WarDocs - The Military Medicine Podcast

Episode Summary:     In this episode of WarDocs, we had the privilege of speaking with retired Navy Rear Admiral Dr. Colin Chinn about his journey into Navy medicine, the clinical and leadership lessons he learned throughout his distinguished career, and groundbreaking research in military medicine. We discussed Dr. Chinn's experiences as a Navy gastroenterologist, his role in supporting military medicine and healthcare delivery, and the importance of global health engagement. We also touched on the challenges of military medicine and the importance of graduate medical education in maintaining the quality of healthcare professionals in the Navy. Join us as we explore the world of military medicine and the incredible impact it has on the lives of Service Members and their families.   Chapters:   (0:00:00) – Introduction to Episode and Dr. Chinn (0:05:12) - Operational Assignments for Navy Physicians (0:17:56) - Military Graduate Medical Education (0:29:30) - Regenerative Medicine Research (0:42:56) - Global Health Engagement (0:49:20) - Military Medicine Legacy   Chapter Summaries:   (0:00:00) - Introduction to Episode and Dr. Chinn (5 Minutes) In this episode of WarDocs, we explore the journey of retired Navy Rear Admiral Dr. Colin Chinn, his pathway into Navy medicine, and the many clinical and leadership lessons he has learned throughout his distinguished career. Dr. Chinn shares his experiences providing medical support for Marine Corps units and how Navy Medicine utilizes medicine subspecialists in deployment roles. He also discusses groundbreaking research in military medicine and the importance of global health engagement. Additionally, Admiral Chinn talks about the role of the Joint Staff Surgeon and what it's like providing expert and timely medical advice to the Chairman of the Joint Chiefs of Staff and the Secretary of Defense.   (0:05:12) - Operational Assignments for Navy Physicians (13 Minutes) In this portion of WarDocs, we delve into Dr. Colin Chin'ns experiences as a Navy gastroenterologist, including memorable clinical cases and his role in supporting military medicine and healthcare delivery. We also discuss how Navy physicians get assigned to support the Marine Corps and the transition from clinical medicine to executive leadership. Additionally, we touch on the importance of being a student of leadership and understanding how the Navy and operational and CONUS medical units function in order to excel in executive roles within Navy Medicine.   (0:17:56) - Military Graduate Medical Education (12 Minutes) In this part of the interview, we discuss the challenges of Military Medicine and the importance of Graduate Medical Education in maintaining the quality of healthcare professionals in the Navy. We also explore the role of contractors like TriWest in supporting remote medical facilities and the challenges they face in ensuring adequate medical care in these locations. Additionally, we touch upon the responsibilities and challenges faced by Dr. Colin Chin during his tenure as the US Pacific Command Surgeon and the Navy MC Chief, as well as interesting projects he worked on in military medical research and development.   (0:29:30) - Regenerative Medicine Research (13 Minutes) We explore the significant advances in regenerative medicine conducted by military medical researchers in collaboration with major academic centers. We discuss the importance of looking beyond the injuries of past conflicts and focusing on potential injuries from future conflicts. We also hear about Dr. Colin Chinn's experiences as the Joint Staff Surgeon and his role as the chief medical adviser to the Chairman of the Joint Chiefs of Staff. Additionally, we touch on the importance of global health engagement and how the uniform service university is preparing individuals for this crucial aspect of military medicine.   (0:42:56) - Global Health Engagement (6 Minutes) We examine the role of global health engagement (GHE) in military medicine, its significance in building relationships with allies and partners, and its potential impact on future military endeavors. We discuss the Center for Global Health Engagement's courses and programs, as well as its support for various military operations. Additionally, we reflect on two examples of GHE's effectiveness in opening doors and building trust, one involving Burma and the other concerning Vietnam. Lastly, we consider the challenges GHE practitioners face in navigating their scope of care in limited resource environments.   (0:49:20) - Military Medicine Legacy (6 Minutes) We highlight the importance of providing sustainable medical care during military global health engagements, ensuring that host nations can maintain and manage the care provided. We also address potential challenges in austere environments, where medics may be required to perform procedures outside their scope of practice. Lastly, we reflect on the legacy of service, emphasizing the value of being open, honest, and accessible to those seeking guidance and mentorship in military medicine.   Episode Keywords: Military Medicine, Navy Medicine, Dr. Colin Chin, Navy Gastroenterologist, Global Health Engagement, Graduate Medical Education, Regenerative Medicine, Marine Corps, Joint Staff Surgeon, Healthcare Professionals, Medical Support, Medical Research, Operational Assignments, Navy Physicians, Clinical Medicine, Executive Leadership, US Pacific Command Surgeon, Medical Corps Chief, Uniformed Services University, Military Medical Legacy   #Military #Medicine #Podcast #Navy #Marines #GlobalHealth #Research #Mentorship   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/episodes 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 100% of donations 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

