Updated: April 2021

What does a 4N0X1 do?

Plans, provides, and evaluates routine patient care and treatment of beneficiaries to include flying and special operational duty personnel. Organizes the medical environment, performs and directs support activities for patient care situations, including contingency operations and disasters. Performs duty as Independent Duty Medical Technician (IDMT), Aeromedical Evacuation Technician (AET), Hyperbaric Medical Technician (HBMT); Allergy and/or Immunization Technician (AIT), Special Operations Command (SOC) Medic, Dialysis Medical Technician (DMT), Critical Care Technician (CCT), Neurodiagnostic Technologist (NT), or Flight and Operational Medical Technician (FOMT).

Airman Vision Overview (Be sure to subscribe to Kyle Gott's Channel)

Where and How Long is the Tech School For a 4N0X1?

Tech School

98 Days - Ft Sam Houston, TX


Practical Nursing Technology

What Does the 4N0X1 Duty Badge Look Like?

Enlisted Medical Badge

What are the Demographics for the 4N0X1 Career Field?







Total: 6041

What are the Requirements to Become a 4N0X1 ?


General: 50


40 lbs

For entry into 4N0X1/X1X:

  • No record of emotional instability according to the provisions of AFI 48-123.

For entry into 4N0X1B:

  • Prior qualification in and possession of PAFSC 4N051/71.

For entry into 4N0X1C:

  • Prior qualification in and possession of PAFSC 4N051/71 and 3 years’ experience practicing as a 4N0XX with 2 years of direct patient care.
  • Normal color vision.
  • Immunization Back-up Technician (IBT) qualification.

For entry into 4N0X1F:

  • Prior qualification in and possession of PAFSC 4N051/71.

What are the Duties and Responsibilities For a 4N0X1?

Provides, supervises and manages patient care of beneficiaries to include flying and special operational duty personnel. Performs nursing tasks. Acts as Patient Centered Medical Home member or team leader. Front-line preventionist who identifies potential health risks and provides preventative counseling. Performs paraprofessional portions of preventative health assessments and physical examinations. Monitors and records physiological measurements. Orients patients to the hospital environment. Admits, discharges, and transfers patients as directed. Observes, reports, and records observations in patient progress notes and team conferences. Performs portions of medical treatment, diagnostic, and therapeutic procedures. Cares for, observes, and reports on pre/post-operative, seriously or critically ill, and injured patients. Records treatments and procedures rendered and observes effects. Performs postmortem care. Identifies patient problems and assists in developing and evaluating patient care plan(s). Assembles, operates, and maintains therapeutic equipment. Provides field medical care in contingency operations and disasters. Performs basic life support and triage in emergency situations. Serves as member of primary emergency medical response to in-flight emergencies and potential mass casualty scenarios for on- and off-base incidents. Operates emergency medical and other vehicles. Loads and unloads litter patients. Participates in contingency or disaster field training, exercises, and deployments. Augments search and rescue flying squadrons. Obtains and maintains linen and supplies/areas. Disposes of medical waste. Maintains inpatient and outpatient medical records. Screens medical records for deployability and other medical administrative requirements. Prepares and submits administrative reports. Manages supplies and equipment, submits and executes budgets. Coordinates medical service activities with execution and clinical management teams. Utilizes the nursing process for promoting and maintaining patient health. Provides disease and disability education, care, and evaluation of nursing care. Participates in and leads the planning, implementation, and evaluation of nursing care. Performs assessment and analysis of patient health status, identifies health goals, recognizes subtle changes in conditions, interprets these changes, and immediately determines appropriate course of action.

Supervises personnel, conducts training, and creates duty schedules. Schedules and/or conducts in-service training on procedures, techniques, and equipment. Schedules and/or conducts periodic disaster training, fire drills, and evacuation procedures. Provides training to medical and non-medical personnel; training may include areas such as emergency medical technician and required basic life support training.

Performs duty as an IDMT at home station and deployed locations, remote sites and alternate care locations. Renders medical, dental, and emergency treatment; recommends and coordinates evacuations for definitive medical treatment. Performs pharmacy, laboratory, bioenvironmental, immunizations, public health, medical logistics and medical administration duties. Establishes preceptorship and provides forward area health care IAW applicable guidelines in an austere or bare-base environment.

Special Operations Command (SOC) Medics perform special operations medical support providing initial combat trauma stabilization, on-going field trauma care, and Casualty Evacuation (CASEVAC) to definitive care.

