Policy Implications for Female Combat Medic Assignment

2011 ◽  
Vol 38 (3) ◽  
pp. 500-512 ◽  
Author(s):  
Lawrence V. Fulton ◽  
Matthew S. Brooks ◽  
Timothy K. Jones ◽  
Matthew J. Schofield ◽  
Hershell L. Moody

The current military assignment policy of United States prohibits the assignment of females to billets with high risk of combat exposure. As part of an Army review of this policy, the authors analyzed deployment and promotion risk for combat medics. The effect of current policy on male deployment and female promotion risk was unknown. In light of other countries’ policies and current operational considerations, senior military leaders sought to understand the effects of existing policy on a low-density, high-value occupational specialty, the combat medic. The authors found evidence that male medics deployed 2.07 times more frequently than female medics. The authors also found evidence that senior male medics (staff sergeants) deployed even more frequently (3.65–1) than their female counterparts. Perhaps as a result, the male combat medics experience higher likelihood of promotion from staff sergeant (E-6) to the rank of sergeant first class (E-7); however, the magnitude of that benefit was about one-third of the deployment risk. The results confirm the existence of gender-based deployment risk and promotion disparity. Based upon this analysis, the authors recommended the deprecation of current gender coding for combat medics to the senior levels of the US Army.

Author(s):  
Sue Anne Bell ◽  
Lydia Krienke ◽  
Kathryn Quanstrom

Abstract Alternate care sites across the US were widely underutilized during the COVID-19 outbreak, while the volume and severity of COVID-19 cases overwhelmed health systems across the United States. The challenges presented by the pandemic have shown the need to design surge capacity principles with consideration for demand that strains multiple response capabilities. We reviewed current policy and previous literature from past ACS as well as highlight challenges from the COVID-19 pandemic, to make recommendations that can inform future surge capacity planning. Our recommendations include: 1) Preparedness actions need to be continuous and flexible; 2) Staffing needs must be met as they arise with solutions that are specific to the pandemic; 3) Health equity must be a focus of ACS establishment and planning; and 4) ACS should be designed to function without compromising safe and effective care. A critical opportunity exists to identify improvements for future use of ACS in pandemics.


Author(s):  
Peter R. Mansoor

A recurring theme of post-World War II US military history is the fixation of American policy-makers on technological solutions to strategic challenges. In the wake of the 1991 victory in the Gulf War, American military leaders embraced a Revolution in Military Affairs combining guided munitions with advanced intelligence, surveillance, and reconnaissance systems to provide war-winning capabilities for US forces. Although Army experimentation in the 1990s and early 2000s had much to commend it, senior Army leaders lost sight of the connection between strategy and military operations and virtually ignored any type of war other than the one for which the Army's powerful conventional forces were designed. In the aftermath of regime change in Iraq in 2003, US commanders struggled to develop concepts suitable to achieve the nation's strategic goals. Having all but ignored other types of conflict, Army leaders proved incredibly resistant to embracing counterinsurgency operations in Iraq until defeat stared them in the face. In the future, the US Army needs to integrate information networks, ISR systems, and guided munitions into a broader warfighting framework that military leaders can adapt to whatever type of enemies they may face, rather than counting on fighting a mirror-imaged enemy.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1810-1810 ◽  
Author(s):  
C. Figley ◽  
D. Cabrera ◽  
J. Speciale

US Army Combat Medics and Navy Combat Corpsmen serve as a critical element of any fighting unit. Their professional responsibilities are for providing the emergency and preventive medical needs of their soldiers with whom they live and serve. These medical professionals are also expected to do any job that maintains the mission of their fighting unit. Because of their importance to sustaining the US fighting forces, Combat Medics may be an ideal group to study because of the high levels of adversity and stress endured while serving both roles. The Medic Mettle Study was established to develop a model of combat stress resilience and a prevention of PTSD. The first step was to identify the psychosocial and bio-behavioral characteristics of combat stress injury. A mixed methods model was utilized and over 700 recently deployed Combat Medics were enrolled. The presentation discusses both the early quantitative results and elaborates on the qualitative interviews conducted with the most resilient combat medics, as nominated by their peers. Preliminary findings of the 16 intensive, videotaped interviews with Combat Medics between war deployments using a Variable Generating Activity (VGA) protocol(1) found 138 variables that appear to provide some missing pieces in our understanding of combat stress injury and its psychosocial markers;(2) Identified five variable domains within a nomothetic network of medic resilience;(3) utility of annual surveys to validate the qualitative findings.


2020 ◽  
pp. 304-312

Background: Insult to the brain, whether from trauma or other etiologies, can have a devastating effect on an individual. Symptoms can be many and varied, depending on the location and extent of damage. This presentation can be a challenge to the optometrist charged with treating the sequelae of this event as multiple functional components of the visual system can be affected. Case Report: This paper describes the diagnosis and subsequent ophthalmic management of an acquired brain injury in a 22 year old male on active duty in the US Army. After developing acute neurological symptoms, the patient was diagnosed with a pilocytic astrocytoma of the cerebellum. Emergent neurosurgery to treat the neoplasm resulted in iatrogenic cranial nerve palsies and a hemispheric syndrome. Over the next 18 months, he was managed by a series of providers, including a strabismus surgeon, until presenting to our clinic. Lenses, prism, and in-office and out-of-office neurooptometric rehabilitation therapy were utilized to improve his functioning and make progress towards his goals. Conclusions: Pilocytic astrocytomas are the most common primary brain tumors, and the vast majority are benign with excellent surgical prognosis. Although the most common site is the cerebellum, the visual pathway is also frequently affected. If the eye or visual system is affected, optometrists have the ability to drastically improve quality of life with neuro-optometric rehabilitation.


Author(s):  
D.B. Izyumov ◽  
E.L. Kondratyuk

The article discusses issues related to the development and use of training means and facilities in order to improve the level of training of US Army personnel. An overview of the main simulators used in the US Armed Forces at present is given, and the prospects for the development of the United States in this area are presented.


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