The Fort Pickett-based Virginia Army National Guard Medical Command hosts combat medics from across the state for 68W sustainment training Oct. 20-24, 2025, at Fort Pickett, Virginia. The course, typically held twice annually, incorporates classroom and practical training as well as evaluated simulated care in both medical and trauma-related scenarios. The sustainment course is necessary for the VNG’s combat medics to retain their 68W military occupational specialty, and must be completed every two years.