LESSON 1
DUTIES AND RESPONSIBILITIES OF THE MEDICAL NON-COMMISIONED
OFFICER
Section I. OVERVIEW OF THE MEDICAL NON-COMMISIONED OFFICER ROLE
1-1.
GENERAL
The need for the highly trained 91B has become very apparent during the wars of
th
the 20 century. Physicians and physician assistants cannot be everywhere at once.
The Army nurses perform vital functions, but their numbers also are limited. The civilian
paramedic programs suggested a solution to the Army's pressing need for more
medical personnel on the battlefield. The well-trained 91B10/20 supported by a highly
trained 91B30 is proving to be a workable team and a welcome addition to the Army
medical personnel. The fear that a wounded soldier will have no medical attention can
seriously impair his performance on the battlefield. This is a morale factor that has
always presented problems in the accomplishment of a unit's mission.
1-2.
REASONS FOR THE DEVELOPMENT OF THE MEDICAL
NON-COMMISIONED OFFICER COURSE
The medical and military training in this course will enhance the capabilities of
both the combat medical specialist and the medical NCO. The on-the-job training and
time-in-rank requirements for skill level advancement have been insufficient for the
increased needs of the Army medical department.
a. Medical Training. Even though many 91B20 personnel have been able to
enhance their medical knowledge through contact with more highly trained medical
personnel, there has never been a requirement for further formal training. This course
provides for uniform medical/military training to increase the level of skill for these
higher level 91B personnel. This advanced medical training will enable the medical
NCO to take an active, knowledgeable role in determining treatment during mass
casualty situations. He will feel more confident in making critical care decisions.
b. Standards of the Grade Authorization. In keeping with the current
standards of the grade authorization (SGA), the career management field (CMF) 91
medical field allows:
(1) The 91C practical nurse to be used in the wards and clinics where his
training can best be utilized.
(2) The 91B medical NCO to occupy positions in field units, clinics, and
emergency rooms formerly staffed by the 91C practical nurse.
(3) The 91B medical NCO to participate with confidence in medical care as
well as in supervisory/administrative duties.
MD0560
1-2
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