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Topic: What works in preparing for the Expert Field Medical Badge
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James P. Often  25
10-26-2005 09:54 AM ET (US)
The EFMB Test Control Office has developed a study guide for the EFMB. You can get information about the study guide and updated information on AKO at MEDKN (Army Medical Knowledge Network) https://www.us.army.mil/suite/portal.do?$p=140048
James P. Often  24
09-14-2004 11:50 PM ET (US)
EFMBprep has moved to a new website. http://www.medtrng.net There have been many improvements over the old version.
David  23
07-16-2003 06:04 AM ET (US)
Is it mandatory that a medic goes to EFMB? And if not what can that medic do if they are being forced to go.
James Often  22
12-21-2002 10:22 AM ET (US)
Due to the new skill set for 91W; changes are coming soon to the EFMB program and DA Pam 40-20. These changes will take effect 1 Oct 03
SFC Mullis  21
11-08-2002 04:05 PM ET (US)
How did the 1AD EFMB fair?
CPT RUWE  20
09-08-2002 08:34 AM ET (US)
1AD's EFMB starts today. Asking around we've got about 50% of soldiers that don't want to be here...I see all those people failing the written test...we'll see!!
Clark, R.  19
07-16-2002 10:32 AM ET (US)
I earned my EFMB at B.K. in Germany back in 1994 as a SPC. I recieved no tain-up. My PSG actually came up to me four days before the competition and told me that I was going. I was a new 91B from AIT who was previously in the Marines. I did not even get and study guide or packing list. I contrubute my first time go because of not learning quick methods yet. My Marine training assisted
with the field portion. I believe that God helped me finish all the tasks with first time go!
SFC Mullis  18
05-21-2002 11:38 PM ET (US)
SPC Jackson,
Make sure you look at current Army FM's and TM'S. The Reg on Field San changed and some of the online test questions are not up to date. Download a current Study guide from the EFMB web site. I updated the Field San and posted it about a month ago. Study the Field San, NBC and FM 8-10-6, those are the areas soldiers usually do poorley in on the written exam.

