FACTSHEET | May 31, 2019

Medical Readiness Training Exercises

United States military personnel from Joint Task Force-Bravo at Soto Cano Air Base, Honduras, have been conducting Medical Readiness Training Exercises (MEDRETE) since Oct. 1993. Since that time, they have executed more than 300 missions and treated more than 340,000 medical patients and 70,000 dental patients. 

These exercises, commonly called MEDRETEs, support thousands of people throughout Central America and the Caribbean. MEDRETEs also support humanitarian and civic assistance operations to enhance U.S. and Central American relations, and support and conduct medical training with host nation military forces as well as government and civilian organizations.

There are several mission objectives to MEDRETES, including maintaining U.S. military personnel’s readiness by training in delivery of medical care in austere conditions, promoting diplomatic relations between the U.S. and host nations in Central America, and providing humanitarian and civic assistance via a long-term proactive program.

These exercises bring together key members of the U.S. and foreign militaries, U.S. Embassy Country Teams, Non-Governmental Organizations, Host Nation government agencies and local civilian organizations. 

To conduct MEDRETEs, personnel from active, guard, and reserve components of the U.S. military work side-by-side with their foreign counterparts, including host nation Ministry of Health representatives, Ministry of Defense, Ministry of Education, non-governmental organizations, volunteer translators and a variety of community members.

In addition to MEDRETEs, Joint Task Force-Bravo's Medical Element conducts numerous outreach programs to build relationships within the host nation medical community, build partner capacity and maintain the skills of its medical providers. These efforts include surgical skills training for the Forward Surgical Section (FSS) in Honduran hospitals, as well as subject matter expert exchanges in Ministry of Health facilities, in medical disciplines such as Physical Therapy and Community Health, allowing MEDEL medical providers to teach as well as learn from their counterparts.

Frequently Asked Questions

What are the most common cases seen during a general MEDRETE?
Primary medical care, which includes respiratory, gastrointestinal, dermatological issues and tropical diseases; dental care with acute infections and extractions; as well as preventive medicine education, health assessments and de-worming.

Are MEDRETEs conducted only in Honduras or are they also done in other countries in Central America?
JTF-Bravo routinely conducts MEDRETES in all Central American countries at the request of their governments.

Does the Ministry of Health or any other host nation authority support the MEDRETE?
Yes, the Ministry of Health provides physicians, nurses, licensed practitioner nurses, technicians, health promoters, space at their clinics and hospitals to evaluate and treat patients, ward admission capabilities, equipment sterilization support and follow-up care.

What type of support does JTF-Bravo receive from the villages where the MEDRETEs are held?
The villages provide space at the schools, churches or community centers to see patients, and community leaders help with promoting the mission. 

What is the most valuable part of these medical exercises?
The most valuable part of a MEDRETE for deployed units is that it gives them real world training to enhance their readiness abilities, as well as helps them gain medical and surgical skills by working under austere conditions in remote areas. For the host nation, MEDRETEs provide health education, disease prevention, medical services, as well as personal and professional exchanges.

What are the most common cases seen during specialty MEDRETEs?

Ophtalmology - Cataract, strabismus, reconstructive orbital and lid surgery. 

Urology - Urethra stricture reconstruction, urinary tract stones, tumors, pediatric congenital urinary tract malformations, trauma, female incontinence.

Otolaryngology - Tympanic membrane reconstruction, mastoidectomies to control chronic middle and inner ear infections, hearing aids, trauma surgery.

Pediatric Orthopedics - Correcting hip dysphasia, chronic bone infections (osteomyelitis), acute trauma, clubfoot, congenital malformations.

Hand Surgery - Acute and old hand injuries including nerve, tendon and bone reconstruction, occupational therapy and congenital hand malformations.

Dental - Crowns, spacers, pediatric dentistry and sealants.

Pediatric Nutrition - Nutritional assessments, pediatric care in respiratory, gastrointestinal, dermatological and tropical diseases.

General Surgery - Acute trauma, surgical emergencies, gallbladder disease, hernias, gastric tumors, thyroid diseases, tonsillectomies and general surgery cases.