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NEWS | Aug. 31, 2023

MEDCoE’s Capability Development Integration Directorate hosts Role 1 limited objective exercise

By Jose Rodriguez and Erika Keith U.S. Army Medical Center of Excellence Public Affairs

The U.S. Army Medical Capability Development Integration Directorate at the U.S. Army Medical Center of Excellence at Joint Base San Antonio-Fort Sam Houston was the site for a tabletop exercise to highlight challenges, gaps, and/or requirements across the doctrine, organization, training, materiel, leadership and education, personnel, facilities and policy, or DOTmLPF-P, spectrum, including extended care due to potential evacuation delays.

Leaders and subject matter experts from Army Medicine, Army commands, joint services and allied partners attended both in person and virtually from Aug. 28-31.

The team worked together during the event to discuss how the roles of care within the Army Health System have been sufficient over the past two decades, however, the shift towards large-scale combat operations against peer/near-peer threats in a multi-domain operations environment calls for a comprehensive re-examination of these roles.

This experimentation process evaluated the equipment, personnel, and training to meet maneuver commanders' requirements and identify areas for improvement.

During the exercise participants received briefings and updates on new technologies, data integration, simulations, medical maneuvers and treatments, facilitating discussion to chart a path forward to meet causality care requirements.

Role 1 care warrants a comprehensive investigation to uncover any challenges, gaps and requirements, with a particular focus on the provision of prolonged care due to potential evacuation delays. This analysis considers the expected transformation of the Army force by 2040.

During the final out brief, MED CDID provided senior attendees with a synopsis of the exercise findings, recommendations and a final report to present to Army leaders.

The MED CDID is the premier designer of integrated and effective world-class military medical capabilities and is aligned under the U.S. Army Futures Command.

MED CDID ensures the U.S. Army Medical Department has the capabilities required to preserve the health of the force in the future operational environment. Located at JBSA-Fort Sam Houston, MED CDID was formerly part of the U.S. Army Training and Doctrine Command aligned under MEDCoE. After the AFC was activated in 2018, MED CDID transferred to AFC as Army modernization was consolidated.

To learn more about MED CDID, visit