Maj. Gen. Michael Tempel and Medical Operational Support Command staff for German Armed Forces observe Army combat medics in a training exercise on May 7, 2013, at the Medical Education and Training Campus on Joint Base San Antonio-Fort Sam Houston, Texas. Tempel and his team were able to observe different scenarios of simulations throughout the campus to learn more about the San Antonio Military Health System's use of simulation training programs. (U.S. Air Force photo/Staff Sgt. Kevin Iinuma)