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“There is little confidence that changing the course will improve AND attendance. We suggest that the first priority is to get ANP leaders to commit to send their medics to [trauma assistance personnel training] and then keep them as medics,” Colonel Steven Merkel, NATO Training-Mission-Afghanistan Chief of Staff, wrote in an official response.

The Inspector General noted that while management agreed to make improvements and follow the investigators’ recommendations, they did not lay out specific plan designs for improvement and wrote that further comments are required.