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  ~onnnand and control of SME's was frequently~rnisunderstood by the medical
  command stn~cture resulting in impaired effectiveness of overall ~iedIca1 care
  and aeromedical support to the flying squadrons

    Coordination of operations and aeromedical problem solving were inipaired
  because not all locations (including C~NTAP forward initially) had credible
  senior ffiglit surgeon expenence.

  Conflicts arose at some locations when the senior rank1ng ffight surgeon was
  f~oin t~ie ARC but bad less aeromedical expertise than tile active duty night
  sur~eon,

  -The 1990 ATO Concept of Operations made no ~ear provision ~r integration of
 * multiple SME4s at a aingle location resulting in poor coordmation at many bases

  -Security and accountability of controlled drugs wa's a probleni in a few locations

                                 Thaiiiing

  -~xercLse deployni~ts are the best trating fbr wartime inission

  - Oporational Readiness ~~ereises and. the Combat Casualty Care Course taken
  at Camp ~UiiiS were judged v~ry valuable

  *r)espite dirOCt~'~si. most SME ffight surgeons and technicians felt biadequate in
  assessment of food and water quality     this was particularly true of
  Conwiandslcompononts without SME's.

  -Aeromedical tec~cians were poorly tz~ined to assist with patient care

  -Maiutaimn*g currency in wartime skills for both flight surgeons and
  technicians is a problem.

  -The a~erage experience leirel of deployed flight surgeons was low.

                              ATC Equipnient

 * -~ot 811 ATO's were stocked with the May 19~0 Table of Allowances resu1t~ng In
  a variety of ~ctiona1 deficiencies, mos~~notably an outdated ~rinuiaYy.

  -The plan ~r AT~ backup within ~O days was seldom ~ed, ft)rcing ATC's to
  cars ~r growing base populations up to 1200 in some cases - at the end of the
  first niontli1 13 of 17 Air Force beddowns were s~pport~d only by SM~'s

  -Squadrons d~loyed to Desert Shield with ni~ch higher nuinbers of indi~~~duals
  than predicteby exerci*o experience an~ planned for in the ATC Concept of
 * Operations

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