WarDocs - The Military Medicine Podcast

Episode Summary    In this inspiring episode of WarDocs, we are honored to feature the extraordinary journey of Retired Army Brigadier General Clara Adams-Ender. Rising from humble beginnings as one of ten children born to sharecroppers with limited formal education, she defied expectations to become a trailblazer in military medicine. Her story is a testament to the power of education, resilience, and the relentless pursuit of excellence. Although she initially dreamed of becoming a lawyer, she honored her father’s wishes to attend nursing school, a decision that launched a remarkable 34-year career culminating in her service as the 18th Chief of the Army Nurse Corps.    BG(R) Adams-Ender shares powerful anecdotes that defined her leadership philosophy, starting with her first assignment as a Second Lieutenant in an ICU. She recounts a tragic incident involving a Marine shot by a friend during horseplay, a moment that taught her the stark difference between "book learning" and the practical responsibilities of an officer to care for the discipline and safety of troops. She also details the grit required to become the first woman to earn the Expert Field Medical Badge (EFMB). Refusing to settle for the lower physical standards set for women at the time, she marched the full 12 miles alongside her male counterparts, proving that competence knows no gender.   Throughout the conversation, she emphasizes the evolution of the Army Nurse Corps from a workforce viewed merely as labor to leaders in healthcare policy and administration. She discusses her time as an educator during the Vietnam War, mentoring students facing the draft and ethical dilemmas. General Adams-Ender passionately argues for the necessity of nurses having a "seat at the table" in healthcare leadership, noting that without a voice in policy, the profession cannot control its destiny. As the Army Nurse Corps approaches its 125th anniversary, she reflects on the core values of clinical excellence, administration, research, and education (CARE), offering timeless advice for the next generation of military medical professionals.   Chapters (00:00-06:40) From Sharecropper's Daughter to Nursing School (06:40-11:45) A Tragic Lesson in Leadership and Troop Welfare (11:45-17:15) Breaking Barriers to Earn the Expert Field Medical Badge (17:15-22:42) Educating Nurses During the Vietnam War Era (22:42-37:55) The Power of Policy and Having a Seat at the Table (37:55-45:34) Core Values and the Legacy of the Army Nurse Corps   Chapter Summaries (00:00-06:40) From Sharecropper's Daughter to Nursing School The guest discusses her family background, emphasizing her parents' deep value for education despite their limited schooling. She shares how she initially aspired to be a lawyer but followed her father's directive to attend nursing school, eventually discovering a passion for the challenge the profession provided. (06:40-11:45) A Tragic Lesson in Leadership and Troop Welfare Reflecting on her first assignment at Fort Dix, the guest describes the transition from academic theory to the practical realities of military nursing. She recounts a harrowing story of a young Marine shot due to horseplay, which served as a pivotal lesson on an officer's responsibility to maintain discipline and care for the troops beyond clinical duties. (11:45-17:15) Breaking Barriers to Earn the Expert Field Medical Badge The conversation shifts to the guest's historic achievement as the first woman to earn the EFMB. She details her determination to meet the same physical standards as the male soldiers, including marching 12 miles instead of the required 8 for women, viewing the grueling training as an opportunity to prove her capabilities. (17:15-22:42) Educating Nurses During the Vietnam War Era The guest describes her time as an instructor at Walter Reed, where she taught students from diverse backgrounds. She highlights the challenges of mentoring nursing students during the Vietnam War, helping them navigate their fears and obligations regarding deployment to a combat zone. (22:42-37:55) The Power of Policy and Having a Seat at the Table Moving into administration, the guest explains how she learned that writing good policy allows a leader to influence far more outcomes than hands-on care alone. She stresses the importance of nurses securing leadership roles to ensure they are in charge of their profession's destiny and not merely following orders from others. (37:55-45:34) Core Values and the Legacy of the Army Nurse Corps As the 125th anniversary of the Army Nurse Corps approaches, the guest reflects on the enduring values of the profession, using the acronym CARE. She concludes with a dedication to her mentors and offers advice to current nurses on maintaining standards and commitment to the mission.   Take Home Messages Leadership Requires Practical Adaptability Success in military medicine often requires unlearning the rigid structures of "book learning" to adapt to the practical realities of the environment. True competence is demonstrated not just by clinical knowledge, but by the ability to handle unexpected situations and the human dynamics of the troops under one's command. The Responsibility of the Officer Extends Beyond Patient Care A medical officer’s duty is not confined to the hospital bed or the clinic; it encompasses the overall welfare, discipline, and safety of the soldiers. Preventing tragedy through discipline and looking out for the troops is as vital as treating the wounds that result when safety protocols fail. Equality is Proven Through Standards Breaking barriers and earning respect often comes from a refusal to accept lower standards based on gender or background. By voluntarily meeting the more rigorous requirements set for counterparts, a leader demonstrates resilience and capability that silences doubters and inspires the team. Influence Through Policy and Administration While direct patient care is the heart of medicine, long-term impact is achieved by securing a "seat at the table" in administration and policy-making. Writing effective policy allows a medical professional to guide the hands of thousands of others, shaping the destiny of the profession and improving care on a systemic level. Total Commitment to the Profession Medical service is difficult, demanding work that requires a full "all-in" mentality. The key to longevity and success is to make a firm decision to commit to the profession; once that decision is made, energy should be directed toward the mission and patient care rather than complaints or negativity.   