The FY16 JPC-1/MSIS ATUMN is seeking research, development, and testing on compensatory/adaptive medical tutor prototype(s). This includes evidence-based sustained learning methodologies that decrease the need for future technology dependence to retain the details of the cognitive processes that assist with patient assessment, clinical reasoning, clinical judgment, and clinical diagnosis and treatment. The tutor must accurately and appropriately understand where the learner is within the learning curve versus the course curricula, objectives, and anticipated outcomes, and understand where the learner needs to go versus the course curricula, objectives, and anticipated outcomes. The tutor must identify viable and course-appropriate route(s) on how to navigate from current position to end position. The proposed tutor needs to continuously evaluate the progress and re-plan/re-route as appropriate versus the course curricula, objectives, and anticipated outcomes. The compensatory/adaptive medical tutor prototype needs to be modular, flexible, robust, and reliable, and needs to incorporate open source/license/architecture. The modularity, flexibility, robustness, and reliability does NOT have to be demonstrated in the prototype, but these capabilities MUST be incorporated into the designs and architecture of the anticipated platform. The pre-proposal/pre-application and proposal/application must disclose any background intellectual property interest in the proposal solution, including but not limited to, current ownership status of the intellectual property, the existence and type of license the applicant holds, or whatever name exists. The proposal/application may disclose the capability and interest in licensing arrangements with the Government if the project is successful. Refer to the General Submission Instructions, Appendix 3 for additional information. This compensatory/adaptive medical tutor prototype must demonstrate sustainment of the cognitive information that was gained. The content may be domain-specific per the desire of the PI and team, but the PI needs to select a domain that can be related to the military, such as the assessment of shock, traumatic brain injury, mental health assessment, (i.e., post-traumatic stress, substance abuse), musculoskeletal diagnosis and treatment, wound management/debridement, external fixation of fractures, shock management, ventilator management, and advanced emergency care (i.e., lateral canthotomy, cranial decompression). The PI must outline a pilot study concept of the compensatory/adaptive medical tutor prototype in the pre-proposal/pre-application. A detailed protocol must be provided in the full proposal/application, including but not limited to, proposed methodologies, type of recruits, recruitment numbers, anticipated drop-out rate, assessment criteria, inter-rater reliability, intended medical domain(s) (or discipline[s]), control groups, and statistical protocols. 1. The anticipated outcomes of research supported by the FY16 JPC-1/MSIS ATUMN Project are as follows, in no particular order: â€˘ A validated list supported by contacts, references, and sources that support the proposed recommendation for sustainment of cognitive knowledge, patient assessment, clinical reasoning, clinical judgment, and clinical diagnosis and treatment intended to be integrated/incorporated into the compensatory/adaptive medical tutor prototype. â€˘ A report, document, and/or list of the terminology and respective definitions used for the compensatory/adaptive medical tutor prototype including, but not limited to, the chosen domain, the proposed metrics/evaluation criteria and how they are used to determine where the learner is within the learning curve versus the course curricula, objectives, and anticipated outcomes and understand where the learner needs to go versus the course curricula, objectives, and anticipated outcomes. â€˘ A report or document with the information of the open source/license/architecture versus intellectual property components. The report needs to provide information on items such as hardware and software requirements to support the respective components and provide a listing of the most common issues with the proposed components, anticipated updates (if applicable), typical maintenance issues with the proposed components, and intended maintenance fees and schedules with the proprietary components (if applicable). A report or document that describes in detail the fully integrated design that includes items such as modularity, flexibility, robustness, and reliability and provides the proposed timeline that would be needed if such additional modularity, flexibility, robustness, and reliability were indeed added. â€˘ The pilot study-specific aims, methodologies, sample and sample size, inter-rater reliability, assessment criteria, analyzed results, conclusions, and potential next-step recommendations. Indicate the proposed duration of sustained cognitive knowledge, patient assessment, clinical reasoning, clinical judgment, and clinical diagnosis and treatment. â€˘ A demonstration of the compensatory/adaptive medical tutor prototype; anticipate the demonstration to occur in the National Capital Area/Maryland/Northern Virginia area, but it could occur at a Government organization located in the contiguous United States. â€˘ A submitted or presented abstract or a draft or accepted publication.