85, defined as

follows:

1. Operational tests - 21

2. Concept evaluation program tests - 32

3. Force development testing and experimentation - 14

4. Operational assessment - 1

5. Aeromedical evacuation suitability tests - 6

87

Officer 5

Assigned

4

1

6

8

20 20

AHS CY 85

Equipment inquiries

Sixteen Els were carried forward into CY 85 and 74 new Els were received.Seventy-four Els were completed, leaving 16 ongoing on 31 Dec 85.

88

AHS CY 85

US ARMY MEDICAL EQUIPMENT & OPTICAL SCHOOL

The US Army Medical Equipment & Optical School continued its primary missionsof training and technical assistance. USAMEOS conducts three MOS producingcourses and six numbered courses.

Personnel strengths as of 31 December 1985:

Authorized Assigned

Officer - MS 3 3WO 9 9

Enlisted 35 32Civilian 33 32

Total 80 76

Key Personnel

Grade and Name Position Incumbency

COL George L. Brown Commander/Dean 1 Jul 82

CPT Lyle R. Artz Chief, Biomedical Equipment Division 9 Dec 85

CPT William W. Hately Chief, Optical Division 13 Jun 85

CW4 Edward R. Shockley Chief, Academic Support Division 1 Jul 83

SGM Ronnie W. Lee Sergeant Major 10 Oct 82

Academic Support Division

The Wang office information system was upgraded from Model 130A to Model140-III in Jul 85. Telecommunications capability for this system was estab-listed in Dec 85.

During the Christmas break USAMEOS staff conducted a special 4B-F4/198-F4Advanced Digital and 4B-F7/198-F7 Microprocessor Course for staff members.

Student shortfall and over-input:

1. Course 311-42E10 (Optical Laboratory Specialist) had an overall short-fall of 31 students from the original programmed input of 65. A total of 21students graduated from the course during CY 85.

2. Course 4B-F2/198-35G10 (Biomedical Equipment Specialist Course Basic)had an overall shortfall of 63 students from the original programmed input

of 288.

3. Course 4B-F-2/198-35U20 (Biomedical Equipment Specialist Course (ad-vanced) had an overall shortfall of only 3 students from the original program-

med input of 216.

89

AHS CY 85

CourseNumber

4B-F20

4B-F2/198-35G10

4B-202A/198-35U20

4B-F4/198-F4

4B-F5/198-5

4B-F6/198-F6

4B-F7/198-F7

4B-F8/198-F8

311-42E10

Courses Completed in CY 85

CourseTitle

Biomedical Equip-ment Maintenance(Orientation) -Officer

Biomedical Equip-ment Specialist(Basic)

Biomedical Equip-ment Specialist(Advanced)

Advanced DigitalTheory

Polyphase X-RaySystems

BRH ComplianceTesting

Microprocessors

Closed CircuitTelevision

Optical LaboratorySpecialist

TOTAL

Classes Programmed Actual Non-GradsGraduated Input Input Graduates

1

12

8

*7

3

3

*4

288

216

72

36

36

36

36

65

785

4

45

225

213

175

177

65 65

27 26

29 29

44 44

34 21

638 538

Aca- Otherdemic

0 0

53 2

32 3

0 0

0 1

0 0

0 0

0 0

9 0

94 6

* USAMEOS conducted a special Microprocessor, 4B-F7/198-F7, class for 10students from USAMEOS and Fitzsimons Army Medical Center staff during theChristmas break.

** All classes were cancelled because the students had received this trainingin the 4B-202A/198-35U20 course.

Biomedical Equipment Division

One warrant officer and one senior noncommissioned officer participated asmembers of an Army Medical Department (AMEDD) joint working group tasked withdeveloping standards of grade authorization, implementing maintenance doctrinedeveloped by the AMEDD National Maintenance Point, identifying AMEDD mainten-

90

AHS CY 85

ance requirements and developing new POI for USAMEOS which addressed these

needs. The refinement of these POIs will continue until the fielding of

DEPMEDS is completed.

