Transformation OF THE AMEDDC&S TO
A JOINT MEDICAL TRAINING Center
MG George W. Weightman
Commanding General
Army Medical Department Center and School
and Fort Sam Houston
Medical Education and Training Center
1
Seismic Changes
• Foundation for Transformation of Military
Medical Education and Training
• State of the Art Joint Academic Institution of
Excellence
• Pathway to Future Unified Medical
Education and Training Command
Medical Education and Training Center
2
Medical education and training center
• Mission
We Produce The World’s Best Healthcare
Personnel To Support The Nation
• Vision
The Nation’s Leader In Medical Education
And Training
Medical Education and Training Center
3
Precepts
•
Consolidate 5 Major Learning Institutions
 World’s largest medical education and training
institution
 Average daily student load over 9000
 Faculty and staff over 3600
•
Capture “best practices”
 Integrated Learning Environment
– Faculty monitored vs faculty delivered
– Self-paced
– Collaborative learning
Medical Education and Training Center
4
Precepts
•
Phased Evolution Into A Joint Medical Education
And Training Institution
 Joint Organizational Leadership with Service Specific
Components
 Common core curriculum using the ITRO process
 Maintain service specific training and CONOPS
•
University-like walking campus
 DoD Standard Barracks
 Barracks parity across all services
Medical Education and Training Center
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Precepts
•
Federal Degree Granting Institution
 CCAF/ USUHS Affiliation
 Accreditation for Associates Degrees
 Potential for Bachelors Degrees
•
Maximize Clinical Training In The San Antonio
Area
 Integrated clinical experience
•
Life Long Learning
 Sustainment training
•
Integrated Leadership Development
Medical Education and Training Center
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Precepts
•
Joint Force Medical Readiness Training
Center
 Camp Bullis Training Site
 AF Expeditionary Medicine Training Center
•
Joint Medical Futures Center
 Lessons learned repository
 Knowledge Management
•
Scope of practice reviews
Medical Education and Training Center
7
Transition Management
•
•
•
•
Senior Advisory Council
Flag Officer Steering Committee (FOSC)
Council of Consultants
Executive IPT
 Tri-service and Joint Leadership
 Oversees Functional IPTs
 5 Internal Work Groups
 Senior Enlisted Advisory Council
 Healthcare ITO
• Functional IPTs
 Tri-service and Joint Leadership and Membership
 9 primary and 13 secondary IPTs
 4 work groups
Medical Education and Training Center
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Draft Organization Chart
J-1
Commander
J-2/3
J-4
Deputy
(SES)
Chief of Staff
J-6
J-8
Personal Staff
Dean for
Academic Affairs
(Flag Officer/SES)
Dean for
Student Affairs
(Flag Officer)
Air Force
Group
Navy
Ship’s Company
Teaching
Depts
Army
Brigade
Academic
Support
Division
Futures
Center (J-9?)
Potential Center Activities
• E&T Strategic Studies
• Data Analysis
• Lessons Learned
• Knowledge Management
• Test & Evaluation
• Combat Developments
• Personnel Proponency
• MEDEVAC Proponency
• Doctrine Development
METC ADSL
COBRA
Course
HOHUR*
Variance
Variance
Total
Sheppard
1578
572
122
2272
Great Lakes
1700
(174)
0
1526
Portsmouth
350
221
0
571
San Diego
1337
(616)
0
721
Walter Reed
30
0
0
30
AMEDD C&S
2904
797
150
3851
Total
7899
800
272
8971
Medical Education and Training Center
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METC STAFF
Officer Enlisted Civilian
Total
Sheppard
69
436
71
576
Great Lakes
20
123
8
151
Portsmouth
11
84
10
105
San Diego
27
216
25
268
Walter Reed
0
1
4
5
AMEDD C&S
426
1016
1082
2524
Total
553
1876
1200
3629
Medical Education and Training Center
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Facility Footprint
•
•
•
Instructional and Laboratory Space – 1.2 M GSF
Campus Environment
Student Dorms
 Proximity to Classrooms
 Total of 1800 rooms, one head per room
•
Student Support Complex
 Dining, Processing, AAFES, Recreation Center, Gym
Medical Education and Training Center
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Medical Education
and Training Campus
Facilities Program Status
•
Area Development Plan (ADP)
 FSH component is 95% complete
 Camp Bullis AF Readiness Training Site underway
•
•
Program for Design (PFD) funded and ongoing
EIS underway
 Expect completion by 23 Apr 07
•
Synchronized construction of instructional and
student support facilities
 Dorms not currently on the ACSIM FYDP
Medical Education and Training Center
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MIGRATION CHART
TOTAL EXPECTED GROWTH
13,575
AMF /
Other
MEDICAL
TRAINING
MEDICAL
RESEARCH
1,749
934/151/5260/6345
114/116/183/148/
561
Fifth Army
HQS / SUPPORT
NS Great Lakes
Sheppard AFB
Brooks City Base
Sixth Army
NMC San Diego
NS Great Lakes
470th MI
BDE
NMC Portsmouth
Bethesda
First Army
Walter Reed
Borden Institute
(Disc Move)
87/1693/1780
IMA
USAR/
ARNG
MEDICAL
CARE
MIL/CIV/1,200
1,608 / 332 /
1,940
- IMA NWRO
CFSC
AFRC
AEC
ARMY FAMILY
LIAISON OFFICE
NETCOM NWRCIO
ACA
59th Med Wing
(Wilford Hall
Med Center)
-ACA E-Commerce Region
-ACA Southern Hemisphere Region
-ACA So Region Office
ACA SRCC East
(Disc Move)
CHPPM South
(Disc Move)
AAA Aberdeen
Field Office
(Disc Move)
•
•
•
•
MIL / CIV / TOTAL
