Expert Field Medical Badge
The EFMB Test Control Office published a policy update memorandum on 02 March 2021 introducing the following changes:
o authorizes host units to execute EFMB over non-consecutive days, with the exception of the testing period
o reduces the testing period to a maximum of 120 hours
o requires an O-6 or E-9 to serve as the Test Board Chairperson
o requires host units to submit a validation memorandum signed by a General Officer
o implements the digital survey and written test as a prerequisite to in-processing
o removes the requirement for host units to establish a Logistical Support Area (LSA)
o replaces the Army Physical Fitness Test (APFT) with the EFMB Physical Fitness Assessment (PFA)
o authorizes host units to conduct height and weight for all candidates immediately prior to in-processing or immediately following the PFA event
o authorizes host units to begin night land navigation testing one hour after sunset
o implements the final event task (Dissassemble, Assemble, and Perform a Functions Check on an M4 Series Carbine or M16 Series Rifle) following the 12 mile forced march
o authorizes host units to weigh candidates` rucksacks following the forced march in lieu of a layout
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 Much of the material available on other websites is outdated or irrelevant for EFMB testing purposes.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.
- 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 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
- AMEDDC&S HRCOE PAM 350-10 The Expert Field Medical Badge Test, Dated 1 March 2019 (CAC Required)
- AMEDDC&S HRCoE PAM 350-10 Policy Updates, Dated 02 March 2021 (CAC Required)
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)
- General Officer Validation Memorandum
- 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 FY20
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.
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.
In order to receive a "GO" and continue to EFMB in-processing, candidates must 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. Candidates preparing for the WT should utilize the references listed below as their primary study materials:
Note: We utilize the most current version of the publications in the test questions.
EFMB Physical Fitness Assessment
The EFMB Physical Fitness Assessment (PFA) is the first graded event of the EFMB testing phase. Candidates must perform push-ups, sit-ups, and a two-mile run to an 80 point minimum standard, in accordance with the standards listed in FM 7-22, Appendix A, dated 26 October 2012 and DA Form 705, dated May 2010. Candidates must pass this GO or NO-GO event to continue competing for the EFMB. This event is not re-testable and is a non-rebuttable task. All candidates will execute height and weight screening immediately prior to in-processing or immediately following the PFA event, based on the host units` preference.
Note: Effective immediately, the EFMB PFA replaces the Army Physical Fitness Test (APFT) as an EFMB tested event. The EFMB PFA will maintain the same 80 point minimum standard as the previous APFT. Candidates on a permanent profile preventing them from participating in the 2-mile run event are no longer eligible to participate in EFMB testing.
Land navigation is the second graded event of the EFMB test. 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 (CTLs) with a varying number of tested skills per lane. These lanes test the practical ability and attention to detail of the candidates while testing a total of 42 tasks broken down into four different categories: 15 Tactical Combat Casualty Care (TCCC) tasks, 10 Evacuation tasks, 12 Warrior Skills tasks, and five Communication tasks. The final event tests the final warrior skills task. 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 (including the final event), 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 Functions 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