Expert Field Medical Badge
AMEDDC&S HRCoE has rebranded to the U.S. Army Medical Center of Excellence (MEDCoE). We are diligently working on updates to the AMEDDC&S HRCOE PAM 350-10 and tasks based on feedback from the field. This update will include necessary fixes to tasks and include changing the designation to the MEDCoE PAM 350-10. These changes also add a final event to the 12-Mile Forced March event; candidates will have five minutes to disassemble, assemble and functions check their assigned M4/M16.
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 Much of the material available on other websites is outdated or irrelevant for EFMB testing purposes.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.
Purpose of EFMB Testing
The Expert Field Medical Badge (EFMB) was designed as a special skill award for recognition of exceptional competence and outstanding performance by field medical personnel and approved by the Department of the Army on 18 June 1965.
The Expert Field Medical Badge may be awarded to 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 a candidate at EFMB 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.
- Possess a current Cardiopulmonary Resuscitation (CPR) certification. The certification must be valid through the final day of EFMB testing.
- Must not be flagged IAW AR 600-8-2.
Note: AMEDDC&S HRCOE PAM 350-10, para. 2-5 states the minimum of what needs to be submitted to the host unit in the 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 “Host Units” 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 they passed the test, they were issued a "Expert Medical Soldier Certificate". These tests were apparently the forerunner of the EFMB test.
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 was recommended in a letter, dated 20 January 1964, from MG Duncan, Chief of Staff, US Continental Army Command to Deputy Chief of Staff for Personnel, (DCSPER), in accordance with correspondence between General Waters and General Heaton, The Surgeon General. (An earlier request, in 1963 for the same badge, was not favorably considered by DCSPER with the Army Chief of Staff for Force Development (ACSFOR) concurring with that decision.) On 14 May 1964, tentative approval of the recommendation was received from the DCSPER subject to submission of criteria to be developed by Headquarters US Continental Army Command and Assistant Chief of Staff for Force Development, DA. Design of the badge, with criteria for the award, was forwarded by Summary Sheet to DCSPER, 2 February 1965. The Summary Sheet was returned without action on 27 February 1965, having been deferred pending further study of questions posed by the Vice Chief of Staff, US Army. By Disposition Form (DF) dated 6 July 1965 from DCSPER to Commander, The Institute of Heraldry (TIOH), US Army, TIOH was advised that a Summary Sheet establishing an Expert Field Medical Badge was approved on 18 June 1965. TIOH was charged with 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. There have been no changes in the badge since its inception. Authority for the award of the badge was prescribed in AR 672-10, dated 1 March 1966. 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.
Requesting to Host
- Questions to Analyze Prior to Requesting to Conduct EFMB Testing
- Request to Conduct EFMB Testing
- Request for Exception to Policy
- EFMB Cancellation Memo
Planning and Training
- EFMB Planning Workbook (CAC Required)
- Example Concept Brief (CAC Required)
- Host Unit Best Practices and Lessons Learned
- EFMB Land Navigation Point/Lane Distance Workbook (CAC Required)
- EFMB Validation Checklist
- Grey Area Questions and Other Discussion Points
- EFMB Train-up Program Example (CAC Required)
- EFMB Candidate Do`s and Don`ts
- Commander`s Recommendation
- Expert Weapon Qualification M9/M17/M18 or M4/M16 (Within 1 year of test-end date)
- Military Training Network (MTN) Basic Life Support Certification (American Heart Association or American Red Cross; copy of front and back, valid through test-end date)
- Packing List
Analysis of Units Tested in FY19
It is mandatory for host units to add the 68W sustainment program to their EFMB. The 68W sustainment course will be conducted 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 be present for 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.
Army Physical Fitness Test
The APFT is the first graded event of the EFMB testing phase. Candidates are required to perform push-ups, sit-ups, and a two-mile run to an 80% standard, IAW FM 7-22. This is a GO or NO- GO event which must be passed in order for a candidate to continue competing for the EFMB. This event is not re-testable and is a non-rebuttable task. Performance will be annotated on a DA Form 705. Height and weight screening will be conducted immediately following the APFT event. Height and weight will be annotated on the DA Form 705 along with DA Form 5500/5501, if applicable.
Note: Permanent medical profiles preventing the Army Physical Fitness Test (APFT) 2-mile run are authorized to compete for the EFMB so long as their profile does not prohibit any other testing requirements. Candidates must be able to perform any tested APFT events that do not have a designated alternate, (i.e., push-ups and sit-ups). The only alternate event authorized for candidates pursuing the EFMB will be the 2.5 mile walk to replace the 2 mile run.
The EFMB Written Test (WT) tests the institutional knowledge of the candidates and is the second graded event the candidate will undertake. The EFMB WT has 80 multiple choice questions and must be completed in 1 hour 30 minutes or less. This examination is the only event that will be retested. The retest will be conducted as the last tested event prior to the forced march for those who require it.
In order to receive a "GO" and continue in the EFMB event candidates will have to pass either the Written test or Written Re-test by answering 60 out of 80 questions correctly.
The following are the only references utilized in developing the questions on the EFMB WT and should be the primary material utilized by candidates in preparing for the WT:
Note: We utilize the most current version of the publications in the test questions.
Land navigation is the third graded event of the EFMB test. Day and night iterations will be executed on the second test day and must be completed in one day. During this event, candidates will demonstrate their individual proficiency in navigating from one point to another while dismounted without the aid of electronic navigation devices. Candidates must correctly annotate and punch at least three out of four points in under three hours in order to receive a GO for both day and night land navigation. This event is not re-testable.