Episode Keywords Clara Adams-Ender, Army Nurse Corps, EFMB, Expert Field Medical Badge, Military Medicine, Leadership, Women in Military, Black History, Vietnam War Nursing, Walter Reed, Nursing Education, Healthcare Policy, Mentorship, WarDocs, Army General, Brigadier General, Nursing Administration, Military History, Veteran Stories, Medical Podcast Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.   Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Episode Summary    Join us for a compelling conversation with Dr. Alexander Villahermosa, a neurosurgery resident at UT Health San Antonio and former 18 Delta Special Forces Medical Sergeant. Motivated by the events of 9/11, he enlisted with an 18 X-ray contract, embarking on a remarkable journey that took him from the battlefield to the operating room. Dr. Villahermosa shares stories from his deployments to Iraq, Afghanistan, and other austere environments, highlighting how mentorship from military physicians in Balad inspired him to pursue a medical degree.    Dr. Villahermosa provides a candid look at the Enlisted to Medical Degree Program (EMDP2), detailing his experience as part of its second class. He discusses the academic challenges of transitioning from an operational tempo to learning calculus and hard sciences, and how the program’s cohort-based support system prepares active-duty soldiers for the rigors of medical school at the Uniformed Services University.   The discussion moves to the intense reality of surgical residency, where days often start at 4:00 AM and involve complex perioperative care. Dr. Villahermosa highlights the unique perspective military training brings to civilian medicine, specifically the ability to operate without advanced navigation technology—a skill emphasized by military mentors who understand downrange limitations. He also shares insights on "expectation management" regarding physical fitness while maintaining a grueling training schedule.   Finally, Dr. Villahermosa reflects on leadership lessons learned while rising from the rank of Master Sergeant to Captain, emphasizing that mentorship and staying humble are keys to success. He concludes with a crucial medical takeaway for combat medics: the best brain care starts with the basics of airway, respiration, and circulation as outlined in TCCC guidelines.     Chapters (00:00-06:00) From Enlistment to Special Forces Medic (06:00-19:30) The Path to Medical School and EMDP2 (19:30-28:30) Choosing Neurosurgery and Residency Reality (28:30-33:00) Military vs. Civilian Surgical Training (33:00-39:40) Leadership, Advice, and TBI Care   Chapter Summaries (00:00-06:00) From Enlistment to Special Forces Medic Dr. Villahermosa describes enlisting after 9/11 with the initial intent of joining the infantry, only to switch to an 18X contract to avoid a long wait for basic training. He recounts his deployments to Iraq and how mentorship from a group surgeon and an anesthesiologist in Balad first sparked his interest in becoming a physician. (06:00-19:30) The Path to Medical School and EMDP2 This section covers the process of completing undergraduate prerequisites through the Enlisted to Medical Degree Program (EMDP2), including the challenges of mastering mathematics and hard sciences. Dr. Villahermosa explains how the program's cohort system and partnership with the Uniformed Services University provided the structure and support necessary for success. (19:30-28:30) Choosing Neurosurgery and Residency Reality Initially uninterested in surgery, Dr. Villahermosa describes falling in love with the specialty during a third-year clerkship after being fascinated by spine and trauma cases. He details the daily grind of residency, which involves early mornings, long hours, and the need to seize small windows of time for physical fitness and self-care. (28:30-33:00) Military vs. Civilian Surgical Training The discussion focuses on the specific mindset instilled by military neurosurgeons, such as the ability to perform spine surgery using anatomic landmarks rather than relying solely on advanced navigation systems. This training ensures readiness for deployed environments where high-tech equipment may not be available or functional. (33:00-39:40) Leadership, Advice, and TBI Care Dr. Villahermosa reflects on the importance of humility and teamwork, noting that, regardless of rank or experience, there is always something to learn from others. He concludes by emphasizing that the best initial care for traumatic brain injury is adherence to TCCC protocols, specifically preventing hypotension and hypoxia.   Take Home Messages The Power of Mentorship: Career paths are often significantly altered by leaders who take the time to invest in their subordinates and encourage them to pursue higher goals. Dr. Villahermosa's journey to medical school began specifically because a group surgeon and an anesthesiologist took him under their wing during a combat deployment. Leaders should actively identify and encourage potential in those they lead, as this support can fundamentally change the trajectory of a service member's life. Back to Basics for Brain Injury: The most effective initial treatment for traumatic brain injury (TBI) lies in the fundamental principles of Tactical Combat Casualty Care (TCCC). Preventing secondary brain injury caused by hypotension and hypoxia is critical, meaning that controlling hemorrhage and managing the airway are the best ways to protect the brain in the pre-hospital setting. Providers should trust these protocols rather than feeling helpless without advanced neurosurgical capabilities, as stabilizing the patient's physiology is the first step in saving the brain. Operating in Austere Environments: While modern civilian neurosurgery often relies on advanced navigation technology and robotics, military surgeons must maintain the skill to operate using anatomic landmarks. Dr. Villahermosa highlights that downrange environments may lack functional high-tech equipment, making it