WarDocs - The Military Medicine Podcast

   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

Army neurosurgeon LTC Ryan Morton, MD, joins us for a compelling discussion on the high-stakes environment of combat neurosurgery. We delve into the strategies crucial for managing head trauma on the battlefield, where preventing hypoxia and hypotension is paramount for saving lives. Dr. Morton shares invaluable insights on how military medical teams maintain vigilance against these conditions despite the lack of advanced imaging capabilities. From arterial blood pressure monitoring to oxygen therapy, we cover the proactive measures used to manage intracranial pressure effectively, ensuring that even in the toughest settings, soldiers receive the best possible care.     Our conversation evolves into a detailed exploration of the surgical techniques employed in trauma response. We discuss the significance of patient positioning, the careful balancing of resuscitation efforts, and the pivotal role of Roll 3 hospitals with their advanced CT scanning capabilities. The episode also shines a light on the logistical aspects of performing complex procedures like spine surgeries and managing traumatic vasospasm in military environments. Dr. Morton touches on the challenges of treating severe injuries in combat zones and the thoughtful considerations involved in using endovascular techniques for managing carotid injuries. Join us for an episode packed with expert insights and real-world solutions for the unique challenges faced in military medical care.   Chapters:   (00:02) Combat Neurosurgery (11:14) Surgical Techniques in Trauma Response (17:18) Combat Medical Care and Consultation   Chapter Summaries:   (00:02) Combat Neurosurgery   Managing head trauma in combat zones requires vigilance against hypoxia and hypotension, with measures such as blood pressure monitoring and oxygen therapy.   (11:14) Surgical Techniques in Trauma Response    Maintaining brain health in trauma management through proper positioning, blood coagulation, and advanced capabilities of Roll 3 hospitals.   (17:18) Combat Medical Care and Consultation    Logistics of spine fusions, protocols for head trauma, challenges of treating vasospasm, and endovascular techniques for carotid injuries.   Take Home Messages: Combat neurosurgery requires a proactive approach to managing head trauma on the battlefield, emphasizing the prevention of hypoxia and hypotension. Despite the lack of advanced imaging capabilities, military medical teams can effectively monitor and manage intracranial pressure through vigilant use of arterial blood pressure monitoring and oxygen therapy.   Patient positioning, such as using the reverse Trendelenburg position, plays a crucial role in reducing intracranial pressure in trauma cases. Maintaining proper blood coagulation and sodium levels is essential to avoid complications, and the advanced capabilities of Roll 3 hospitals, like CT scanning, are vital for determining the appropriate neurosurgical interventions.   While immediate spine surgeries may be necessary in combat zones, complex procedures are often preferred to be performed in more sterile environments such as Landstuhl, Walter Reed, or BAMC. These facilities provide the necessary resources and expertise to manage severe injuries and offer comprehensive care.   The use of seizure prophylaxis, such as Keppra or Dilantin, should be carefully considered in cases of suspected head trauma. However, it is typically not an immediate priority unless the patient is actively seizing. If a severe traumatic brain injury is confirmed, seizure prophylaxis may be beneficial for a limited period.   Endovascular techniques for managing carotid injuries, such as deploying covered stents or performing balloon test occlusions, require careful consideration and are best performed in well-equipped facilities away from the battlefield. The treatment of traumatic vasospasm, which can occur days after the initial trauma, should be managed in specialized centers to ensure optimal patient outcomes.   Episode Keywords: combat neurosurgery, military head trauma, battlefield brain surgery, surgical techniques in combat, military medical care, head trauma management, Roll 3 hospitals, military neurosurgeon insights, intracranial pressure management, trauma care in austere settings, endovascular techniques in military, preventing hypoxia and hypotension, trauma surgery in military environments, Lieutenant Colonel Ryan Morton, War Docs podcast   Hashtags: #MilitaryMedicine #CombatNeurosurgery #BattlefieldTrauma #HeadTraumaCare #MilitarySurgery #NeurosurgeonInsights #CombatMedicalResponse #MilitaryHealthcare #WarDocsPodcast #TraumaSurgery   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

