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Funding: Active Duty Navy are funded by NMOTC. Navy Reserve are funded by BUMED M-10.

CIN/CDP: B-6H-0001/822M
Target Audience: new accession officers.

Purpose: Prepares junior Active and Reserve Component Medical Department officers to serve in echelon I and II health service support elements in an austere combat environment. Students must be Medical Corps, Nurse Corps, Dental Corps, or Physician Assistants.

Satisfies MAP requirements for advanced trauma training and NBC orientation and self decon procedures. Candidates for this training assigned to the operating forces, or one of the following operational platforms, will have priority for seats in this class:

  1. Marine Corps Forces (MARFOR)
  2. Casualty Receiving and Treatment Ships (CRTS)
  3. T-AH
  4. EMF
  5. FDPM

Scope: This tri-service training course is designed to enhance medical readiness of physicians, physician assistants, nurses, dentist and other medical specialties by providing training in field leadership that prepares medical officers with the knowledge critical in conducting Role I and II healthcare operations in an austere, combat environment. Students progresses through the phases of TCCC from Care Under Fire, Tactical Field and Tactical Evacuations Care, through the roles of care from point-of-injury to Role II scenarios. Lanes are simulating mission-oriented medical scenarios of Village Stability Operations (VSO), Mass Casualty (MASCAL) events, Military Operations on Urban Terrain (MOUT), Tactical Medical Lane (obstacle course), Tactical Evacuation Lane, and a simulated Role II facility, utilizing simulator technology. Students encounter combat scenarios in varying roles of leadership and team organization, participate in the planning, rehearsals and execution of the medical mission.

Prerequisites: The student must be a Medical Department officer and have a one year service obligation and/or retainability after completion of the course. Students must meet medical worldwide qualification and cannot be on a temporary or permanent medical profile. Must have a concurrent reservation in ATLS, TNCC, or PHTLS as based on their Service Corps.

Length: 08 days. Classes/yr: 10.
Location: Joint Base San Antonio Camp Bullis, Texas. UIC: 41621

NOTE: Females that have tested positive for pregnancy or think they may be pregnant should not attend. Class involves use of CS gas.

How to apply:

Active Duty:
Send pdf version of the signed nomination letter, via encrypted email, to the NMOTC Operational Medicine Short Course Coordinator at:

Reservist: Send pdf of the signed nomination letter along with your Reserve Education & Training Request Form to the Reserve Liaison office at:

NOTE: Changes to class rosters WILL NOT be accepted within 10 days of class convening date.

For more information about C-4 nomination procedures, please contact the Operational Short Course Coordinator at NMOTC.


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