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Updated: Jan 26, 2026

Principles of Rodent Surgery for the New Surgeon

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Published on: January 6, 2011

Surgery at Sea: Exploring the Training Gap for Isolated Military Surgeons.

Matthew D Nealeigh¹, Walter B Kucera¹, Matthew J Bradley¹

¹Department of Surgery at the Uniformed Services University, the Walter Reed National Military Medical Center, Bethesda, Maryland.

Journal of Surgical Education

|April 7, 2019

Summary

Military surgeons face isolated surgical care at sea. Training provides general skills but lacks exposure to rare, deployment-specific cases, impacting readiness for isolated roles.

Keywords:

Isolated surgeon Medical Knowledge Patient Care Practice-Based Learning and Improvement military surgery resident surgical education

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Area of Science:

Military Medicine
Surgical Education
Naval Operations

Background:

Newly-graduated military general surgeons often serve as the sole surgical provider on naval vessels.
This isolated role demands broad surgical capability, irrespective of specialized training.
Assessing preparedness for this unique operational environment is crucial.

Purpose of the Study:

To analyze trends in surgical procedures performed at sea over 25 years.
To evaluate the preparedness of military surgical trainees for isolated afloat roles.
To identify gaps in surgical skills and knowledge for deployed environments.

Main Methods:

Reviewed deidentified US Navy Ship's Surgeon case logs (1990s-2017) for case load trends in 5 key categories.
Mapped procedures to American College of Surgeons/Military Health System Knowledge, Skills, and Attitudes (KSAs).
Compared recent military resident case logs with afloat cases to assess trainee experience.

Main Results:

Analysis of 1340 surgeries revealed 74% correlated to intraoperative KSAs; vasectomy was most common (23%).
Case volume per deployment significantly declined overall (p < 0.001).
Resident training showed limited experience in urologic/gynecologic, orthopedic, and open appendectomy procedures.

Conclusions:

A formal repository for afloat surgery data is lacking, hindering analysis.
Current surgical education offers broad training but insufficient exposure to rare, deployment-specific cases.
Investment in targeted training is needed to ensure competency for isolated, afloat surgeons.