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-22-00478R1: “An Analysis of Head and Neck Surgical Workload During Recent Combat Operations from 2002-2016” EPISODE SUMMARY Discover the critical insights from Dr. Caryn Stern and CDR Shane Jensen, MD on the prevalence of head and neck trauma cases managed by deployed surgeons during recent conflicts. This episode dives into their Military Medicine paper, which analyzes head and neck surgical workload at forward MTF’s spanning 2 decades, and the importance of their findings for our military healthcare teams. Learn how this valuable information can be used to improve training and skill sustainment initiatives for future operations. We discuss the essential knowledge and skills that general surgeons need to have when deploying, such as those identified in the Individual Critical Task List (ICTL) and the Knowledge Skills and Abilities (KSA) project. We stress the importance of having an airway plan for facial fractures, securing an airway for mid-phase instability, and using external fixation for most fractures. We also explore what medics can be trained to do in head and neck injuries requiring a tracheostomy or lateral canthotomy, and the goal of getting life-saving treatment within an hour. Lastly, we examine the need for specialized teams of head and neck surgeons and the equipment they require to provide comprehensive support to Role 3 Military Treatment Facilities. We discuss the challenges of providing this specialized care, including the need for rapid telehealth support and feedback to those at Roles 1 and 2 MTFs. Don't miss this fascinating episode as we analyze the next steps needed to improve the training and equipping of units for managing head and neck trauma, and the importance of data collection and documentation in making informed decisions.   EPISODE CHAPTERS (0:00:01) – Trauma Data Collection in Recent Conflicts (0:13:34) - Combat Medical Procedures and Training (0:19:18) - Head & Neck Trauma Care in Combat (0:29:31) – Improving Head & Neck Trauma Care   EPISODE CHAPTER SUMMARIES (0:00:01) - Trauma Data Collection in Recent Conflicts We explore the prevalence of head and neck trauma cases managed by deployed surgeons during recent conflicts and how this information can be used to improve training and skill sustainment initiatives for future operations. The authors describe how they gathered data from the Department of Defense Trauma Registry, and how they divided the procedures into five groups: dental, ophthalmologic, airway, ear, face, mandible maxilla, neck, and oral. They discuss how these injuries are prevalent in theater and the importance of their findings. (0:13:34) - Combat Medical Procedures and Training (6 Minutes) We discuss the knowledge and skills that general surgeons need to have when deploying, such as the tasks identified in the Individual Critical Task List (ICTL) and the Knowledge Skills and Abilities (KSA) project. We bring up the importance of having an airway plan for facial fractures, securing an airway for mid-phase instability, and using external fixation for most fractures. We also touch on the goal of getting life-saving treatment within an hour and explore what medics can be trained to do in head and neck injuries requiring a tracheostomy or lateral canthotomy. (0:19:18) - Head & Neck Trauma Care in Combat (10 Minutes) We look at the need for specialized teams of head and neck surgeons and the equipment they require in order to provide comprehensive support to Role 3 MTFs. We discuss the challenges of providing this specialized care, including the need for rapid telehealth support and feedback to those at Role 1 and 2 MTFs. We then focus on the importance of data collection and documentation and the impact this has on the ability of epidemiologists to access the data needed to make informed decisions. Finally, we analyze the next steps needed to improve the training and equipping of units for managing head and neck trauma. (0:29:31) - Improving Head & Neck Trauma Care We discuss the importance of medical evacuation teams and their role in providing care to injured service members. We examine the impact of recent conflicts on the availability of resources for head and neck trauma cases and how this has necessitated the use of specialized teams and equipment. We also look at the training requirements for medical evacuation teams and the need for increased coordination between different branches of the military.   EPISODE KEYWORDS Head & Neck Trauma, Military Medicine, Deployed Surgeons, Individual Critical Task List, Knowledge Skills & Abilities, Airway Plan, Mid-Phase Instability, External Fixation, Tracheostomy, Specialized Teams, Telehealth Support, Data Collection, Documentation, Medical Evacuation Teams, Training Requirements, Coordination, Military Branches   #Military #Medical #Podcast #WarDocs #HeadandNeckTrauma #SurgicalTeams #ICTLS #KSAs #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  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 100% of donations 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

