The MMART is a composite of separate teams manned by medical and dental specialists, the nucleus is the surgical team. When combined, a number of distinct specialty teams comprise a single MMART. A full composite MMART consists of one of each of the following component specialty teams:
A MMART may be deployed as a full composite team. However, in most situations an individual specialty team or a combination of specialty teams is all that is required. The personnel and material organization of the MMART may be modified at COMNAVMEDCOM direction to meet the specific operational or disaster mission. MMARTs are generally deployed as intact units to an operational commander. These teams may be augmented or decremented as necessary, but are deployed to a single unit. The exception to this situation is in medical regulating teams; which are fragmented to various ships to set up a regulating NET.
UNIT AUGMENTATION SYSTEM
Unit augmentation is an ADP-supported system that assists in providing medical personnel to support the operating forces during contingency situations requiring medical personnel augmentation. Inherent in this system is the ability to monitor wartime manning readiness stature and determine the impact of future personnel requirements. This system also allows for the planning of training for Medical Department personnel. Necessary corollaries include establishment of training requirements, development of a readiness reporting system, and integration with the time-phased force deployment data system.
Discussion
Through unit augmentation the requirements of the supported operational commanders are combined with the active duty resources of the augmentation sourcing commands. The supported commands are functional units, typically manned only at a cadre level during peacetime and require manpower augmentation in order to fulfill their missions during contingency situations. Currently the supported commands include the FMF, LHA/LPHs, RDMFs, and overseas medical treatment facilities. Future requirements such as hospital ships and fleet hospitals will be added to the system when they come on line. The augmentation sourcing commands are the CONUS-based medical and dental treatment facilities, which will provide and train the augmenters. Specific unit configurations will not be discussed here, but briefly one unit consists of two GEOCOMS as an augmentation supporting unit, and one-third of the FMF/CRTS/RDMF/OCONUS requirements (i.e., one MAF, including the LHA/LPH hulls committed and the OCONUS medical treatment facilities in the area of operations).
The unit augmentation system is divided into two sections: the enlisted system, which is executed by EPMAC (Code 90) and the officer system, which is managed by the COMNAVMEDCOM. Both systems are based on similar types of data manipulations, but use different types of ADP support.
In general, both systems calculate augmentation requirements (to M + 1, T/O, or SMP, as applicable) in the following manner. For each NOBC/NEC, the current on board (COB) of the supported UIC is subtracted from the M + 1 requirements of that UIC. This provides the augmentation requirement by NOBC/NEC. Current manpower authorization levels are not a factor in defining unit augmentation requirements.
Assets are reviewed for the supporting UICS. The COB by NOBC/NEC of the supporting UIC is then matched with the augmentation requirements.
The scope of the unit augmentation system is based on a ‘worst case’ scenario involving total augmentation to satisfy the early support