It is the intent of this article to define the strategy by which Combat Medics have been employed in contemporary stability operations and counterinsurgency conflicts. This article describes the advances in training based on Tactical Combat Casualty Care and how training evolved into an evidence-based model. Training platforms evolved with shifts in mission requirements, new technology, improved medical techniques, and changing protocols. The last portion of this article details recommendations in doctrine, materiel, and training that could enable optimal sustainment standards while retaining operational capability across a wide variety of combat and peace operations. Lessons learned and changes adapted for Medics that are addressed: (1) advances in training and employment of the Combat Medic necessitated by tactics and strategy of current conflicts, (2) Combat Medic regulatory requirements and centralized, just-in-time training, and (3) changes in sustainment training driven by certification requirements and use of medical simulation training centers.