Instructor personnel

CY 85:

Proponent

Radiological ServiceTraining Institute

Physio Control

Corning Co.

Valley Lab

Integrated LogisticSystem, Ft. Lee, VA

Ft. Sam Houston

Picker Corp.

Picker Corp.

Fluke Co.

USAMEOS

S.S. White

Pace

Faculty DevelopmentCourse

USAMEOS

attended the following continuing education courses in

Location

USAMEOS

USAMEOS

USAMEOS

Boulder, CO

Ft. Lee, VA

Ft. Sam Houston

USAMEOS

Cleveland, OH

USAMEOS

USAMEOS

USAMEOS

USAMEOS

AHS

USAMEOS

Subject/Purpose

Servicing digital single and

3-phase generator systems

Repair & cal of lifepak-6defib

Repair & Cal of Corning 168blood gas

Repair & cal of Valley LabElectro Sug App

Logistics in the Army

AMEDPAS Training Analysis Course

Repair & cal of BGX625 x-raysystems

Survey of new field x-ray at

Picker plant

Micro Systems Trouble-ShooterCourse

USAMEOS Christmas FunctionalCourse to include advancedtheory and microprocessorssubject/purpose

Maintenance training on Dental

Panorex x-ray

Operation training on solder-

ing station

Instructor certification

Instructor qualification in

advance digital theory and

microprocessors

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AHS CY 85

Optical Division

The Optical Division conducted the second AMEDD Field Optometry Officer'sCourse in Apr 85. The course provided training in optical fabricationsupport services and management of ocular casualties in a field environmentto division level optometry officers. The division developed/conducted theOptical Laboratory NCO Development Course in Apr 85, which provided opticalNCOs an update on new equipment repair and maintenance, career trends andtraining in management techniques.

Optical Division personnel attended the following continuing educationcourses in CY 85:

Proponent Location Subject/Purpose

Southeastern EducationalCongress

Womack Army Hospital

AIT, Inc.

USAF Special OperationsSchool

School of Health CareSciences, USAF

Rocky Mountain ArmedForces Optometric Assn.

Mountain States Opto-metric Assn.

Colorado OpticiansAssn. annual educationmeeting

Optical LaboratoriesAssn.

Atlanta, GA

Ft. Bragg, NC

Chicago, IL

Hulbert Field, FL

Sheppard AFB, TX

USAF Academy, CO

Denver, CO

Denver, CO

Las Vegas, NV

Professional postgraduatetraining

Continuing education inoptometry/ophthalmology

Optical Equipment MaintenanceTraining Course

Cross-Cultural CommunicationCourse

Professional postgraduatetraining

Speaker/professional post-graduate training

Professional postgraduatetraining

Speaker/upgrade technicalexpertise in optics andequipment availability

Continuing education inoptics and review of state-of-the-art optical equipment

92

AHS CY 85

US ARMY SCHOOL OF AVIATION MEDICINE

Two additional authorizations were approved by US Army Health ServicesCommand for one 04 66H nurse and one 04 68S psychologist as instructors.

Key personnel changes include COL Jose G. Garcia, assigned as Dean, 6 Jun85; MAJ William A. DeBlois, as Chief, Aeromedical Operations Division, 1Aug 85, and MAJ Robert P. Cassingham, as Chief, Aeromedical EducationDivision, Jun 85.

USASAM lost six officer and three enlisted instructors and gained fourofficer and two enlisted instructors for a net loss of two officers and oneenlisted.

The Flight Medical Aidman Course conducted three separate classes for a totalof 56 students in CY 85. The Army Flight Surgeon's Primary Course conductedthree classes for a total of 115 students in CY 85.

The Operational Aeromedical Problem Course was conducted at Ft. Rucker 15

Apr 85, with 135 attendees.

