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6   n   Journal of Special Operations NATO Supplement: HFM-224 Technical Proceedings



                 while providing cost savings to participating   2.0  IntroductIon:
                 nations.                                       nAto operAtIonAl context
             n   Nations seeking to purchase similar combat
                 medical simulators or invest in simulation   NATO’s ever increasing requirement to meet
                 technology can coordinate through procure-   asymmetric threats and the expected ongoing
                 ment agencies like the NATO Support          International Security Force Afghanistan (ISAF)
                 Agency or U.S. Program Executive Office for   partnering mission have caused nations to refine
                 Simulation  Training  and  Research  Integra-  and reinvent how to execute Special Operations
                 tion (PEO STRI) foreign military program to   missions. These operational demands are forcing
                 execute bulk purchases that increase buying   senior leaders to consider how to best resource
                 power and lower unit purchase prices.        and train their SOF as well as their enablers to
             n   Numerous types of simulator modalities ex-   ensure the precise, flexible, agile, and speedy re-
                 ist. At present, there is no single simulation   sponse options these forces provide to decision
                 product that meets all SOF medical training   makers. The demanding SOF environment, char-
                 objectives. SOF training programs should     acterized by austere clandestine conditions, with
                 use a combination of simulators, live models,   missions of strategic importance, requires not
                 manikins, task trainers, or standardized actors   only the best-prepared and resourced Operators
                 that best meet training objectives.          but also enablers that can meet these demands.
             n   Additional research is required and ongoing   The NATO Special Operations Headquarters
                 to determine the validity of various simula-  (NSHQ) was created to help the Alliance build
                 tors in skill attainment, performance, and pa-  and refine its SOF capabilities, improve national
                 tient outcome measurement.                   interoperability, and serve as a point of SOF ex-
             n   Current  simulator  technology has  not  pro-  pertise. NSHQ sponsored the HFM-224 Re-
                 gressed to the point of effectively replacing   search Workshop “Training NATO Special Forces
                 live tissue models for essential skills required   Medical Personnel: Opportunities in Technology-
                 of SOF medical providers.                    enabled  Training Systems for Skill Acquisition
                                                              and Maintenance” to explore technology require-
             The NSHQ’s SOF Allied Centre for Medical Ed-     ments for optimizing training the NATO Special
             ucation (ACME), scheduled to open its doors in   Operations Combat Medic (NSOCM).
             summer 2013, will be a primary source for Alli-
             ance SOF combat medical simulation expertise     n   2.1  Research Workshop
             to augment national training programs.              Organization and Participation
                                                              HFM-224 was unique because it partnered a
             These proceedings are organized into the Execu-  NATO Allied Command Operations (ACO) op-
             tive Summary (section 1.0), an introduction by   erational headquarters, NSHQ, with the NATO
             the RWS co-chairs (section 2.0), the independent   Research and Technology  Organization’s (RTO)
             advisor’s report summarizing the presenters’ key   (now called the Science and Technology Orga-
             points and subsequent joint panel discussions    nization  [STO]) Human  Factors and  Medicine
             (section 3.0), a co-chair summary and conclusions   (HFM) Panel.  The workshop proceedings are
             (section 4.0), and appendices authored by the    not only official NATO recommendations but
             presenters, which contain the in-depth original   also recommendations to NSHQ for inclusion
             contributions by workshop participants (section   in SOF doctrine. Program committee members
             5.0).                                            from Germany, Estonia, the United Kingdom,
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