    Army neurosurgeon LTC Ryan Morton, MD, takes us on an extraordinary journey through his military medicine career, sharing insights and personal stories that shaped his path. From the influence of his father's military service and choosing the ROTC HPSP route to fund his education at Notre Dame, to his pivotal decision to pursue neurosurgery over cardiology, Dr. Morton's narrative is both inspiring and enlightening. His experiences in building a neuro-neurosurgery program and witnessing the advancements in trauma and stroke care over the past decade provide a unique perspective on both the challenges and triumphs in military medicine.     Discover the groundbreaking work at Brooke Army Medical Center, where Dr. Morton played a key role in expanding stroke care capabilities and performed the center's first thrombectomies. His dedication to maintaining his skills through moonlighting and exploring endovascular techniques for battlefield applications underscores the complexity of military neurosurgery. One particularly impactful case involving an active-duty pilot with a large arterial venous malformation highlights the crucial balance between medical risks and personal aspirations, offering a poignant look at the decision-making processes in such high-stakes scenarios.      As Dr. Morton reflects on his training at major trauma centers like Harborview, which ignited his passion for trauma care, he also shares his vision for the future of Army military neurosurgery. Emphasizing mission readiness and comprehensive training for neurosurgeons, he highlights the importance of partnerships between military and civilian centers. With excitement about enhanced stroke care capabilities and a hopeful outlook on the evolving landscape of neurosurgery, Dr. Morton provides valuable insights into how experience and high-quality studies will continue to shape the field.   Chapters: (00:04) Military Neurosurgery (11:11) Endovascular Neurosurgery in Military Medicine (20:28) Traumatic Brain Injury Management Overview (33:54) Evolution of Military Neurosurgery   Chapter Summaries: (00:04) Military Neurosurgery     Army neurosurgeon Dr. Ryan Morton shares his journey and experiences in building a neuro-neurosurgery program, inspired by his military upbringing and chance encounter with neurosurgery during medical school.   (11:11) Endovascular Neurosurgery in Military Medicine    Expanding stroke care at Brook Army Medical Center, performing first thrombectomies, potential for endovascular neurosurgery on battlefield, and operating on complex AVM case.   (20:28) Traumatic Brain Injury Management Overview    Neurosurgery's critical role in trauma care, prioritizing cases based on severity, collaboration with trauma teams, and criteria for operative intervention.   (33:54) Evolution of Military Neurosurgery    Military neurosurgery's evolution, trauma care training, role in combat zones, and potential for enhanced stroke care.   Take Home Messages: Pathway to Military Medicine: The journey into military medicine can be deeply influenced by personal experiences and family backgrounds. Choosing pathways like the ROTC, HPSP route can provide valuable opportunities to fund education while also serving one's country.   Advancements in Military Neurosurgery: Over the past decade, significant advancements have been made in military neurosurgery, particularly in the fields of trauma and stroke care. Building specialized programs within military medical centers is crucial for keeping up with these developments.   Importance of Interdisciplinary Collaboration: The successful management of traumatic brain injuries and other complex neurosurgical cases often requires close collaboration between neurosurgeons and trauma teams. This synergy allows for effective handling of polytrauma patients and simultaneous surgical interventions.   Endovascular Techniques in Combat Zones: The potential application of endovascular neurosurgery techniques on the battlefield offers promising possibilities for managing traumatic injuries. Maintaining and expanding stroke care capabilities within military medical centers is vital for both civilian and military patient outcomes.   Future Vision for Military Neurosurgery: Ensuring mission readiness and comprehensive training for neurosurgeons is essential for the future of military medicine. Strengthening partnerships between military and civilian centers, as well as leveraging the reserves, can help maintain high standards of care and enhance neurosurgical capabilities in combat zones.   Episode Keywords: Military neurosurgery, Army neurosurgeon, Dr. Ryan Morton, stroke care, trauma care, Brooke Army Medical Center, thrombectomies, endovascular techniques, battlefield medicine, military-civilian partnerships, ROTC, HPSP, Notre Dame, interventional neurosurgery, traumatic brain injury, Harborview, Madigan, combat zones, mission readiness, pioneering stroke care, medical advancements, neurosurgical excellence, WarDocs podcast   Hashtags: #MilitaryMedicine #Neurosurgery #ArmyNeurosurgeon #StrokeCare #TraumaCare #EndovascularSurgery #BrookeArmyMedicalCenter #CombatMedicine #MedicalInnovation #WarDocsPodcast     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

Retired Major General Paul Friedrichs, MD, former Director of the White House Office on Pandemic Preparedness, shares invaluable insights on healthcare leadership. He emphasizes keeping patients at the heart of healthcare decisions and the power of gratitude among medical teams. Paul recounts a touching experience from Fallujah that illustrates the need for resilience in healthcare. He discusses the balance between adhering to standards and fostering innovation in military medicine, while suggesting noteworthy leadership books and the importance of mentorship.