Major revisions to the Programs of Instruction (POI) were initiated for the

Flight Medical Aidman Course, Flight Surgeon Course and Flight Surgeon

Orientation Course.

Data depicting workload for CY 85:

Total instructional hours 10,270

Total students 6,315

Total altitude chamber flights 351

Chamber students 3,144

Total programs of instruction 25

AHS 3

USAAVNC 22

USASAM had its first HSC IG inspection on 28 Aug 85, with satisfactory results.

In Sep 85, COL Garcia established liaison with the School of Public Health,

University of Alabama at Birmingham, for the purpose of exchanging instructions,

ideas and basic research. Full-time liaison was established with United Services

University of Health Science in Oct 85.

During Nov and Dec 85, the Army's first training hyperbaric chamber was instal-

led at USASAM to provide training in hyperbaric medicine and clinical treatment

of hypobaric injuries.

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AHS CY 85

In Dec 85, the hypobaric (altitude) chamber underwent a complete overhaul.

Several projects were initiated in late CY 85 that will enhance USASAM'smission in the foreseeable future:

1. The feasibility of building a hoist tower to assist in flightmedical aidman training.

2. Gyrolab, an advanced spatial disorientation trainer, is being pursuedto enhance our training mission.

94

AHS CY 85

DETACHMENT 1, SCHOOL OF HEALTH CARE SCIENCES, USAF (ATC)

On 1 Jan 84, Detachment 1, School of Health Care Sciences, USAF, was estab-lished by the Air Training Command (ATC), at AHS.

The detachment's functions include providing military personnel and adminis-trative support to all assigned USAF staff and students; maintaining directliaison with AHS on common tri-service personnel and training; providingadministration and coordination of interservice support agreements; conductingpertinent USAF reclassification actions on students removed from technicaltraining; responsibility for the health, morale and welfare of all assignedpersonnel and students; conducting appropriate disciplinary and legal actionswith the authority vested in the detachment commander; maintaining AF direct-ives, publications, files and forms in support of staff and students andproviding or undertaking any other appropriate functions as may be authorizedor directed by higher authority.

The detachment organization includes CPT Awilda Ciuro, MSC, Commander; TSGTElaine Wright, Administrative Assistant/NCOIC; COL William V.H. Thornton, MC,Assistant Director, Combat Casualty Care Course; MAJ Darrell 0. Benham, MSC,USAF Operations Officer, Combat Casualty Care Course; LTC Joe Garcia, MSC, SeniorUSAF Representative, Military Science Division, AHS, and MAJ Nelson K. Smith,BSC, Senior USAF Instructor, Behavioral Science Division, AHS.

There were 7 officers and 27 enlisted personnel assigned to the detachment asof 31 Dec 85.

Student enrollment/graduation statistics, CY 85:

COURSE *ENROLLED ACADEMIC ATTRITION GRADUATES

Behavioral Science 61 22 37Specialist (15 weeks)

Occupational Therapy 11 1 5Specialist (17 weeks)

Cytotechnology Specialist 10 0 4

(52 weeks)

* Figures represent some classes which convened before 1 Jan 85 and will

graduate after 31 Dec 85.

AlC Gary L. Schofield Jr. was an honor graduate in the Behavioral Science

Specialist Course, Class #4.

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AHS CY 85

NAVAL SCHOOL OF HEALTH SCIENCES, BETHESDA DETACHMENT

In Oct 85 the Naval School of Health Sciences, Bethesda Detachment, at AHS,was assigned area casualty assistance calls and funeral honors supporttaskings by Commander, Naval Reserve Force, New Orleans, LA.

