Medical Helicopters The Air Force and DoD have identified the need for well trained, highly qualified, versatile flight surgeons. The Operational Graduate Medicine Education (OGME) program is the training platform created to meet this need. Whether you are a HPSP student or a GMO (General Medical Officer) physician or GMO flight surgeon, please strongly consider vectoring into the operational medicine pathway. Please use the following link to learn more about the unique aspects of operational medicine: 


Our current programs include Operational Family Medicine (OFM), Operational Internal Medicine (OIM), Operational Emergency Medicine (OEM), the FM-RAM ("FAM RAM") and Operational Pediatrics (OPeds). The OFM/OIM/OEM/OPeds programs consist of residencies in that specialty--either through a military or civilian training program--integrated with concurrent Operational Medicine training and education. Residency training is followed by an operational assignment in Flight Medicine.
The FAM-RAM (an option for flight surgeons with at least two years of operational experience) consists of a three year family medicine residency at Wright State University (WSU) concurrent with a Masters of Public Health (MPH) also at WSU. This is followed by one year of clinical/operational rotations across the Air Force and internationally to complete the Residency of Aerospace Medicine (RAM). In just four years, graduates of the FAM-RAM can become double board certified in Family Medicine and Aerospace or Preventive Medicine while earning an MPH degree.Flying on Medical Helicopter
Graduates of OEM are vectored towards assignments in Air Force Special Operations and Combat Search and Rescue units. They are also eligible for Critical Care Aeromedical Transport Team missions (CCATT). Graduates of OIM and OFM are quite versatile and could be stationed in any flight medicine clinic across the globe. FM-RAM graduates usually become SGPs (Chiefs of Aerospace Medicine) or, if eligible and eager, commanders at their respective bases.
Concurrent Operational Medicine training during one's residency consists of completing the AMP (Aerospace Medicine Primary) courses and thus earning your aeronautical rating as a flight surgeon. Once that is accomplished, operational medicine opportunities during residency consist of advanced training in accident mishap investigation, global, tropical and occupational medicine courses, aeromedical evacuation training and many more amazing and exciting courses. It also consists of a longitudinal online curriculum, known as OGME Online, to highlight operational medicine topics as well as military medicine specific topics and a few military unique topics. This provides an avenue for subject matter experts to directly interact with the operational medicine residents scattered across the country in various residency training programs.
After completing one tour in flight medicine, OGME graduates can choose to remain in flight medicine or transfer to their respective specialty fields (i.e. family medicine, internal medicine, emergency medicine, or pediatrics) for their next assignment.
For more information on these programs, simply contact our team at: USAFSAM.op.med@us.af.mil. We look forward to hearing from you!

Operational Courses

Please utilize the Operational Course Handbook for general information about many of the operational courses available. This can be requested via email: usafsam.op.med@us.af.mil. The handbook can also be accessed from our Blackboard page (for current OGME residents only).
Duty at Manas Air Base
OGME staff will assist with registering you for an upcoming course at USAFSAM only (not courses held at other venues). Please contact us as early as possible to register and refer to the Registration Algorithm for a step by step explanation of this process.

For those attending AMP 201: DO NOT MAKE TRAVEL ARRANGEMENTS PRIOR TO 1900 on your final day of class.

For those attending AMP 202: You will need your service dress for the graduation ceremony held at 1300 on your final day.

Individualized Operational Plan (IOP)

The Individualized Operational Plan (IOP) is utilized to communicate upcoming operational courses with the resident and his/her program. The highlighted sections are expected to be completed by residency graduation. This ensures our graduates are able to fully function as flight surgeons upon appointment (PCS) to their first aerospace medicine assignment.

The bare minimum expected prior to graduation includes: completion of Aerospace Medicine Primary (AMP), Flight Surgeon Qualification Test (FSQT)--current, maintenance of Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS). If time permits, a Flight Medicine Operational Clinic (FOMC) or SGP/Chief of Aerospace Medicine rotation (block or longitudinal), initial or refresher survival/conduct after capture training, and initial or refresher water survival training is recommended.

Any and all barriers to completion of the bare minimum should be reported and discussed with OGME staff immediately upon detection.

The IOP is updated prior to the creation of the next academic year’s block schedule (March/April), then once again in the fall each year.

It is the resident’s responsibility to ensure their academic schedule is blocked for the upcoming Operational Courses outlined on their IOP.

OGME Match

Interviews begin yearly in June and conclude the first week of October. You will need to interview with OGME staff AND up to several program directors within your specialty. Please refer to the residency specific interview guide for further details. These can be requested via email at: usafsam.op.med@us.af.mil.

Important events and deadlines are listed on the AF Match Timeline. Please note that the Military match occurs MONTHS before the civilian match. **Due to COVID-19, please expect alterations to the AY 2020 timeline which will be posted when available.**

To request an interview with OGME staff, email our team at usafsam.op.med@us.af.mil. We typically offer 1-2 days per month for interviews. The requested documents (DoD application, CV, IOP, and Operational Residency Training Form) are requested at least a week before your interview date.

All OGME applicants must complete the Operational Residency Training Form. This outlines your choice of training platforms/sites.


  Col Paul T. DeFlorio is the Program Director for Operational Graduate Medical Education     Lt Col Katie M. Crowder is the Assistant Program Director for Operational Graduate Medical Education
  Col. Paul DeFlorio
Program Director
  Lt. Col. Katie Crowder
Assistant Program Director
  Lt Col Katie M. Crowder is the Assistant Program Director for Operational Graduate Medical Education
Amanda Lee
Program Coordinator

The OGME staff are stationed at the USAF School of Aerospace Medicine (USAFSAM) and function to recruit, on-board, advise, train, and mentor operational medicine residents. Our niche in the Air Force Graduate Medical Education realm is top tier residency education entwined with operational medicine experiences and training. Our vision is “excellently trained expeditionary physicians expedited to the field.”

Contact Us

You can contact us via email at: 



All OGME residents are strongly encouraged to participate in operationally relevant research during their training. OGME residents have partnered with several affiliated institutions such as:


Answers to the most common questions can be found in our Frequently Asked Questions (FAQ) document.

OGME Online

Our OGME online curriculum augments one’s residency training with operationally relevant topics. 

Presentations by subject matter experts in the field are posted online for review monthly.

Featured topics include:  BOMC (Base and Operational Medicine Clinic), Deployment Medicine/Waivers, SGP Pitfalls, EFMP, PRaP, DAWGs, and pertinent Air Force Instructions related to Aerospace Medicine.
Hero's Highway at Night