Med Com Power Point

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MEDICAL EDUCATION AND TRAINING CENTER (METC) – SAN ANTONIO

2005 BRAC LAW IN ACTION

SURGEON GENERAL’S FLAG MEETING

1 DECEMBER 2008

“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

“According to the BRAC Law…”

CO-LOCATION – STANDARDIZATION - TRANSITION TO JOINT

BRAC Impact on Navy Medicine

• Close 3 commands and move assets to SATX– NSHS-SD, NSHS-Ports and NHCS-GLAKES

• Co-locate and integrate where possible all Enlisted Training Programs

• BRAC Law forces a 10% instructor staff and 20% admin staff “efficiency savings” – already removed in POM

• Need to maintain ‘phase 2’ clinical sites at former Learning Center Commands – San Diego and Portsmouth

• Constant and Consistent Support to Fleet and Marine Corps by meeting all training requirements

TRAINING PIPELINE MUST STAY OPEN WHILE MOVING LOCATIONS HALF-WAY ACROSS U.S.

METC Organizational Concept

• 10 Aug 07 SAC recommended revising the METC Organizational Concept to be consistent with the NCR and in accordance with accepted Joint Nomenclature

• MHS-OT and NCR provided input to the METC Organizational Concept

JOINT ORG TBD(e.g. JTF, DHA, J/UMC, etc)

NAVYARMYAIR FORCE

AIR FORCECOMPONENTCOMMAND

ARMYCOMPONENTCOMMAND

NAVYCOMPONENTCOMMAND

DEANFOR

ACADEMIC AFFAIRS

FOSC

OPCON/ADCON

TACON

ADVICE

DIRECTOR FOR

ADMINISTRATION

AIR FORCESURGEONGENERAL

NAVYSURGEONGENERAL

ARMYSURGEONGENERAL

METCCOMMANDER/PRESIDENTAMEDD

C&SAETC MPT&E

METC Organizational Concept(Original Concept – Proposal to SAC in Feb 08)

Navy Medicine in San Antonio

• NAVY MEDICINE TRAINING COMMAND

• NAVY MEDICINE DIRECTED ENERGY BIO-EFFECTS LABORATORY

• NAVY MEDICINE INSTITUTE OF DENTAL BIOMEDICAL RESEARCH

• NAVY MEDICINE INFORMATION SYSTEMS SUPPORT ACTIVITY

• NAVY MEDICINE PERSONNEL DETACHMENT AT DEFENSE MEDICAL READINESS TRAINING INSTITUTE

Challenges

• Navy equities in a Tri Service environment• Navy Culture and tradition (title Hospital Corpsman)• Integrate where possible but--ensure quality of curriculum

maintained to meet Fleet requirements• TPU (with the Ability to reclassify Sailors)• New Navy bills because of BRAC (increased PCS/TEMDUINS

costs)• Cautious eye on barracks maximum capacity (2400 racks)• Off duty activities (Student Union etc)• Clinical availability for students in phase 2 of training (requires

Navy maintain detachments as SD and Ports)• Army has assured Navy adequate access to healthcare for

student sand staff—anecdotally may be concerns (recognizing our IDCs as providers etc)

QUESTIONS?

BACK-UP SLIDES

BUMED

Navy MedicineSupport

Command

NSHSSan Diego

NMTCSan Antonio

NOMI NSHSPortsmouth

HospitalCorps School

NAVMED MPTE

Current State of Navy Medicine Education and Training

BUMED

Navy MedicineSupport

Command

NMTC DetSan Diego

NMTCSan Antonio

NOMI

NMTC DetPortsmouth

NAVMED MPTE

NM MPTE Enterprise on 15 Sep 2011

– ADSL of 7798: 1161 Air Force (15%); 4032 Army (52%); 2606 Navy (33%)

– METC staff and faculty of 1621: Navy-538 total

– 92% Navy Medicine enlisted schools (23 NECs) at San Antonio (exceptions-IDC, maxillofacial prosthetics, HMADA)

– Total estimated throughput of 28K annually

– $800M project

METC--largest consolidation of Service training in the history of the DOD

METC-Facility Footprint

• Total New Construction of over 2 million GSF• Total Instructional/Laboratory Space – 1.2 M GSF

– ~ 700K new– ~ 500K existing

• Student Dorms – 1800 rooms (3600 spaces) new– 3 buildings—Navy has 2 buildings-2400 racks– One bathroom per room

• Student Support Facilities– Dining Facility (4800 person-complete Dec 2009)– Gym (44K GSF-complete Feb 2011)– PSD, AAFES, Recreation Center (unfunded)

Willis Hall

Sim/ AV

Ctr

AF/NavyHQ

MIF

2

MIF

1

MIF

5

DFAC

Army Repl Bks

MIF

4

MIF

3

Dorm 1

Dorm 2

Dorm 3

MedClinic

DentClin

DFAC

Army Repl Bks

Army Repl Bks

FIT

CTR

MedLog

FUT

MIF

Medical Education & Training CampusMedical Education & Training Campus

BRAC directed consolidation of Enlisted medical training.

Participating Medical Learning Centers• AMEDD C&S, Fort Sam Houston, TX• 882nd Tng Grp, Sheppard AFB, TX• Naval School of Health Sciences (NSHS) San Diego, CA• NSHS Portsmouth, VA• Navy Hospital Corps School (NHCS), Great Lakes, IL

Proposed Buildings• Approx 2 Million sq ft new construction• $1Billion project• 5 new medical instructional facilities• 6 existing AMEDDC&S buildings renovated• 5 Dorms• 1 DFAC (largest in world)• 1 Gym• 1 AF and Navy HQ building

Avg Daily Student Load (ADSL): 7,751• Relocating to FSH TX (3,979) - 1,153 Air Force - 220 Army - 2,606 Navy • Medical enlisted training @ FSH (3,779) - 3,405 Army - 374 Navy Air Force @ Bullis

• 125 acres designated BRAC site vic 68W site• METC Medical Expeditionary Readiness Course • AF Medical Readiness Tng (EMEDS, CASF, MASF)• Aircraft (C-130, C-17, KC-135)• Joint Medical Training site

Annual student throughput (est): ~ 44K

Total Courses: 122Consolidated: 17

First Course Start Date: 1 Jun 2010

Instructor Relocation (1,756)• Air Force and Navy: 956• Army (reassigned from AMEDDC&S): 800

Dormitories 1 & 2

Dormitory 1

Dining Facility

Dining Facility

Medical Instructional Facilities 1 & 2

Medical Instructional Facility 1

Navy/Air Force Headquarters Building

June Aug Sep Nov Jan Feb Mar Apr May

2008 2009 2010 2011

METC Instructional 1 (design/build/furnish)

METC/NMTCMETC/NMTCConstruction and Class PhasingConstruction and Class Phasing

METC Instructional 4 (design/build/furnish)

Navy Dorm 1 (design/build/furnish)

AF Dorm 2 (design/build/furnish)

Navy Dorm 3 (design/build/furnish)

METC Instructional 2 (design/build/furnish)

METC Instructional 3 (design/build/furnish)

XRT(1)*

Dent Lab(2)BMET(2)**Cyto

Pharm(2)

ST(3)MLT(3)Psych(3)

HAT(3)Histo(3)**Nuc Med(1)

CVT(5)END(3)Dent, Chair (2)

URT(3)

PMT(4)

20 Nov 2008

Glossary:XRT—radiologyNuc Med--Nuclear Med TechMLT--Medical Lab TechST—Surgical TechHAT--Hemodialysis/apherisis TechCVT--Cardiovascular TechEND--Electroneurodiagnostic TechURT--Urology TechPMT--Preventive Med Tech

Classes moving fromPortsmouth, San Diego

and Great Lakes

Notes:-Respiratory therapy, occupational health, PT, cytology and ortho tech schools are already ITRO schools in SA but will move to new METC buildings when completed-construction times are not necessarily exactly on target (building occupancy and class movement not perfectly aligned)-ENT is an undecided NEC, at San Diego currently (not included here)-no FY10 quota requirement for CVT

*Numbers after school indicate which METC instructional building to be used**Schools coming to FSH, but not originating from a Navy LC.***HM A School to begin classes, fully operational by Sep 2011

METC Instructional 4 (design/build/furnish)

Army METC Instructional 5 (design/build/furnish)

HM A(4)***

Navy/AF HQ