Patients’ Perception of Military Doctors in Fracture Clinics - does the Wearing of Uniform Make a Difference?

2005 ◽  
Vol 91 (1) ◽  
pp. 45-47
Author(s):  
Christopher McLean ◽  
Pareeta Patel ◽  
Carl Sullivan ◽  
Mark Thomas

AbstractWe performed a study during our Trauma Week when patients who were referred from the accident department with fractures were reviewed in our fracture clinic. During our Trauma Week, Mister Thomas, Consultant Orthopaedic and Trauma Surgeon or Surgeon Lieutenant Commander McLean, Specialist Registrar in Orthopaedic and Trauma Surgery reviewed a total of 93 patients in fracture clinic. All patients were given an anonymous questionnaire regarding their perceptions of their attending clinician, 77 were completed. Forty-nine questionnaires regarding Surgeon Lieutenant Commander McLean and 28 regarding Mister Thomas were available for analysis. During the Trauma Week all patients were seen in the same location in identical cubicles by either of the two clinicians, consultations were typically brief lasting about five minutes. Throughout the week the clinicians, one military and one civilian, wore differing attire. The military uniform comprised Royal Navy number four action working dress. The civilian attire comprised ‘dog-robbers’ (jacket, shirt with tie and smart trousers). The hypothesis tested was that the use of military uniform might alter patients’ perceptions of their attending clinician. Our results appear to demonstrate that the attire of the attending clinician does not adversely influence patients’ perceptions of their attending clinician.

2021 ◽  
Author(s):  
Camille Choufani ◽  
Olivier Barbier ◽  
Laurent Mathieu ◽  
Nicolas de L’Escalopier

ABSTRACT Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.


2011 ◽  
Vol 35 (11) ◽  
pp. 1377-1385
Author(s):  
Eun-Young Heo ◽  
Ki-Nam Jin ◽  
Ae-Ran Koh ◽  
Jin-Joo Kim

2019 ◽  
Vol 72 (1) ◽  
pp. 111-117
Author(s):  
Margarida Maria Rocha Bernardes ◽  
Alexandre Barbosa de Oliveira ◽  
Sônia Kaminitz ◽  
Antônio Marcos Tosoli Gomes ◽  
Sérgio Corrêa Marques ◽  
...  

ABSTRACT Objective: To analyze the symbolic effects of the official military uniform of the nurses from Brazilian Army in World War II. Method: This research was developed using the historical method, with iconographic sources. The data were discussed based on the concepts of the social world theory, by Pierre Bourdieu. Results: The images selected demonstrate the own meaning of the uniforms, evidencing the functions and the social position of those who wear it, being private and obligatory to use it in the military field. Final considerations: In the case of the nurses from the Brazilian Expeditionary Force, the appropriation of uniforms promoted the visual communication representing military nurse in the context of war, at the same time it served for distinction purposes in the army, but not necessarily in the nursing field. Symbolically, they remained amongst the walls of the barracks even after the end of the war and, thus, they remained unknown and marked by the symbols of forgetfulness.


2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 154-160 ◽  
Author(s):  
Sandra M Escolas ◽  
Margie Luton ◽  
Hamid Ferdosi ◽  
Bianca D Chavez ◽  
Scot D Engel

ABSTRACT Introduction In 2008, it was reported that 19.5% of service members previously deployed experienced a mild traumatic brain injury (mTBI). Fifty-seven percent of those did not seek medical care. It was suggested that concerns with seeking care involved confidentiality and career issues. Objective: This study addressed mTBI history, medical treatment history, and stigmas associated with mTBI/concussion. Materials and Methods An anonymous questionnaire was developed. Data collection occurred throughout March 2018 in conjunction with Brain Injury Awareness Month activities. Results All 5,174 volunteers were Army; 86% male; 87% were between 18 and 34 years old; 89% had <14 years in the military; 35% had a combat deployment; and 10% reported having one or more mTBIs in their military careers. Of the Soldiers who reported a concussion, 52% sought medical care. Of those not seeking care, 64% reported they did not think the injury required care, followed by 18% fearing negative impact on their career. Twenty-eight percent who experienced an mTBI versus 11% who have not reported that there is a stigma associated with an mTBI. Conclusions Soldiers sometimes failed to report their suspected concussions and did not seek medical care. Educational efforts may increase reporting of and medical screening for potentially concussive events. Future research to determine the ramifications of unreported and untreated mTBIs/concussions is recommended.


