4T0X1- Medical Laboratory
Apprentice Course
Develop America's Airmen Today ... for Tomorrow
A Legacy of Excellence Guiding 21st Century Airmen
State of the Schoolhouse Address
Develop America's Airmen Today ... for Tomorrow
OVERVIEW
• Med Lab Phase I & Phase II Basics
• How AF Training is Developed
• 2008 AF MLT Program Highlights
• METC and the BRAC/ITRO Process
A Legacy of Excellence Guiding 21st Century Airmen
Med Lab Phase I & Phase II
Develop America's Airmen Today ... for Tomorrow
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Phase I – 704 hrs (88 training days) at Sheppard
• 688 Med Lab Specific Training Hrs + 16 hrs Medical Readiness Training
• @165 graduates a year
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Phase II – 1440 hrs (180 training days) at 12 clinical sites
• 1214.5 hr clinical rotation + 225.5 hrs of classroom instruction
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CCAF currently awards 87 semester hrs for PI & PII combined
• Accredited by Southern Association of Colleges and Schools (SACS)
• CCAF MLT A.A.S. requires 5 gen ed* classes & 5 level (CDC) completion
(*3 hrs each: English/Math/Speech/Management/Humanities or Social Science)
A Legacy of Excellence Guiding 21st Century Airmen
AF MLT Clinical Training Sites
Develop America's Airmen Today ... for Tomorrow
Offutt
AFB
Nellis
AFB
Andrews
AFB
Wright-Patterson
AFB
Sheppard
AFB
Travis
AFB
Scott
AFB
Langley
AFB
Luke
AFB
Lackland
AFB
Keesler
AFB
Eglin
AFB
A Legacy of Excellence Guiding 21st Century Airmen
How is AF
MLT Training Developed?
Develop America's Airmen Today ... for Tomorrow
• Utilization &Training Workshop (U&TW)
• CFM chairs/schoolhouse hosts U&TW to update CFETP/STS
• Usually held every 3-4 years
• Uses OSR and GAS data along w/ clinical SME opinions
• STS updates drive curriculum changes
• 12-18 Months of writing (SME*, TDE, SPM, TM, TRR Chief)
• 1 year of validation (Podium Instructors/Students from 3 full classes)
• 1 year of teaching approved updated curriculum
• Currently: Voluntary moratorium on U&TW until METC
curriculum issues are put to bed
(* Podium Instructor w/ CS/IS guidance)
A Legacy of Excellence Guiding 21st Century Airmen
The Course
Develop America's Airmen Today ... for Tomorrow
IT ALL STARTS
HERE!
Training Duties
TM & TDE begin course
development. Key players are:
SMEs, SPM, CDC Writers, Inst
Course Chart (TM), POI (TDE)
Student Instructional Materials,
Progress checks, Tests, Visual
Aids, Equipment, Delivery method
TM/TDE
develop
strawman;
send to
CFM
CFM requests
U&TW
U&TW
TM – CTP and requests ITU
media analysis
RA – CRE, UMD, Equipment
Career field merger, new
course requirements,
significant change to
current course, etc.
Up to 1 year (non-ITRO)
Eval
Teach
Inst
EOC
Write
281
GAS
Counsel
EOC debrief
CCAF
TTMS
Scheduling
(classrooms &
instructors)
OIC
SIA
SMQ/SMT
Master Inst
FEQs
Inst Testing
Safeguard
Equipment
FI
Fac folders
Self-Inspections
Fac folders/623s
Class start
Implementation
Lasts 3 classes or 1 year,
whichever is sooner
TM is host
TPM/CFM co-chair
Participants include:
TDE Chief
SPM
Eval
SMEs
OMS
CDC Writers
Instructors
IS
Validation
Course development
2-3 mos
Inst
U&TW members vote on new
CFETP. Results can be:
New course, revised course,
split course (3/7 level),
change to CDCs (5/7 level)
Inst keeps detailed data on objective
time, accuracy of literature, PC/Test
pass/fail, MIR sufficiency
Validation summary (TM); course
revisions (TDE/Inst)
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New Instructor
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Day 0
Day 39
9 Feb XX
New
instructor
arrives SAFB
Day 75
19 Mar – 20 Apr XX
Attend BIC
Inprocess
IS
schedules
BIC prior
to arrival
IS
schedules
SMQ
HHGs
CLEP
AAS
Internship
OIC
Master Instr
24 Apr – 15 Jun XX
Subject Matter
Qualification
Day 201
22 Jun – 15 Aug XX
Teach Back
28 Aug XX
Begin Solo
Teaching
IS administers all tests, signs
lesson plans, conducts evaluation
Continuous: In-Service Training, Deployments, Honor Guard, Details
SFS Augmentee, NCOD, Nightingale, MIR, UA, attend college
1 Year
DAS
ESO
Day 134
2 Year
within 30 days of DAS
within 60 days of DAS