SOC medics are ideally suited to Special Operations Forces (SOF) and Combat Search and Rescue (CSAR) mission support for establishing bare-base encampments.

Performs aeromedical evacuation (AE) ground and/or flight duties. Performs pre-flight/inflight patient care and documentation. Provides emergency care for patients in event of medical and/or aircraft emergencies. Functions as an aeromedical evacuation crewmember (AECM). Prepares patients, equipment and aircraft for flight. Enplanes and deplanes patients. Loads and unloads baggage. Operates specialized aircraft flight equipment, medical devices and aircraft systems related to patient care.

Performs allergy and immunization (AI) duties.

Allergy: Manages immunotherapy care and performs diagnostic tests as ordered by physician. Prepares allergenic extracts and/or specific allergy treatment extracts. Performs allergy skin and anergy testing.

Immunization: Manages computer based patient information. Performs tuberculosis testing. Administers vaccines IAW current guidelines. Provides emergency care for treatment of anaphylaxis. Provides patient education regarding expected reactions and proper post-vaccination care. Provides oversight of immunization processes and programs. Manages the Immunization Backup Technician (IBT) program.

Performs neurodiagnostic duties. Assists physician with and prepares patients for examination, treatment, and diagnostic procedures. Assembles, operates, maintains and performs routine user maintenance of electroencephalographic and electromyographic equipment. Assists in performing special electroencephalographic and electromyographic procedures. Ensures appropriate care and storage of tracings and reports.

Performs critical care duties. Prepares patient with special equipment for transfers. Performs and assists with examinations and special procedures including mechanical ventilation, cardiovascular and neurovascular procedures and dialysis.

Performs hyperbaric medical duties. Prepares patients and equipment for hyperbaric dive. Provides wound care debridement. Prepares hyperbaric chamber and properly positions patients. Functions as hyperbaric dive crewmember. Assists hyperbaric nurse or provider with patient care during dive. Provides emergency care for patients in event of medical or hyperbaric chamber emergencies.

Performs Dialysis Medical Technician duties. Prepares patient and performs procedures using specialized renal dialysis equipment.

Performs flight and operational medicine duties. Assists flight surgeon with aircraft mishap and physiological incident response, investigation, and reporting. Supports flight surgeon to develop flying safety and deployment briefings. Assists healthcare provider teams with interpretation and application of medical standards to determine medical qualifications for occupational duty, worldwide duty, special operation duty, mobility status, flying status, special duty, security clearance, professional military education (PME), retraining, commissioning, and transition to Air Force Reserves or Air National Guard. Provides administrative management of duty limiting conditions reports. Assists with oversight of waiver management utilizing the Aircrew Information Management Waiver Tracking System (AIMWTS). Maintains grounding management on all aircrew assigned utilizing the Aeromedical Services Information Management Systems (ASIMS). Performs the paraprofessional portion of initial flying class/special operational duty (SOD) physicals. Conducts clinical entries for data into the Physical Examination Processing Program (PEPP) and manages physical until completion. Provides first point of contact for non-empanelled patients requiring physical examinations (i.e. Department of Defense Medical Examination Review Board (DoDMERB), Reserve Officer Training Corps (ROTC), and others that are an extension of the occupational exam). Performs preventive health assessment (PHA) physicals for flying status and non-flying status personnel and updates results of required tests and examinations into ASIMS.

What Are the Specialty Qualifications for a 4N0X1?

Knowledge. The following knowledge is mandatory for award of AFSC indicated:

  • 4N0X1/X. Medical terminology, anatomy and physiology; nursing theory, techniques and procedures; nursing assessment; team nursing; patient needs; emergency medical treatment to include cardiopulmonary resuscitation; aseptic technique; medical ethics and legal aspects; prescribed drugs/immunizations and their administration; population health concepts; operating and maintaining therapeutic equipment; transportation of sick and wounded; risk management; military hygiene and sanitation; fundamentals of primary care management (PCM); preventive medicine and counseling techniques; physical examinations and standards, contingency operations, disaster preparedness and chemical warfare; flight physiology fundamentals; maintenance of the human weapon system; and operational readiness of the war fighter.
  • 4N0X1B. Neurological patient examination, treatment, and diagnostic procedures; -operation and user maintenance of electroencephalographic, electromyographic, and other neurodiagnostic equipment.
  • 4N0X1C. Medical, dental, and emergency treatment; disorders; advanced cardiac and disease management; epidemiology; and entomology. Pharmacy, laboratory, bioenvironmental, immunizations, public health, medical logistics, and medical administration.
  • 4N0X1F. Physical examinations procedures, aircrew medical waivers, medical standards, and duty limiting conditions.

