68

To Conserve Fighting Strength

The Army's healthcare force. From combat medics treating casualties under fire to surgical techs, nurses, and laboratory specialists — 68-Series soldiers keep the force alive and fighting on every front.

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Career Field at a Glance

16-52 Week AIT — 20+ MOS — 1 Mission: Save Lives

The 68-Series is the Army's largest career field. From the iconic Combat Medic to operating room specialists, practical nurses, and senior medical NCOs, AMEDD enlisted soldiers deliver healthcare across the full spectrum of military operations.

MOS Specialties
68W
Combat Medic
AIT16 Weeks
LocationSam Houston, TX
Full MOS Page →

The healers of the battlefield. Combat Medics provide emergency treatment, trauma care, and primary healthcare to Soldiers.

68C
Practical Nursing
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Advanced patient care and support in all medical environments. Nursing Specialists administer medications and perform clinical procedures.

68D
OR Specialist
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Specialists assist in complex surgical procedures, ensuring the sterile field is maintained and preparing surgical instruments.

68E
Dental Specialist
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Specialists assist in dental procedures and maintain the dental health of the force.

68K
Lab Specialist
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Specialists perform advanced laboratory tests to identify diseases and monitor the health of the force.

68R
Veterinary Specialist
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The food safety and animal care experts. Specialists inspect food supplies and assist in the treatment of military animals.

68Z
Senior Sergeant
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Top-tier leadership in Army Medicine. Senior NCOs responsible for large medical formations.

Career Progression
E1-E4
Junior Enlisted
Timeline0-4 Years
PositionsMedic, Tech, Aide
SchoolsAirborne, Flight Medic
Pay$24K-$36K/yr
BonusUp to $40K (initial)

Junior enlisted medical soldiers begin their career providing direct patient care or clinical support under supervision. 68Ws deploy with line units as platoon medics, while other specialties work in clinics, labs, and hospitals. Promotion to SPC/E-4 typically occurs within 2-3 years and brings increased clinical autonomy.

This is the time to earn additional certifications, pursue advanced medical schools, and build the clinical foundation for NCO leadership. Medical MOS soldiers have access to some of the Army's best continuing education opportunities.

  • PVT (E-1) to PV2 (E-2): 6 months — Basic clinical duties, supervised patient care
  • PFC (E-3): 12 months TIS — Proficient technician, independent clinical tasks
  • SPC (E-4): 24 months TIS — Experienced medic/tech, mentor to new arrivals
  • Pursue advanced certifications (Paramedic, ACLS, PHTLS)
  • Volunteer for Airborne, Flight Medic, or special duty assignments
  • Maintain and upgrade clinical certifications for promotion competitiveness
E5-E6
Noncommissioned Officer
Timeline4-10 Years
PositionsSenior Medic, Clinic NCOIC
SchoolsBLC, ALC, EFMB
Pay$36K-$52K/yr
KeyNCOER + Certifications

Medical NCOs lead clinical teams and manage patient care operations. Sergeants (E-5) serve as senior medics, shift leaders, or clinic supervisors, while Staff Sergeants (E-6) manage sections and mentor junior medical soldiers. This is where medical leaders are forged — balancing clinical excellence with soldier development.

Completion of BLC is required for E-5, and ALC for E-6. The Expert Field Medical Badge (EFMB) is the premier recognition for medical NCOs and significantly improves promotion potential.

  • SGT (E-5): Senior Medic / Shift Leader — oversees clinical operations and junior soldiers
  • SSG (E-6): Section NCOIC — manages clinic sections, training, and medical readiness
  • BLC required for SGT promotion, ALC for SSG
  • Expert Field Medical Badge (EFMB) is the gold standard for medical NCOs
  • Pursue Flight Medic, SOCM, or Critical Care certification
  • Strong NCOER evaluations and maintained certifications drive competitive promotion
E7-E9
Senior Noncommissioned Officer
Timeline10-30 Years
PositionsClinic NCOIC, 1SG, CSM
SchoolsSLC, USASMA
Pay$52K-$90K+/yr
SelectionBoard-selected

Senior medical NCOs represent the most experienced clinical and administrative leaders in Army Medicine. Sergeants First Class (E-7) serve as clinic NCOICs and medical platoon sergeants, Master Sergeants/First Sergeants (E-8) lead at company and hospital section level, and Sergeants Major/Command Sergeants Major (E-9) serve at battalion, brigade, and medical center level.

These positions are board-selected and require a proven record of clinical leadership, advanced school completion, and top-block evaluations across both garrison and deployed medical operations.

  • SFC (E-7): Medical Platoon Sergeant / Clinic NCOIC — senior clinical NCO
  • MSG/1SG (E-8): Operations NCOIC or First Sergeant — company/hospital section leader
  • SGM/CSM (E-9): Command Sergeant Major — BN/BDE/Medical Center senior enlisted advisor
  • Senior Leader Course (SLC) required for E-7 promotion
  • Sergeants Major Academy for E-9 selection
  • Instructor and drill sergeant duty build competitive records
IPAP
Physician Assistant Program
PathIPAP / OCS / Green-to-Gold
Duration29 Months (IPAP)
LocationFort Sam Houston, TX
ResultPA-C / Officer Commission
DegreeMaster's in PA Studies

The Interservice Physician Assistant Program (IPAP) is the premier commissioning pathway for enlisted medical soldiers. IPAP is a 29-month program at Fort Sam Houston that produces Physician Assistants with a master's degree and officer commission. Applicants must be active-duty enlisted with strong clinical experience and prerequisite coursework.

