Page 17 - NATO Supplement
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INDEPENDENT ADvISOR’S REvIEw AND REPORT   n   15



               prevalence is training in the psychological ef-  The curriculum uses numerous modalities in a
               fects of combat, emotional loss of friends and   hybrid curriculum, using cadavers, task trainers,
               teammates.                                       distance learning, practical application of con-
                                                                cepts, and numerous evaluation points.
               Partner Nation Training Questions
               (see Table 3.1)                                  The formidable cost and time allotment for U.S.
               1.  Does your nation use  TCCC curriculum        SOF medic training, sometimes greater than 1
                  guidelines?                                   year, is clearly a burden for many nations with
               2.  Is sustainment medical training required?    numerically small Special Operations units. Col-
               3.  Is predeployment medical training required?  laboration in achieving interoperability along
               4.  Are simulators being used in training?       with cost efficiencies in training is, thus, not only
               5.  Would you use M-PHTLS/TCCC as an in-         plausible but also rational and desirable.
                  ternational baseline curriculum for the SOF
                  medic?                                        3.2.6  Australian SOF Medical Training
                                                                and Combat Simulation
               3.2.5  United States Special Operations          Australian SOF delegates, LTC Allison Berliotz-
               Combat Medic (SOCM) Training                     Notts and MAJ (Dr.) Daniel Pronk, provided a
               Speaking for COL Robert Lutz (USA), who          comprehensive briefing to enlighten the work-
               was  unable  to  attend,  COL  Hildabrand  pro-  shop  on  Australia’s  method  of  training  med-
               vided an overview of SOF medic training at the   ics and Operators for SOF medical support. In
               Joint Special Operations Medical Training Cen-   Australia, paramedic-trained personnel skilled
               ter (JSOMTC), in Fort Bragg, NC, U.S. As the     in  TCCC guidelines are selected to become
               global leader in Special Operations medic train-  SOCM’s during a year-long training program
               ing and sustainment, JSOMTC provides training    that involves extensive use of simulators, live tis-
               for all U.S. Special Operations personnel. This fa-  sue training, and full mission tactical immersive
               cility also trains international Special Operations   training. There is an important emphasis on real-
               medics in their 52-week program.                 istic tactical settings in an environment that has
                                                                moulaged  injuries,  physical  exertion, frequent
               Based on the Dreyfus model of skill acquisition   cognitive interruption, increasing scenario com-
               (novice, proficient, competent, expert, master),   plexity, full scene care, and patient movement
               the U.S. SOCM training goal is to train to pro-  and evacuation. Team training involves small unit
               ficiency or competency.  The SOCM training       commanders and requires proficiency in logistics
               at Fort Bragg aims to provide the student with   for a variety of mission profiles and evacuation
               critical reasoning and reflexive decision-making   scenarios. Technical and training tactics include
               knowledge to ensure reliable performance in the   adult learning, double loop learning, debriefing,
               chaotic combat environment. Extensive use of     accelerated learning techniques (e.g., using scent),
               cognitive and skill task deconstruction allows for   and prolonged tactical field time. Repetitive
               individual learning styles and training tactics to   drills reinforce medic and first responder tactical
               optimize the process and create “resourcefulness”   and medical proficiency and competency. Once
               as the added value asset.                        these basics are established, scenarios increase in
                                                                complexity enhancing complex decision-making
               The JSOMTC is in the process of streamlining     skills. Frequent cognitive interruption is used to
               their curriculum to add more trauma skill content.    further hone reactions to adverse environments.
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