Format: Resident
C4 is a continuing medical education program designed to enhance the operational medical readiness and pre-deployment trauma training skills of tri-service medical officers. Training includes certification in one of three professional courses (ATLS, TNCC, PHTLS), certification in Tactical Combat Casualty Care Tier IV, and concludes with a 3-day Field Training Exercise. The course is designed to enhance medical readiness of physicians, physician assistants/associates, nurses, dentists, and all other medical specialties by providing training in combat medicine and leadership. C4 prepares medical officers with the knowledge critical to conducting Role I and Role II health care operations in austere, combat environments.
The FTX Lanes offer mission-oriented medical scenarios in a simulated Large Scale Combat Operations environment and include casualty care at point of injury through Role 1 and Role 2 care, to include exposure to CBRNE casualties and principles of Prolonged Casualty Care and MASCAL incidents. Students encounter combat scenarios in varying roles of leadership and team organization and participate in the planning, rehearsals, and execution of the medical mission. Upon successful completion of all components of C4 students earn a cumulative 76.5 CME and certificates from their respective Professional Course (16 CME), TCCC (36.5 CME) and C4 (24 CME).
The student must be a medical department officer and have a minimum of one-year remaining service obligation and/or retainability after completion of this course. International military students that meet the requirements for their military services may attend on a space availability basis. Students must not be on a temporary medical profile, permanent profiles must not limit worldwide deployability and must be submitted to DMRTI organizational representatives for review prior to acceptance into the program. Students must have a concurrent reservation in 6A-C4, Advanced Trauma Life Support; 6A-C4, Trauma Nursing Core Course; or 6A-PHTLS, Prehospital Trauma Life Support. Reservations in the concurrent courses are based on student's medical specialty: Physicians, physician assistants/associates, and nurse practitioners attend ATLS, Nurses attend TNCC, all other personnel will attend PHTLS. Any of the aforementioned (physicians, PA, NP, RN) are permitted to attend PHTLS if they have a current certification in their respective professional course.
At the conclusion of the professional courses and TCCC, the C4 FTX begins, and students rotate through various training stations in a simulated combat/operational environment.
Course Links
Upcoming Courses
If you enrolled into C4 less than 40 days from the course start date or have not already been contacted by the C4 registrar, please contact our Academic Support Branch Email our Academic Support Branch to confirm course attendance and receive further instructions.
Course dates can be located in the ATRRS course catalog, under school code 767.
NO WALK-INS will be allowed into this course.
All students are required to access the deployed medicine website to establish an account. Students will receive an email with instructions on how to log-in to the CoTCCC Tier IV/CMC training modules. Students are required to complete all didactic presentations and take/pass the written examination prior to attendance at C4. Certificates of training completion are to be sent to: dha.jbsa.j7.list.dmrti-c4@health.milemail DHA J-7 no-later than 17 days prior to the start of the course. Should a student fail to provide this documentation, their slot will be forfeit.
The C4 course is funded via MEDCoE (centrally funded). The Org Box/POC is: usarmy.jbsa.medical-coe.mbx.rm-numbered@army.mil.
Commands will be responsible to fund government rate per diem for student meal expenses. Students will be required to pay for meals at the government rate per diem in person at the DFAC during the C4 course.
All students attending the DMRTI ATLS, PHTLS, TNCC, and C4 course will be expected to pay $79.60 for their meals during their time at Camp Bullis. Students are required to arrive at Camp Bullis with these funds in hand. Cash is required as the Camp Bullis Dining Facility does not accept any other form of payment. The $79.60 covers seven breakfast meals ($4.40 ea.) and eight dinner meals ($6.10 ea). If the student decides not to eat at the Chow Hall/Dining Facility/Galley, they are still required to pay $21.00 for weekend meals as the Chow Hall/DFAC/Galley is closed during the weekend.
Students will be provided a cost verification memo from the C4 staff to submit with their travel claims upon return to their commands.
| Day |
Training Day |
Breakfast |
Dinner |
| Wednesday |
1 |
N/A |
$6.10 (DFAC) |
Thursday
|
2 |
$4.40 (DFAC) |
$6.10 (DFAC) |
| Friday |
3 |
$4.40 (DFAC) |
$6.10 (DFAC) |
| Saturday |
4 |
$4.40 (Mermites) |
$6.10 (Mermites) |
| Sunday |
5 |
$4.40 (Mermites) |
$6.10 (Mermites) |
| Monday |
6 |
$4.40 (DFAC) |
$6.10 (DFAC) |
| Tuesday |
7 |
$4.40 (DFAC) |
$6.10 (DFAC) |
| Wednesday |
8 |
$4.40 (DFAC) |
$6.10 (DFAC) |
| Total cash required for course entirety: |
|
|
$79.60 (DFAC) |
All courses are located in San Antonio. The C4 and associated professional courses are taken together. They may not be taken separately.
- Day 1: Report date
- Days 2-4: Professional courses (ATLS, PHTLS, TNCC)
- Days 5-8: C4 field training (also depart on day 8)
All course dates may be rescheduled if the minimum student quota requirement has not been met. In the rare event of course cancellation or date change, DMRTI will notify all students as soon as changes are confirmed. Confirmed registered students will have priority in the next course.
| Class |
Professional Courses Report Date |
C4 Report Date |
Start Date |
End Date |
| 003 |
Dec. 03 |
Dec. 05 |
Dec. 06 |
Dec. 10 |
| 004 |
Jan. 21 |
Jan. 23 |
Jan. 24 |
Jan. 28 |
| 005 |
Feb. 18 |
Feb. 20 |
Feb. 21 |
Feb. 25 |
| 006 |
Mar. 25 |
Mar. 27 |
Mar. 28 |
Apr. 01 |
| 007 |
Apr. 15 |
Apr. 17 |
Apr. 18 |
Apr. 22 |
| 008 |
May 13 |
May 15 |
May 16 |
May 20 |
| 009 |
Jun. 03 |
Jun. 05 |
Jun. 06 |
Jun. 10 |
| 010 |
Sep. 09 |
Sep. 11 |
Sep. 12 |
Sep. 16 |