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Keith is the Director of the Tactical Operations Medical Skills (TOMS) Training Center within the Air Force Special Operations Command (AFSOC) Surgeon General’s Office. As a combat medical skills instructor, he educates and trains Department of Defense personnel, various government agencies, and foreign coalition forces in combat medicine and casualty evacuation. Additionally, he is a selected voting member of the Committee on Tactical Combat Casualty Care (CoTCCC). A certified State of Florida and Nationally Registered Paramedic, he also acts as an Advanced Life Support (ALS) Instructor and Training Site Faculty member.