essential to master manual techniques for spine and brain procedures. This training approach ensures that military surgeons remain adaptable and can deliver life-saving care regardless of the resources available in the field. Resilience Through Expectation Management: Surviving a demanding residency program or rigorous military training requires adjusting one's expectations regarding fitness and rest. Rather than waiting for large blocks of free time that may never come, trainees must learn to seize small, available moments for self-care, whether that is a short fifteen-minute run or catching up on sleep. Taking advantage of these brief breaks when they present themselves is crucial for maintaining long-term physical and mental performance when the schedule is unpredictable. Humility and Teamwork in Leadership: Success in high-stakes environments like the military and medicine demands humility and the recognition that no single person knows everything. Dr. Villahermosa emphasizes that rank and experience do not preclude the need to learn from others, including the newest members of the team who may bring fresh perspectives. Acknowledging one's role within the larger mission fosters a collaborative environment that improves patient outcomes and ensures the job gets done effectively.   Episode Keywords special forces medic, green beret, neurosurgery resident, military medicine, combat medic, trauma surgery, medical school, emdp2, enlisted to medical degree, uniformed services university, 18 delta, surgical training, traumatic brain injury, TCCC, tactical combat casualty care, military podcast, veteran stories, medical career, doctor journey, Brooke Army Medical Center, UT health San Antonio, neurosurgeon training, army special operations, combat veteran, medicine podcast, army doctor   Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

In an insightful discussion, CMSgt (Ret) Jason Robbins, a veteran Air Force medic, and Lou Oberndorf, CEO of Operative Experience Incorporated, delve into the future of medical training. They explore the shift from traditional training methods to AI-driven simulators, highlighting how these innovations enhance combat medic readiness. Jason and Lou reveal the critical need for anatomically accurate simulators, particularly for female soldiers, to improve care and break down barriers. The conversation emphasizes the impact of simulation on skill retention and ethical concerns in medical training.

Retired Navy Master Chief Joe Espinosa shares his journey from Independent Duty Corpsman to healthcare innovator. He discusses adapting to challenges in austere environments and balancing clinical confidence with humility. Joe reflects on the impact of 9/11 on military readiness and highlights his role in shaping strategic leadership in the Navy. Engaging in future military healthcare, he emphasizes the integration of AI and innovative technologies with T6 Health Systems, aiming to solve legacy gaps and enhance force health readiness through predictive logistics.

   Army Colonel Kent DeZee, MD, MPH, the Defense Health Agency Director of Graduate Medical Education, offers an exclusive inside look into the unique world of training military physicians. We explore the evolution of the military's residency match process and the distinct challenges faced by aspiring military doctors. Dr. DeZee shares invaluable advice for medical students aiming to stand out in GME applications, emphasizing the significance of leadership, clinical experience, and the intricate balance between deployment and training during residency.    Understand the distinct training opportunities available across the Army, Navy, and Air Force and the flexibility offered through civilian deferred training. With Dr. DeZee's guidance, we dissect the roles of General Medical Officers and specialized paths, such as flight surgeon or undersea medicine. Learn about the collaborative efforts among service branches to optimize training slots and how the Defense Health Agency is streamlining the administration of military hospitals to enhance GME training opportunities.    Dive into the career pathways within military medicine and the personal investment of trainers in shaping successful medical officers. From transitional year programs to specialized residencies, explore the avenues open to those considering a military medical career. Dr. DeZee's insights shed light on the dedication required to thrive in this field, ensuring that military medical professionals are not only well-trained but passionate about delivering exceptional care. This episode underscores the commitment of military trainers to their trainees and the freedom for medical officers to pursue their chosen specialties. Whether you're a medical student, a seasoned professional, or just fascinated by military medicine, this episode offers a wealth of information and inspiration. Tune in to uncover the dedication and passion that drive military medical professionals to provide exceptional care.   Chapters: (00:04) Evolution of Military Graduate Medical Education (15:00) Military GME Training and Opportunities (28:51) Military Medicine Postgraduate Training Opportunities (35:35) Military Medical Career Pathways (40:14) Maximizing Success in Military Medical Careers (52:50) Military Graduate Medical Education Opportunities   Chapter Summaries: (00:04) Evolution of Military Graduate Medical Education    Join us for an insightful conversation with Army Colonel Dr. Kent DeZee, the Director of Graduate Medical Education for the Defense Health Agency. We explore the evolution of military graduate medical education (GME) programs and discuss the residency match process and unique aspects of training military physicians. Dr. DeZee addresses common concerns regarding deployment and training opportunities during residency and highlights the roles of general medical officers. He also provides advice for medical students looking to enhance their competitiveness for GME applications. Emphasizing the importance of leadership and clinical experience, Dr. DeZee outlines how these elements are crucial in shaping future military medical professionals. Additionally, we look into the changes brought about by the formation of the Defense Health Agency and how it has centralized the administration of military hospitals to better facilitate GME training across branches.   (15:00) Military GME Training and Opportunities     Dr. DeZee provides an insightful exploration into the nuances of the military's Graduate Medical Education (GME) system, specifically focusing on civilian deferred training and the differences in GME offerings across the Army, Navy, and Air Force. We explain how civilian deferred training allows students to complete their residency without military obligation, returning to fulfill their service commitment afterward. Additionally, we examine the similarities and distinctions in specialty and fellowship opportunities among the three services, highlighting that while core specialties are consistently available, certain niche fields may not be offered every year. We also discuss the limitations of applying across different service branches for residency, except in special circumstances like joint domicile or compelling family needs. Finally, we touch on the process during the GME selection board where unfilled positions in one service might potentially be offered to another, ensuring optimal utilization of training slots.   (28:51) Military Medicine Postgraduate Training Opportunities    We explore the various scenarios for medical professionals navigating the residency match process, particularly focusing on those who have completed or are considering a transitional year program. We discuss the eligibility of transitional year residents to re-enter the match and how their performance might offer a slight advantage over medical students who haven't completed such a year. Additionally, we examine the options available for medical students who aren't matched with their preferred internship, such as transitioning into a preliminary surgical year or pursuing a general medical officer (GMO) role. The nuances of how different specialties view a transitional year are also covered, with particular emphasis on which rotations may count towards graduation requirements for certain boards. Furthermore, we address the differences in how the Army, Air Force, and Navy utilize GMO tours within overall Graduate Medical Education (GME) training pathways.   (35:35) Military Medical Career Pathways      Dr. DeZee describes the journey of becoming a General Medical Officer (GMO) in the military, highlighting the additional training required for various roles, such as flight surgeon or undersea medicine. We discuss the mentoring process within a flight unit and the evaluation called a Focused Practice Review to ensure safe medical practice. For those interested in long-term service, options like aerospace medicine residencies are available. The Navy's new program, which allows a seamless transition back to residency after a GMO tour, is also highlighted. Additionally, I touch upon the flexibility for those who decide a particular residency is not for them, detailing the process for resigning and re-competing for a different specialty without it being viewed negatively, as long as professional standards are maintained.   (40:14) Maximizing Success in Military Medical Careers   We cover the critical decisions and requirements for medical professionals in a DHA Graduate Medical Education (GME) program, focusing on the nuances of resignation and training progression. We emphasize the irreversible nature of resigning from the program and the transition to becoming a general medical officer. I also address the integration of military education with medical residency, highlighting the importance of completing the Officer Basic Course before or during residency. For medical students aspiring to be competitive in the selection board, I offer advice on enhancing their profiles through clinical rotations, leadership roles, and research involvement. Being well-prepared for specialty rotations, demonstrating leadership potential, and achieving strong academic performance are key factors in securing a successful career as a medical corps officer.   (52:50) Military Graduate Medical Education Opportunities      Dr. DeZee encourages exploring the details of Army Internal Medicine programs through the DHA website, highlighting the ease of access and the wealth of information available without any commitment. We emphasize the dedication of program coordinators like Michelle Valdez and Michael Simons in developing this resource, which aids in understanding the local environment and the training of medical corps officers. Reflecting on personal experiences, such as undergoing surgery at Walter Reed, underscores the importance of excellent training programs for military medical professionals. I stress the significance of training residents who may one day provide care to us or our loved ones, highlighting the personal investment of trainers in their trainees' success. We also clarify that while the military does not force specialties on medical officers, the option to pursue one's desired field remains open, ensuring that medical professionals are passionate and committed to their chosen paths.   Take Home Messages: Navigating the Military GME Landscape: The episode provides an in-depth look at the military's Graduate Medical Education (GME) system, highlighting its evolution and the unique challenges faced by aspiring military physicians. It covers the residency match process and emphasizes the importance of leadership and clinical experience in shaping successful military medical professionals.   Understanding Service Branch Differences: Listeners gain insights into the differences in GME offerings across the Army, Navy, and Air Force, including the option of civilian deferred training, which allows students to complete their residency without immediate military obligations. The discussion also covers how specialty opportunities can vary among service branches.   Career Pathways in Military Medicine: The podcast explores the various career paths available to military medical professionals, including roles like General Medical Officer, flight surgeon, and undersea medicine. It highlights the mentoring process and training opportunities that ensure medical officers are well-prepared for their duties.   