1. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Mission
Provide Operational Medicine and Aviation Survival Training
Vision
Recognized as the global leaders in operational medicine, innovative and responsive to the challenges of the warfighter
Leader in Operational Readiness Training and Support
Over 24,000 personnel trained annually,
the largest training throughput in Navy Medicine!
NMOTC Mission and Vision.
Each subordinate detachment shares the NMOTC Mission and Vision, and also has their own “Purpose” that describes how they support the single mission and vision.

2. HMCM (SW) Timothy Perkett
Updated
Oct 2011
CAPT Maria Majar
Executive Officer
CAPT Larry Garsha
Commanding Officer
HMCM (SW) Timothy Perkett
Command Master Chief
Leadership Triad

3. NAVY MEDICINE OPERATIONAL TRAINING CENTER CHAIN OF COMMAND
BUMED
NAVMED EAST
NAVMED SUPPORT
COMMAND
Navy Medicine Operational
Training Center
(NMOTC)
NAVMED WEST
NAVMED NATIONAL
CAPITAL AREA
NMOTC is an echelon 4 command reporting to Navy Medicine Support Command (NMSC) which is aligned under the Bureau of Medicine and Surgery (BUMED)

4. NAVY MEDICINE OPERATIONAL TRAINING CENTER
- ASTC Whidbey Island, WA
Naval Undersea Medical Institute (NUMI), Groton, CT
- ASTC Patuxent River, MD
- ASTC Norfolk, VA
- ASTC Lemoore, CA
Naval Special Operations Medical Institute (NSOMI),
Ft. Bragg, NC
- ASTC Cherry Point, NC
Navy Trauma Training Center, Los Angeles, CA
Naval Expeditionary Medical Training Institute (NEMTI), Camp Pendleton, CA
- ASTC Miramar, CA
Surface Warfare Medicine Institute (SWMI),
San Diego, CA -Advanced Dental Assisting Program, NAVSTA
-Navy Drug and Alcohol Counselor School, Pt. Loma
- ERC, Fort Rucker, AL
COMMAND, NMOTC
NMOTC’s scope is very broad with personnel in 18 CONUS locations.
65+ Courses
60 Facilities
18 Locations
24,000+ Students
43,000+ Aeromedical Dispositions
500+ Repatriated POW Evaluations
100+ International Students
Air Force, Marine and Army Staff Members
- ASTC Jacksonville, FL
Human Performance,
Brooks AFB, San Antonio, TX
Detachment, Training Institutes
Training Sites: i.e., Aviation Survival Training
Center (ASTC)
NAVY MEDICINE OPERATIONAL TRAINING CENTER,
(NMOTC) PENSACOLA, FL
R. E. Mitchell Center for Repatriated Prisoners of War
Naval Aerospace Medical Institute (NAMI)
- Naval Survival Training Institute (NSTI)
- ASTC Pensacola
NMOTC FACTS
CNO Designated Warfare Center of Excellence
67 Courses
60 Facilities
15 Locations
24,000+ Students
43,000+ Aeromedical Dispositions
500+ Repatriated POW Evaluations
100+ International Students
Air Force, Marine and Army Staff

5. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Commanding Officer
Naval Aerospace
Medical Institute
(NAMI) DET
Pensacola, FL
-Wright Patterson AFB
Naval Undersea Medical Institute
(NUMI) DET
Groton, CT
Surface Warfare Medicine Institute (SWMI) DET
San Diego, CA
-NDACS Pt. Loma
-ADAP NAVSTA
Naval Expeditionary Medical Training Institute (NEMTI) DET
Camp Pendleton, CA
-NTTC LA County
-Air Evac, FT Rucker
Naval Survival Training Institute (NSTI) DET Pensacola, FL
ASTC Location
- ASTC Pensacola, FL
- ASTC Norfolk, VA
- ASTC Pax River, MD
- ASTC Cherry Point, NC
- ASTC Jacksonville, FL
- ASTC Lemoore, CA
- ASTC Miramar, CA
- ASTC Whidbey Is, WA
Naval Special Operations Medical Institute (NSOMI) DET
Ft Bragg, NC
CMC
Director for Admin
- Info Technology
- HR & Admin
- Operations Mgt
Director for Resources
Budget/Accounting
Travel
Supply/ Equipment
Director for Academics & Governance
Academics
Staff Education & Training
Plans, Analysis & Evaluation
REMC
- RPOW
- Medical Library
Comptroller
Executive Officer
Special Assistants
- Career Counselor
- Safety Manager
- Equal Opportunity
- Legal Officer
- Security Manager
- Urinalysis Coordinator
- PRT Leader
- CIO
- PAO
- Health Promotions
- Emergency Manager
- Anti Terrorism Officer
NMOTC organizational chart shows the six detachments with subordinate units encompassing 27 UICs.

