MCO 6400.1A — Training, Certification, Supervision, And Employment Of Independent Duty...

MCO 6400.1A governs DON policy for training, certifying, employing, and supervising independent duty corpsmen in specified NEC codes.

Search MCO 6400.1A

  • Publication number: MCO 6400.1A
  • Title: TRAINING, CERTIFICATION, SUPERVISION, AND EMPLOYMENT OF INDEPENDENT DUTY...
  • Date: 24 Jan 2019
  • Proponent: 06000 Medicine & Dentistry
  • Status: Current

View MCO 6400.1A on armypubs.army.mil


MCO 6400.1A defines direct and indirect IDC supervision and establishes roles for program directors, program managers, and clinical supervisors. It also sets requirements for certification maintenance, continuing education, remediation, and NEC removal.

Applies to: This instruction applies to all active duty and full-time support Service members.

Topics covered

  • Independent duty corpsmen
  • IDC supervision programs
  • Clinical supervision
  • Certification maintenance
  • Continuing education units
  • NEC removal
  • REFTRA

Questions and answers

What care can independent duty corpsmen provide under indirect supervision?

The IDC NEC codes were established to identify highly motivated and specially trained hospital corpsmen to manage health programs and provide primary care under indirect supervision on shore, at sea, and on mission deployment. (paragraph 4)

What does indirect supervision mean for an IDC?

During indirect supervision, the IDC determines the diagnosis and initiates the treatment of the patient without the clinical supervisor being present, but reports back to the clinical supervisor during scheduled reviews. (paragraph 6)

Who must supervise Navy independent duty corpsmen?

All Navy IDCs must be supervised by an assigned clinical supervisor. (paragraph 6)

How many health record reviews must a clinical supervisor complete each month?

Document a minimum of five health record reviews for each IDC assigned under their care a month to assess clinical performance. (paragraph 5)

How are certification reviews handled when an IDC is deployed?

If the IDC is deployed or operational commitments prevent the quarterly review, the review may be deferred. In such instances, the required reviews must be completed within 2 months of return to home port and must include review of care provided while deployed. (paragraph 5)

Ask Reggie.Bot a question about MCO 6400.1A