LCDR Gary L. Kremser, MSC, succeeded LCDR Richard W. White, MSC, as SeniorMedical Instructor, Physical Therapy Course, Phase I, in Jun 85. LCDR JosephL. White, MSC, reported on board in Sep 85 as a medical laboratory technol-ogist assigned to the Medical Laboratory Specialist Basic Course. HM1 B.McMullen succeeded HM1 D. Hire as enlisted instructor in the Physical TherapySpecialist Course. LT B.J. Henery, MSC, reported in Oct 85 to fill a vacantinstructor billet in the Combat Casualty Care Course. On 1 Apr 85, LCDR GordonR. McDougal was appointed to the Directorate of Combat Developments, AHS.

The Inter-Service Support Agreement with AHS was reviewed, revised as neces-sary and renewed.

On 8 Mar 85, the first of two C-4A prototype courses was instituted, withseveral senior Navy Medical Department officers attending. C-4A is designedto prepare fully trained mid-level Medical Department officers to assumeleadership roles in medical treatment facilities at the rear of a battlefield.

In Jul 85, CDR W.F. Kellogg attended a five-day senior officer course inmilitary justice at NAS, Corpus Christi, TX.

Student enrollment/graduation statistics, CY 85

Course *Enrolled Attrition *Graduated

Medical Laboratory Specialist 196 18 174Basic (15 weeks)

Inhalation Therapy Specialist 20 8 12(32 weeks)

Physical Therapy Specialist, Phase I 50 0 36(17 weeks)

Psychiatric Specialist, Phase I 64 6 58

(6 weeks)

Combat Casualty Care Course 724 0 724

Army-Baylor University Graduate 3 0 3

Program in Health Care

Administration, Phase I

(1 year)

TOTAL 1,057 30 1,007

* The above figures represent classes which convened/graduated in FY 85.

The figures do not balance because a class may convene in one year and graduate

in another.

