TCCC training methods that ensure unit readiness and support the achievement of no losses due to preventable combat deaths is a primary responsibility for the CPP, whether that be as the primary medic for a unit or as medical director overseeing the Role 1 medical system involving additional medical resources.

The establishment of standardized training programs and resources will help to correct some of the disparities that have been seen between units and Services, but is not, in and of itself, the complete solution to a robust training platform that ensures maximum readiness. Even with the prior standardized TCCC-All Combatant and TCCC-Medical Provider materials and National Association of Emergency Medical Technician-certified instructors, there was significant variation within training programs in a 2018 TCCC baseline training assessment for the Defense Health Agency.25

The main findings responsible for the variations were inconsistent or inadequate instructor training and selection, variable methods of assessment, lack of adequate physical space for both classroom and practical training, and variations in simulation capabilities. A common finding during the assessment was that units did not prioritize TCCC training for either their medics or their other personnel.

To ensure your TCCC training programs are optimized, several issues should be highlighted:

- Ensure that your line leadership understands the need for prioritizing TCCC training
- As core training plan and materials, use the approved Joint Trauma System resources
- Make sure all instructors are properly trained & stay up-to-date with curriculum changes
- Incorporate real-world experiences and case scenario-based examples in the training
- Provide the most realistic training environment you can
- Use standardized assessments with constructive feedback and remediation, as needed
- Incentivize ongoing training outside of formal classes (e.g., Deployed Medicine)