within 1 year of DAS
within 1 year after BIC grad
min 2 years after DAS
min 2 years after BIC grad
A Legacy of Excellence Guiding 21st Century Airmen
The Airman
Develop America's Airmen Today ... for Tomorrow
Student Inprocessing to
Training Status (SITS)
First 3 days on base
Sq/Wg Inprocess
WLDC
AAFES
Student Awaiting Training
Status (SATS)
After 3 day SITS and prior
to initial entry into course
Details
Ineffective In Training (IIT)
Washback
Leave
Medical
Pending elimination
AWOL
Test results
Pass/Fail
If fail:
PC (SIA) &
Retest
Washback
Student Out of Training Status
(SOTS)
Begins 24 hours after
graduation or elimination and
has not left the base
Graduation
Block I
Tes
t
Class start
Airmen
arrive
Sheppard
Test
Test
Test
Block II
Block III
Block IV
Privileges, RMT,
phaseback, LOC, LOR, Art
15
Privileges, RMT,
phaseback, LOC, LOR, Art
15
Phase 1
Phase 2
Phase 3
Begins when students
step off the bus
16th
Begins on 36st day until
departure
Starts on
day and
lasts until 35th day
Weekly
Open ranks inspection
Room inspections
Final Formation
Hallway meetings
Until departure
Continuous
Actions
SAT, PRT, SIA, Parades,
Appointments, Student
Leaders, Details
Instructor, Sq CC, 1st Sgt,
Section CC, MTLs,
Registrar, CSS
A Legacy of Excellence Guiding 21st Century Airmen
The Big Picture
Registrar
Logistics
Resources
Systems
Curriculum
Instructor
CCAF
Deploy
MIR
U&TW
NCOD
Honor Guard
Course Charts
Author
CFETP CDCs
C2 SFS Augmentee
Details
POI
SIA
TEACH
Counsel
ITU
Validation
Tests
Readiness
PRT
FacilitiesParades
SAT
CSS
MTLs
Appointments
Student Leaders
Eval
Open ranks
Library
Students
2008 AF MLT Program
Highlights
Develop America's Airmen Today ... for Tomorrow
• National Accrediting Agency for Clinical Laboratory Science
(NAACLS)
• Not National Committee on Clinical Laboratory Standards (NCCLS)
• NCCLS is now Clinical Laboratory Standards Institute (CLSI)
• American Society for Clinical Pathology
• Phoenix College
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Why NAACLS Accreditation?
Develop America's Airmen Today ... for Tomorrow
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Meets CLIA ’88 requirement for MLT programs to be accredited
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Graduates of NAACLS accredited 50 week Military MLT schools:
• Can perform high complexity testing
• Can sit for national registry as MLT
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Civilian Institution considered ‘Gold Standard’ for Med Lab Training (MLT/MT)
• Like CAP but for MLT Education & Training programs
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NAACLS Accreditation Requirements
• 1 year self study: AF MLT program completed Jan 07-Jan 08
• On-Site Visit: AF MLT program inspected April 21-22, 2008
• 1st ever AF Zero Deficiency Inspection
• NAACLS Board voted unanimous full 7 yr accreditation thru Sept 2015
A Legacy of Excellence Guiding 21st Century Airmen
ASCP &
Phoenix College Initiatives
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• ASCP
• AF Wide Base Education Office Testing (MLT&MT)
• Phase II students can take w/i 3 weeks of Grad
• More examinees = better data on how well program preps techs
• Phoenix College
• On-line MLT Associates/accepts most AF PI&PII credits
• Requires @12credit hours (4 classes) and no 5 level
requirement
A Legacy of Excellence Guiding 21st Century Airmen
Develop America's Airmen Today ... for Tomorrow
DoD
Medical Education and
Training Center (METC)
A Legacy of Excellence Guiding 21st Century Airmen
“BRAC Law…”
Develop America's Airmen Today ... for Tomorrow
“This recommendation also co-locates all (except Aerospace Medicine)
medical basic and specialty enlisted training at Fort Sam Houston, TX, with
the potential of transitioning to a joint training effort. This will result in
reduced infrastructure and excess system capacity, while capitalizing on the
synergy of the co-location of similar training conducted by each of the three
Services. In addition, the development of a joint training center will result
in standardized training for medical enlisted specialties enhancing
interoperability and joint deployability.”
