H. Myron Kaufman (1933–2007) Medical Director and Senior Scientist of UNOS: Transplant Surgeon and Friend

This paper examines the development and evolution of the deployed medical director (DMD) role and argues for the re-establishment of a formal selection process and training pathway. Recent deployments into new areas of operations, deployment of smaller medical treatment facilities (MTFs), the reduced numbers of deployments for clinicians, working with various multinational partners and both military and civilian organisations all pose specific problems for DMDs. The initial and then continued deployment of a secondary care role 2 MTF as part of the United Nations Mission in South Sudan illustrated some of these challenges. Although a novel operation, the broad categories of these new challenges were similar to the historical challenges facing the first DMDs in Afghanistan. Corporate memory loss may be unavoidable to some degree due to rapid turnover in appointments, particularly in single service and joint headquarters. However, individual memory and experience remains extant within the military medical deployable workforce. After the cessation of UK military deployed hospital care involvement in Afghanistan, the UK DMD formal training pathway ended. This paper argues for the re-establishment of a more formal DMD selection process and training pathway to ensure that organisational learning is optimised.

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Low Vision Services in an Agency: Structure and Philosophy

Journal of Visual Impairment & Blindness ◽

10.1177/0145482x7506900601 ◽

1975 ◽

Vol 69 (6) ◽

pp. 241-248

Author(s):

Eleanor E. Faye ◽

Clare M. Hood

Keyword(s):

New York ◽

Low Vision ◽

Medical Director ◽

The Other ◽

Special Services ◽

Full Discussion ◽

Loan System ◽

Training Services ◽

And Training

The development and present structure of the comprehensive Low Vision Service of the New York Association for the Blind are used as the basis for a full discussion of the operation of such a clinical service, including its positive and negative features. The clinic is administered by a medical director and by an administrator who coordinates the work of a staff consisting of ophthalmologists, optometrists, low vision assistants, volunteers, registrar, and receptionist. A separate Optical Aids Service stocks low vision aids which it sells by prescription to clinics, doctors, and patients within and without the agency. Referrals for special services are made to the other departments of the agency. Also described are the low vision examination itself, follow-up and training services, and the aid loan system.

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CMS Guidelines and Improving Continence Care in Nursing Homes: The Role of the Medical Director

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2005.10.001 ◽

2006 ◽

Vol 7 (2) ◽

pp. 131-132 ◽

Cited By ~ 7

Author(s):

J SCHNELLE ◽

J OUSLANDER

Keyword(s):

Nursing Homes ◽

Medical Director

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Selection of Risks for Life Insurance

Journal of the Institute of Actuaries ◽

10.1017/s0020268100046898 ◽

1932 ◽

Vol 63 (2) ◽

pp. 173-217 ◽

Cited By ~ 1

Author(s):

Arthur Hunter

Keyword(s):

Board Of Directors ◽

Life Insurance ◽

Medical Director ◽

Rating System ◽

Sufficient Knowledge ◽

Numerical Rating ◽

Selection Of

The method of selecting risks has undergone radical changes during the span of one man’s lifetime. In the early days of my experience all proposals for life insurance were submitted to a Board of Directors which consisted mainly of landed proprietors, lawyers and accountants. They were assumed to have sufficient knowledge to determine which lives should be accepted, which should be rejected and which should be charged an extra premium, with the aid of the medical adviser and of the actuary. The former was usually a prominent physician who based his judgment on impressions and observations, and the latter on the meagre statistics then in existence. Contrast that with the method in use in the principal American companies at the present time. The majority of the proposals are not submitted to a medical director, actuary or underwriter, but are passed upon by lay reviewers with or without the use of a numerical rating system. Experience has shown that such a practice is safe, as in one-half or more of the proposals there is nothing of moment against the risk, and, unless the amount of insurance is large, the time of experts can be given with greater advantage to the more difficult types of cases.

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