How do deployed general surgeons acquire relevant skill sets and competencies and mitigate skill fade?

2020 ◽  
pp. bmjmilitary-2020-001641
Author(s):  
Matthew Robert Cant ◽  
D N Naumann ◽  
T C König ◽  
D M Bowley

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.

2017 ◽  
Vol 7 (Suppl 1) ◽  
pp. A20.2-A20
Author(s):  
Rina Patel ◽  
Sally Middleton ◽  
Martine Meyer ◽  
Jennifer Blair

2016 ◽  
Vol 44 (12) ◽  
pp. 308-308 ◽  
Author(s):  
Bryan Boling ◽  
Melanie Hardin-Pierce ◽  
Lynne Jensen ◽  
Zaki-Udin Hassan

2013 ◽  
Vol 30 ◽  
pp. 230-230
Author(s):  
A. M. González ◽  
M. A. Ballesteros ◽  
F. Merino ◽  
R. Abajas ◽  
S. González ◽  
...  

2016 ◽  
Vol 44 (12) ◽  
pp. 466-466
Author(s):  
Patrick Reeves ◽  
Elizabeth Mann-Salinas ◽  
Jennifer Gurney ◽  
Zsolt Stockinger ◽  
Tuan Le ◽  
...  

Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S90
Author(s):  
Timothy Knowles ◽  
Ben Rea ◽  
Oscar Duke ◽  
Charles Butcher ◽  
Elizabeth Good ◽  
...  

2013 ◽  
Vol 12 (3) ◽  
pp. 151-158
Author(s):  
Prabir Patel ◽  
◽  
Indu Sockalingam ◽  

High fidelity simulation allows training of foundation doctors in a safe, structured environment. We explored the perceived impact of such training on subsequent clinical practice. 82 doctors attended and 52% responded to a follow up questionnaire sent two months after their training. 88% felt better able to manage the acutely ill patient than they did before their training. All cited simulation training as a reason for this and 44% felt simulation training was the main contributor. The remainder cited clinical experience as the main contributor. 53% gave real clinical examples where they applied skills attributed to simulation training. Doctors reflected positively on simulation training sometime after the experience, demonstrated transference of learnt skills and felt more confident at work.


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