On 1 October 1946, the Secretary of the Navy officially established the School of Aviation Medicine, with an officer of the Medical Corps as Officer-in-Charge. In July 1951, the School was designated a separate command, and a Commanding Officer was named.
Upon establishment of the Naval Aerospace Medical Center on 30 April 1957, the School of Aviation Medicine became, along with the U.S. Navy Hospital, Pensacola, a component command of the Center. On 18 August 1965, the name of this activity was changed from the U.S. Naval School of Aviation Medicine to the U.S. Naval Aerospace Medical Institute.
On 1 April 1981, the Naval Aerospace Medical Institute became an Echelon Three Command, reporting directly to the Bureau of Medicine and Surgery (BUMED).
On 7 December 1992, the Secretary of the Navy authorized the official name of the Institute to be changed to the Naval Aerospace and Operational Medical Institute. This name change was authorized to reflect more accurately the mission and functions of the Command as a resource serving all naval warfare specialty communities. On 1 October 1996, 12 Aviation Survival Training Centers were added to the command with an additional 226 personnel.
On 17 December 1996, BUMED authorized the Naval Aerospace and Operational Medical Institute (NAOMI) to change its name to the Naval Operational Medicine Institute (NOMI). The new name more accurately represents the vision and daily actions of this command, which now reach far beyond the aviation origins of the institute. On 1 October 1999, the Fleet Hospital Operations Training Command (FHOTC), the Surface Warfare Medicine Institute (SWMI), and the Naval Undersea Medical Institute (NUMI) became a component and detachments of NOMI respectively.
In July 2000, the Naval Aerospace Medical Institute (NAMI) was established as a detachment under NOMI to meet new and evolving requirements for aerospace medical specialty training, aviation consultative services, and for aviation physical screening and standardization.
On 4 April 2003, Chief, BUMED designated NOMI as the central repository for “collecting, collating, analyzing, distributing, storing, and retrieving medical lessons learned from field operations.” After 2 years of much hard work and effort, the Naval Operational Medical Lessons Learned Center (NOMLLC) progressed from concept to reality in June 2003.
On 13 August 2002, the Naval Medical Education and Training Command (NMETC) stood up as a command as part of a major BUMED realignment. NOMI became one of four subordinate commands under NMETC and was changed from a Third Echelon to Fourth Echelon Command.
On 24 October 2002, FHOTC was disestablished as a command and established as the Fleet Hospital Operations and Training Center with an Officer in Charge. In the summer of 2003, Naval Survival Training Institute (NSTI) was established to provide oversight of all Naval Aviation Survival Training Centers. In January 2004, NOMI was established as a Warfare Center of Excellence.
On 13 August 2004, the NAMI Academics Building became the Laurel B. Clark and David M. Brown Aerospace Medicine Institute after being dedicated in honor of Navy Captains Clark and Brown, two of the seven astronauts lost when Space Shuttle Columbia (STS-107) broke up shortly after its reentry into the Earth’s atmosphere on 1 February 2003.
On 2 November 2005 NOMI’s Fleet Hospital Operations and Training Center (FHOTC) was renamed to the Naval Expeditionary Medical Training Institute (NEMTI) to accurately reflect the functions of the organization.
The Naval Special Operations Medical Institute (NSOMI) was established on 1 October 2006 upon the transition of Naval School of Health Sciences, Component Fort Bragg to the Naval Operational Medicine Institute. NSOMI is the Naval Detachment within the Army Joint Special Operations Medical Training Center (JSOMTC) located at Fort Bragg, NC. JSOMTC is the sole source of training for medical training of SOF medics, technicians, and corpsman under U.S. Special Operations Command (USSOCOM).
SWMI gained the entire staff of the Surface Force Independent Duty Corpsman School in December 2007 and moved from Point Loma to the Naval Medical Center San Diego compound in 2008. In 2009 NEMTI gained the Naval Trauma Training Center (NTTC) located at the University of Southern California Los Angeles County Medical Center. In 2010 the Naval Drug and Alcohol Counselor School and Advanced Dental Assistant Program were added to SWMI.
In October of 2010 (billets didn’t actually transfer until March 2011) the Naval Operational Medical Lessons Learned Center (NOMLLC) was realigned directly under Navy Medicine Support Command (NMSC) for better coordination and implementation of lessons learned within Navy Medicine.
On 26 October 2011, NOMI was realigned directly under (NMSC) becoming an Echelon Four command and changed its name to Navy Medicine Operational Training Center (NMOTC) to better reflect the relationship with the detachments.