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AHS CY 85

GLOSSARY OF ABBREVIATIONS AND ACRONYMS

AAA Army Audit Agency

ABIC Army Battlefield Interface Concept

ACAP Army Chemical Action Plan

ACLS Advanced Cardiac Life Support

ACRA Airlift Concepts & Requirements Agency

ADCO Alcohol Drug Control Officer

ADT Active Duty Training

AER Army Emergency Relief

AF Air Force

AFB Air Force Base

AHS Academy of Health Sciences, US Army

AIT Advanced Individual Training

ALB AirLand Battle

AMC Army Medical Center

AMCCOM Armament, Munitions & Chemical Command

AMEDD Army Medical Department

AMEDPAS AMEDD Property Accountability Systems

AMEDDTC AMEDD Technical Committee

AMIM Army Modernization Information Mimeo

AMSC Army Medical Specialist Corps

AMSUS Association of Military Surgeons of the United States

AMT Allied Military Trainee

AMTP ARTEP Mission Training Plan

ANC Army Nurse Corps

ANOC Advanced Noncommissioned Officer Course

AOC Army Operations Center

AOE Army of Excellence

AR Army Regulation

ARCOM Army Reserve Command

ARPRINT Army Program for Individual Training

ARTEP Army Readiness Training Evaluation Program

ASD-HA Assistant Secretary of Defense - Health Affairs

97

AHS CY 85

ASVAB Armed Services Vocational Aptitude Battery

ATC Air Training Command

ATDD Alaska Theater Defense Division

ATMR Advanced Trauma Management Review

ATRRS Army Training Requirements & Resources System

ATSC Army Training Support Center

AUSA Association of the United States Army

AV Audiovisual

BAMC Brooke Army Medical Center

BCLS Basic Cardiac Life Support

BC2SR Army Command and Control Master Plan

Bde Brigade

BDP Battlefield Development Plan

Bn Battalion

BOIP Basis of Issue Plan

Br Branch

BTT Branch Training Team

CAC Combined Arms Center

CAHHS Computer Assisted Health Services Simulation

CALL Center for Army Lessons Learned

CAMA Computer Assisted Manikin for Army

CAMAA Combined Arms Mission Area Analysis

CAS3 Command & Staff

CBHS Chemically/Biologically Hardened Shelter

CBI Computer Based Instruction

CDB Communications Requirement Data Base

CDEC Combat Developments Experimentation Center

CEDAR Chemical Effects Data Requirement

CEEP Capital Expense Equipment Program

CEP Concept Evaluation Plan

CFFS Combat Field Feeding Station

CMF Career Management Field

98

AHS CY 85

CMS Central Materiel Services

COEA Cost & Operational Effectiveness Analysis

COMMZ Communications Zone

COMPO Component Code

CONUS Continental US

CPS Collective Protection System

CPX Command Post Exercise

CRDC Chemical Research & Development Command

CRG Clinical Review Group

CRT Cathode Ray Tube

CSH Combat Support Hospital

CTT Common Task Test

CTU Consolidated Training Update

CUCV Commercial Utility Cargo Vehicles

CZ Combat Zone

CZAR Combat Zone Assessments and Requirements

C4 Combat Casualty Care Course

DA Department of the Army

DAC Department of the Army Civilian

DC Dental Corps

DCSIM Deputy Chief of Staff for Information Management

DCSPER Deputy Chief of Staff Personnel

DEPMEDS Deployable Medical Equipment System

DISE Distribution, Illumination System, Electrical

DMSB Defense Medical Standardization Board

DMSET Deployable Medical Set for Training

DOC MOD Document Modernization

DOD Department of Defense

DRMO Defense Reutilization Materiel Office

DSA Defense Supply Agency

DTT Doctrine & Tactical Training

99

AHS CY 85

EAC Echelon Above Corps

EDCO Education Coordinator

EFMB Expert Field Medical Badge

El Equipment Inquiry

ESTP Exportable Sustainment Training Package

ETP Exportable Training Package

ETS Estimated Time of Separation

EVAC Evacuation Hospital

FAA Functional Area Analysis

FDB Facilities Data Base

FDTE Force Development Test & Evaluation

FFF Form, Fit, Function

FLOT Forward Line of Troops

FMTV Family of Medium Tactical Vehicles

FOE Follow on Evaluation

FORSCOM Forces Command

FSMC Forward Support Medical Company

FTX Field Training Exercise

FUE First Units Equipped

GAO General Accounting Office

GTA Graphic Training Aids

HHA Health Hazard Assessment

HSC Health Services Command

HSSALB Health Services Support AirLand Battle

1AW In Accordance With

IDSBARF Identification Diagnostic System/Biologic Agent, Rapid, Field

IEP Independent Evaluation Plan

IHRF Improved High Frequency Radio

IMA Individual Mobilization Augmentee

100

AHS CY 85

Information Management Office

In-Process Review

Inspection and Repair As Necessary

Institute of Surgical Research

IMO

IPR

IRAN

ISR

