This badge is the non-combat equivalent of the Combat Medical Badge (CMB) and is awarded to U.S. military personnel and North Atlantic Treaty Organization (NATO) military personnel who successfully complete a set of qualification tests, including both written and performance portions.

The pass rate for FY 2017 was 7%, making the EFMB one of the most difficult and prestigious Army special skill badges to earn.

Now, according to Maj. Andrey Tsepelev, "Soldiers must now complete 15 burpees, 15 rowers, a 400-meter run, and a 50-meter drag of a 160-pound Sked.

"[6] In summary, current requirements differ from previous requirements with the addition of the M9 Pistol for survival tasks, CPR card certification in lieu of demonstrating CPR proficiency, and the reorganization of the lanes into a combat scenario.

12 Mile Road March – 86% FY 00 EFMB test pass rates (overall EFMB test pass rate 18%) Written Test -66% Day Land Navigation – 83% Night Land Navigation – 63% Communications – 78% Survival – 94% Emergency Medical Treatment -81 % Evacuation – 89% Litter Obstacle Course -97 %