TRAUMATIC BRAIN INJURY TRAINING REQUIREMENTS FOR HEALTH SERVICES SUPPORT PERSONNEL

R 141430Z MAY 26
MARADMIN 223/26
MSGID/GENADMIN/CMC WASHINGTON DC//
SUBJ/TRAUMATIC BRAIN INJURY TRAINING REQUIREMENTS FOR HEALTH
SERVICES SUPPORT PERSONNEL//
REF/A/DOC/DODI/1OCT21//
REF/B/DOC/ASW(HA)/NOV25//
REF/C/DOC/BUMED/1JUN22//
REF/D/DOC/DHA-PI/26APR21//
REF/E/MARADMIN/294/12//
NARR/REF A IS DEPARTMENT OF DEFENSE INSTRUCTION 6490.11, DOD POLICY
GUIDANCE FOR MANAGEMENT OF MILD TRAUMATIC BRAIN INJURY/CONCUSSION IN
THE DEPLOYED SETTING, INCORPORATING CHANGE 3 EFFECTIVE 1 OCTOBER
2021. REF B IS THE DEPARTMENT OF WAR OVERSIGHT PLAN FOR THE
MANAGEMENT OF TRAUMATIC BRAIN INJURY CARE WITHIN THE MILITARY HEALTH
SYSTEM, NOVEMBER 2025. REF C IS BUMED INSTRUCTION 6310.16, NAVY
MEDICINE TRAUMATIC BRAIN INJURY TRAINING REQUIREMENT FOR HEALTHCARE
PERSONNEL, 1 JUNE 2022. REF D IS DHA PROCEDURAL INSTRUCTION
6490.11, REQUIRED CLINICAL TOOLS AND PROCEDURES FOR ASSESSMENT AND
CLINICAL MANAGEMENT OF MILD TRAUMATIC BRAIN INJURY (MTBI)/CONCUSSION
IN NON-DEPLOYED SETTING, 26 APRIL 2021. REF E IS MARADMIN 294/12,
TRAUMATIC BRAIN INJURY PROGRAM.//
POC/HEALTH SERVICES/HQMC//
TEL: 703-697-0424/EMAIL: [email protected]//
GENTEXT/REMARKS/1. Purpose. Reinforce minimum traumatic brain
injury (TBI) training requirements for Budget Submitting Office-27
(BSO-27) health services support (HSS) personnel who evaluate,
treat, or assist individuals presenting with TBI.
2. Background. Fulfilling the requirement for HSS personnel to
complete minimum TBI training is a critical step in addressing the
challenges of blast overpressure (BOP), as BOP falls squarely within
the scope of TBI. This training creates a vital network of informed
medical professionals who can educate leaders and Marines on the
real world consequences of blast exposure, significantly enhancing a
Corps wide understanding of this threat. The ability of trained HSS
personnel to accurately diagnose and document blast-related brain
injuries is essential; in providing the objective data required to
validate the effectiveness of established protective policies and
procedures. Every proper diagnosis serves as a crucial data point,
allowing us to better monitor injury trends and refine standard
operating procedures to more effectively protect every Marine,
Sailor, and civilian from this pervasive operational hazard.
2.a. TBI is one of the signature wounds of war in the 21st century
and presents complex and challenging health issues for many of our
service members and their families. Early identification and
treatment are critical to accelerating recovery and maintaining
force readiness.
2.b. Per references (a) and (b), the Department of War requires
standardized identification, assessment, treatment, and
documentation of TBI across the military health system.
Per reference (c), the Navy Bureau of Medicine and Surgery (BUMED)
has established minimum TBI training requirements for Navy medicine
healthcare personnel. This MARADMIN implements those requirements
for BSO-27 HSS personnel.
2.c. Per reference (d), the Defense Health Agency (DHA) has
designated the military acute concussion evaluation, version 2
(MACE 2) and the progressive return to activity framework as
required clinical tools for the assessment, management, and
rehabilitation of all patients with mild TBI in non-deployed
settings.
3. Scope and applicability. This MARADMIN applies to all BSO-27
HSS personnel, including officers, enlisted, and civilian personnel
who are identified or who may be called upon to evaluate, treat,
or assist individuals presenting with TBI.
4. Execution.
4.a. Required training courses. BSO-27 HSS personnel identified in
paragraph 3 above shall complete the following two training courses,
accessible via joint knowledge online at https://jkodirect.jten.mil.
4.a.1. DHA-US1117 - MACE, version 2 training. This course provides
detailed instruction on administration of the MACE 2 to evaluate
MTBI in deployed and non-deployed environments. Completion is
required for all HSS personnel who render patient care services.
4.a.2. DHA-US1116 - concussion training for medical personnel.
This course provides a comprehensive overview of concussion
identification and clinical care management. Completion is required
for all HSS personnel who render patient care services.
4.b. Recommended training course. DHA-US1114 - concussion training
for service members. This one-time course describes the actions and
responsibilities for all service members in protecting warfighter
brain health.
4.c. Training completion timelines.
4.c.1. Initial compliance. Personnel currently assigned who have
not previously completed the required courses or who last completed
more than three years prior shall do so within 90 days of the
release of this MARADMIN.
4.c.2. New personnel. HSS personnel newly reporting to a BSO-27
command who have not previously completed the required courses or
who last completed more than three years prior shall do so within 90
days of check-in.
4.c.3. Refresher training. Required courses shall be repeated every
three years to ensure currency and proficiency in required clinical
tools and procedures.
4.d. Responsibilities.
4.d.1. Marine Forces/Marine Expeditionary Forces/major subordinate
command surgeons and medical battalion/dental battalion commanding
officers shall:
4.d.1.a. Ensure all BSO-27 HSS personnel within the scope of this
MARADMIN complete required training within the timelines specified
in paragraph 4.c.
4.d.1.b. Ensure command training officers document course completion
in the Marine Corps Training Information Management System (MCTIMS).
4.d.1.c. Units shall monitor compliance with training requirements
and report in MCTIMS.
4.d.2. Individual HSS personnel are responsible for completing
required training within prescribed timelines, retaining course
completion certificates, and submitting certificates to their
command training officer for documentation.
5. Questions concerning implementation of this policy should be
directed to the point of contact listed.
6. Release authorized by Lieutenant General, Paul J. Rock, Jr.,
Director, Marine Corps Staff.//