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CALL Newsletter 04-13
Operation Iraqi Freedom (OIF)
CAAT II Initial Impressions Report (IIR)

Operation Iraqi Freedom (OIF)
CAAT II Initial Impressions Report (IIR)

Chapter 4: Combat Service Support
Topic F: Health Service Support

Subtopic 15: Force XXI Changes at the DMOC and the DSS

Observation Synopsis

Under AOE doctrine, there is a division medical operations center (DMOC) that falls under the division support command (DISCOM) commander and coordinates all medical operations in the division. Under Force XXI doctrine, the DMOC is rolled up under the division surgeon's section (DSS). In garrison, the DSS works in the division headquarters and reports to the commanding general. Doctrinally, in the field the DSS is supposed to be a part of the division support element (DSE) which is run by the assistant division commander-support (ADC-S) and DISCOM CDR. Once established, the DSS relocates with DMAIN, cutting all lines with the DISCOM. The DISCOM CDR is the senior CSS officer in the division and manages all CSS assets in the division. By having the DSS/DMOC at DMAIN, the DISCOM CDR loses all visibility of combat health support (CHS). By divorcing themselves from the DISCOM, the DSS/DMOC has lost the ability to have a colonel/O6 commanding.

Lessons Learned

  • Doctrinally, in the field the DSS is supposed to be a part of the DSE which is run by the ADC-S and DISCOM CDR.
  • By having the DSS/DMOC at DMAIN, the DISCOM CDR loses all visibility of CHS.

DOTMLPF Implications

Organization: The DMOC should be stood back up. The other option is that DISCOM is authorized an O4 medical planner, but it has traditionally been filled with a post-AOC/pre-command captain (if it is filled at all). If it was filled properly, this individual could operate as a pseudo-DMOC, coordinate with the DSS, and properly advise the DISCOM CDR.

Table of Supporting Observations


Observation Title CALLCOMS
File Number
Force XXI changes at DMOC and the DSS 10000-83790

Table of Contents
Chapter 4-Topic F-Subtopic 14: Communications in the Medical Community
Chapter 4-Topic F-Subtopic 16: Class VIII Management




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