Optimizing Training Opportunities: The episode discusses how the Defense Health Agency is centralizing the administration of military hospitals to enhance GME training opportunities and ensure optimal utilization of training slots across service branches. This streamlining is aimed at improving the quality and availability of training for military physicians.   Enhancing Competitiveness in GME Applications: Aspiring military doctors are advised on how to stand out in GME applications, with a focus on clinical rotations, leadership roles, and research involvement. The episode underscores the importance of being well-prepared for specialty rotations and achieving strong academic performance to secure a successful career as a military medical officer.   Episode Keywords: Military Medicine, Graduate Medical Education, Military Doctors, Residency Match Process, Military GME, Defense Health Agency, General Medical Officer, Flight Surgeon, Undersea Medicine, DHA Hospitals, Military Residency, Medical Corps Officer, Military Healthcare Careers, Transitional Year Program, Civilian Deferred Training, WarDocs Podcast, Leadership in Medicine, HPSP, ROTC, USMA    Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #GraduateMedicalEducation #MilitaryDoctors #GME #MedicalTraining #WarDocsPodcast #DefenseHealthAgency #ArmyMedicine #NavyMedicine #AirForceMedicine    Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

      Imagine navigating the complexities of wartime medicine, where every decision can mean the difference between life and death. Join us for an unfiltered conversation with Dr. Oleksandr Sokolov, a Ukrainian vascular surgeon who has been in the thick of it, bringing groundbreaking innovations to the surgical battlefield. Dr. Sokolov reveals how the use of acellular tissue-engineered vessels is not just a technical advancement, but a lifeline for those caught in the crossfire. Get a firsthand account of how these innovations are reshaping trauma management in ways that remain largely unseen by the rest of the world.     We shine a spotlight on how advanced vascular implants are making waves in combat zones, offering hope where traditional methods have faltered. Dr. Sokolov shares the striking successes of a bioengineered vascular prosthesis that is defying expectations with its high patency rate and promise of limb salvage. These tissue-engineered vessels are not just keeping soldiers and civilians alive, but are setting a new standard for what’s possible in extreme surgical conditions. The potential of these technologies to transform future medical care, from pediatric surgeries to cardiac bypasses, is nothing short of revolutionary.      But amidst the technological triumphs, there is also profound human resilience. Dr. Sokolov's stories are not only about scientific breakthroughs but also about the enduring spirit of those affected by war. As we discuss the critical role of global humanitarian networks, the conversation turns to the power of collaboration and the peace-driven future we all hope for. This episode is a testament to courage, innovation, and the relentless pursuit of better patient outcomes—even in the harshest of environments.   Chapters: (00:04) Vascular Surgery in a War Zone (11:10) Advanced Vascular Implants in Combat (24:26) Enhancing Survival With Engineered Vessels (36:56) Lessons in Combat Medicine and Technology   Chapter Summaries: (00:04) Vascular Surgery in a War Zone Dr. Sokolov shares his experiences providing surgical care in war-torn Ukraine, highlighting the use of acellular tissue-engineered vessels and the collapse of the military medical system.   (11:10) Advanced Vascular Implants in Combat Nature's bioengineered vascular prosthesis offers advantages in military medicine, with high success rates and reduced surgery time.   (24:26) Enhancing Survival With Engineered Vessels Battlefield trauma surgery, engineered vessels, managing risks, and potential applications in pediatric and cardiac cases.   (36:56) Lessons in Combat Medicine and Technology Dr. Sokolov shares lessons from wartime surgery, collaboration with Humacyte, advancements in vascular surgery technology, and hope for peace.   Take Home Messages: Wartime Innovation in Medicine: The episode highlights the transformative impact of acellular tissue-engineered vessels in wartime trauma care, demonstrating how these bioengineered solutions are enhancing surgical outcomes, particularly in conflict zones where traditional methods may not suffice. Global Collaboration and Support: It underscores the vital role of global humanitarian aid and international collaboration in advancing medical care in conflict areas. This support network provides essential resources and fosters the sharing of expertise, crucial for improving patient outcomes amidst challenging conditions. Resilience and Courage in Healthcare: Through powerful narratives, the episode captures the resilience of medical professionals and patients operating in high-stakes environments. These stories emphasize the human spirit's ability to persevere and adapt, even when faced with the dire circumstances of war. Broader Applications of Bioengineered Vessels: The discussion extends beyond immediate trauma care, exploring the potential applications of these advanced vascular implants in pediatric surgery and cardiac procedures, hinting at a broader revolution in vascular health care. The Importance of Medical System Support: The episode advocates for robust system support over reliance on individual heroics, stressing the need for organized and sustainable medical frameworks to effectively manage and respond to the healthcare challenges posed by war.   Episode Keywords: Wartime medicine, vascular surgery, Ukraine conflict, Dr. Oleksandr Sokolov, bioengineered vessels, trauma care, humanitarian aid, military medical systems, acellular tissue-engineered vessels, limb salvage, infection prevention, combat zone surgery, Humacyte collaboration, pediatric surgery, cardiac procedures, medical innovation, frontline surgeons, global medical community, medical advancements, survival and resilience   Hashtags: #WartimeMedicine #VascularInnovation #UkraineSurgeons #HumanitarianAid #BioengineeredVessels #TraumaCare #MedicalBreakthroughs #ConflictZoneMedicine #AdvancedSurgery #HealingAmidstWar   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