    Dr. Stephen Ferrara, a distinguished retired Navy Captain and the Acting Assistant Secretary of Defense for Health Affairs, joins us on WarDocs to share his inspiring journey through military medicine. Dr. Ferrara opens up about his motivations, which are deeply rooted in family ties and pivotal global events, such as the Gulf War, that led him to pursue a career as a vascular and interventional radiologist. His insights reveal the profound responsibilities of advising the Secretary of Defense on military healthcare policies, managing vast budgets, and advocating for the welfare of military healthcare professionals. Dr. Ferrara's narrative is a testament to the dedication and teamwork that mark the Military Health System, underscoring its essential role in national security.     The episode offers a window into the unique challenges and deeply rewarding experiences of serving as a military medical professional. Dr. Ferrara recounts his swift deployment aboard the USNS Mercy following the devastating 2004 tsunami and his subsequent support of Army operations in Afghanistan. These experiences highlight the adaptability and commitment required in military medicine, where providing care in disaster zones and combat situations becomes a way of life. The personal side of his story unfolds as well, sharing the dynamics of balancing a dual military family life, managing deployments, and instilling values of public service in the next generation.     Dr. Ferrara delves into the complexities of maintaining readiness and supporting healthcare initiatives amid budget constraints. He discusses leveraging partnerships with organizations like the VA and Medicare to enhance medical skills and generate revenue, ensuring the system's commitment to outperforming the private sector in patient outcomes. With congressional support and a focus on efficient governance, Dr. Ferrara's perspective sheds light on the resilience and innovation driving military healthcare forward.     Chapters: (00:04) Military Medicine Leadership and Career Insights (12:13) Military Service (18:51) Military Health System Excellence and Leadership (27:10) Strategic Partnerships for Military Health (40:43) Military Health Leadership and Service   Chapter Summaries: (00:04) Military Medicine Leadership and Career Insights Dr. Stephen Ferrara's extensive career as a retired Navy Captain and current Acting Assistant Secretary of Defense for Health Affairs, overseeing the military health system and advocating for military healthcare professionals.   (12:13) Military Service Military medical professionals serve in disaster zones, combat, and global health missions, while balancing family life and instilling values of public service.   (18:51) Military Health System Excellence and Leadership Transitioning from military physician to health policy and national security roles, emphasizing readiness and supporting warfighters.   (27:10) Strategic Partnerships for Military Health The military health system faces budget constraints but strives to outperform the private sector through efficiency, good governance, and partnerships.   (40:43) Military Health Leadership and Service Dr. Steve Ferreira shares insights on health affairs in the defense sector, highlighting his career and significant experiences.   Take Home Messages: Leadership in Military Medicine: The episode highlights the significant leadership roles within the military health system, emphasizing the importance of advising top defense officials on healthcare policies, managing large budgets, and advocating for military healthcare professionals. The leadership insights shared underline the critical role of maintaining readiness and strategic planning in military medicine. Unique Challenges and Rewards: Serving in military medicine involves unique challenges, such as providing care in disaster zones and combat situations. The episode explores the adaptability and commitment required in these environments, illustrating the profound sense of duty and fulfillment derived from serving both the nation and its service members. Balancing Personal and Professional Life: The narrative also delves into the personal aspects of a military medical career, including the dynamics of balancing a dual military family life, managing deployments, and instilling values of public service in the next generation. This balance is a critical component of a successful military medical career. Strategic Partnerships and Innovation: The episode discusses the importance of strategic partnerships with organizations like the VA and Medicare to enhance medical skills, generate revenue, and maintain the military health system's commitment to excellence. These collaborations are vital for bridging budget gaps and ensuring the system's sustainability. Excellence and Resilience in Military Healthcare: The episode sheds light on the resilience and innovation driving military healthcare forward, focusing on efficient governance and the system's mission to outperform the private sector in patient outcomes. It highlights the dedication of military health professionals and the importance of congressional support in providing the necessary resources for continued excellence. Episode Keywords: Military Medicine, Dr. Stephen Ferrara, Navy Captain, War Docs Podcast, healthcare leadership, vascular radiology, military healthcare challenges, Gulf War, Afghanistan, USNS Mercy, military medical career, defense health system, resilience in healthcare, military health professionals, military medical deployments, strategic partnerships, VA and Medicare, military health budget, military family life, military healthcare excellence   Hashtags: #MilitaryMedicine #WarDocsPodcast #HealthcareLeadership #NavyMedicine #VascularRadiology #MilitaryHealthcare #MedicalReadiness #StrategicPartnerships #HealthcareInnovation #NationalSecurity   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