JASC

JCBIS

JCS

JLIC

JOPS

JWG

LFC

LHX

LICD

LID

LOA

LOGEX

LR

LRRDAP

Action Steering Committee

Computer Based Instructional System

Chiefs of Staff

Low Intensity Conflict

Operations Planning System

Working Group

Light Fighter Course

Light Helicopter Experimental

Low Intensity Conflict Division

Light Infantry Division

Letter of Agreement

Logistics Exercise

Letter Requirement

Long Range Research Development and Acquisition Plan

MAC

MACOM

MARC

MC

MEDCASE

MEDCEN

MEDSOM

MES

MILPERCEN

MMS

MMSC

MOPP

MOS

Military Airlift Command

Major Command

Manpower Requirements Criteria

Medical Corps

Medical Care Support Equipment

Medical Center

Medical Supply, Optical and Maintenance

Medical Equipment Sets

Military Personnel Center

Medical Materiel Sets

Modular Medical Support Concept

Mission Oriented Protective Posture

Military Occupation Specialty

101

Joint

Joint

Joint

Joint

Joint

Joint

AHS CY 85

MPM Medical Planning Module

MQS Military Qualification Standards

MRAR Manpower Requirements Analysis Reports

MRDC Medical Research & Development Command

MSC Medical Service Corps

MSE Mobile Subscriber Equipment

MSPR Medical System Program Review

MTF Medical Treatment Facilities

MTOE Modified Table of Organization and Equipment

MTT Medical Training Team

MUSIO Medical Unit Staff in Operation

NAF Non-Availability Factor

NAS Naval Air Station

NC Nutrition Care

NCOIC Noncommissioned Officer in Charge

NGB National Guard Bureau

NOTT New Organization Training Team

NTC National Training Center

NUCAP Army Nuclear Action Plan

OAC Officer Advanced Course

OBC Officer Basic Course

OCAR Office of the Chief of Army Reserve

OE Organizational Effectiveness

OIC Officer in Charge

OT Occupational Therapy

OT Operational Test

OTEA Operational Test & Evaluation Agency

OTP Outline Test Plan

OTSG Office of The Surgeon General

PAM Pamphlet

PAP Problem Analysis Papers

102

AHS CY 85

PBAC

PCDS

PDIP

PGEC

PLDC

PLS

POI

PPSC

PROACTO

PROFIS

PT

QQPRI

RA

RC

RCPAC

RIDC

RTD

Student Assessment Questionnaire

Systems Approach to Training

Scenario Oriented Recurring Evaluation System

Simplified Collective Protection Equipment

Systematic Feedback Loop

Single Channel Ground and Airborne Radio Station

Sergeant Major of the Army

Subject Matter Expert

Special Operations Medical

Standard Operating Procedures

Support

Skill Qualification Tests

Standard Requirement Code

Special Skill Indicator

Soldier's Training Publication

103

Program Budget Advisory Committee

Personnel Casualty Decontamination System

Program Development Increment Plan

Power Generation & Environmental Control

Primary Leadership Development Course

Palletized Loading System

Program of Instruction

Professional Postgraduate Short Course

Proponency Action Office

Professional Filler Information System

Physical Therapy

Qualitative & Quantitative Personnel Requirements Information

Regular Army

Reserve Component

Reserve Components Personnel and Administration Center

Resuscitation, Individual Device, Chemical

Return to Duty

SAQ

SAT

SCORES

SCPE

SFL

SINCGARS

SMA

SME

SOMED

SOP

Spt

SQT

SRC

SSI

STP

AHS CY 85

TA

TACCS

TAMMIS

TC

TCATA

TCG

TDA

TDNS

TDR

TEC

TEMP

TM

TOE

TRADOC

TSG

TTHS

TTT

TWIG

ULCS

USAF

USALOGCEN

USAMARDA

USAMBRDL

USAMEDDAC

USAMEOS

USAMMA

USAMMDA

USAR

USAREC

USAREUR

VC

VCSA

VTLT

WRAMAG

Theater Army

Tactical Army Combat Service Support Computer System

Theater Army Medical Management Information System

Training Circular

TRADOC Combined Arms Test Activity

Threat Coordinating Group

Table of Distribution and Allowances

Training Device Needs Statement

Training Device Requirements

Training Extension Course

Test & Evaluation Master Plan

Training Manual

Table of Organization & Equipment

Training & Doctrine Command

The Surgeon General

Transit Trainees Holdover Student Account

Time, Task, Theater

Test Working Integrating Group

Unit Level Computer System

US Air Force

US Army Logistics Center

US Army Manpower Authorization Requirement Desk Agency

US Army Medical Biomedical Research & Development Lab

US Army Medical Department Activity

US Army Medical Equipment & Optical School

US Army Medical Materiel Agency

US Army Medical Materiel Development Agency

US Army Reserve

US Army Recruiting Command

US Army Europe

Veterinary Corps

Vice Chief of Staff, Army

Veterinary Technical Liaison Team

Water Resources Management Action Group

104