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training has to be readily available to all AE personnel, whether they 
be active duty, Guard or Reserve. 
 
Recommendation. Draw from existing active duty and ARC experience and 
expertise to develop standardized AE directives for all components. 
Next, establish an Aeromedical Evacuation School, along the lines of 
the Airlift Operations school, which could provide comprehensive 
references and instruction, including didactic as well as field 
training. There are a number of ways this concept could be developed 
by expanding or combining resources already in existence, such as 
those provided by the School of Aerospace Medicine or the Medical 
Service Training Wing. 
 
(4) MSC Training and Operational Guidance. 
 
Observation. Shortfalls existed in MSC training and preparedness for 
field operations. There was a lack of supporting guidance and/or 
references which were required for effective deployment and 
operations. 
 
Discussion. Although the pamphlets entitled "AELT Procedures" and "MTF 
Briefing" produced by the AECC were valuable in orienting newly 
arrived AELT officers to their potential responsibilities. However, 
significant differences in the operational experience and on-hand 
reference materials posed a problem for MSCs preparing to deploy to 
their operational sites. Due to the lack of uniformity among the 
active duty and ARC units' air and ground operations training 
programs, the need for current and concise operational guidance is 
paramount. Some AELTs deployed with complete "trip kits" from their 
home stations, which included pertinent regulations, maps, and other 
field deployment references. Other AELTs had the benefit of an 
experienced MSC who brought a personal set of references with him/her 
as a result of previous training opportunities. Several AELTs however, 
had neither the benefit of an experienced MSC or a formal trip kit to 
rely on for guidance. The effect was devastating to both the user 
service as well as the AE system when the AELT MSC lacked the 
knowledge base or confidence to know AE system's capabilities and 
limitations. 
 
~ Recommendation. In retrospect, a theater-based field training 
course, as developed for the MASFs and AECMs, should have been 
established and managed by the OPR for AELTs. However, current 
aeromedical evacuation readiness orientation course (AEROC) agendas 
should be enhanced by addressing potentially unique circumstances 
engaged in various theaters of operation and providing uniform 
training that would ensure 
. continuity of operations among field elements. Realizing that this 
would only be a stop-gap effort, standardized training 
programs, emphasizing ground UTC responsibilities, must be developed 
and made available to all MAC-gained AE units. This effort should 
include review and revision of existing directives which currently 
emphasize aircrew responsibilities. Consideration should be given to 
broadening existing guidance or publishing new 
 
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