in nearby ARVN hospitals. The degree of participation was influenced by the medical mission and the capabilities and staffing of brigade hospitals. This program involved the utilization of brigade and ARVN medical facilities and staff, or any combination of them. Direct continuing coordination between the hospital commander and the local ARVN hospital commander was essential to ensure acceptance of the program and optimum participation by all concerned. Direct liaison was authorized between the brigade MRO and the USARV professional consultants in medicine, surgery and neuropsychiatry. The USARV consultant staff members provided both the professional staffs of each hospital and the brigade MRO necessary guidance concerning the USARV Surgeon's policies regarding specific surgical procedures for out-of-country evacuation. All cases requiring professional judgement were referred by the MRO to the appropriate professional consultant for final decision. As a result of monitoring medical attendant after-action reports, it was discovered that a majority of the physicians complains stemmed from a lack of knowledge concerning administrative actions required while in Japan. To alleviate this problem, an information letter was prepared utilizing information gathered by the brigade MRO and the Executive Officer. Further guidance would be provided to individual attendants upon receipt of United States Army Medical Command, Japan operational policy concerning medical attendants. Total operating beds operated by 44th Medical Brigade hospitals reflected a decrease throughout 1969 as a result of redeployment activities. During 1969, wounded in action admissions reached high points in March and again in May and then reflected a decrease which coincided with a decrease in friendly and enemy initiated combat activity. Hospital dispositions by medical evacuation out-of-country to PACOM or CONUS hospitals reached a high of 4,334 during May 1969 and a low of 1,789 during November 1969. The average daily census of Vietnamese civilians reached a high point of 556 during January 1969 and a low of 263 during October 1969. Care was provided for Vietnamese Civilians who were suffering from war related injuries and for those individuals requiring hospitalization for treatment not available at Government of Vietnam medical facilities. Hospitalization Statistics for 1969 WIA=Wounded in Action DNBI=Disease and Non-Battle Injury Patients admitted in one month may be discharged, evacuated, or die in a subsequent month 44th Medical Brigade Daily Medical Statistics—Post Tet Offensive 0001 Hours, 23 February 1969 — 2400 Hours, 28 February 1968 44th Medical Brigade Daily Medical Statistics—Post Tet Offensive 0001 Hours, 12 May 1969 — 2400