IPAP graduates serve as PA-Cs across the military healthcare system, providing primary care, emergency medicine, and surgical support. Former enlisted medics who complete IPAP bring invaluable clinical experience that sets them apart from their peers.

  • IPAP: 29-month program at Fort Sam Houston — master's degree + PA-C certification
  • OCS: 12-16 weeks at Fort Moore — rapid commissioning for degree holders
  • Green-to-Gold: 2-4 year college program with ROTC scholarship
  • AMEDD direct commission opportunities for qualified clinical professionals
  • Prior enlisted medical experience is a massive advantage in clinical leadership
  • Career progression: PA → Senior PA → Clinic Director → DCCS → Hospital leadership
Major Duty Stations

Where Medical Soldiers Serve

Installation Location Facility / Unit Type
Fort Sam HoustonTXMETC / Brooke AMC / BAMCTRADOC / MTF
Fort LibertyNCWomack AMC / 82nd AirborneFORSCOM
Fort CampbellKY/TNBlanchfield ACH / 101st AirborneFORSCOM
Fort CarsonCOEvans ACH / 4th Infantry DivisionFORSCOM
JBLM (Madigan AMC)WAMadigan Army Medical CenterMedical Center
Walter Reed NMMCMDWalter Reed National Military Medical CenterMedical Center
Tripler AMCHITripler Army Medical CenterPacific
Landstuhl RMCGermanyLandstuhl Regional Medical CenterOCONUS

Medical soldiers serve at every Army installation worldwide. 68-Series MOS holders are assigned to line units, military treatment facilities, combat support hospitals, and medical centers across CONUS and OCONUS.

~50,000 Active-Duty Medical Soldiers

The Army's largest career field. From forward aid stations on the battlefield to world-class military hospitals, medical soldiers are always there when it matters most.

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Common Questions
Career
Want to Be a Combat Medic?

68W is the most widely assigned MOS in the Army. 16 weeks at Fort Sam Houston earns you EMT-B certification and the skills to save lives under fire. Every unit needs a medic — you'll never lack for purpose.

Certification
Need EMT Certification?

68W AIT includes NREMT-B certification as part of the course. You'll graduate with a nationally recognized EMT credential that translates directly to civilian emergency medical services.

Advanced
Interested in Flight Medic?

Flight Medic qualification opens the door to aeromedical evacuation on Black Hawks and Chinooks. It requires paramedic certification and critical care training — the pinnacle of tactical medicine.

Training
How Long is 68C AIT?

68C Practical Nursing AIT is 52 weeks — the longest in the 68-Series. You'll graduate as a Licensed Practical Nurse with LPN credentials and extensive clinical rotation experience.

SOF
SOCM vs Regular Medic?

Special Operations Combat Medic (SOCM) training at Fort Liberty produces tactical medicine experts for SOF units. It's significantly harder than standard 68W AIT and requires SOF selection first.

Transition
Civilian Healthcare Career?

The 68-Series offers the strongest civilian career translation in the Army. Medics become paramedics, nurses, PAs, and healthcare administrators. Your military certifications transfer directly.

MOS Overview
16-52 Wk AIT Duration
20+ MOS 68-Series Specialties
~85% AIT Grad Rate
~50K Active Duty
Up to $40K Enlistment Bonus
Ft Sam Houston METC Location
Retention Rates

Medical Reenlistment by Year

FY19 52% First-Term Reenlistment
FY20 55% First-Term Reenlistment
FY21 58% First-Term Reenlistment
FY22 56% First-Term Reenlistment
FY23 54% First-Term Reenlistment
Training Data

AIT Washout & Qualification Data

Common AIT Drop Reasons

  • Academic failure~8%
  • Clinical failure~3%
  • Physical fitness failure~2%
  • Voluntary / administrative~2%

Key Context

  • Overall AIT graduation rate is ~85%
  • Academic standards are the primary challenge
  • Clinical rotations require passing practical exams
  • Longer AIT courses (68C) have higher drop rates
Key Takeaway

The 68-Series is the Army's largest and most diverse career field, offering nationally recognized healthcare certifications, strong civilian career translation, and the honor of keeping soldiers alive. Whether you want to treat casualties under fire as a Combat Medic or pursue a PA degree through IPAP, Army Medicine has a path for you.

The AMEDD Motto

"To Conserve Fighting Strength"

The motto of the Army Medical Department —
a commitment to every soldier's life,
on every battlefield,
in every hospital and aid station,
wherever the Army goes.
The medic's sacred duty:
preserve the force, save the fallen,
and never leave a soldier behind.

To Conserve Fighting Strength

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