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Expert Field Medical Badge

Thank you for visiting the Expert Field Medical Badge (EFMB) web page. We hope this site helps units and individuals plan and prepare for the EFMB. Please take the time to view each section and understand where to locate items you may find useful. Feel free to contact us if you have feedback on your experience with this page or would like to see any other resources provided.


The EFMB Test Control Office published a policy update memorandum on 27 August 2021 introducing the following changes:

o implements the requirement for cadre members to be on appointment orders

o reduces the Test Board down to three personnel, including the Test Board Chairperson

o requires Test Board members rank, excluding the Test Board Chairperson, to be in the rank of SFC or CPT and above

o authorizes Expert Infantryman Badge (EIB) and Expert Soldier Badge (ESB) awardees, rank immaterial, to serve as lane three evaluators

o establishes the requirement for EFMB Operations Center staff

o requires the signature authority for the Commander`s recommendation memorandum be the first O-5 in the candidate`s chain of command

o implements additional processes for the prerequisite written test

o updates the physical fitness assessment (PFA) requirements to the hand-release push-up, sprint-drag-carry, and 2 mile run

o removes the requirement for host sites to execute candidate height and weight at the EFMB event; Candidates` unit Commanders assume this responsibility

o updates host unit submission timelines for concept briefs, exceptions to policy, requests to host, and after action reviews

o initiates a host unit requirement for daily situation reports to the EFMB Test Control Office

o implements and details requirements for individual testing stations

o updates lane tasks and the rebuttal process for individual testing station lanes 

o modifies land navigation and 12 mile forced march requirements to better align with EIB and ESB standards

o authorizes the EFMB Test Board to establish the EFMB uniform requirements for their respective EFMB sites

o removes the requirement to conduct study hall daily during standardization and testing

o reduces the EFMB coins awarded per site from one to three; EFMB coin awarded to EFMB awardee with most hands-on testing GOs

o details processes and requirements for test deviations

These changes supersede and build upon changes published in the 02 March 2021 policy letter.

AMEDDC&S HRCoE PAM 350-10 Policy Updates, Dated 27 August 2021 (CAC Required)

We are diligently working on further updates to AMEDDC&S HRCOE PAM 350-10 and all tasks based on feedback from the field. Pending updates will bring tasks to the current Army or medical standard, change the designation to the MEDCoE PAM 350-10, and introduce station testing for all but the medical lane tasks.

Soldiers and leaders should be wary about utilizing EFMB study material obtained from sources other than this website. The EFMB TCO is consistently observing sites and candidates using material that is not applicable for EFMB testing. Much of the material available on other websites is outdated or irrelevant for EFMB testing purposes. BE CAREFUL WHAT YOU USE TO PREPARE! At this time we recommend utilizing the references on the "Written Test" tab to study for the EFMB written test. These materials are also available on each EFMB Written Test Blackboard site in the "References & Resources" section.

Purpose of EFMB Testing

The Department of the Army approved the Expert Field Medical Badge (EFMB), a special skill award for recognition of exceptional competence and outstanding performance by field medical personnel, on 18 June 1965.

Personnel eligible to earn the EFMB include all officers assigned or detailed to an Army Medical Department (AMEDD) Corps, Army officers in training at the Uniformed Services University of the Health Sciences, Army officers enrolled in the Health Professions Scholarship Program, Warrant Officers who have an AMEDD primary military occupational specialty (MOS) controlled by the Surgeon General, Warrant Officer pilots that have a special qualification identifier "D" (Aeromedical Evacuation Pilot) and are assigned to an air ambulance unit, and Enlisted personnel who have an MOS in the 68- Career Management Field (CMF) as well as an AMEDD primary MOS, MOS18D, or 38BW4.


Candidate Eligibility Requirements

In order to be an EFMB candidate, Service Members must meet the following requirements:

  • Volunteer for EFMB Testing.
  • Be recommended by their unit commander.
  • Be physically and mentally prepared to cope with the rigorous demands of the EFMB test and trained in the prevention of heat related injuries.
  • Complete a 12-mile forced march in no more than 3 hours within 3 months of the final day of EFMB testing.
  • Qualify as Expert on their individual weapon dated within one year of the final day of EFMB testing.
  • Pass the pre-requisite digital written test or re-test with a score of 60 out of 80 or higher (75%)
  • Possess a current Cardiopulmonary Resuscitation (CPR) certification. The certification must be valid through the final day of EFMB testing.
  • Meet standards outlined in AR 600-9.
  • Must not be flagged IAW AR 600-8-2.

