Traumatic Brain Injury Training Requirements for Health Services Support Personnel

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.