scope:

AME Scope.

The AME is comprised of personnel (Team Aerospace (TA)) and activities that include, but are not limited to: Aeromedical Evacuation (AE), Aerospace & Operational Physiology (AOP), En Route Patient Staging, Bioenvironmental Engineering (BE), Flight and Operational Medicine (FOM), Occupational Medicine (OM), Optometry, Public Health (PH), Personnel Reliability Program (PRP), and Health Promotion as well as education, research and development activities related to these programs. TA personnel work collaboratively for the success of the seven Aerospace Medicine programs. Medical treatment facilities' (MTF) AMEs are represented to the Air Force Medical Service (AFMS) corporate structure for the purposes of planning and programming by the Aerospace Operations (AO) panel.

The AME is implemented at locations wherever there is an AF mission. Locations include Regular Air Force (RegAF), Air National Guard (ANG), and Air Force Reserve (AFR) installations, Geographically Separated Units (GSU), sites with a Limited Scope Medical Treatment Facility (LSMTF), sites with a medical aid station (MAS), sites with a Medical Squadron, sites with no assigned medical personnel, and deployed locations.

Sites with a MTF will implement the appropriate scope of the AME with assigned personnel as the base operational mission demands. Defining the scope of the AME and missions covered will be the responsibility of the base Chief of Aerospace Medicine (SGP), Squadron and Medical Group (MDG) commanders in consultation with the base line command and Major Command (MAJCOM)/SGP.

GSUs, sites with a Medical Squadron, LSMTF, MAS, or no assigned medical personnel will implement the AME with the assistance of a supporting MTF designated by the unit's owning MAJCOM/SG. The overall responsibility for the execution of the AME at supported sites will reside with the supporting MTF Commander (MTF/CC). If the nearest MTF is from another MAJCOM, the supported site will arrange through Memorandum of Understanding (MOU) or Support Agreement (SA) with that MTF after consultation with the supporting and supported MAJCOM/SGPs for the appropriate support.

Deployed sites will implement all Aerospace Medicine programs tailored to support the operational mission. As these sites mature, phasing in of more robust AME is indicated as directed by the Combatant Command (COCOM) or Air Force Forces (AFFOR)/Surgeon General (SG) or SGP. The timeline for phasing in will be developed by the local SGP after coordination with the appropriate COCOM, AFFOR or MAJCOM/SG or SGP.

ANG or AFRC medical units will implement the AME either utilizing organic capabilities or they will ensure the quality of the AME through an actively enforced hosttenant support agreement (HTSA). The overall responsibility for ensuring the execution of the AME will reside with the ANG or AFRC medical unit, even though AME services may be provided through HTSA or contract.

AD units will be responsible for services and program support agreed to in a HTSA.

AF units in a supported relationship on a joint base will implement the appropriate scope of the AME through organic capabilities or they will ensure the quality of the AME through agreement with the host base.