SFC Mullis
   17
05-02-2002 08:28 PM ET (US)
Deleted by topic administrator 01-01-2003 10:23 AM
SPC Jackson  16
04-16-2002 08:44 AM ET (US)
Preciate it!!!!!!
Got EFMB coming up in June here in Germany.
OftenJ@aol.com  15
03-27-2002 11:13 PM ET (US)
SPC Jackson  14
03-27-2002 07:44 AM ET (US)
Does anyone know where online they have practice tests or previous tests?? I havnt had a chance to look at a efmb practice test yet.
SPC Newman  13
03-15-2002 11:19 PM ET (US)
There was a comment made saying that the EFMB was voluntary and yet troops are forced to go to the train up and the test week. Remember that to get the badge is voluntary but when you are sent to train in the field that is not voluntary. Your PSG can send you out to train. So just look at it as a short field problem. And if you get it then you never have to go back.
SFC Mullis  12
02-27-2002 08:53 AM ET (US)
The Test Board makes the call as far as candidates staying after they fail a lane. Some units can't support that many soldiers. Sometimes those candidates that have already failed become destractors for the valid candidates. Do we really want those soldiers that don't want the Badge right along those that do? Soldiers are intimidated by this badge and that's where the NCO'S come in! Time and time again I see candidates that earn the Badge say my CSM,1SG or Platoon Sgts trained me to the standard. We as NCO'S must set up training to cover all the areas within the EFMB program. Did you train your soldier on land nav-make up practice wt-road march-alot of the task come right out of the CTT manuel. Recommend the training to the Commander and most of them will support with a proper training plan.
Richard Rood  11
01-29-2002 03:40 PM ET (US)
Training is the key you are all right, no matter what era you are from. Two points I would like to make are that TO&E -vs- TDA have nothing to do with who earns the badge. The actual earning of the badge is the individual who can meet the stringent standards and attention to detail of the EFMB test. The individuals with the greatest success rate are the soldiers who pick the manual up a month prior to training and study the standards in depth for preparation. I have a philosphy that if soldiers know that there is such high failure rate for this coveted badge than they will not put effort forth to train for it out of fear of failure. In concurrence with a good company training program for hands on experience, the pass rate would increase across the board. Lastly, pass or fail this is a good opportunity for soldiers to practice their respective skills, each and every soldier should be mandated to stay until the test is complete, pass or fail.
SFC Mark Mullis  10
01-24-2002 11:01 AM ET (US)
Testing for the EFMB Badge is suppose to be volunteer, but everyone knows this is not the case. Commanders send soldiers regardless. Soldiers from the MSB, FSB and support units within Divisions don't fare as well as the other candidates for several reasons. The Meddac,Armor, and Infantry Medics typically have a higher pass rate. Most Discom soldiers complain they stay on support missons and are not motivated to earn the badge along with other issues. Nothing in the DA PAM states that you can't keep the candidates out at the test site for the entire train and test period thats the Host Units decision. You could let the candidate know at the end of the road march wheter he passed or failed but then how would you conduct the rebuttal board/retesting? Some site would have 300+ soldiers on the road march(I would hate to have to support that monster) SOLDIERS THAT FAIL TESTING CANNOT BE USED AS CASUALTIES per the DA PAM. Motivation is very much a factor! I agree that you must want the badge! Do we know of anyone that has earned it that really didn't want it? When I state that training is the key I am assuming that the training is coupled with the motivation that the soldier really wants to pin this badge on their chest. The pass rates would be much higher if we only tested volunteers like we are suppose to do.
CPT Jon Ruwe  9
01-20-2002 02:38 PM ET (US)
What do you think about having soldiers that fail the first part of testing stay to act as casualties, aggressors, KPs, force protection, and administrative duties? We seem to "reward" soldiers for failing by sending them home. SSG Pangracs didn't find out if he passed till the end...perhaps a motivating factor in itself???
1AD soldiers that had a seperate train-up on top of the pre test orientation/training week did worse than CORPS level soldiers that didn't attend the train-up but came motivated. Training is important...but without wanting the badge....
SFC Mullis  8
01-02-2002 08:02 PM ET (US)
SSG Pangracs, might have been a little hard on you but I just wanted to let you know as a Test Control Officer for the EFMB I see first hand what works and doesn't work in earning the EFMB. It is vary rare that a soldier can earn the EFMB without a train-up. We as soldiers train prior to going to JRTC or NTC, train prior to a board, we train to the units metl, squad drills, platoon drills ect..Should it be different for the EFMB? I'll tell you that units that conduct train-ups have a higher pass rate and the numbers don't lie. I was at Ft Bragg and a soldier on the night land nav course was lost. He didn't have a clue! The soldier had never been on a land nav course before. His fault or the NCO'S in his units fault? The soldier was motivated, he wanted the badge but can we expect him to do well? Sometimes we are just to lazy to set up good quality training for our soldiers. I have been told and I believe that your soldiers are for the most part are a direct reflection of you.
SFC Mullis  7
12-21-2001 09:32 AM ET (US)
1.SSG Pangracs I earned my EFMB in 1985 (Second try). It is vary rare that a PVT first time out earns the EFMB (only about 2%). The train-up is not mandatory. You need to read the regulation that covers the EFMB before you spout off at the mouth! You also state the standards have gotten "feminized"!!! The standards for the EFMB have changed once since you earned the BADGE and they have gotten harder not "feminized" as you put it!!! The EFMB has always been a "forum for Commanders" but the standards are enforced by NCO'S. If you or NCO'S around you don't know the standards and don't evaluate the candidate to standards then your the problem not the candidate.
2. The point you made about Commanders and Senior NCO'S not having the BADGE is that Leaders Lead from the front and yes not all the Branches within the Amedd push the EFMB. I have even heard CSM state that not having the badge would not hurt them when it came to promotion! Of course that CSM didn't have the EFMB. Yes having earned the BADGE leads to crediblity but you need really think about the soldiers below you. Each soldiers has strengths and weakness it up to you as a Leader to train them accordingly. By the way females have competed in the EFMC and I know one that two or three years ago placed second. Female soldiers have weaknesses just like male soldiers do! I know a few that will hump past your fanny on the 12 mile road march.
3. SSG Pangracs you have a responsiblity to train your soldiers! You would be the first one to chew your soldier out for not earning the BADGE first time out. What training did you conduct with the soldier. The Army is all about training, passing that knowledge that you have gotten thru years of training down to your soldiers. Your soldiers will do well if you train them well!!!
4. By the way if you want the Reg that covers the EFMB to change why don't you submit the request. You don't know what form to fill out and where to send it? You must be a "SLUG" as you put it!!! Come see me and I'll train you and GOD help your butt if you ever call a soldier a slug within earshot of me! Make em better soldiers and make em better medics.
   
