R 141430Z MAY 26 MARADMIN 223/26 MSGID/GENADMIN/CMC WASHINGTON DC// SUBJ/TRAUMATIC BRAIN INJURY TRAINING REQUIREMENTS FOR HEALTH  SERVICES SUPPORT PERSONNEL// REF/A/DOC/DODI/1OCT21// REF/B/DOC/ASW(HA)/NOV25// REF/C/DOC/BUMED/1JUN22// REF/D/DOC/DHA-PI/26APR21// REF/E/MARADMIN/294/12// NARR/REF  A IS DEPARTMENT OF DEFENSE INSTRUCTION 6490.11, DOD POLICY  GUIDANCE FOR MANAGEMENT OF MILD TRAUMATIC BRAIN INJURY/CONCUSSION IN  THE DEPLOYED SETTING, INCORPORATING CHANGE 3 EFFECTIVE 1 OCTOBER  2021.  REF B IS THE DEPARTMENT OF WAR OVERSIGHT PLAN FOR THE  MANAGEMENT OF TRAUMATIC BRAIN INJURY CARE WITHIN THE MILITARY HEALTH SYSTEM, NOVEMBER 2025.  REF C IS BUMED INSTRUCTION 6310.16, NAVY  MEDICINE TRAUMATIC BRAIN INJURY TRAINING REQUIREMENT FOR HEALTHCARE PERSONNEL, 1 JUNE 2022.  REF D IS DHA PROCEDURAL INSTRUCTION  6490.11, REQUIRED CLINICAL TOOLS AND PROCEDURES FOR ASSESSMENT AND CLINICAL MANAGEMENT OF MILD TRAUMATIC BRAIN INJURY (MTBI)/CONCUSSION IN NON-DEPLOYED SETTING, 26 APRIL 2021.  REF E IS MARADMIN 294/12,  TRAUMATIC BRAIN INJURY PROGRAM.// POC/HEALTH SERVICES/HQMC// TEL: 703-697-0424/EMAIL: [email protected]// GENTEXT/REMARKS/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.//