 U.S. Army Medical Activity Japan recently hosted bilateral TC-3 or Tactical Combat Casualty Care Training. Participants included Japan Ground Self Defense Force members, airmen from the U.S. Air Force's 374th Communication Squadron, and soldiers from the Veterinary Readiness Activity in the 38th Air Defense Artillery Brigade. Our primary purpose was building teamwork and interoperability, as well as kind of cross-training and getting the chance to experience each other's CLS programs and how our medical teams work to kind of assist in like future operations. The training began with a series of creative team-building exercises. Members were placed into small groups and were tasked to create buildings with Legos to figure out how to match English and Japanese medical phrases printed on cards and to follow a team leader's instructions to complete a tank commander exercise. I was definitely able to communicate. My Japanese is terrible, but luckily their English skills were able to fill that gap, and we were able to make the dream work. The TC-3 training was comprised of three distinct phases, including care under fire, tactical field care, and tactical casualty evacuation care. Participants also completed mission-specific training, including C. Bernie patient care. They also worked in a variety of positions on casualty teams to understand each individual team member's role under numerous T-3C scenarios. This experience was amazing. As I say, as multiple branches and different forces arrived from different countries, we all came together to make this training or to attend to this training, and it was a great experience to be able to get knowledge from different aspects, from different people in different backgrounds. That was great. On the last day of the field exercise, participants performed the skills and techniques they had learned over four days of instruction. Casualty care and the entire process from assessing a casualty to evacuating them to a care facility. I was unaware of all the little pieces that went into getting that process completed, so I definitely opened up my eyes on how hard working in the medical field can be and how stressful it can be. This was the first time the bilateral medical training was held in recent years. For everyone that participated to include the Cadre support, we really wanted to test how well these two forces were able to work together. We had Army, Air Force, Japanese Ground Self Defense Force. Everyone comes from different backgrounds. We wanted to see if it really came down to it, how well would they be able to form teams in a short amount of time and bridge their gaps in their training and their knowledge, as well as the language barrier. So teamwork was a very big focus on what we did and then any medical experience they got and our training was just a huge bonus. For U.S. Army Garrison Japan, this is Tim Flack.