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-21-00296: Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team EPISODE SUMMARY Discover the realities of providing medical care in combat zones with our special guest, Army Lieutenant Colonel Richard Lesperance, MD, an Active Duty Trauma Surgeon who has faced the unique challenges of working in austere Role II facilities. Learn from Rich's invaluable experiences as we discuss his paper, "Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team," published in the Journal of Military Medicine, and uncover the crucial insights gained from these high-pressure situations. In this eye-opening conversation, we delve into the world of Crisis Standards of Care and their application in the battlefield setting, comparing their usage during the COVID pandemic to their role in deployed environments with limited resources. Join us as we explore how to prepare junior team members for life-or-death scenarios, approach after-action reviews, and equip surgical teams to handle prolonged care scenarios in the future. Don't miss this compelling and insightful discussion with LTC Richard Lesperance, MD as we reveal the crucial lessons learned from the frontlines of combat medicine. EPISODE CHAPTERS (0:00:01) - Prolonged Care in Combat Zones (0:12:16) - Preparing for Prolonged Casualty Care   EPISODE CHAPTER SUMMARIES (0:00:01) - Prolonged Care in Combat Zones (12 Minutes) Army Lieutenant Colonel Richard Lesperance, MD, an Active Duty Trauma Surgeon with a wealth of experience in working in austere Role II facilities, joins us to explore the concerns that arise when a small surgical team is required to provide prolonged casualty care in an austere environment, and the importance of lessons learned from such experiences. Rich shares his paper in the Journal of Military Medicine titled "Lessons Learned During Prolonged Care of Combat Casualties by a Minimally Manned Surgical Team". He explains what an FRSD (Forward Resuscitative Surgical Detachment) is, and how they are prepared to care for critically injured patients. Rich shares two cases from his deployment in Afghanistan, and how his team had to extend care beyond the expected evacuation time frame.   (0:12:16) - Preparing for Prolonged Casualty Care (7 Minutes) We explore the role of Crisis Standards of Care and how they are applied in an FST on the battlefield. We examine how the concept of Crisis Standards of Care was used during the COVID pandemic and how that is applied to a deployed environment with limited resources. We discuss how to prepare junior team members for patients who may not survive due to lack of resources, and how to approach after-action reviews. Ultimately, we look at how to better equip teams for prolonged care scenarios and how to properly train for the future.   EPISODE KEYWORDS Combat Medicine, Trauma Surgeon, Prolonged Care, Austere Environments, Crisis Standards of Care, Minimally Manned Surgical Team, Journal of Military Medicine, Forward Surgical Team, COVID Pandemic, Limited Resources, Junior Team Members, After-Action Reviews, Life-or-Death Scenarios, Preparing for Prolonged Care, Training for the Future   #Military #Medical #Podcast #WarDocs #ProlongedFieldCare #SurgicalTeams #Trauma #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS #CrisisCareStandards   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  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 100% of donations 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

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-22-00390R1: “The Impact of The Maritime Deployment Cycle on the Surgeon’s Knowledge, Skills, and Abilities”   EPISODE SUMMARY Discover the intricacies of maritime deployment cycles and their impact on surgeons' knowledge, skills, and abilities in our engaging conversation with Navy Captain and Trauma Surgeon Matthew D. Tadlock, MD. As Chair of the Joint Trauma System Committee on Surgical Combat Casualty Care, Matt shares his expertise on pre-deployment training for maritime surgical teams and its effects on their practice in Military Treatment Facilities (MTFs). We also delve into the three primary surgical teams deployed in maritime environments: Aircraft Carrier Surgical Teams, Fleet Surgical Teams, and the Expeditionary Resuscitative Surgical System (ERSS). Learn how Navy Medicine is leveraging teleconsultation and telemedicine to support less experienced surgeons on deployments and bridge gaps in training. We uncover innovative solutions for junior surgeons to gain experience in rare cases such as ectopic pregnancies and testicular torsions, including providing colleague support from larger MTFs. Furthermore, we discuss the Maritime Surgery Quality Improvement Program, which collects crucial data to help improve training for maritime deployments. Matt highlights the importance of robust MTFs and military-civilian partnerships for delivering top-notch care in trauma, burn, and critical care. We discuss the potential of simulation training in scenario-based environments and the need for a maritime-specific curriculum to prepare surgeons before deployment. Emphasizing the distinction between training and clinical skill sustainment, our guest underscores the significance of maintaining optimum performance in austere environments. Don't miss this insightful episode with Navy Captain Matthew D. Tadlock!   EPISODE CHAPTERS (0:00:01) - Maritime Deployment's Impact on Surgeons (0:15:11) - Improving Surgical Teams for Maritime Deployment (0:20:52) - Improving Clinical Opportunities for Military Surgeons   EPISODE CHAPTERS SUMMARIES (0:00:01) - Maritime Deployment's Impact on Surgeons (15 Minutes) We speak with Navy Captain and Trauma Surgeon Matthew D. Tadlock, MD, Chair of the Joint Trauma System Committee on Surgical Combat Casualty Care, about his paper discussing the impact of maritime deployment cycles on surgeons' knowledge, skills, and abilities. We explore the pre-deployment training for maritime surgical teams and how it affects their practice in the MTF. We discuss the three main surgical teams that deploy in the maritime environment, such as the Aircraft Carrier Surgical Teams, the Fleet Surgical Teams, and the Expeditionary Resuscitative Surgical System (ERSS). We learn how maritime deployments can impact the Navy's readiness, and how practical solutions can be implemented to address gaps in knowledge, skills, and abilities.   (0:15:11) - Improving Surgical Teams for Maritime Deployment (6 Minutes) We discuss the need for more experienced surgeons to go on deployments and how Navy Medicine utilizes teleconsultation and telemedicine. We explore ways junior surgeons can gain experience with rare cases, such as ectopic pregnancies and testicular torsions, by connecting with colleagues at a military treatment facility. We also look at the Maritime Surgery Quality Improvement Program, which collects data to help mitigate gaps in training for maritime deployments.  Potential solutions for improvement include developing a single customizable maritime surgical team and creating more military-civilian partnerships to ensure a ready medical force.   (0:20:52) - Improving Clinical Opportunities for Military Surgeons (6 Minutes) Navy Captain and Trauma Surgeon Matthew D. Tadlock talks about the Maritime Surgery Quality Improvement Program, designed to help military surgeons stay up to date with their skills. He emphasizes the importance of having robust Military Treatment Facilities and military-civilian partnerships in order to provide the best possible care in trauma, burn, and critical care. He also highlights the potential of simulation to provide training in scenario-based environments and the importance of developing a maritime-specific curriculum to prepare surgeons before they deploy. Finally, he stresses the need to make a distinction between training and clinical skill sustainment and why it is essential for the care of any patient in an austere environment.   EPISODE KEYWORDS Maritime Deployment, Surgeons, Pre-Deployment Training, Surgical Teams, Aircraft Carrier Surgical Teams, Fleet Surgical Teams, Expeditionary Resuscitative Surgical System, Teleconsultation, Telemedicine, Ectopic Pregnancies, Testicular Torsions, Maritime Surgery Quality Improvement Program, Military Treatment Facilities, Military-Civilian Partnerships, Simulation Training, Scenario-Based Environments, Maritime-Specific Curriculum, Clinical Skill Sustainment, Austere Environments #Military #Medical #Podcast #WarDocs #MaritimeDeployment #SurgicalTeams #NavyMedicine #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  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 100% of donations 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

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-22-00154: “Ascertaining the Readiness of Military Orthopaedic Surgeons:  A Revision to the Knowledge, Skills, and Abilities Methodology” EPISODE SUMMARY Discover the crucial factors for Military Orthopedic Surgeon readiness in our thought-provoking discussion with retired Air Force Colonel and Orthopedic Trauma Surgeon, Dr. Patrick Osborn. Together, we explore the updated revision of the Knowledge, Skills, and Abilities (KSA) methodology, examining the KSA project's concerning findings and the process of generating KSA scores to measure readiness in Military Medicine. We also discuss ways to eliminate and realign CPT codes for a more accurate assessment of Military Orthopedic Surgeon readiness. We dive deeper into the challenges of integrating high-acuity cases from trauma centers into military treatment facilities (MTFs) and how off-duty employment data can be unreliable. Dr. Osborn shares insights on the KSA project's measurement of reps and procedures deemed important and ways to evaluate surgeon competence beyond CPT codes. Our conversation highlights the significance of military medical training, especially in the area of wound debridement, and the roles experience and confidence play in decision-making. Lastly, we emphasize the need for readiness training for medical personnel and the importance of team experience in developing a Ready Medical Force. Dr. Osborn stresses the necessity for local community buy-in and commitment to supporting an ACS-designated trauma center. Join us in this vital conversation as we uncover the key aspects of improving Military Orthopedic Surgeon readiness and ensuring the competence of our medical forces in times of crisis.   EPISODE CHAPTERS (0:00:01) - Improving Military Orthopedic Surgeon Readiness (0:09:04) - Military Facility Readiness & Surgeon Competency (0:17:33) - Building a Ready Medical Force (0:24:18) - Future Improvements   EPISODE CHAPTER SUMMARIES (0:00:01) - Improving Military Orthopedic Surgeon Readiness (9 Minutes) Col(R) Patrick Osborn, MD discusses his Military Medicine paper: “Ascertaining the Readiness of Military Orthopaedic Surgeons:  A Revision to the Knowledge, Skills, and Abilities Methodology” He discusses why the KSA project's findings were concerning; the process by which KSA scores are generated and used to measure readiness in Military Medicine; and how to decide which CPT codes to eliminate and realign to better measure the readiness of Military Orthopedic Surgeons.   (0:09:04) - Military Facility Readiness & Surgeon Competency (8 Minutes) We discuss the difficulties of bringing high acuity cases from trauma centers into MTFs and how data can be unreliable regarding off-duty employment and moonlighting. We also look at the KSA project and how it measures the number of reps or procedures deemed important, and how we can measure the competence of surgeons beyond the number of CPT codes generated over a period of time   (0:17:33) - Building a Ready Medical Force (7 Minutes) Dr. Osborn explains the importance of focused military medical training, particularly in the area of wound debridement after combat injuries. We discussed the need to do simple procedures well and how experience and confidence play a role in decision-making. We also discussed the need for readiness training for medical personnel and the importance of team experience in developing a Ready Medical Force. Lastly, we discussed the need for local community buy-in and commitment to support a trauma center.   (0:24:18) – Future Improvements (1 Minute) We discussed the challenges of bringing high acuity cases from trauma centers into MTFs and how data can be unreliable regarding off-duty employment. We also discussed the need to update the Knowledge-Based Learning System to include the latest developments in trauma medicine.   EPISODE KEYWORDS Military Orthopedic Surgeon Readiness, KSA Methodology, CPT Codes, Trauma Centers, MTFs, Off-Duty Employment, Reps and Procedures, Debridement, Readiness Training, Team Experience, Local Community Buy-In, Knowledge-Based Learning System, Trauma Medicine #Military #Medical #Podcast #WarDocs #Orthopedics #Surgeon #SurgicalTeams #MilitaryMedicine #Readiness #Training #Knowledge #Skills #Abilities #KSAs   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  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 100% of donations 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

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-21-00551: “Impact of Civilian Patient Care on Major Amputation Case Volume in the Military Health System” EPISODE SUMMARY Discover the critical aspects of maintaining wartime surgical skills, especially major amputation surgery, in this thought-provoking conversation with retired Air Force Colonel and Orthopedic Trauma Surgeon, Dr. Patrick Osborn. We dive into his paper, Impact of Civilian Patient Care on Major Amputation Case Volume in the Military Health System and uncover the importance of partnerships between military and civilian providers in increasing surgical case volume and sustaining essential wartime skills. Understand the challenges medical professionals face in managing patients with potential amputations and the crucial role of direct patient care experience in honing their skills. Join us as we explore the ways military medicine can enhance amputation care through MILCIV partnerships, combining the skillsets of military and civilian medical personnel to improve patient outcomes. Learn about the next research study in this area and why connecting patient outcomes to a medical professional's skills is vital. Don't miss this vital discussion with Dr. Patrick Osborn on the importance of his paper and the life-saving benefits of military and civilian collaboration in amputation care.   EPISODE CHAPTERS (0:00:01) - Wartime Major Amputation Surgery Skills (0:10:16) - Enhancing Amputation Care in Military Medicine   EPISODE CHAPTER SUMMARIES (0:00:01) - Wartime Major Amputation Surgery Skills (10 Minutes) We explore the challenges of sustaining critical wartime skills during inter-war periods and how major amputation surgery skills are commonly required during wartime. Dr. Osborn discusses the importance of partnerships between military and civilian institutions to increase major amputation surgical case volume and sustain wartime skills. We learn about the specialties expected to manage patients that may have indications for amputations in a down-range setting, and the percentage of the group of deploying surgeons that actually performed major amputations down-range. We also discuss why direct patient care experience is important, and why coursework and simulation are currently insufficient to cover the procedural experience gap. (0:10:16) - Enhancing Amputation Care in Military Medicine (8 Minutes) We discuss ways to get more exposure and experience to the acute phase of traumatic amputations and the importance of MILCIV partnerships. We look at the next research study in this area and the importance of connecting patient outcomes to the skillset of medical personnel. Finally, we discuss why this paper is important and why someone should take the time to read it.   EPISODE KEYWORDS Military Medicine, Amputation Surgery, Wartime Skills, Major Amputation Case Volume, Civilian Patient Care, MILCIV Partnerships, Traumatic Amputations, Procedural Experience, Acute Phase, Patient Outcomes, Training Medical Personnel   #Military #Medical #Podcast #WarDocs #Orthopedics ##Surgeon #SurgicalTeams #MilitaryMedicine #Readiness #Training #Amputation   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  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 100% of donations 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