6. NAVY MEDICINE OPERATIONAL TRAINING CENTER
NMOTC
CUSTOMERS
NMOTC serves multiple customers

7. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Naval Survival Training Institute
Purpose: To assist the joint warfighter in winning the fight by providing safe,
effective, and relevant human performance and survival training.
8 CNO directed CONUS locations – Aviation Survival Training Centers (ASTCs)
Naval Aviation Survival Training Program (NASTP): 21 different CNO approved curricula tailored to aircraft, mission, and associated flight equipment.
COURSES LENGTH
Aircrew Refresher Training (Four year re-qualification interval) days
Aircrew Initial NASTP Training (required prior to flight) days
Non-aircrew NASTP Training – e.g. selected passengers, VIPs days
Non Aircraft Specific Training – e.g. ‘helo dunker’; CFET; ROBD day
Aerospace Physiology Technician Course (NEC 8409) weeks
Naval Aviation Water Survival Instructor (NAWSTI- NEC 9504) weeks
Aerospace Physiologist Internship Program mos
8409 Internship Program mos
>22,000 STUDENTS ANNUALLY
NSTI, HQ located at NAS Pensacola. Training provided across CONUS.
NSTI is NMOTC’s largest detachment and provides the greatest training numbers. NSTI has responsibility for the 8 Aviation Survival Training Centers (ASTCs) located at various sites along each coast (the NSTI Det consists of 9 UICs). The majority of students attend classes that are less than one week in duration.
BUMED (Aviation Medicine) is the NASTP Training Agent as specifically assigned by CNO. Additionally, by CNO direction, NSTI is the course curriculum model manager (CCMM) for NASTP curricula and NSTI is the only authorized DoD provider of NASTP training. In a Memo dtd July 14th 1997 CNO directed that 8 fully capable ASTCs be established and determined the locations. Training focuses on ‘hands on’ scenario-based dynamic evolutions as directed by CNO. Curriculum approval authority (per OPNAVINST U) is Commander Naval Air Forces submitted from NSTI via BUMED (Aerospace Medicine).
Across the 8 ASTCs and HQ element NSTI has 288 billets total - 36 officer billets (currently all Aerospace Physiologists), 200 enlisted billets (primarily Corpsman (HM- 8406/8409 – Aviation Physiology Technicians); Parachute Riggers (PRs); Divers (NDs) and Aircrew (AWs); 52 civilian billets (device maintainers, instructor/divers, curriculum specialist and support personnel; and 10 contractors (1 ‘on loan’ from NMOTC IT to work numerous computer items with trainers, 9 civilian positions are part of COMS (funded directly by BUMED) for maintenance of trainers at ASTCs Norfolk, Cherry Point, and Jax).
The $39 million worth of NASTP training devices are supported by NAVAIR PMA-205 (a NSTI billet is ADDU to PMA-205). Funds for purchasing and maintenance of training devices provided through Naval Air Warfare Center – Training Systems Division, Orlando (NAWC-TSD). BSO 18 funds required for personnel, facilities (including MILCONs), dive systems, training equipment (e.g., flight gear used), travel, OPTAR, etc.

8. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Naval Aerospace Medical Institute
Purpose: To support Navy and Marine Corps aviation units through expert aeromedical consultation, services development and application of aeromedical standards and training of aeromedical personnel for operational assignments.
COURSES LENGTH
1. Naval Flight Surgeon months
2. Naval Aerospace Physiologist months
3. Naval Aerospace Experimental Psychologist months
4. Naval Aerospace Optometrist (AQD) months
5. Aerospace Medicine Technician (NEC 8406) weeks
6. Aerospace Medicine Residency months
7. Flight Surgeon Refresher Training weeks
8. Medical Student Clerkship weeks STUDENTS ANNUALLY
AEROMEDICAL DISPOSITIONS:
Number of consultations annually: 15,000
Number of physicals annually: ,000
PHYSICAL QUALIFICATIONS PROGRAM:
Waiver physical exam applications processed : 12,500
Aviation Selection Test Battery : ,000
NAMI, located at NAS Pensacola
The sole Navy source for Aeromedical training at all levels, including Aerospace Medicine residency. NAMI trains more than 240 aeromedical providers, including Aerospace Medicine Technicians (NEC 8406) and all categories of Aeromedical Officers. The U.S. Army sends their Aerospace Medicine residents through the Navy program. Several foreign military services; including Germany, France, Israel, Canada, Norway and the Netherlands, choose to send their physicians to our Aeromedical Officer training program. NAMI is truly an internationally recognized Center of Excellence.
NAMI reviews or conducts aviation physical examinations on all U.S. Navy and Marine Corps aviation candidates. In addition all flight physicals requiring submission, i.e. every five years or as dictated by a waiver of physical standards, are reviewed by NAMI Code 342 to ensure safety of flight and compliance with physical standards.
NAMI provides recommendations for BUMED Aeromedical policy through the Aeromedical Advisory Council. Unique cases are considered by the Special Board of Flight Surgeons.
NAMI provides support for Naval Hospital Pensacola through direct activity of all NAMI providers in NHP facilities. In addition, NAMI provides for the administration of Hyperbaric Oxygen treatment for NHP referrals, resulting in major savings in network referral costs.
NAMI Code 342 Operational Psychology develops and maintains the Aviation Selection Test Battery, employed by Chief of Naval Aviation Training and Navy Recruiting Command, to optimize selection of aviation candidates and minimize attrition. Modifications, including the development and implementation of web-based technology (APEX) for administration of the ASTB and reporting of test results are estimated to have saved over two million dollars to date. Continued activity in the development of performance based measures will further enhance the effectiveness of the ASTB.

9. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Naval Undersea Medical Institute
Purpose: Provides training and technical support in Undersea Medicine and
Radiation Health.
COURSES LENGTH
1. Undersea Medical Officer Candidate Course 23 weeks
2. Radiation Health Officer Course 5 weeks
3. Sub Force Independent Duty Corpsman/HM weeks
4. Radiation Health Indoctrination Course 1 weeks
5. Radiation Health Technician/HM weeks
6. Independent Duty Corpsman Refresher Training 5 weeks
7. Surface to Submarine IDC Conversion Course 22 weeks
8. Emergency Medical Assistance Team Training days
130 STUDENTS ANNUALLY
NUMI is located in Groton, CT. NUMI provides training and expertise in Radiation Health and Undersea Medicine. We fall under NOMI operationally, but Naval Nuclear Propulsion Program provides training content and oversight authority. BUMED M3/B42 serves as the liaison.
This detachment is 28 members strong. There are 8 officers, 16 enlisted, and 4 civilian positions authorized.
The Submarine IDC program is the longest and most comprehensive course we teach. There are 3 courses a year. Each course begins with 16 weeks of Radiation Health instruction which continues as a program for the entire year. Then we teach Anatomy & Physiology and Medicine topics. Prior to graduation, students spend 10 weeks rotating in clinics to solidify their skills. 1 or 2 international students usually attend each class; they are excluded from the Radiation Health topics.
Undersea Medical Officer training is held twice a year. The first 6 weeks are primarily physical preparation for dive school. Pull-ups continue to be the major disqualifier from dive training. NDSTC conducts this training in Panama City, FL. After 9 weeks of fun, the candidates return to Groton for Radiation Health and Operational Medicine instruction. Assignments for these medical officers range from submarine support, to Marine recon or SEAL support, to diving or research billets.
Radiation Health Officers and Technicians also train here in preparation for assuming roles on ships or in hospitals. They are taught to manage the Radiation Health Program.
Several times a year, we also conduct a Radiation Health Indoctrination course to train providers on the technical points of the Radiation Health Exam. These providers often come from shipyards or locations that do a lot of physical exams.
In summary, NUMI is the sole provider of education for Radiation Health and Undersea Medicine, in support of the Naval Nuclear Propulsion Program.

10. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Surface Warfare Medicine Institute
Purpose: Provides global medical support, training and consultation for
Surface Forces on all issues regarding afloat operations. Coordinates and
performs operational readiness training, LCAC Medical Screening, reference
publications, course execution and curriculum revision.
COURSES LENGTH
Surface & Dive Independent Duty Corpsman/HM-8425/ weeks
Surface Warfare Medical Indoctrination and Refresher Training & 2 weeks
Command Amphibious Task Force/Expeditionary weeks
Strike Group (CATF/ESG) Surgeon Course
Surface Warfare Medical Officer Indoctrination Course (SWMOIC) weeks
Surface Warfare Medical Department Officer Indoctrination weeks
Course (SWMDOIC)
Medical Regulating Course days
Operational Medicine Symposia day
Humanitarian Civic Assistance Symposium (HCAS) days
Health Services Augmentation Program days
Advanced Dental Assisting Program 10 weeks
Navy Drug and Alcohol Counselor School 21 weeks
Physician Assistant Phase II Program 52 weeks
750+ STUDENTS ANNUALLY
Landing Craft Air Cushion Physical Qualifications Program
Applicant Physicals processed & Med Consults: 59
After assuming IDC School in DEC 07 and relocating to the Naval School of Health Sciences building on the Naval Medical Center compound in San Diego, CA in May of 2008, SWMI produced the first HCAS course to meet the need for training the medical personnel on the growing number of Humanitarian and Civic Action missions conducted by the fleet. SWMI is part of the BUMED/CNA HCA/DR working group. SWMI continuously reassesses their course and instructors through multiple means, delivering competent qualified medical personnel for the fleet.

11. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Naval Expeditionary Medical Training Institute
Purpose: Provides instruction on the assembly, disassembly, establishment of command structure, and basic operations of an Expeditionary Medical Facility.
Provides Pre-deployment training for Expeditionary Medicine Units per Combatant Commander Requirements. Also provides intensive stabilization trauma care experience at the Los Angeles County USC Medical Center’s Navy Trauma Training Center (21 days/course; 11 courses/year; 24 students/course)
Center of Excellence for Tactical Combat Casualty Care training
COURSES LENGTH
Expeditionary Medical Facility Pre-Deployment Training days
EMF Field Training conducted only at NEMTI days
Navy En Route Care days
Indoctrination and Orientation (I&O) Exportable Training day
Operational Readiness Evaluation (ORE) days
Tactical Combat Casualty Care days
Naval Trauma Training Center (LAC+USC) days
1,699 STUDENTS ANNUALLY
NEMTI, located at Camp Pendleton, CA
EMF Just in Time (JIT) Pre-deployment Training utilizes common assets in place for Fleet Hospital training, making NEMTI a logical choice to conduct Medical Unit Pre-deployment Training. NEMTI conducts pre-deployment training that meets and exceeds every CENTCOM requirement except for Crew-serve Weapon training which is NA for medical personnel. In addition, NEMTI conducts BUMED required training as well as specialized training requests.
NEMTI provides TCCC Instructor and Provider training as well as deploying a TCCC mobile training team capability and has been designated as one of Navy Medicines two Centers of Excellence.
NEMTI’s location makes it a valuable site to host joint use training: 1st MARDIV Combat Trauma Management; NSHS San Diego Preventive Medicine C-School Training; Joint Improvised Explosive Device Organization training for USMC combat units; NEPMU-5 Field and ORE; NAVSWREG – CPO Academy / Indoctrination and other USMC requests that have lead to many networking opportunities.
NERC –NEMTI serves as the Program Manager.
NTTC - Provides clinical trauma exposure to Navy medical personnel alongside a Navy permanent party and faculty and staff of LAC+USC Keck School of Medicine. During this rigorous 21 day course, Navy rotators directly participate in the care of trauma patients at one of the largest level I trauma centers in the country. Instruction includes over 200 clinical hours, didactics, skills labs, cadaver dissection and trauma simulators. The course is comprised of multiple modifiable training tracks to accommodate essentially all provider, nurse and corpsmen subspecialty codes and 59 patient conditions.

