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Baird EW, Lammers DT, Betzold RD, Brown SR, Tadlock MD, Eckert MJ, Cox DB, Kerby JD, Gurney JM, Elster EA, Holcomb JB, Jansen JO. Developing the Ready Military Medical Force: military-specific training in Graduate Medical Education. Trauma Surg Acute Care Open 2024; 9:e001302. [PMID: 38390471 PMCID: PMC10882335 DOI: 10.1136/tsaco-2023-001302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 01/29/2024] [Indexed: 02/24/2024] Open
Abstract
Introduction Graduate Medical Education plays a critical role in training the next generation of military physicians, ensuring they are ready to uphold the dual professional requirements inherent to being both a military officer and a military physician. This involves executing the operational duties as a commissioned leader while also providing exceptional medical care in austere environments and in harm's way. The purpose of this study is to review prior efforts at developing and implementing military unique curricula (MUC) in residency training programs. Methods We performed a literature search in PubMed (MEDLINE), Embase, Web of Science, and the Defense Technical Information Center through August 8, 2023, including terms "graduate medical education" and "military." We included articles if they specifically addressed military curricula in residency with terms including "residency and operational" or "readiness training", "military program", or "military curriculum". Results We identified 1455 articles based on title and abstract initially and fully reviewed 111. We determined that 64 articles met our inclusion criteria by describing the history or context of MUC, surveys supporting MUC, or military programs or curricula incorporated into residency training or military-specific residency programs. Conclusion We found that although there have been multiple attempts at establishing MUC across training programs, it is difficult to create a uniform curriculum that can be implemented to train residents to a single standard across services and specialties.
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Affiliation(s)
- Emily W Baird
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
- US Department of the Army, Washington, District of Columbia, USA
| | - Daniel T Lammers
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
- US Department of the Army, Washington, District of Columbia, USA
| | - Richard D Betzold
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Shaun R Brown
- US Department of the Army, Washington, District of Columbia, USA
| | | | - Matthew J Eckert
- Surgery, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Daniel B Cox
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Jeffrey D Kerby
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Jennifer M Gurney
- Defense Committees on Trauma, Joint Trauma System, JBSA Fort Sam Houston, Texas, USA
- Department of Surgery, San Antonio Military Health System, San Antonio, Texas, USA
| | - Eric A Elster
- Uniformed Services University, Bethesda, Maryland, USA
| | - John B Holcomb
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Jan O Jansen
- Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA
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Thomas RJ, Krahl PL, Mallon TM, Gaydos JC. Preparedness of Military Public Health for Epidemic and Pandemic Recognition and Response. Mil Med 2023; 188:1-3. [PMID: 36307970 PMCID: PMC9620389 DOI: 10.1093/milmed/usac323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Revised: 09/26/2022] [Accepted: 10/18/2022] [Indexed: 11/13/2022] Open
Abstract
Disease epidemics have threatened American military preparedness and operational capabilities since 1775. The ongoing Severe Acute Respiratory Syndrome Coronavirus 2 (COVID-19) pandemic, which began in 2019, again demonstrates the significant potential for infectious diseases to impact military units and threaten military readiness. We reviewed the historical and continuing threats to the U.S. Military from infectious disease outbreaks, as well as changes in U.S. Military capabilities for conducting meaningful surveillance and response. We concluded that a structured review of military public health and preventive medicine capabilities should be conducted to assess the response to the COVID-19 pandemic and determine the capabilities necessary for infectious disease surveillance and response to future threats.
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Affiliation(s)
- Richard J Thomas
- Department of Preventive Medicine and Biostatistics (PMB), F. Edward Hébert School Of Medicine, Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD 20814-4799, USA
| | - Pamela L Krahl
- Department of Preventive Medicine and Biostatistics (PMB), F. Edward Hébert School Of Medicine, Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD 20814-4799, USA
| | - Timothy M Mallon
- Department of Preventive Medicine and Biostatistics (PMB), F. Edward Hébert School Of Medicine, Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD 20814-4799, USA
| | - Joel C Gaydos
- Department of Preventive Medicine and Biostatistics (PMB), F. Edward Hébert School Of Medicine, Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD 20814-4799, USA
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