Note: AMEDDC&S HRCOE PAM 350-10, para. 2-5 states the minimum requirements for candidate packets. Please contact the host unit OIC/NCOIC to ensure you are submitting all required documents. Examples of the required documents are located under the “Resources” tab and contact information for the host units can be found under the “EFMB Schedule” tab.

History of Expert Field Medical Badge


Prior to the establishment of the Expert Field Medical Badge, some AMEDD units of V Corps in Europe developed and conducted tests to ensure their Soldiers were trained to the highest level of proficiency required of their wartime mission. These tests lasted for 2 1/2 days and consisted of written and practical exercises (identification of types of wounds, bandaging, application of splints, treatment of war casualties, removal of injured personnel from tanks, loading and unloading of patients from helicopters, map reading, aerial photo reading and maintenance of equipment). If the Soldiers passed the test, they were issued a "Expert Medical Soldier Certificate". These tests were apparently the forerunner of the EFMB test.

MG Duncan, Chief of Staff, US Continental Army Command recommended establishment of an Expert Field Medical Badge as a Department of the Army special skill award for recognition of exceptional competence and outstanding performance by field medical personnel in a letter to Deputy Chief of Staff for Personnel, (DCSPER), dated 20 January 1964, in accordance with correspondence between General Waters and General Heaton, The Surgeon General.  (DCSPER and the Army Chief of Staff for Force Development (ACSFOR) did not favorably consider an earlier request in 1963 for the same badge.) On 14 May 1964, DCSPER tentatively approved the recommendation, subject to Headquarters US Continental Army Command and ACSFOR`s development and submission of criteria. DSCPER received the design of the badge, with criteria for the award, by Summary Sheet on 2 February 1965, and returned it without action on 27 February 1965 due to pending further study of questions posed by the Vice Chief of Staff, US Army. DCSPER advised Commander, The Institute of Heraldry (TIOH), US Army, by Disposition Form (DF), dated 6 July 1965, of the approved Summary Sheet, dated 18 June 1965, establishing an Expert Field Medical Badge.  TIOH took on the responsibility of preparing the necessary Army Regulation and commencing action on procurement of the new badge.  A reproduction sample of the Expert Field Medical Badge was approved on 8 December 1965. The badge was oxidized silver consisting of a stretcher placed horizontally behind a caduceus with a cross of the Geneva Convention at the junction of the wings, 15/16 inch high and 1 7/17 inches long.  The badge has not changed since its inception. AR 672-10, dated 1 March 1966, prescribed the authority for the award of the badge. Current Regulations: AMEDDC&S HRCOE PAM 350-10, dated 1 March 2019.

Today, the EFMB test is the utmost challenge to the professional competence and physical endurance of the Soldier medic. It is the most sought after peacetime award in the AMEDD, and while the Combat Medical Badge is the "portrait of courage" in wartime, the Expert Field Medical Badge is undoubtedly the "portrait of excellence" in the Army all of the time.

AMEDDCS HRCoE PAM 350-10 and Policy Updates

68W Sustainment

It is mandatory for host units to add the 68W sustainment program to their EFMB. The 68W sustainment course will run concurrently with validation over the course of three consecutive days. This program, in combination with the Expert Field Medical Badge standardization and testing, provides units an additional avenue of ensuring continuing education and skills validation of their 68W Combat Medics. For more information regarding this program please refer to Chapter 9 in the AMEDDC&S HRCOE PAM 350-10. This chapter will detail how a host unit will supplement the EFMB standardization and testing with an additional 16 - 20 hours of didactic training and 8 hours of hands-on testing to fulfill the annual requirements set forth by the US Army EMS Programs Management Division.



Units will provide 68W candidates that are not current with Tables I-VIII and skills validation to attend the training with approval from their Company Commander.


Candidates participating in the 68W sustainment program must not be a current EFMB awardee.


NOTE: Candidates must attend the entirety of both the 68W sustainment training and EFMB standardization to receive their training certificate for TC 8-800 tables I-VII. To receive table VIII skills validation credit, candidates must pass 68W sustainment program hands-on testing and 12 out of 15 TCCC tasks during EFMB testing.

TC 8-800 (CAC Required)

Required Training Material (Zip File, CAC Required)

DA From 7442 (CAC Required)

DA Form 7741 (CAC Required)

Example Sign-In/Out Roster

68W Sustainment Fillable Training Schedule (CAC Required)

68W Sustainment Task Completion Memorandum

Written Test

The EFMB Written Test (WT) evaluates the institutional knowledge of the candidates, and is executed digitally as a prerequisite prior to in-processing EFMB. Candidates must complete 80 multiple choice questions in 1 hour 30 minutes or less. This examination is the only retestable EFMB event. This event is a non-rebuttable task.