Education. For entry into this specialty, completion of high school is required with courses in general science, biology, psychology, and chemistry is desirable.

Training. The following training is mandatory for the award of the AFSC indicated:

  • 4N031. Completion of Basic Medical Technician Corpsman Program (BMTCP).
  • 4N031B. Completion of a basic neurology technician course.
  • 4N051C Completion of IDMT Program and certification at the host medical treatment facility is mandatory.
  • 4N051F. Completion of Flight and Operational Medical Technician course.
  • Experience. The following experience is mandatory for the award of AFSC indicated:
  • 4N051/51X. Qualification in and possession of AFSC 4N031/31X. Experience performing functions such as care and treatment of patients, operating and maintaining therapeutic equipment.
  • 4N071/71X. Qualification in and possession of AFSC 4N051/51X. Also experience performing or supervising functions such as nursing activities; care and treatment of patients; operating and maintaining therapeutic equipment; and conducting paraprofessional portions of physical examinations.
  • 4N091. Qualification in and possession of AFSC 4N071/71X. Experience managing functions such as medical and related patient care and administrative activities.

What Are the Different Specialties (Shredouts) for 4N0X1?

B             Neurodiagnostic Medical Technician

C             Independent Duty Medical Technician

F              Flight and Operational Medical Technician

NOTE: Suffix B applies to 1-, 3-, 5- and 7-skill levels; Suffixes C and F applies to 5- and 7-skill levels only.

For more information on AFSCs and Shredouts check this article out!


Other Links

What Are the Possible Assignments for 4N031?

  • Altus, Oklahoma
  • Andersen, Guam
  • Aviano, Italy
  • Barksdale, Louisiana
  • Beale, California
  • Bolling, District Of Columbia
  • Cannon, New Mexico
  • Columbus, Mississippi
  • Creech, Nevada
  • Davis-Monthan, Arizona
  • Dover, Delaware
  • Dyess, Texas
  • Edwards, California
  • Eglin, Florida
  • Eielson, Alaska
  • Ellsworth, South Dakota
  • F E Warren, Wyoming
  • Fairchild, Washington
  • Fort Sam Houston, Texas
  • Goodfellow AFB, Texas
  • Grand Forks, North Dakota
  • Hanscom, Massachusetts
  • Hill, Utah
  • Holloman, New Mexico
  • Hurlburt Field, Florida
  • Incirlik AB, Turkey
  • JB Andrews, Maryland
  • JB Charleston, South Carolina
  • JB Elmendorf-Rich, Alaska
  • JB Langley-Eustis, Virginia
  • JB Prl Hbr-Hickam, Hawaii
  • JBSA Camp Bullis, Texas
  • JBSA Lackland, Texas
  • JBSA Randolph, Texas
  • Joint Base Lewis–McChord, Washington
  • Joint Base McGuire-Dix-Lakehurst, New Jersey
  • Kadena, Japan
  • Keesler, Mississippi
  • Kirtland, New Mexico
  • Lakenheath, United Kingdom
  • Landstuhl, Germany
  • Laughlin, Texas
  • Little Rock, Arkansas
  • Luke, Arizona
  • MacDill, Florida
  • Malmstrom, Montana
  • Maxwell, Alabama
  • McClellan Airfield, California
  • McConnell, Kansas
  • Minot, North Dakota
  • Misawa, Japan
  • Moody, Georgia
  • Mountain Home, Idaho
  • Nellis, Nevada
  • Offutt, Nebraska
  • Osan AB, South Korea
  • Ramstein, Germany
  • Robins, Georgia
  • San Antonio, Texas
  • Scott, Illinois
  • Seymour Johnson, North Carolina
  • Shaw, South Carolina
  • Sheppard, Texas
  • Spangdahlem AB, Germany
  • Tinker, Oklahoma
  • Travis, California
  • Tyndall, Florida
  • USAF Academy, Colorado
  • Vance, Oklahoma
  • Whiteman, Missouri
  • Wright Patterson, Ohio
  • Yokota, Japan

Questions and Comments:

If you have questions or comments relating to enlisting in the Air Force, consider joining the Forever Wingman Facebook Group.