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File: 970207_aadci_068.txtODS MEDICAL LESSONS LEARNED C3I and TRAINING CATEGORIES C3I ISSUE NO. 1 Chain of Command, ARC v. Active Integration (SGHR ITEMS NOs. 43, 78, 79, 87, 88, 119, 141, 143) DISCUSSION: Deployed units did not lose peacetime identity: chain of command; challenge to authority; who is in charge? When multiple units deploy to same location, who is in charge? Individuals serving as unit commander did not always become commander of the wartime unit. Senior member (regardless of ARC or AD) will serve as commander. AE personnel deployed from different units to same site which caused confusion among senior staff regarding chain of command and their roles. Some MTF commanders attempted to take command of AE elements. Instances of ARC providers outranking AD counterparts, but AD personnel held all the command positions. Older, experienced ARC physicians and nurses enter Air Force with higher ranks. Contingency hospitals not affected because of executive management teams. Deployed personnel retained their home unit affiliation and did not become part of the gaining command. RECOMMENDATIONS: Structure training to integrate active and ARC establish system to identify commanders so G-series orders can be accomplished. Educate personnel on being an integrated unit. Integrated command structure must be utilized. Brief deploying personnel they are deploying to a location where command and control has already been established and they will have only one commander after deployment. Educated MTF commanders that AE units have their own chain of command. The best qualified officers should be in charge whether AD or ARC. ~ ACTIONS REQUIRED: Education of all involved units/personnel for future operations needed. Provide information to ARC providers on their roles and responsibilities in a call-up situation. ACTIONS COMPLETED: Issue has been addressed in conferences and training programs to educate ARC and AD personnel. MRAG information publication to all ARC providers provides information addressing the issue. STATUS: OPEN. MRAG RECOMMENDATION: SG charter a working group made up of AD and ARC representatives to address this issue, looking into historical, legal, UCMJ, and administrative ramifications.
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