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-21-00643: “Upper Extremity Vascular Exposures for Trauma: Comparative Performance Outcomes for General Surgeons and Orthopedic Surgeons” EPISODE SUMMARY Discover the critical skills Military General and Orthopedic Surgeons need to confidently diagnose and manage upper extremity vascular injuries on and off the battlefield. Our conversation with Dr. Pamela Andreatta, Director of Surgical Skills Assessment at the Uniformed Services University of Health Sciences and the Walter Reed National Military Medical Center, reveals the importance of courses like ASSET+ and the Combat Orthopedic Trauma Surgical Course in training and assessing readiness. We dive deep into the factors influencing the performance of military surgeons and assess the pre-training scores of Military General Surgeons and Orthopedic Surgeons. Listen in as Dr. Andreatta breaks down how experience and the volume of operative practice impact success in managing these complex injuries. We also discuss the challenges military teams face when integrating into operational teams, and how pre-deployment and post-deployment rehearsals ensure the maintenance of critical capabilities. Join us in this thought-provoking episode as we emphasize the importance of good research in Military Medicine and explore the complexities of maintaining preparedness and readiness in the field. EPISODE CHAPTERS (0:00:01) - Preparing Surgeons for Battlefield Vascular Injuries (0:12:12) - Assessing Surgical Training and Performance (0:24:25) - Maintaining Critical Medical Team Capabilities   EPISODE CHAPTER SUMMARIES (0:00:01) - Preparing Surgeons for Battlefield Vascular Injuries (12 Minutes) We explore the preparedness of Military General Surgeons and Orthopedic Surgeons to confidently deal with upper extremity vascular injuries in battlefield settings. To assess readiness and train critical expeditionary procedural skills, we discuss the importance of courses like ASSET+ and the Combat Orthopedic Trauma Surgical Course. Dr. Andreatta discusses her Military Medicine paper, “Upper Extremity Vascular Exposures for Trauma: Comparative Performance Outcomes for General Surgeons and Orthopedic Surgeons”. We look back at the recent high op tempo time in OIF and OEF and consider the likelihood of encountering extremity vascular injuries in Role II MTFs and below. We discuss the importance of preparedness to recognize and control peripheral vascular bleeds to save lives and limbs. (0:12:12) - Assessing Surgical Training and Performance (12 Minutes) We investigate the pre-training scores of Military General Surgeons and Orthopedic Surgeons, exploring the factors that could influence the performance of these medical professionals. The sample was largely homogeneous and consisted of junior personnel with limited deployment experience, though it was found that the more experienced surgeons with a higher volume of operative practice tended to perform better. We also discuss the determination of the benchmark score, and how it is rooted in measurement science and clinical medicine. Lastly, we learn that although the Orthopedic Surgeons did not reach the benchmark at baseline, the quality of the surgeons and the fact that they are able to recognize performance gaps allows them to work on improving their skills. (0:24:25) - Maintaining Critical Medical Team Capabilities (6 Minutes) We discuss the challenges military teams face when integrating into operational teams and the necessity of individual professional role capabilities. We also discuss the need for pre-deployment and post-deployment rehearsals, and the importance of providing resources for military surgeons to maintain their abilities. Finally, we explore the potential of pre-planning through videos and reading to reduce the "Walker dip" between deployments.   EPISODE KEYWORDS  Military Medicine, Battlefield Vascular Injuries, Surgical Training, Performance, Medical Team Capabilities, Pre-Deployment Rehearsals, Post-Deployment Rehearsals, Dr. Pamela Andreatta, Asset Plus, Combat Orthopedic Trauma Surgical Course, Operative Practice, Junior Personnel, Deployment Experience, Benchmark Score, Measurement Science, Clinical Medicine, Walker Dip, Journal of Military Medicine, WarDocs   #Military #Medical #Podcast #WarDocs #Orthopedics #Surgeon #GeneralSurgeon #Vascular #Injuries #MilitaryMedicine #Readiness #Training #Knowledge #Skills #Abilities #KSAs   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  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 100% of donations 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

 EPISODE SUMMARY      What does it take to become a Special Forces Medic, and how has combat casualty care evolved over the years? Discover the world of Special Operations Medics and Military Medicine in our captivating conversation with retired Army Master Sergeant Samuel Rodriguez. Through Sam's expertise, you'll gain insights into the rigorous training, crucial qualifications, and evolution of Special Operations medics, while understanding how the Special Operations Medical Association (SOMA) has transformed battlefield care and saved countless lives. Join us as we discuss the importance of unconventional medicine in Special Operations, from planning for extreme situations to the actual medical supplies and procedures used on the battlefield. Hear incredible stories from Sam's experiences deep in the Amazon basin and learn about the challenges and initiatives currently being tackled by SOMA. Don't miss this opportunity to see how the advancement of technology and knowledge in military medicine is enhancing the survivability and recovery of Special Operations personnel.   