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Naval aviation candidates take the Aviation Standardized Test Battery (ASTB) in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. The ASTB is used to determine a person's viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
Allison Bayro, an intern with the Naval Research Lab observes a naval aviation candidate using a virtual reality (VR) testing station equipped with Assessing Spatial Abilities in Naval Aviation (ASANA) in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. Users of the system must navigate immersive scenarios with ever increasing levels of difficulty and are asked to answer questions designed to test a person's ability to multitask and think abstractly. ASANA uses eye tracking, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
Allison Bayro, an intern with the Naval Research Lab observes a naval aviation candidate using a virtual reality (VR) testing station equipped with Assessing Spatial Abilities in Naval Aviation (ASANA) in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. Users of the system must navigate immersive scenarios with ever increasing levels of difficulty and are asked to answer questions designed to test a person's ability to multitask and think abstractly. ASANA uses eye tracking, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
A bio metric transmitter used in a virtual reality (VR) testing station in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. The device is used to measure pulse, reaction time, and stress levels as part of Assessing Spatial Abilities in Naval Aviation (ASANA). The data gathered is used in the updating and implementation of the Aviation Standardized Test Battery (ASTB). ASANA uses eye tracking, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
A naval aviation candidate uses a virtual reality (VR) testing station equipped with Assessing Spatial Abilities in Naval Aviation (ASANA) to gather data used in the updating and implementation of the Aviation Standardized Test Battery (ASTB) in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. ASANA uses eye tracking, motion, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
A naval aviation candidate wears a virtual reality (VR) headset equipped with Assessing Spatial Abilities in Naval Aviation (ASANA) to gather data used to aid in the updating and implementation of the Aviation Standardized Test Battery (ASTB) in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. ASANA uses eye tracking, motion, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
A naval aviation candidate uses a virtual reality (VR) testing station equipped with Assessing Spatial Abilities in Naval Aviation (ASANA) to gather data used in the updating and implementation of the Aviation Standardized Test Battery (ASTB) in the Naval Aerospace Medical Institute's (NAMI) behavioral research lab, Aug. 4. ASANA uses eye tracking, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
A naval aviation candidate uses a virtual reality (VR) testing station equipped with Assessing Spatial Abilities in Naval Aviation (ASANA) to gather data used in the updating and implementation of the Aviation Standardized Test Battery (ASTB) in the Naval Aerospace Medical Institute's (NAMI) behavioral sciences lab, Aug. 4. ASANA uses eye tracking, bio metric, reaction time, and behavioral monitoring to collect data in order to pair with a user's aptitude testing data to help determine their viability as an aviation officer candidate. With five detachments, 12 training centers, and facilities in over 60 locations across the United States, NMOTC provides high impact individual medical training for the Navy, other U.S. armed forces, and allied nations around the globe. (U.S. Navy photo by Mass Communication Specialist 1st Class Russell Lindsey SW/AW)
Hospital Corpsman 2nd Class Jacob Teeter, a paramedic assigned to En Route Care System (ERCS) 4 from Navy Medicine Readiness and Training Command Guam, loads a simulated patient onto an ambulance alongside Cpl. Dakota Solly, a combat lifesaver (CLS) Marine with 1st Combat Engineer Battalion (CEB), 1st Marine Division, during an integrated expeditionary training conducted by Naval Expeditionary Medicine Warfighter Development Center (NEMWDC) at Camp Pendleton, California, Nov. 18. 2025. The training brought together ERCS personnel and CLS Marines to train for patient evacuation across the various levels of care provided by Expeditionary Medicine teams. (U.S. Navy photo by Petty Officer 2nd Class Kwame Obengyeboah)
Lt.j.g Autum Larson, En Route Care System nurse (ERCS) assigned to ERCS 16 from Navy Medicine Readiness and Training Command Portsmouth, receives a patient handoff from a Sailor assigned to 1st Medical Battalion, 1st Marine Logistics Group, during an integrated expeditionary patient movement training conducted by Naval Expeditionary Medicine Warfighter Development Center (NEMWDC) at Camp Pendleton, California, Nov. 18, 2025. The training reinforced communication and continuity of care during patient transfer between ground medical units and ERCS teams. (U.S. Navy photo by Petty Officer 2nd Class Kwame Obengyeboah)
Hospital Corpsman Kristian Jakowicz, a paramedic assigned to En Route Care System (ERCS) 4 from Navy Medicine Readiness and Training Command Guam, secures a simulated patient onto a litter during an integrated expeditionary training conducted by Naval Expeditionary Medicine Warfighter Development Center (NEMWDC) at Camp Pendleton California, Nov. 18, 2025. The course allowed ERCS students to train en route care and patient packaging for evacuation alongside Sailors from 1st Medical Battalion, 1st Marine Logistic Group reinforcing communication, patient handoff procedures, and continuity of care prior to evacuation. (U.S. Navy photo by Petty Officer 2nd Class Kwame Obengyeboah)
Hospital Corpsman 2nd Class James Martinez, assigned to 1st Medical Battalion, 1st Marine Logistic Group, applies pressure on a simulated inguinal bleed on a simulated patient during an integrated expeditionary training conducted by Naval Expeditionary Medicine Warfighter Development Center (NEMWDC) at Camp Pendleton California, Nov. 18, 2025. The training reinforced hemorrhage control techniques in conjunction with the En Route Care System (ERCS) training to ensure continuity of care during patient transport. (U.S. Navy photo by Petty Officer 2nd Class Kwame Obengyeboah)

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