2018 ◽  
Vol 164 (5) ◽  
pp. 360-361 ◽  
Author(s):  
Douglas Hammond ◽  
J Breeze ◽  
D Evriviades

The Reconstructive Trauma Surgery Fellowship is a based at the Queen Elizabeth Hospital, Birmingham, and focuses on the multidisciplinary management of major trauma from presentation to discharge. It is unique to the UK in that it provides both management and leadership experience as well as operative surgical skills particularly in terms of reconstruction on complex trauma patients including those from the military. This paper describes the relevance of fellowships in modern surgical training, composition of the reconstructive trauma fellowship and the relevance for both civilian and military trainees.


2020 ◽  
Vol 117 (6) ◽  
pp. 182-188
Author(s):  
Vladimir P. Fedyuk ◽  

The article examines the influence of the Russian revolution on clothing and fashion. The objective factor that dictated the manner of dressing was the progressive poverty and lack of the most necessary things. The Russian industry, including the production of clothing and shoes, was focused primarily on meeting the needs of the army. The needs of the civilian population lacked raw materials and, as a result, impoverishment, albeit to varying degrees, affected all social groups. The revolution added to this several more circumstances, already ideological in nature. Firstly, the emphasized egalitarianism in appearance, the conscious rejection of any external differences. At the same time, the manner of dressing, characteristic of the social bottom, became a reference for imitation. This can be considered a kind of mimicry, a means of self-defense in conditions when the order in the country dictated the street. Emphasized asceticism, deliberately cultivated negligence were characteristic of most members of the political class, regardless of which side of the barricades they were on. A side manifestation of this trend was the widespread paramilitary style, reflecting the fear of soldier anarchy that swept the country. At the same time, it is the military uniform and its most important element – epaulettes, that will be one of the first reasons for confronting the emerging of white and red Russia. In the civil war and subsequent years, these trends will generally continue, although they will undergo some changes. In general, these characteristics of clothing as a sign element will remain until the end of the Soviet era.


Author(s):  
Ruby Skinner

Surgery is a medical specialty that has a rich history of rigorous training, and the development of a young surgeon requires both individual study and external reinforcement to ensure competency. Although, women are entering medical school at increasing numbers, they only make up to 19% of American surgeons. Minority women represent an even smaller number. Recent studies document that minorities report challenges during surgical residency that may inhibit successful surgical training. These challenges are explored as they relate to limited mentoring and collegial isolation while training in trauma surgery.


2021 ◽  
Vol 155 (1) ◽  
pp. 29-54
Author(s):  
SJ Zhang

Spanning a long literary history, from 1742 to 1934, this essay argues for the military epaulette as an important material signifier through which the arbitrary nature of rank and colonial authority was revealed and challenged. This essay connects the anxieties attending the introduction of epaulettes in newly nationalized European armies to the historical and rhetorical impact of such uniforms on depictions of so-called Black chiefs, including Toussaint Louverture, Lamour Derance, and Nat Turner. In the context of eighteenth- and early nineteenth-century slave revolts and imperial and colonial war fronts, this otherwise semiotic feature of the military uniform was a catalyst for a particular kind of confrontation over authority of signification in the tug-of-war between rank and race. This essay tracks a consistent rhetoric of violence and ridicule in these confrontations as they appear in histories, novels, and plays. In the work of Walter Scott, Victor Hugo, William Wells Brown, and Martin Delany, attempts to read epaulettes produce a violent form of colonial desire that is only permitted when couched in the rhetoric of ridicule and the ridiculous. The essay’s final pages turn to the first half of the twentieth century, when the still violent stakes of subverting the uniform persist through an ambivalence stemming from the literal and figural “costuming” of the Black chief.


2021 ◽  
pp. 226-246
Author(s):  
Benik Vardanyan

An object type characterized as a shoulder strap was found in archaeological sites of the Armenian Highland and the South Caucasus. They served as a strap from which weapons (blade or sword) were mounted. Their purpose was to ensure quick accessibility to the weapon during combats. In ancient societies, shoulder straps symbolized the privileged status of the military aristocracy. The emergence and depiction of the straps on the inventory coincide with a transformation in the social landscape on the one hand and with the early state formation processes on the other hand. Social changes led to the formation of a militarized class of the privileged who, as part of their military uniform, possessed also the shoulder strap. This is evidenced by the multiple images of warrior-predecessors in the form of statuettes-standards and sculptures of the Bronze and Iron Age, as well as on bronze and clay vessels, which show the development of the form and function of the lash.


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