– 2005 Defense Base Closure and
Realignment Commission Report
METC is the largest consolidation of Service training in the history of DOD
ADSL of 7792: Air Force (14%); Army (52%); Navy (34%)
Staff and Faculty of approximately 1,900
METC will be the largest military medical educ & training institution in the world
Teach >100 courses annually
Estimated throughput of over 24,000 annually
A Legacy of Excellence Guiding 21st Century Airmen
MISSION POSSIBLE: Build a Military Medical
Education & Training Ctr of Excellence (METC)
Develop America's Airmen Today ... for Tomorrow
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By 2011: (By Law)
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5 academic buildings/3 dorms - ~700K sq ft
Avg Daily Student Load ~8K
1.9K staff >24K yrly grads
Teach >100 courses -- first courses projected to start in 2010
Med Readiness Trng to Camp Bullis (125 acres)
Working Concerns: (Learning to Fly in the Air)
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Governance/C2 – Who’s the Daddy?
Civilian positions/pay parity, assignment ROEs (ToW or ToF)
ITRO courses—writing/teaching consolidated curriculum
CCAF degree-awarding, certifications, accreditations
Quality of Life Issues (dorm parity, Phase process, BOS, etc)
Location of Officer/Advanced Courses, Clinical, Org Structure
A Legacy of Excellence Guiding 21st Century Airmen
Operational Concept Description
Develop America's Airmen Today ... for Tomorrow
A Legacy of Excellence Guiding 21st Century Airmen
Relocate Enlisted Medical Training….
Develop America's Airmen Today ... for Tomorrow
Naval Hosp
Corps School
Great Lakes
Naval School of
HC Sciences
1526 ADSL
151 Staff
San Diego
721 ADSL
268 Staff
882 TRG
Walter Reed
30 ADSL
5 Staff
Sheppard
2272 ADSL
439 Staff
Naval School of
HC Sciences
Portsmouth
571 ADSL
105 Staff
Ft Sam Houston
AMEDDC&S
3851 ADSL
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of Excellence Guiding 21st Century Airmen
2524 Staff
17
METC Organization Concept
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FOSC Approved 17 JAN 08; SAC Approved 15 FEB 08
AIR FORCE
AIR FORCE
SURGEON
GENERAL
ARMY
NAVY
ARMY
SURGEON
GENERAL
NAVY
SURGEON
GENERAL
AMEDD
C&S
AETC
AIR FORCE
COMPONENT
COMMAND
ARMY
COMPONENT
COMMAND
MPT&E
NAVY
COMPONENT
COMMAND
JOINT ORG TBD
(e.g. JTF, DHA, J/UMC, etc)
FOSC
METC
COMMANDER/PRESIDENT
DIRECTOR
FOR
ADMINISTRATION
DEAN
FOR
ACADEMIC AFFAIRS
OPCON/ADCON
TACON
ADVICE
A Legacy of Excellence Guiding 21st Century Airmen
Creating the DoD Medical Education & Training
Center of Excellence - San Antonio
Develop America's Airmen Today ... for Tomorrow
To Luckenbach
Camp Bullis
The Dominion
Six Flags
Randolph
Sea World
Ft Sam
River Walk
Lackland
A Legacy of Excellence Guiding 21st Century Airmen
19
METC Campus
Develop America's Airmen Today ... for Tomorrow
A Legacy of Excellence Guiding 21st Century Airmen
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Develop America's Airmen Today ... for Tomorrow
METC CAMPUS
3-D Video
A Legacy of Excellence Guiding 21st Century Airmen
METC Student Dormitory
#1 & #2
Develop America's Airmen Today ... for Tomorrow
• Construction complete: May 2010 (#1); Aug 2010 (#2)
• Move in date: July 2010 (#1); Oct 2010 (#2)
• $84M, 1200 bed facility
A Legacy of Excellence Guiding 21st Century Airmen
METC HQ Administration Bldg
(AF, Navy)
Develop America's Airmen Today ... for Tomorrow
• Construction complete: Apr 2009
• Move in date: June 2009
• $6.6M, 20K sq ft – AF on 2nd floor
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METC Dining Facility
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Site construction began Jul 2008
Construction complete: Dec 2009
Move in date: May 2010
$38M, 4800 person, 2-story facility
A Legacy of Excellence Guiding 21st Century Airmen