   What drives a person with no medical lineage to become a leading figure in military medicine? Join us as we uncover the remarkable journey of Lt Col Theodore Hart, MD, whose path from the Air Force Academy to a celebrated vascular surgeon at Brooke Army Medical Center defies expectations. Discover the pivotal moments that ignited his passion for surgery and medicine, from a transformative research opportunity at the University of Cincinnati to his esteemed education at the University of Chicago and a fellowship at Stanford. Dr. Hart shares the profound influence of mentorship and the bountiful opportunities within military medicine that have shaped his career and commitment to innovative battlefield trauma care.    Prepare to be inspired by Dr. Hart's dedication to surgical training and mentorship within the military. Explore his insights on balancing the complexities of trauma surgery with an elective practice, while passionately advocating for residents and shaping robust training programs. His reflections on the vibrant research environment at Brooke Army Medical Center highlight the nurturing of future surgeons through rigorous mentorship and cutting-edge vascular surgery research. Dr. Hart’s stories about witnessing the growth of his trainees into accomplished professionals underscore the core values of education and quality improvement that drive his mission.    In a world where military and medical advancements often intersect, Dr. Hart's insights into collaborative research initiatives reveal the promising future of military medicine. Learn about the ambitious multi-year research programs at Brooke Army Medical Center, supported by the Henry M Jackson Foundation, which are paving the way for breakthroughs like portable dialysis technology. Delve into the strategic partnerships that fuel innovation and the evolving field of military vascular surgery, where minimally invasive techniques are becoming essential. Dr. Hart’s vision for aligning military resources with evolving surgical skills presents a compelling outlook on how emerging technologies and specialized training are poised to redefine future battlefields.   Chapters: (00:03) Dr. Hart Background (10:27) Surgical Training and Mentorship in the Military (15:24) Collaborative Research Initiatives in Military Medicine (20:21) Military Research and Collaborative Partnerships (28:55) Advancements in Military Vascular Surgery   Chapter Summaries: (00:03) Dr. Hart Background Dr. Hart's journey from the Air Force Academy to becoming a leader in military medicine, emphasizing mentorship and research.   (10:27) Surgical Training and Mentorship in Military Passion for military medicine and teaching, specializing in trauma surgery, leadership and advocacy for residents, vibrant research environment.   (15:24) Collaborative Research Initiatives in Military Medicine Collaborative research program at Burke Army Medical Center with support from Henry M Jackson Foundation, focusing on non-compressible torso hemorrhage and portable dialysis.   (20:21) Military Research and Collaborative Partnerships Integrating military training and research, collaboration with University of Washington, and passion for improving military medicine.   (28:55) Advancements in Military Vascular Surgery Vascular surgery in the military is evolving with advancements in endovascular techniques, integrated training, and innovation for future battlefields.     Take Home Messages: Pathways to Military Medicine: The journey to becoming a leader in military medicine can be unconventional, with unique opportunities for mentorship and growth available within the military medical system. A pivotal research experience can ignite a passion for medicine, even for those without a family background in the field. Surgical Training and Mentorship: Surgical residency within the military offers a challenging yet rewarding environment, with an emphasis on leadership, teaching, and advocacy for residents. Witnessing the growth of trainees from their initial days to accomplished professionals is a central and fulfilling aspect of military medical education. Collaborative Research Efforts: Successful military medical research relies on robust collaborative efforts and institutional support. Projects tackling issues like non-compressible torso hemorrhage and portable dialysis technology demonstrate the critical role of partnerships in advancing military medicine. Advancements in Military Vascular Surgery: The field of military vascular surgery is evolving, with a focus on minimally invasive techniques and the need for training programs to adapt to these changes. Ensuring that general surgeons retain essential skills is crucial for effective hemorrhage control and blood vessel reconstruction in remote locations. Passion for Innovation and Education: The drive to innovate and teach is fundamental to the continuous improvement of military medicine. Integrating new training and technologies on future battlefields is essential for aligning military resources with the evolving skill sets of newly trained surgeons.   Episode Keywords: Military Medicine, Vascular Surgery, Dr. Theodore Hart, Brooke Army Medical Center, Surgical Innovation, Mentorship, Battlefield Trauma Care, Military Research, Henry M Jackson Foundation, Portable Dialysis Technology, Endovascular Surgery, Surgical Training, Non-compressible Torso Hemorrhage, Integrated Training Programs, Future of Military Medicine, Military Doctors, Surgical Residency, San Antonio, Air Force Academy   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #VascularSurgery #BattlefieldInnovation #SurgicalMentorship #MilitaryResearch #HenryMJacksonAward #BrookeArmyMedicalCenter #FutureSurgeons #MedicalInnovation #DrTheodoreHart   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Join Dr. Hassan A. Tetteh, a former Navy Captain and expert in AI and healthcare, as he reveals how AI is transforming medical practices. He discusses AI's evolution from a simple tool to a vital co-pilot in surgery, highlighting advancements like the first fully robotic heart transplant. Dr. Tetteh explains AI's pivotal roles in military medicine, combat triage, and veteran care, while addressing ethical considerations and the need for clinician adaptation. He predicts a future where patients are empowered through technology and urges ongoing dialogue about these changes.

