Skip to content
ToolsMCRAMMSign in
HealthDeadline

TBI Training Now Required for Marine Corps Medical Personnel

MARADMIN 223/26·May 15, 2026·2 min read·Official source
Listen to this article3 min
0:00 / 2:49

HQMC has published mandatory traumatic brain injury (TBI) training requirements for all Budget Submitting Office-27 (BSO-27) health services support (HSS) personnel, meaning anyone in a Marine Corps medical role who evaluates, treats, or assists patients with TBI. Two specific courses on Joint Knowledge Online (JKO) are now required, with a 90-day window to get compliant if you haven't done them in the last three years.

Bottom line: BSO-27 HSS personnel who haven't completed the two required JKO TBI courses within the last three years have 90 days from 14 May 2026 to finish them.

Who it affects

All BSO-27 HSS personnel who render patient care services, including officers, enlisted, and DoD civilians assigned to Marine Corps medical and dental commands. If your job involves evaluating or treating TBI patients at any level, this applies to you.

This does not apply to the general Marine population, though one course is recommended for all service members (see below).

What you need to do

Two courses are required. Both are on JKO at https://jkodirect.jten.mil.

Course CodeTitleRequirement
DHA-US1117MACE, Version 2 TrainingRequired, all HSS patient care personnel
DHA-US1116Concussion Training for Medical PersonnelRequired, all HSS patient care personnel

There is also one recommended (not required) course for all service members:

Course CodeTitleRequirement
DHA-US1114Concussion Training for Service MembersRecommended, one-time

After completing the required courses:

  1. Save your completion certificates.
  2. Submit them to your command training officer.
  3. Your command training officer documents completion in the Marine Corps Training Information Management System (MCTIMS).

These courses must be repeated every three years to stay current.

Key dates

  • 90 days from 14 May 2026: Deadline for currently assigned HSS personnel who have not completed the courses or whose completion is more than three years old.
  • 90 days from check-in: Deadline for HSS personnel newly reporting to a BSO-27 command.
  • Every 3 years: Refresher required to maintain currency.

The official version

See MARADMIN 223/26 for the full text.

Referenced instructions: DoDI 6490.11, BUMED Instruction 6310.16, DHA Procedural Instruction 6490.11, and MARADMIN 294/12.

POC: HQMC Health Services, HQMC_MEDICAL@USMC.MIL, 703-697-0424.

This is written by a reservist, for reservists. It is not an official publication of HQMC or MARFORRES. Always verify guidance with your command or unit S-1 before acting on any article or summary.

Resources & references

The documents this bulletin points to, with a plain-English note on why each matters. Links marked CAC required need a government login.

  • DoD Instruction 6490.11, TBI Management in Deployed Setting (DoDI 6490.11)Reference

    This instruction establishes DoD policy for managing mild TBI and concussion in deployed environments. This MARADMIN cites it as the authority requiring standardized TBI identification, assessment, treatment, and documentation across the military health system.

  • Department of War Oversight Plan for TBI Care in the Military Health System (ASW(HA) Nov 2025)Reference

    This is the Department of War's oversight plan governing TBI care within the Military Health System. This MARADMIN cites it alongside DoDI 6490.11 as the basis for requiring standardized TBI management across the services.

  • BUMED Instruction 6310.16, Navy Medicine TBI Training Requirement (BUMEDI 6310.16)Reference

    This instruction establishes minimum TBI training requirements for Navy medicine healthcare personnel. This MARADMIN implements those same requirements for BSO-27 Marine Corps health services support personnel.

  • DHA Procedural Instruction 6490.11, mTBI Assessment in Non-Deployed Settings (DHA-PI 6490.11)Reference

    This DHA instruction designates the MACE 2 and progressive return-to-activity framework as required clinical tools for mild TBI assessment and management in non-deployed settings. It is the basis for the specific clinical tools HSS personnel must be trained on.

  • MARADMIN 294/12, Traumatic Brain Injury ProgramMARADMIN

    This is the prior Marine Corps message that established the TBI program. This MARADMIN references it as foundational background for current TBI policy and training requirements.

  • Joint Knowledge Online training portal (JKO)

    This is the online platform where HSS personnel must go to complete the two required TBI training courses (DHA-US1117 and DHA-US1116) and the recommended course (DHA-US1114). All three courses are accessed directly through this portal.

healthpolicyaccountability

Take it to drill

A one-page brief you can print or save. Built for SNCOs to brief their Marines.