Tier 4 Combat Paramedic/Provider (CPP) Training

DoD Requirements

Combat Paramedic/Provider (CPP) training is conducted In Accordance With (IAW) Department of Defense Instruction (DoDI) 1322.24.

DoDI 1322.24 establishes the following DoD requirements:

All Service members (officer and enlisted) will complete appropriate role-based (i.e., All Service Members, combat lifesaver, combat medic/hospital corpsman/aerospace medicine technician, combat paramedic/provider) TCCC training and certification as outlined in the JTS’s TCCC skills list. TCCC certification may be categorized as either an initial certification or recertification.

Army Requirements

The Army has issued a TCCC Tier 4 certification requirement in AR 350-1.

All 68W NRP (3P), CCFP (F2), Role 1 and Role 2 credentialed providers will conduct Tier 4 CPP training.

This training is intended for initial certification but can be modified for refresher training.

- Will follow the course map from Deployed Medicine.
- Soldiers should review course content prior to beginning the refresher training.

CPP Certification training or a refresher course, based on the requirements mentioned in the training frequency section, will be conducted during pre-deployment training. The course content from Deployed Medicine website https://deployedmedicine.allogy.net/learner/collections/368 will be used at a minimum. Additional course content can be added based on the units METL and the operational environment.

Prerequisites

All CPP students MUST:

- Initial Training: Meet individual Service Members career track requirements IAW Service-specific standards (JTS/DHA requirement)

All CPP trainers MUST:

- Be certified in TCCC and complete the appropriate JTS-developed “train the trainer” course every three years (DoDI 1322.24 Requirement)
- Obtain a minimum passing CPP student course score of 80% (JTS/DHA requirement)
- Currently TCCC Trained/Service Trainer (JTS/DHA requirement)
- Complete the online Train-the-Trainer Course (JKO,NAEMT, etc.) prior to beginning the course. (JTS/DHA requirement) NOTE: Trainers may be exempt per service-specific standards (CFDIC or CMIC)
- Be medical providers i.e., Paramedic (3P), Flight Paramedic (F2), Physician Assistant (PA) etc. (JTS/DHA requirement)
- Be qualified to provide medical care at or higher than the level of care they wish to train others at (JTS/DHA requirement)
- Be a qualified 68W Combat Medic Specialist noncommissioned officer (NCO), 18D Special Forces Sergeant or medical officer. (TC 8-800)

Tracking Training and Course Completion Credit

Units will record all assigned Service member and DoD-EC TCCC certifications (initial and recertification) in Digital Training Management System (DTMS). There is no DTMS code for Tier 4 training currently.

Training Frequency

Training frequency for Service members and DoD-EC completing the TCCC All Service Member course is at the discretion of the Military Service, with the stipulation that certification be completed prior to deployment. Training frequency for Service members and DoD-EC completing the TCCC combat lifesaver, TCCC combat medic/hospital corpsman/aerospace medicine technician, or TCCC combat paramedic/provider course follows these guidelines:

All active Component Service members and some DoD-EC personnel as defined by job or unit, will complete TCCC recertification at least every 3 years following initial certification and within 12 months of deployment. For personnel who deploy more than once during a 12-month period, certification in TCCC remains current if completed within 12 months of the most recent deployment date. (DoDI 1322.24 Requirement)

CPP Initial and Recertification Training

Training on CPP skills using the current, standardized curriculums developed by the JTS, DHA at the appropriate interval (every three years) after a Service member or DoD-EC initially certifies in TCCC. (DoDI 1322.24 Requirement)

- Soldiers should review CPP course content and TCCC guidelines prior to beginning the refresher training which will be conducted over 8-10 days. (DHA/JTS Requirement)
- Recertification is valid for three years (JTS/DHA requirement)
- CPP examination from Deployed medicine is required. (JTS/DHA requirement)
- Practical exercise and validation of skills is required. (JTS/DHA requirement)
- Personnel responsible for providing advanced medical care such as advanced Combat Medics, Paramedics, and medical providers must complete TCCC Tier 4 training tailored to their specific roles and operational requirements within 12 months prior to deployment. (AR 350-1)
- Combat Medics must recertify every 24 months in line with the Combat Medic Home Station Training Strategy. (AR 350-1)
- Medical providers must recertify every 36 months. (AR 350-1)

CPP Refresher Training

CPP refresher courses are a supplement to CPP certification courses. CPP refresher courses are designed to ensure proficiency on TCCC skills and may be tailored to individual Service mission requirements. Completion of CPP refresher training does not certify a Service member in TCCC and will not be recorded as such in Service-designated training tracking systems. (DoDI 1322.24 Requirement)

- Soldiers should review CPP course content and TCCC guidelines prior to beginning the refresher training. (JTS/DHA requirement)
- Refresher training will be conducted over five days. (DHA/JTS Requirement)
- Practical exercise and validation of skills is required.
- Evaluation scenario(s) must be performed in a unit METL supported task and must evaluate Tier 4 68W critical tasks.
- Refresher is valid for one year.
- MEDIC Tables with skills qualification completion counts as refresher training.