Combat Testing Lanes
There are three Combat Testing Lanes (CTL) with a varying number of skills tested per lane. These lanes test the practical ability and attention to detail of the candidates while testing a total of 43 tasks broken down into four different categories: 15 Tactical Combat Casualty Care (TCCC) tasks, 10 Evacuation tasks, 13 Warrior Skills tasks, and five Communication tasks. The CTLs are not re-testable.
In order to receive a "GO" and continue in the EFMB event, candidates will have to pass 12 out of 15 TCCC tasks, 8 out of 10 Evacuation tasks, 10 out of 13 Warrior Skills tasks, and 4 out of 5 Communication tasks.
- Perform a TCCC Patient Assessment
- Submit a TCCC Card
- Control Bleeding Using a Tourniquet
- Triage Casualties
- Control Bleeding of a Junctional Wound Using a Hemostatic Device
- Control Bleeding Using Dressings
- Initiate a Saline Lock and IV Infusion
- Initiate Treatment for Hypovolemic Shock and Prevent Hypothermia
- Insert a Nasopharyngeal Airway
- Treat a Penetrating Chest Wound
- Perform Needle Chest Decompression
- Treat an Open Abdominal Wound
- Treat an Open Head Injury
- Immobilize a Suspected Fracture of the Arm
- Treat Lacerations, Contusions, and Extrusions of the Eye
Warrior Skills Tasks
- Protect Yourself from Chemical/Biological Contamination Using Your Assigned Protective Mask
- Decontaminate Yourself Using Reactive Skin Decontaminating Lotion (RSDL)
- Protect Yourself from CBRN Injury/Contamination with JSLIST
- Perform Self-Aid for Mild Nerve Agent Poisoning
- Protect Yourself from Injury/Contamination when Removing JSLIST
- Store Your Assigned Protective Mask
- Disassemble, Assemble, and Perform a Funtions Check on an M4 Series Carbine
- Disassemble, Assemble, and Perform a Functions Check on an M9 Pistol
- Correct Malfunction of an M4 Carbine or M16 Series Rifle
- Move Under Direct Fire
- React to Indirect Fire
- Move Over, Through, or Around Obstacles
- React to a UXO or Possible IED
- Establish a Helicopter Landing Point
- Load Casualties onto an HH-60 Helicopter
- Load Casualties onto Air Evacuation Platform (HOIST)
- Load Casualties onto Ground Evacuation Platform (M997, M996, M113)
- Load Casualties onto Ground Evacuation Platform (Stryker MEV M1133)
- Load Casualties onto Nonstandard Evacuation Vehicle (LMTV)
- Load Casualties onto Nonstandard Evacuation Vehicle (2.5 or 5 Ton 6x6 Cargo Truck)
- Load Casualties onto Nonstandard Evacuation Vehicle (1-1/4 Ton, 4x4, M998)
- Extricate Casualties from a Vehicle
- Evacuate Casualties Using a SKED Litter
- Evacuate Casualties Using One-Person Carries or Drags
- Evacuate Casualties Using Two-Person Carries or Drags
- Evacuate Casualties Using Litter Carries
- Assemble and Operate a SINCGARS (ASIP) or Assemble and Operate a SINCGARS
- Load FH/COMSEC Data and Conduct Radio Check Using SINCGARS (ASIP) or Load FH/COMSEC Data and Conduct Radio Check Using SINCGARS
- Prepare and Transmit a MEDEVAC Request (Using Secure Mode Radio) and MEDEVAC Request Card - GTA 08-01-004 (CAC Required)
- Submit CBRN 1 Report and CBRN Warning and Reporting System - GTA 03-06-008 (CAC Required)
- Submit Explosive Hazard SPOT Report and Unexploded Ordinance Procedures - GTA 09-12-001 (CAC Required)
12-Mile Forced March
Candidates must have received a "GO" for the Written Test/Re-test, Land Navigation, and CTLs in order to attempt this as a graded task. This is the last tested event during EFMB testing. This event is not re-testable and is a non-rebuttable task.
In order to receive a "GO" and be awarded the EFMB candidates must complete a 12 mile (19.3 kilometer) forced march, within 3 hours, completely crossing the finish line carrying their individual field equipment IAW AMEDDC&S HRCOE PAM 350-10 Table 4-1
Upcoming FY 20 EFMB Tests
USAREUR, Baumholder, Germany
- Standardization Dates: 08 - 16 SEP 20
- Testing Dates: 17 - 23 SEP 20
4th Infantry Division, Fort Carson, CO
- Standardization Dates: 13 - 18 SEP 20
- Testing Dates: 19 - 25 SEP 20
Upcoming FY 21 EFMB Tests
1st Medical Brigade, Fort Hood, TX
- Standardization Dates: 13 - 23 OCT 20
- Testing Dates: 24 - 30 OCT 20
101st Airborne Division (Air Assault), Fort Campbell, KY
**Only accepting candidates from Fort Campbell internal units**
- Standardization Dates: 25 - 30 OCT 20
- Testing Dates: 31 OCT - 06 NOV 20
44th Medical Brigade, Fort Bragg, NC
**Only accepting candidates from Fort Bragg internal units**
- Standardization Dates: 05 - 10 NOV 20
- Testing Dates: 11 - 17 NOV 20
25th Infantry Division, Schofield Barracks, HI
- Standardization Dates: 04 - 11 DEC 20
- Testing Dates: 12 - 18 DEC 20
MEDDAC (Fort Meade), Fort Indiantown Gap, PA
- Standardization Dates: 11 - 16 APR 21
- Testing Dates: 17 - 23 APR 21