1. Military Health Institute Briefing to the Council of Principal Investigators Byron C. Hepburn, MD, Maj Gen USAF (Ret) January 21, 2015 1

2. San Antonio: Military City, USA Ft Sam Houston Lackland AFB Randolph AFB Camp Bullis 2

3. San Antonio: Military Medical City, USA San Antonio Military Health System 3

4. Medical & Education Training Campus Institute of Surgical Research Burn Center San Antonio Military Medical Center (Level 1 Trauma Center) TriService Research Laboratory Audie L. Murphy VA Hospital Polytrauma Center Center for the Intrepid San Antonio: Military Medical City, USA 4

5. Building Partnerships Military Health Institute established October 1, 2014 to strengthen and expand collaboration with the DoD and VA Army MEDCOM 5

6. Mission The mission of the UT Health Science Center’s Military Health Institute is to improve the health of our nation’s military service members, veterans and their families through collaborative education, research and clinical care. 6

7. UT Health Science Center Longstanding Military Collaborations Military health professionals were integral to the establishment of the university 12% of faculty/staff have a military background 231 students funded by VA/Hazelwood Act 64 active duty military student scholarships $10 million in DoD funded research annually 7

8. Education School of Medicine DoD scholarship students (HPSP) Integrated Psychiatry residency and Nephrology fellowship Multiple clinical rotations for undergraduate and graduate students Graduate Medical Education: shared Grand Rounds School of Dentistry DoD scholarship students (HPSP) Masters in Dental Sciences Diagnostics/Periodontics/Prosthodontics Partnering with Endodontics, Periodontics, Oral and Maxillofacial Surgery 8

9. Education Anesthesiology Critical Care Medicine SAUSHEC Surgery Critical Care Medicine Surgery Critical Care Medicine Critical Care Fellowship Consortium 9

10. Education 10

11. Education School of Nursing Active duty and veteran presence in undergraduate and graduate programs Penny Flores, PhD, RN, Advancing Care Excellence for Veterans Graduate School of Biomedical Science Military advanced degree students School of Health Professions Army paramedic training 11

12. Research The Military Health Institute will endorse, present and champion new local and national research collaborations with the DoD and VA. The UT Health Science Center will seek opportunities that align directly with: Defense Medical Research and Development Program Congressionally Directed Medical Research Program TriService Nursing Research Program VA Cooperative Studies Program 12

13. School of Medicine: Alan Peterson, PhD, STRONG STAR multi-disciplinary PTSD Research Consortium, aims to reduce or eliminate combat related PTSD in active duty military and recently discharged veterans Research Partnerships: STRONG STAR-CAP 13

14. Research Partnerships: Remote Trauma Outcomes Research Network (RemTORN) 14

15. Research Partnerships School of Dentistry Kenneth Hargreaves, DDS, PhD, research in non-narcotic pain management School of Medicine Paula Shireman, MD, VA Vascular Injury Study (VAVIS): VA/DoD extremity injury outcomes collaboration 15

16. Defense Medical Research and Development Program (DMRDP) Priorities: Diagnosis and treatment of brain injury Poly-trauma and blast injury Psychological health and wellness for military personnel and families Operational health and performance Infectious diseases Radiobiology Rehabilitation Medical training systems, models and simulations 16

17. Congressionally Directed Medical Research Programs (CDMRP) Alcohol and Substance Abuse Amyotrophic Lateral Sclerosis Autism Bone Marrow Failure Breast Cancer Duchenne Muscular Dystrophy Epilepsy Gulf War Illness Joint Warfighter Lung Cancer Burns Multiple Sclerosis Neurofibromatosis Parkinson's Orthotics and Prosthetics Ovarian Cancer Alzheimer's Cancer Medical Research Orthopaedics Prostate Cancer Spinal Cord Injury Tuberous Sclerosis Complex Vision 17

18. TriService Nursing Research Program Priorities: Force health protection Nursing competencies and practice Leadership, ethics and mentoring 18

19. Clinical Care Seek to enhance the level of military/VA beneficiary participation with UT Medicine Seek opportunities for UT Medicine/UT Nursing Clinical Enterprise to partner with the DoD/VA on process improvement, patient safety and new practice models 6% of UT Medicine patients are funded by TRICARE 19

20. Moving Forward Military Health Institute charter established Strategic plan in development Military Health Student Special Interest Group active Military Health Institute Seminar Series featuring two lectures per semester DoD Grant Seekers Workshop: March 2015 DoD Grant Seekers Mentoring Program UT System Office of Federal Relations creating Military Health Working Group, cross collaboration among UT Health Institutions Regular interface with VA Health Services Research Group 20

21. Military Health Institute Briefing to the Council of Principal Investigators Byron C. Hepburn, MD, Maj Gen USAF (Ret) January 21, 2015 21