   Join us for a fascinating discussion with retired Air Force Colonel Dr. Jessica Servey, who shares her remarkable journey into military medicine. As a family physician and a leader in medical education, Dr. Servey offers an insider's view into the dynamic world of military healthcare. Her unexpected entry into the Air Force, sparked by an encounter during a cancer charity run, set the stage for a distinguished career that includes experiences at Spangdahlem Air Base during the Kosovo War and a deployment to Oman post-9/11. Dr. Servey's reflections illuminate the unique challenges and rewarding opportunities encountered by military physicians.       Our conversation also highlights the academic development within the military health system, with a focus on the role of academic appointments for military personnel at the Uniformed Services University. Dr. Servey explains the significance of these appointments for career advancement and credibility, both in military and civilian roles. She offers practical insights into the academic appointment process, encouraging early engagement to support academic careers and ensure alignment with civilian standards. This alignment not only enhances individual career prospects but also bolsters the reputation of the military health system.      In our exploration of military-academic career progression, we discuss the various roles and opportunities available to maintain and enhance academic appointments. Dr. Servey shares how the flexibility of USU supports military commitments while offering continuity across different postings. We also discuss the importance of understanding academic terminology for those considering a transition to civilian academia. This episode provides valuable insights for anyone interested in the intersection of military service and medical education, with stories that blend the personal and professional experiences of a dedicated military physician.   Chapters: (00:03) Military Medicine Career Path (08:07) Academic Appointment Process in Military Medicine (23:15) Military-Academic Career Progression in Medicine (35:07) Academic Promotion and Faculty Development   Chapter Summaries: (00:03) Military Medicine Career Path Retired Air Force Colonel Dr. Jessica Servey shares her journey into military medicine and her experiences as a family physician and leader in graduate medical education.   (08:07) Academic Appointment Process in Military Medicine Academic development in military health system, USU appointment process, and benefits of maintaining academic credentials.   (23:15) Military-Academic Career Progression in Medicine USU offers flexibility and opportunities for military personnel to maintain and enhance academic appointments, with potential for transition to civilian roles.   (35:07) Academic Promotion and Faculty Development" Academic promotion complexities, diverse pathways, continuous learning, and supportive resources for faculty at military medical facilities.   Take Home Messages: Military Medicine Career Pathways: The episode highlights the diverse and unexpected pathways into military medicine, emphasizing the importance of academic appointments for military physicians. These appointments not only enhance individual career prospects but also contribute to the overall credibility and effectiveness of the military health system. Academic Development in the Military: Listeners gain insights into the process of aligning military and civilian academic standards, which is crucial for maintaining credibility and opening up opportunities for military personnel transitioning to civilian roles. The importance of early engagement with the academic appointment process at institutions like the Uniformed Services University is underscored. Balancing Military and Academic Roles: The episode provides practical advice on how military personnel can sustain and enhance their academic appointments despite their commitments. Flexibility offered by military academic institutions, such as online electives and virtual grading, supports ongoing academic growth while accommodating military duties. Transitioning to Civilian Academia: For those considering a shift to civilian academic roles, understanding academic terminology and aligning with civilian standards is essential. The episode discusses the parallels between military and academic promotion processes, illustrating how military achievements can translate into academic success. Leadership and Continuous Learning: The episode emphasizes the importance of continuous learning and adaptation in both military and academic settings. It discusses the complexities of academic promotion, the role of leadership skills, and the value of faculty development workshops in fostering a sense of unity among diverse educational specialties.   Episode Keywords: Military medicine, academic growth, Dr. Jessica Servey, War Docs podcast, Air Force, medical education, USUHS, family physician, Kosovo War, military health system, Uniformed Services University, military to academia transition, combat medicine, medical career, military physicians, podcast episode, medical leadership, academic appointments, civilian transition, online electives, faculty development   Hashtags: #MilitaryMedicine #AcademicGrowth #WarDocsPodcast #DrJessicaServey #MedicalEducation #AirForceMedicine #CombatToClassroom #USUHS #MilitaryAcademia #PodcastEpisode   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

