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The purpose of this study was to assess the readiness of combat medics in performing core life-saving skills, to examine an alternative method for Advance Individual Training (AIT) of combat medic students, and to determine the effect a self-directed multimedia sustainment training package has on combat medic readiness. Retrospective element of the design measured the proficiency of 284 combat medics with 14 years of experience at four installations. The prospective element the design measured the proficiency of 127 newly graduated combat medics from the 91B10 course, comparing graduates receiving traditional course with graduates receiving the experimental course. After a baseline measurement of skill performance and cognitive knowledge was taken, an experimental sustainment training package was initiated at one installation to compare performance of medics using an experiment sustainment package with the usual sustainment training at the remaining three installations. Subsequent measures were taken to determine if skill proficiency degraded, remained the same, or improved. Conclusions: (1) experimental course significantly improved combat medic readiness, (2) experimental course graduates gained equivalent of one year's proficiency over the experienced medics, (3) experimental sustainment training package improved combat medic readiness.