EPISODE CHAPTERS (0:00:00) - Special Operations Medics and Military Healthcare (0:11:10) - Special Operations Medic Lessons (0:21:44) - Unconventional Medicine in Special Operations   CHAPTER SUMMARIES (0:00:00) - Special Operations Medics and Military Healthcare (11 Minutes) MSG Samuel Rodriguez shares his pathway to becoming a special forces medic and explains how the training and experiences of Special Operations medics have evolved. He also talks about the history of the Special Operations Medical Association (SOMA) and how it has utilized lessons learned to improve care on the battlefield and save lives. Sam shares some helpful resources and information on programs for veterans and first responders to help them improve their quality of life, following traumatic experiences. We discuss the qualifications required to become an 18D and the importance of physical and mental preparedness. Finally, Sam shares how his training has evolved and changed over the years.   (0:11:10) - Special Operations Medic Lessons (11 Minutes) We explore the planning process for medical care in dangerous and austere situations and the types of medical supplies and procedures carried out on the battlefield. Sam shares a memorable clinical experience of providing medical aid in an area of the Amazon basin, as well as the advice given to the US Army Special Operations Command from a medical and enlisted medic perspective.   (0:21:44) - Unconventional Medicine in Special Operations (14 Minutes) From its inception in 1987 to its official formation in 1992, SOMA’s main mission has been to ensure the survivability and speed of recovery of Special Operations personnel through advancing technology and knowledge in unconventional medicine. We explore the different learning tracks at SOMA meetings, ranging from canine sessions to brain health sessions, and discuss some of the most significant milestones in the organization's history. We also discuss the challenges SOMA has faced and the initiatives and projects they are currently focused on. EPISODE KEYWORDS Special Operations Medics, Military Healthcare, Unconventional Medicine, Special Operations Medical Association, Battlefield Care, Amazon Basin, Technology, Knowledge, Canine Sessions, Brain Health, Survivability, Recovery, Special Operations Personnel, Qualifications, Physical Preparedness, Mental Preparedness, Planning Process, Medical Supplies, Procedures, Clinical Experience, US Army Special Operations Command, SOMA, Milestones, Challenges, Initiatives, Projects   #SpecialOperationsMedics #MilitaryHealthcare #BattlefieldMedicine #MilitaryMedicine #SOMA #Survivability #UnconventionalMedicine #SpecialForces #ArmyMasterSergeant #SamRodriguez   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/episodes 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 100% of donations 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

Episode Summary: In this episode of WarDocs: The Military Medicine Podcast, we had the pleasure of speaking with Dr. Joshua Anchan, the Neonatal Transport Director at the US Naval Hospital in Okinawa, Japan. We discussed the fascinating world of military neonatal transport teams, their history, roles, and training. We also explored the unique challenges these teams face when transporting critically ill newborns in military aircraft, including dealing with hypoxia and minimizing the risks of intracranial hemorrhage. Dr. Anchan shared memorable stories from his experiences in Okinawa and Guam and emphasized the importance of innovation and preserving the mission in the future of neonatal military transport. Join us for this engaging and eye-opening conversation about providing critical care for our military families most vulnerable members. Chapters: (0:00:01) - Neonatal Transport Teams (0:15:34) - Transporting Neonates Chapter Summaries: (0:00:01) - Neonatal Transport Teams (16 Minutes) In this episode of WarDocs: The Military Medicine Podcast, we explore how the United States military provides care for critically ill newborns in remote locations without access to nearby ICU care. Dr. Joshua Anchan, the Neonatal Transport Director at the US Naval Hospital in Okinawa, Japan, discusses the history, roles, and training of military neonatal transport teams, as well as their mission scenarios and lessons learned. (0:15:34) - Transporting Neonates (12 Minutes) We delve into the unique challenges and environmental limitations faced during neonatal transport in military aircraft. From dealing with hypoxia to minimizing risks of intracranial hemorrhage, neonatal care in flight requires extensive training and expertise. The conversation also covers the crucial role of the Air Evacuation team, the parent's involvement in the transport process, and memorable stories from Dr. Josh Anchan's experiences in Okinawa and Guam. The discussion concludes with insights on lessons learned and the future of neonatal military transport, emphasizing the importance of innovation and preserving the mission. Episode Keywords: Military Medicine, Neonatal Transport, Military Neonatal Transport, US Naval Hospital, Okinawa, Critically Ill Newborns, Neonatal Care, Hypoxia, Intracranial Hemorrhage, Aeromedical Evacuation, Airevac, Neonatal Transport Training, Neonatal Transport Challenges, Neonatal Transport History, Neonatal Transport Roles, Military Families, Military Aircraft, Remote Locations, ICU Care, Neonatal Transport Innovation, Dr. Joshua Anchan #podcast #military #medicince #neonatal #transport #criticalcare #airevac   Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.     Find out more and join Team WarDocs at https://www.wardocspodcast.com/   Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes   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 100% of donations 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