SFC Mullis
DARRIN TANGEMAN  6
12-16-2001 01:22 PM ET (US)
AND DONT FORGET THAT WRITTEN TEST! TAKE AS MANY PRACTICE TESTS AS POSSIBLE AND STUDY THE SECTIONS YOU ARE WEAK IN!
DARRIN TANGEMAN  5
12-16-2001 01:16 PM ET (US)
TRAINING IS WITHOUT A DOUBT THE MOST IMPORTANT PART OF PREPARING YOURSELF FOR THE EFMB. SSG PANGRACS COMES FROM AN ERA WHEN MAYBE EARNING THE EFMB WAS POSSIBLE WITHOUT A TRAIN-UP. YOU WOULD BE SHOOTING YOURSELF IN THE FOOT IF YOU DID AWAY WITH TRAIN-UP CONSIDERING THE WIDE VARIETY OF MOS'S AND UNITS THAT ATTEND THE EFMB TODAY. THE ARMY HAS CHANGED AND SO MUST THE WAY WE GO ABOUT PREPARING FOR THE BADGE. SSG PANGRACS SHOULD TEST UNDER TODAY'S STANDARDS ALONG SIDE OTHER CANDIDATES. ITS HARD TO STAY OBJECTIVE ABOUT THE EFMB WHEN YOU HAVE NOT TRULY EXPERIENCED TESTING IN NEARLY 18 YEARS. SOLDIERS COMING FROM TDA AND TOE ENVIRONMENTS HAVE VERY DIFFERENT PERSPECTIVES ON HOW AN EFMB SHOULD BE EXECUTED. FORTUNATELY WE HAVE THE TEST CONTROL OFFICERS LIKE SFC MULLIS TO KEEP THE STANDARD STRAIGHT.

COME WITH AN OPEN MIND AND BE PREPARED TO ADJUST YOUR BELIEFS AND STANDARDS TO THOSE OF THE PROCTORS.
THE BOTTOM LINE TO PREPARING FOR THE EFMB IS TO HAVE WELL GROUNDED KNOWLEDGE OF THE EQUIPMENT, TASKS, AND ENVIRONMENT YOU WILL BE TRAINING IN. COMMUNICATE WITH THE EFMB TEST BOARD PERSONNEL AT LEAST TWO MONTHS PRIOR TO ATTENDING THE EFMB. YOU NEED TO KNOW WHAT EQUIPMENT YOU WILL BE TESTING ON (I.E. DNVT, ANCD, WHAT MODEL OF SINCGARS, WHAT EVACUATION VEHICLES WILL BE TESTED) HAVE AT LEAST GENERAL KNOWLEDGE OF THE FOOT MARCH COURSE OR TRAIN FOR THE WORST ENVIRONMENT POSSIBLE. YOU SHOULD NOT COME TO THE EFMB IF YOU CAN NOT COMPLETE A 12 MILE ROAD MARCH IN 2 HOURS AND 50 MINUTES ON A FLAT ROAD COURSE WITH THE PROPER EQUIPMENT AND WEIGHT. YOU CAN PRETTY MUCH BET YOU WILL NOT BE COMPLETING THE FOOT MARCH UNDER IDEAL CONDITIONS. COME IN SHAPE! YOU DONT WANT TO BE THE PERSON THAT COMPLETES THE ENTIRE TWO WEEKS OF TRAINING AND TESTING WITHOUT THE BADGE ALL DUE TO THE FACT THAT YOU DID NOT PROPERLY PREPARE YOURSELF FOR THE FOOTMARCH. TALK TO EXPERIENCED NCO'S AND OFFICERS THAT HAVE RECENTLY TESTED FOR THE BADGE BECAUSE UNFORTUNATELY EXPERTS THREE YEARS AGO WILL MOST LIKELY NOT BE EXPERTS TODAY. I SAY THIS BECAUSE OF THE NEW CHANGES TO THE STANDARDS IN DA PAM 40-20 FROM TC 8-100. PRACTICE PREPARING AND SENDING THE FIRST FIVE LINES OF A NINE-LINE MEDEVAC REQUEST USING PROPER RADIO PROWORDS AND PROCEDURES IN UNDER 25 SECONDS. DONT BLOW THIS ONE OFF, OR YOU WILL BE THE ONE THAT IS TESTING FOR IT AGAIN NEXT EFMB. KNOW EVERY TECHNIQUE YOU CAN LEARN ABOUT LAND NAVIGATION AND USE THE ONE THAT IS RIGHT FOR YOU AND THE ENVIRONMENT YOU ARE TESTING IN. PRACTICE CPR UNTIL YOU CAN DO IT IN YOUR SLEEP. DO NOT UNDER ESTIMATE EMT, ESPECIALLY IF YOU DO NOT HAVE A CLINICAL BACKGROUND. IN MY OPINION, THE BADGE IS ABOUT 65% TRAINING, AND ABOUT 35% LUCK. FINALLY, STAY CALM AND FOCUSED AND MAYBE LUCK WILL PLAY ON YOUR SIDE.
SSG Curt Pangracs  4
12-07-2001 01:13 PM ET (US)
Edited by author 12-07-2001 01:16 PM
I disagree with Mark Mullis. The EFMB has changed drastically since I earned mine as a Private (E-2) in 1984. Back then, there was no "training week". I was handed an EFMB study guide, packed-up my gear, and went. We did the APFT the first day, then tested for the rest of the week with the written test on that Wednesday. People who failed the maximum number of tasks went home, everyone else didn't find out if they passed the written portion until they crossed the finish lin of the 12-miler. Talk about pride in earning something! I was fresh out of AIT, and I tested on things I'd never even seen before (i.e., map symbols, setting-up a bivouac site on a sand table, landing a helicopter). Also, God forbid if you didn't have AT LEAST 40 pounds in your ruck sack!

