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

Matthew Robert Cant1, D N Naumann2, T C König3,4

  • 1Headquarters Army Medical Services, Robertson House, Camberley, Surrey, UK.

BMJ Military Health
|December 17, 2020
PubMed
Summary

Maintaining surgical skills for military general surgeons is challenging due to reduced trauma exposure. Effective strategies likely involve civilian trauma center experience, military courses, and simulation training.

Keywords:
accident & emergency medicinemedical education & trainingsurgerytrauma management

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Area of Science:

  • Military Medicine
  • Surgical Education
  • Trauma Surgery

Background:

  • Deployed military general surgeons face international difficulties in acquiring and retaining essential surgical skills.
  • Reduced trauma workload in non-deployed roles and the winding-down of combat operations exacerbate these skill-set challenges.

Purpose of the Study:

  • To summarize current international methods for ensuring the acquisition and retention of vital skill sets among deployed military surgeons.
  • To explore military-run courses, collaborations, and future strategies for maintaining surgical competencies.

Main Methods:

  • Review of training approaches used by American, British, Danish, French, German, and Swedish Armed Forces.
  • Analysis of training variations including didactic lectures, simulation, and civilian trauma placements (domestic and international).

Main Results:

  • Significant international variation exists in military surgical training methodologies.
  • Data on the effectiveness of current training techniques for combat surgical skills is limited.
  • A combination of high-volume civilian trauma center experience and military-specific training (courses, simulation) is likely crucial.

Conclusions:

  • Acquisition and maintenance of combat surgical skills require a multifaceted approach.
  • Further evaluation of newer training modalities is necessary to ensure future effectiveness.
  • Bridging skill gaps through a blend of civilian and military training is essential for deployed surgeons.