The document discusses the Telemedicine & Advanced Technology Research Center (TATRC) and its Medical Simulation and Training Technology Research Portfolio. TATRC is an agency of the US Army that serves all of DOD. It oversees projects related to medical simulation and training through its Armed Forces Simulation Institute for Medicine (AFSIM) and the Joint Program Committee 1a on Medical Simulation and Training Technology (JPC1a). JPC1a oversees several initiatives including the Combat Casualty Training Initiative to improve pre-hospital trauma training through advanced simulation technologies.