Posted on Mar 6, 2019
Medics need to transition to combat arms and have OSUT training similar to the Infantry... change my mind?
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As we divest combat medics from MTFs and Focus more on the wartime capability of combat medics how do we increase lethality and survivability? What if... day one training was combat medic focused instead of BCT, then getting introduced to medicine. Interoperability with combat arms, asset vs. liability, decrease flash to bang from requirement and demand signal to execution of capability. Thoughts?
Edited 6 y ago
Posted 6 y ago
Responses: 8
Posted 6 y ago
I agree with the principle of integrating training more “forward in the battle space” so to speak, it wouldn’t work well in an IET setting.
1. The problem with 68W training as is (and this is an opinion), is that although it is intense, it doesn’t adequately set up medics to perform a lot of their medical functions. Unlike other branches, soldier medics don’t go through a clinical/ride time portion for their training, which is very key in civilian EMS training programs. Students do not get to integrate skills with clinical/emergency presentations. The training is, essentially, a rushed job in the end.
2. There is a significant body of skills and knowledge that the 68W in AIT doesn’t get but needs. Although I can’t expect 68Ws to all be paramedics, they do need to be familiar with how to use monitors, vents, and various other equipment, along with some knowledge of them that allows them to integrate better both in clinical and forward environments. TCCC is relatively easy all things considered, but operating in an FST may not be so straight forward. They are asked to far exceed what they were taught, and I think the army has realized they need more rounded medics.
3. A lot of 68Ws get stuck in more administrative roles that limit their medical exposure. It’s easy to say a unit will continue to train a new medic up, until all medics do is MEDPROS. This is why I think longer 68W AITs are needed with actual clinical rotations: units often fail to continue to develop their medics. This way they have a good basis of knowledge and skills at least.
1. The problem with 68W training as is (and this is an opinion), is that although it is intense, it doesn’t adequately set up medics to perform a lot of their medical functions. Unlike other branches, soldier medics don’t go through a clinical/ride time portion for their training, which is very key in civilian EMS training programs. Students do not get to integrate skills with clinical/emergency presentations. The training is, essentially, a rushed job in the end.
2. There is a significant body of skills and knowledge that the 68W in AIT doesn’t get but needs. Although I can’t expect 68Ws to all be paramedics, they do need to be familiar with how to use monitors, vents, and various other equipment, along with some knowledge of them that allows them to integrate better both in clinical and forward environments. TCCC is relatively easy all things considered, but operating in an FST may not be so straight forward. They are asked to far exceed what they were taught, and I think the army has realized they need more rounded medics.
3. A lot of 68Ws get stuck in more administrative roles that limit their medical exposure. It’s easy to say a unit will continue to train a new medic up, until all medics do is MEDPROS. This is why I think longer 68W AITs are needed with actual clinical rotations: units often fail to continue to develop their medics. This way they have a good basis of knowledge and skills at least.
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CSM Michael Chavaree
6 y
Great feedback! The future of the Combat Medic career field would divest them from the MTF's and put them back toward the line. That is already in the works. Combat Medics are getting back to the basics of their wartime function. Expect to see major changes in the programs now.
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Posted 6 y ago
I agree, but that would require splitting them back into two separate MOSs like they were before they were reintegrated into one MOS (91W) back in 2006. Until then, AMEDD C&S has their dirty stinkin' paws all over them claiming technical proficiency because a small portion of medics will work in clinics, hospitals, and CSH's.
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CSM Michael Chavaree
6 y
Oooor.... we take 68Ws and put them all in the field and have 68Cs do hospital and CSH stuff? Thoughts
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Posted 6 y ago
Although it makes sense becoming a 68W requires a lot of time and focus do to amount of information and skills the SM needs to absorb and learn. Therefore I, with my limited medical knowledge but a former receiver of their service , prefer those trainees to learn the required medical knowledge and skills once they mastere them integrate them in the tactical game. My humble opinion.
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CPT Lawrence Cable
6 y
Well, Navy Corpmen assigned to Marine units go through Fleet Marine training, but Army Medics already go through BCT.
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CSM Michael Chavaree
6 y
The training would be spread out over 26 weeks instead of the 16 week firehose they have now. Instead of thinking of training as modular where you need to adapt from one to be successful in the other, they would be blended. The standards would remain the same, but the delivery of the materiel would differ. Great point!
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MAJ Javier Rivera
6 y
CSM Michael Chavaree Not impossible... it should be a matter of - keeping with the military acronym tradition- is DOTMLPF!
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