There are very good reasons why I earned the badge as a fresh private with little experience.
 - First and foremost, because I had little experience, I didn't have time to develop "shortcuts" or the "real way" of doing things. This made following the steps in the study guide very easy, and I didn't have to "unlearn" everything.
 - Second, because there was no train-up week, the test proctors could NOT inject their own preferences, quirks, etc., into the training or testing. They had to follow the steps in the study guide EXACTLY. No "wiggle" room, no "optional" standards.
 - Third, even though I only had a vague idea of what the EFMB was when I went, I WANTED IT! If a soldier doesn't want it, they will not get it.

Here is my take on the current state of the EFMB. I feel I can comment on this, as I have participated in numerous EFMB's as an instructor:
1. Instituting a "mandatory" training week prior to the testing is a sham of a mockery of a sham! It totally subverts the spirit and intention of the badge, and opens the tasks up to "interpretation" by the proctors. In my opinion, the old way of "just come and test" should be reinstated. This would get rid of the slugs who are just there because they were ordered to, save money, and ensure the people who test are genuinely interested in earning the badge.
2. The EFMB has become a political forum for commanders and senior NCO's to show off. The number of VIP's who visit an EFMB site is incredible. I've seen more than 6 "photo ops" conducted by unit/battalion/brigade commanders during the testing portion, totally intruding on the actual conduct of testing! Sickening. Also, the FACT that many commanders and senior NCO's DO NOT have the EFMB, yet have the audacity to stand before a platoon or company of medics that they MUST attend EFMB, then kick back in their offices. Again, sickening.
3. The EFMB has been feminized to the point of an "EFMB Challenge" being created. What is this about?! Trying to find the "Best of the Best"? I have yet to see a female even compete in that! Why? Because it is more like the original EFMB than the bastardized version we have now. Someone figured we didn't have enough female EFMB recipients, 40 pounds was too much to carry, people were failing because it was too tough.

I could continue on with any number of opinions on this subject, knowing it will do no good.

In conclusion, let's do away with training week, develop stringent, coherent performance steps, and test. We would all save time, money, and be able to concentrate on the 91W fiasco (that's a whole other can of crapola).
Mark Mullis  3
10-07-2001 09:41 AM ET (US)
Soldiers fail the EFMB because they don't recieve training at the Unit. The key to earning the EFMB is training for it. Motivation is important but when a soldier is trained and has confidence in the tasks he has been trained in he will do well. Commanders send soldiers out to night land nav and the soldier has never even been on a land navigation course before! "Do we really think the soldier will pass the course" Training is the key!!!

SFC Mullis EFMB Test Control Officer
Jonathan Ruwe  2
10-03-2001 04:46 PM ET (US)
Motivation is the single most important factor in earning this badge. Soldiers who are forced to attend testing NEVER come out with the badge. A strong statement, but true non-the-less. Soldiers should be forced to attend training and then must be counseled in writting when they decide to skip the testing but not forced to test.
It seems the average pass rate in Europe for the past two years is much less than that of CONUS, just under 10%.
I think it reflects the high optempo in Europe and perhaps the emphasis that medical training is getting in comparison to gunnery/CMTC/and KFOR-SFOR rotations.

The key to success then...soldiers with the badge need to be assigned to live in the field next to the soldiers going out for the badge-lead by example at the squad level. There is no other way around passing this difficult test of will and ability.
CPT Jon Ruwe
James P. Often  1
07-05-2001 03:26 PM ET (US)
Edited by author 07-05-2001 03:30 PM
The EFMB is intended to recognize soldier medics who attain a high degree of professional skill and proficiency as a field medic. It rewards those who can expertly perform in a simulated combat environment, both soldier common tasks and medical tasks.


FY 00 EFMB Test Pass Rates
Overall EFMB Test Pass Rate- 18%

Written Test -66%
Day Land Navigation - 83%
Night Land Navigation - 63%
Communications - 78%
Survival - 94%
Emergency Medical Treatment -81 %
Evacuation - 89%
Litter Obstacle Course -97 %
CPR -85%
12 Mile Road March - 91%

FY 99 EFMB Overall Test Pass Rate - 21%

FY 98 EFMB Overall Test Pass Rate - 21%

18% of those who attempted to earn the EFMB were successful in FY 00. What can we learn from these individuals that can help the other 82% succeed on their next attempt.

Post your lessons learned at the EFMB.
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