METC Medical Instructional
Facility #1
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• Construction complete: Feb/May 2010
• Move in date: May 2010 – Aug 2010
• $54.2M, 142.2K sq ft, 4-story facility
Courses
• BMET (biomedical
equipment repair)
• Diagnostic Imaging
• Nuclear Medicine
A Legacy of Excellence Guiding 21st Century Airmen
Medical-Readiness Training Site
Camp Bullis
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‘Flightline’ A/C
Trainers, MASF
CASF, EMEDS,
EMRC, Trnrs
Litter Carry
Demonstration
Warehouse,
Tactical Vehicles
Dorms, Dining, Latrines
Instructional Bldgs,
- $18M – 125 acres near existing
91W, DEMSET training sites
- Navy evaluating potential
- Future Jnt Exercises (SFS)
A Legacy of Excellence Guiding 21st Century Airmen
METC – Scope (Funding)
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• Total BRAC Construction in San Antonio - $2.1B
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METC
SAMMC N&S
Battlefield Health and Trauma
Installation Management Command
ARNORTH / ARSOUTH
• METC MILCON at Ft Sam - $591M
• Total METC Funded - $785M
• Ft Sam Design/Construction
• Outfitting – Furniture/Comm
• Camp Bullis
A Legacy of Excellence Guiding 21st Century Airmen
AF Transition
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METC UMD - Governance
Construction
Curriculum: Preserve CCAF, accreditations, certifications
Course Transition Plans – how best to move…
• Faces, Spaces, ‘Stuff’ (Logistics)
• Support Personnel
• Sheppard Courses – Det Loc
• SEAC (Senior Enlisted Advisory Council) – QoL Issues
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AF METC Outstanding Issues
Develop America's Airmen Today ... for Tomorrow
• Sheppard Det
• Location
• Support MOU/MOA
• Total Personnel
• 882 TRG C2
• 82 TRW
• 37 TRW
• 2 AF
• METC AF Organization Structure
• 4 Sq or 3 Sq
• Align with Army/Navy
A Legacy of Excellence Guiding 21st Century Airmen
MED LAB
BRAC/ITRO PROCESS
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• 1st Med Lab Meeting – Reno SAFMLS ’06 (Unofficial)
• Quick Look Group (QLG) met in August ‘06
• Detailed Analysis Group (DAG) met Feb ‘07
• DAG #2 Telecon for “Best Practice” Option – Apr ‘07
• Initial RRA – Jul ‘07
• Costing Final Option(s) RRA – Mar ‘09
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MIF#3 Building Design
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• Mock Design Charrette – Sep ‘07
• Design Charrette Part 1 & 2 – Nov ‘07
• RFP Review – Feb ‘08
• MIF #3-4 Bid – May ‘08
• MIF #3-4 – Post Award (On-Going)
A Legacy of Excellence Guiding 21st Century Airmen
Med Lab BRAC/ITRO
Curriculum Process
Develop America's Airmen Today ... for Tomorrow
• Face-to-Face (F2F) Curriculum Design #1 – Jun ‘08
• DAG Model optimized
• Work-around for initial AETC constraints (PCS, Phase I increase)
• F2F #2 – Jul ‘08
• 6 month/6 month model finalized w/ hrs at the lecture level
• AF SMEs determined fatal flaw/briefed AF ITAB rep & METC
Curriculum Director
• F2F #3 – Nov ‘08
• METC forced 3rd option
• Jan 09, Navy Admiral reiterated two option scenario (FOSC)
A Legacy of Excellence Guiding 21st Century Airmen
METC Curriculum Development Timeline
DRAFT as of 7/1/08
1Q
2008
2Q
3Q
4Q
2009
1Q
2Q
3Q
4Q
3Q
4Q
1Q
2010
2Q
3Q
4Q
1Q
2011
2Q
3Q
4Q
3Q
4Q
RADIOGRAPHY
CARDIOVASCULAR
MED LAB
Group 1
PREV MED
PHARMACY
DENTAL ASSIST
SURGICAL
Group 2
MENTAL HEALTH
ENT
MEDIC/CORPSMAN
EYE
PT
Group 3
MED LOG
PT ADMIN
DIET/NUTRITION
1Q
2Q
3Q
4Q
1Q
2Q
1Q
2Q
3Q
4Q
1Q
2Q
Denotes Start classes at METC
Navy PTS
Navy SD
Navy GLKS
Army
AF
Planning
Analysis
Design
Develop
Implementation
Evaluation
Develop America's Airmen Today ... for Tomorrow
Q&A
AF Schoolhouse Contact Info:
Capt White – DSN 736-3869
Capt Nelson – DSN 736-6328
TSgt LaRowe – DSN 736-2806
A Legacy of Excellence Guiding 21st Century Airmen