AMF
BRAC
OTHER
Action Plan Timeline By FY
2006
2007
METC (Prov)
2008
2009
2010
METC
2011
BRAC MILCON
EIS Study
Instructional / Dorms
Instructional/ Dorms
EIS Study
Camp Bullis Readiness Training
Instructional/ Dorms
Concurrent Army MILCON at Fort Sam Houston
General Instructional
Building (GIB)Nursing Sciences
Instructional/ Dorms
Medical Instructional
Facility (MIF)Physician Specialists
Proposed
Replacement Barracks
Construction
Phased Move
Phase I: Early C2, Readiness Training and Early Transition
Phase II: Specialty Training
Phase III: Med Lab and Specialty Training
Phase IV: Dental and Specialty Training
Phase V: Surgical and Specialty
Phase VI: Basic Medic Training
Medical Education and Training Center
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Health Care ITRO Process
QUICK LOOK GROUP
Establish Quick Look
Group (QLG)
• HC-ITO facilitates
• Each Service has one voting
member and SMEs
QLG Convenes
• Macro look for commonality
• If GO, transition to Detailed
Analysis Group (DAG)
DETAILED ANALYSIS
GROUP
IMPLEMENTATION
DAG Convenes
• Complete curriculum analysis
• Develop course models
• Recommendation
HC-ITO staffs DAG
recommendations for
Service concurrence
* ITAB
Approval
HC-ITO issues
Interservice Executive
Order (IEO)
DAG transitions to
Implementation Planning
Team
• Refine milestones
• Finalize MOA
• Transfer equipment/resources
• Other actions as necessary
Resource Requirements
Analysis (RRA) Convenes
• Manpower/Facility/Cost
• POA & M
• Draft MOA
• Recommendation
IMPLEMENT
HC-ITO staffs RRA
recommendations for
Service concurrence
* Interservice Training Advisory Board
(ITAB) is a TriService Approval Authority
for HC-ITRO decisions.
* ITAB
Approval
Medical Education and Training Center
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METC Training Process
NAVY
AIR FORCE
ARMY
COMMON COMPETENCIES
1
7
2
8
3
9
4
10
1, 3, 5, 7
5
11
6
12
1, 2, 5, 8
2, 5, 7, 9
PHASE I
SPECIALTY COMPETENCIES
A
G
B
H
C
I
D
J
E
K
F
L
A, C, E
B, C, F, G
C, D, F
SERVICE SPECIFIC TNG
PHASE II
CLINICAL PRACTICUM
INPT
OPT
SIM
TRAINED TO REQMT
PHASE III
Proposed Scope of Practice Review Process
Doctrine/Mission Requirements Review
Critical Task List
SME Critical Task List Review
ID Common Critical Tasks
ID Non Common Critical Tasks
•Not Critical
•Critical/Common
Tri Svc Department Head Review
a. Approve outside
parameters*
b. Approve w/i
parameters*
c. Can’t Agree
•Critical/Not Common-Train
•Critical/Not Common-Train w/Mods
•No Agreement
Review by Tri Service Objective Tm
Flags Review A&C and Decide
•To be defined
•Critical/Not Common
Course Input
Transition IPT Organization
Healthcare
Executive IPT
Strategic
Studies
Resource
Readiness
Management
Training
Finance
Manpower
Logistics
ITO
Accreditation
Charter
WG
WG
E&T Command
Organizational
and Control WG
Structure WG
Marketing and
Senior Enlisted
Communications
Advisory Council
Facilities
Academic
Technology
Scope
Lifelong
of Practice
Learning
Leadership
Registrar
Instructional
Information
JSO
Services
Systems Design
Technology
Development
Faculty
Clinical
Knowledge
Qualification
Training
Management
Licensure and
Qual. Assurance
Education
Credentialing
& Improvement
Technology
Medical Education and Training Center
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Transformation Concepts
•
•
Conduct a scope of practice review
Conduct ITRO review
 Common core curriculum
 Maintain service specific training and CONOPS
•
Develop a joint life long learning program
 Sustainment training
 Leadership development
•
Develop a performance-based joint leader training
program
 Enhance current leader training
Medical Education and Training Center
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Issues
• Business Plan 172b under SA Medical BRAC
Integration Office (SAM-BIO)
 MILCON Requirement vs. COBRA allocation
 Recurring Operational Funding (Service POM)
•
Resource Process/Flow
• Synchronization of Dorms/Education Facilities
 9 DEC Memorandum to the ACSIM through SWRO
requesting correction of synchronization disconnect
Medical Education and Training Center
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Issues
•
•
•
•
Phased Faculty And Student Moves
Achieving Required Savings/Training Process
Location And Timing Of Clinical Training
Joint Medical Readiness Training Site At Camp Bullis
 EMEDS training from Sheppard AFB and Brooks City Base to be
integrated at Camp Bullis
 Marine FMSS integration
•
Officer Training Requirements
 Coordination with Joint Staff, JFCOM, and FHP Council
 Joint Force Leader Development (JSO) Track
Medical Education and Training Center
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Issues
• METC Charter and Activation
 Governance and Oversight
– Unified/Joint Medical Command
– Service Training and Education Commands
– Academic Board of Regents
 Organizational Structure
– Joint staffing and joint billets
• Transition Support
 Personnel and Funding
• Accreditation Affiliation
 Academic Board of Regents
 CCAF/AU, USUHS, SOC, ACE, SACS, etc
Medical Education and Training Center
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Medical Education and Training
Center (METC)
The Nation’s leader in Medical Education and Training
Medical Education and Training Center
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