How do deployed general surgeons acquire relevant skill sets and competencies and mitigate skill fade?
BMJ Mil Health
; 167(3): 209-213, 2021 Jun.
Article
in En
| MEDLINE
| ID: mdl-33328277
ABSTRACT
There are recognised difficulties internationally with acquisition and retention of skills among deployed military general surgeons. These are compounded by reduced trauma workload in non-deployed roles or during low tempo or limited activity deployments, and the winding-down of combat operations in Iraq and Afghanistan. We summarise the relevant military-run courses, military-civilian collaborations and potential future strategies that have been used to address skill sets and competencies of deployed surgeons. We use examples from the American, British, Danish, French, German and Swedish Armed Forces. There is variation between nations in training, with a combination of didactic lectures, simulation training and trauma placements in civilian settings at home and overseas. Data regarding effectiveness of these techniques are sparse. It is likely that combat surgical skill-set acquisition and maintenance requires a combination of employment at a high-volume trauma centre during a surgeon's non-deployed role, together with military-specific courses and high-fidelity simulation to fill skill gaps. There are multiple newer modalities of training that require further evaluation if they are to prove effective in the future. We aimed to summarise the current methods used internationally to ensure acquisition and retention of vital skill sets for these surgeons.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Clinical Competence
/
Education, Medical, Continuing
/
Surgeons
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
BMJ Mil Health
Year:
2021
Document type:
Article
Affiliation country: