From the document: "This Directive implements the following statutes for the Air Force Medical Service and its activities in medical care worldwide: Department of Defense (DoD) Instruction 1322.24, Medical Readiness Training; DoD Instruction 2310.08, Medical Program Support for Detainee Operations; DoD Instruction 6000.15, Joint Medical Executive Skills Development Program; DoD Instruction 6010.20, Admission Procedures For The Uniformed Services University of the Health Sciences (USUHS); DoD Instruction 6010.23, DoD and Department of Veteran Affairs (VA) Healthcare Resource Sharing Program; DoD Instruction 6010.7, Admission Policies for the Uniformed Services University of the Health Sciences; DoD Instruction 6015.24, Sizing of Graduate Medical Education (GME) and Program Closure Procedures; DoD Instruction 6490.3, Deployment Health. This Directive establishes Air Force Medical Service policy for appropriate utilization of people and resources and to ensure Air Force medical personnel are trained and equipped to deliver optimal care in support of the full spectrum of military operations. This Directive applies to all Air Force Medical Service personnel who deliver healthcare program and resource support in active duty medical treatment facilities, Air Force Reserve Medical Units, Air National Guard Medical Groups, Aeromedical Evacuation Squadrons, communities, and deployed locations. Refer recommended changes and questions about this publication to the Office of Primary Responsibility using the AF Form 847, Recommendation for Change of Publication; route Air Force Forms 847 from the field through appropriate functional’ s chain of command. Ensure that all records created as a result of processes prescribed in this publication are maintained in accordance with Air Force Manual 33-363, Management of Records, and disposed of in accordance with Air Force Records Information Management System, and Records Disposition Schedule. The authorities to waive wing/unit level requirements in this publication are identified with a Tier (“T-0, T-1, T-2, T-3”) number following the compliance statement. See Air Force Instruction 33-360, Publications and Forms Management, for a description of the authorities associated with the Tier numbers. Submit requests for waivers through the chain of command to the appropriate Tier waiver approval authority, or alternately, to the requestors commander for non-tiered compliance items."