12. NAVY MEDICINE OPERATIONAL TRAINING CENTER
Naval Special Operations Medical Institute
Purpose: Conduct combat medical training for Special Operations Forces to include Recon Corpsman, SEAL and Surface Warfare Combatant-Craft Crewman (SWCC) Medics under U.S. Special Operations Command (USSOCOM)
COURSES LENGTH
Navy: Special Operations Combat Medic/HM-8427/ months
8 Classes/yr 72 students per class (Navy, Army, Foreign Service) (*8 Months)
100 Navy Seats/yr
576 students annually
Navy: Special Operations Independent Duty Corpsman, 6 months
B /2403 (NEC-8403) (*4 Months)
16 Navy Students trained in FY-09
48 students annually
Navy/Army: Special Operations Combat Medical Skills Sustainment Course, 2 weeks B
105 Navy students trained in FY-09
924 students annually
Approximately 20 International Students trained annually
NSOMI located at Ft Bragg, NC is the Naval Detachment within the US Army Joint Special Operations Medical Training Center (JSOMTC). Students are trained to provide life saving medical treatment to the injured as a result of combat operations.
NSOMI has 100 Navy Seats/yr in the SOCM COI, though typically we train approximately 125.
The courses at JSOMTC are considered quota Army/Navy courses, consolidated within the Special Operations Community.
U.S. Army Special Operations Command (USASOC) serves as the executive agent for USSOCOM to facilitate development, coordination, and implementation of the JSOMTC.
NSOMI Staff consists of USMC Recon HM’s (8403/27) , SEAL/SWCC Medics (5392) and an SWIDC (8425). Also have an administration department with an LCPO, PN1 and GS. One contractor covers our communications/internet division.

13. NAVY MEDICINE OPERATIONAL TRAINING CENTER
R. E. Mitchell Center for Repatriated Prisoner of War (RPOW) Studies
Purpose: The Mitchell Center provides follow up studies of RPOWs as a result of WW II, Korea, Vietnam, Desert Storm, and OIF, to evaluate the mental and physical effects of captivity.
The Center performs more than 500 RPOW evaluations each year for members of all services as well as the State Department. Functions as the only longitudinal study of RPOWs.
In recognition of the Center’s important work, SECNAV directed the creation of the Mitchell Foundation, a private 501C3 corporation, to help support the Center’s research efforts.
Robert E. Mitchell Center for Prisoner of War Studies
In 1997, the 104th Congress provided initial funding for the establishment of a Center for Prisoner of War Studies. As a result, the Robert E. Mitchell Center for Prisoner of War Studies was dedicated in January 1998.
The Mitchell Center began as part of the original Center for Prisoner of War Studies that operated under a five-year charter after the end of the Vietnam War. It is the only program that was continued after the expiration of the original charter. The program evaluates Repatriated Prisoners of War (RPOWs) for long-term effects of their captivity. The Mitchell Center program includes RPOWs from Vietnam, Desert Storm and Somalia. Initially a Navy and Marine Corps program, the Navy program’s reputation is such that beginning in 1994 and 1997, the Air Force and Army, respectively have provided travel funding (but no other support) for their Vietnam Era RPOWs to participate in the Mitchell Center Study. It now exists as a Tri-Service POW Follow-up Program and is the only such program in the world.
In the past, the Mitchell Center has received Congressional funding for RPOW related research. The Center sponsors ongoing research within the DoD and civilian academic institutions as well as several Veterans Administration initiatives. The Mitchell Center Executive Director serves as an advisor to the Congressionally mandated Veterans Administration Advisory Committee on Former Prisoners of War and works closely with the VA on POW related matters including identifying medical and psychological conditions related to captivity.
Current research efforts include PTSD related research, Cardiovascular effects of captivity and identifying biochemical markers for stress related to captivity as predictors of future POW related medical conditions.
As the Department of Defense resource for POW affairs, the Mitchell Center has provided personnel, advice, and assistance for the repatriation of POWs in Desert Storm, the Army personnel held in Bosnia, and in the recent Hai Nan Island detention of the Navy P-3 crew. The Mitchell Center stands ready to supply personnel and advice in the assistance with the repatriation of any future RPOWs should the need arise.