RAMSTEIN AIR BASE, Germany -- Dr. Joachim Koch (Left), flight surgeon commander with the German navy, chats with Lt. Gen. Thomas W. Travis (Right), U.S. Air Force surgeon general, during a break at the 29th Annual Aerospace Medicine Summit and NATO Science and Technology Organization Technical Course at the Hercules Theater here March 10, 2014. The summit is a joint effort between the U.S. Air Forces in Europe and Air Forces Africa Surgeon General’s office and NATO to share information in the aerospace medical world and build relationships with international partners. (U.S. Air Force Photo by Tech. Sgt. James M. Hodgman)