Episode Summary: In this episode of WarDocs, we dive into the world of point-of-care ultrasound (POCUS) in military medicine with Army COL Cristin Mount, MD, and LTC(P) Scott Grogan, DO. We discuss the various applications of POCUS in hospital and battlefield settings, as well as training opportunities and its role in graduate education, credentialing, and certification. We explore the practical applications of POCUS in trauma and disease non-battle injuries and its role in evacuation decision-making. Additionally, we examine the challenges surrounding POCUS privileges and the future of POCUS in combat casualty care, focusing on telehealth and artificial intelligence integration. Join us as we delve into the impact of POCUS on patient-provider relationships and the potential for further improvement in military medicine.   Chapters:   (0:00:00) - Point of Care Ultrasound (0:12:28) - Ultrasound Use in Military Medicine (0:25:44) - Privileging for Point of Care Ultrasound (0:31:20) - Ultrasound for Military Careers (0:43:52) - Reimagining Patient-Provider Interactions   Chapter Summaries:   (0:00:00) - Point of Care Ultrasound (12 Minutes) In this episode of WarDocs, we explore the use of point of care ultrasound (POCUS) in military medicine with Army COL Cristin Mount, MD, and LTC(P) Scott Grogan, DO. They discuss the various applications of POCUS in both hospital and battlefield settings, as well as training opportunities and its role in graduate education, credentialing, and certification. The conversation highlights how POCUS can improve care at far-forward medical facilities in combat zones and provides a vision for future utilization.   (0:12:28) - Ultrasound Use in Military Medicine (13 Minutes) In this portion of the conversation, we delve into the practical applications of point of care ultrasound (POCUS) in trauma and disease non-battle injuries, as well as its role in evacuation decision-making. We also discuss the military's process of field testing and acquiring equipment, the current state of documentation, and the integration of POCUS images into electronic health records. The development of a standardized workflow and infrastructure for POCUS is also touched upon, highlighting the potential for further improvement in Military Medicine     (0:25:44) - Privileging for Point of Care Ultrasound (6 Minutes) We discuss the current state of encounter-based workflows for point-of-care ultrasound (POCUS), highlighting that while the technology is still in its early stages, it is being worked on at the DHA level and will eventually be widely available. The conversation also touches on the challenges surrounding POCUS privileges, the need for more specific privileges, and the importance of demonstrating competency before implementing them. In addition, we examine the role of POCUS in Individual Critical Task Lists (ICTLs), noting that it is primarily used in trauma and procedure-based situations, but its application may evolve as POCUS becomes more prevalent in Military Medicine   (0:31:20) - Ultrasound for Military Careers (13 Minutes) We examine the training and certification programs available for healthcare providers who are already out of their Graduate Medical Education (GME) programs and wish to learn point of care ultrasound (POCUS). The conversation touches upon the need for practice and supervision in POCUS training and how the military GME programs differ from civilian counterparts. The future of POCUS in combat casualty care is also discussed, with a focus on telehealth and artificial intelligence integration.   (0:43:52) - Reimagining Patient Provider Interactions (7 Minutes) In this part of the discussion, we explore the impact of point of care ultrasound (POCUS) on the patient-provider relationship and share personal epiphanies from our experiences with the technology. We reflect on how POCUS has brought healthcare providers closer to their patients, allowing for more hands-on, bedside interaction and improving diagnostic decision-making. Furthermore, we discuss how POCUS has provided unexpected benefits, such as helping to determine whether a critically ill patient needs to be transported for further imaging, thereby reducing risks associated with transport of the critically ill patient.   Episode Keywords: Point of Care Ultrasound, POCUS, Military Medicine, Battlefield Medicine, Ultrasound Training, Graduate Education, Credentialing, Certification, Trauma Care, Disease Non-Battle Injuries, Evacuation Decision-Making, POCUS Privileges, Combat Casualty Care, Telehealth, Artificial Intelligence Integration, Patient-Provider Relationship, Healthcare Providers, Diagnostic Decision-Making, Ultrasound Equipment   #POCUS #MilitaryMedicine #Ultrasound   Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.     Find out more and join Team WarDocs at https://www.wardocspodcast.com/   Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes   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 100% of donations 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