Some Air Force Flight Surgeons ultimately move on to the Residency in Aerospace Medicine (RAM), a three-year program involving a Master of Public Health, a year of aerospace medical training, and a year of either occupational or preventive medical training. Graduates of the RAM are eligible to be double-boarded in Aerospace Medicine and either Occupational or Preventive Medicine, and are generally assigned to supervise other flight surgeons or medical units. The RAM also involves Medical Officer Flight Familiarization Training (MOFFT), during which the flight surgeon receives abbreviated ground school and some basic pilot training in the T-6 Texan II. Consequently, a RAM has some actual piloting experience and some training toward initial qualification, although the aeronautical rating of USAF Pilot is not awarded.