     Unlock the power to overcome imposter syndrome in military medicine with insights from an eclectic panel of seasoned professionals. Major Lindsay Umlauf hosts a compelling discussion with Brigadier General Susan Pietrykowski, retired Command Master Chief Petty Officer Tyrone Willis, Major Tiara Walz, and Second Lieutenant Ryan Leone. Together, they unravel the complexities of self-doubt, share transformative personal stories, and introduce the empowering "bring your own chair" concept, offering listeners a roadmap to finding and asserting their place in the demanding world of military healthcare. With practical guidance on setting achievable goals, challenging negative self-talk, and leveraging community support, the episode demonstrates how embracing discomfort can serve as a catalyst for both personal and professional growth. The metaphor of chairs offers a unique perspective through which listeners can explore what it means to fully engage with their careers and communities.     As the conversation shifts to leadership and mentorship, the panel explores how building a larger, more inclusive table can redefine success in military and healthcare settings. By sharing experiences and strategies for fostering a collaborative culture, our guests highlight the importance of expanding opportunities and nurturing talent. The episode concludes with thoughtful reflections on knowing when to transition roles for personal growth and organizational benefit, leaving listeners with valuable insights on balancing ego and opportunity cost for sustained success.     Chapters:   (00:02) Overcoming Imposter Syndrome in Military Medicine (14:19) Navigating Professional Growth and Networking (26:20) Advocating for Growth and Inclusion (37:24) Leadership and Mentorship in Military Medicine (44:19) Leaving Tables (50:56) Transitioning Tables for Growth   Chapter Summaries:   (00:02) Overcoming Imposter Syndrome in Military Medicine   Imposter syndrome in military medicine, overcoming it through self-awareness, mentorship, and understanding unique challenges.   (14:19) Navigating Professional Growth and Networking   Overcoming imposter syndrome and embracing a growth mindset in a military medicine career.   (26:20) Advocating for Growth and Inclusion   Exploring the metaphor of chairs, we embrace discomfort for growth by redefining success and fostering a growth mindset.   (37:24) Leadership and Mentorship in Military Medicine   Mentorship and collaboration are crucial for success in professional settings, and it is important to nurture talent and address imposter syndrome.   (44:19) Leaving Tables   Opportunity cost of choosing tables in personal and professional life, identifying right moment to leave, self-awareness and alignment, emotional challenges, fostering understanding and resilience.   (50:56) Transitioning Tables for Growth   Leadership transitions, knowing when to move on, setting aside ego, and the "bring your own chair" framework.     Take Home Messages: Embrace Discomfort for Growth: One of the key themes of the episode is the importance of embracing discomfort as a catalyst for both personal and professional development. The discussion emphasizes how stepping outside of your comfort zone and confronting self-doubt can lead to mastery and increased confidence in military medicine.   Adopt a Growth Mindset: The podcast emphasizes the significance of maintaining a growth mindset. By setting small, achievable goals and focusing on continuous improvement, individuals can transform feelings of inadequacy into opportunities for development and success.   Leverage Community and Mentorship: Harnessing the power of community support and mentorship is essential for overcoming imposter syndrome. The episode offers practical advice on seeking guidance, engaging with mentors, and collaborating with others to foster an inclusive environment that values diverse perspectives and talents.   Recognize When to Transition: Knowing when to gracefully exit a role is a crucial aspect of professional growth. The podcast emphasizes the importance of self-awareness and understanding opportunity costs, encouraging listeners to align their career choices with their personal values and organizational objectives for more meaningful pursuits.   "Bring Your Own Chair" Concept: The empowering metaphor of "bringing your own chair" serves as a guiding principle for finding one's place in challenging environments. This concept encourages individuals to actively seek out opportunities, contribute meaningfully, and advocate for themselves and others in military medicine.   Episode Keywords: Military Medicine, Imposter Syndrome, Professional Growth, Mentorship in Medicine, Leadership in Healthcare, Overcoming Self-Doubt, Military Health Careers, Growth Mindset, Empowering Voices in Medicine, Career Transformation, Inclusive Growth, Self-Improvement, Healthcare Leadership, Medical Community Support, Career Pathways, Organizational Success, Personal Development in Medicine      Hashtags: #ImposterSyndrome #MilitaryMedicine #GrowthMindset #ProfessionalDevelopment #BringYourOwnChair #Leadership #Mentorship #InclusiveGrowth #HealthcareInnovation #CareerTransformation        Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast