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Quantifying Clinical Opportunities at the Navy Trauma Training Center.

Virginia Schmied Blackman1, Tony Torres1, Jami A Stakley2

  • 1Daniel K. Inouye Graduate School of Nursing, Uniformed Services University of the Health Sciences, 4301 Jones Bridge, Bethesda, MD 20814, USA.

Military Medicine
|January 27, 2021
PubMed
Summary

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Military-Civilian partnerships provide crucial trauma care training. Data show most clinical experiences involve observation rather than performance, highlighting a need to enhance hands-on skill development for military medical providers.

Area of Science:

  • Medical Education
  • Trauma Care
  • Military Medicine

Background:

  • Military-Civilian partnerships (MCPs) are vital for training military trauma care providers.
  • Existing data on clinical opportunities within MCPs are limited.
  • The Navy Trauma Training Center is an example of an MCP.

Purpose of the Study:

  • To quantify clinical experiences of participants in an MCP.
  • To compare observed skills versus performed skills during training.
  • To assess the effectiveness of MCPs in maintaining a skilled military medical force.

Main Methods:

  • Participants (N=47) completed clinical logs after patient encounters.
  • Demographic data were self-reported.
  • Descriptive and chi-square statistics were used to analyze data, comparing the first and second halves of the 21-day course.

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Main Results:

  • 551 clinical logs were completed, primarily in the emergency department.
  • Most logs (mean=8 per participant) reflected skill observation over performance, a ratio unchanged over time.
  • Commonly reported opportunities included trauma assessments and IV access; penetrating trauma was noted in 16.5% of logs.

Conclusions:

  • Prospective, real-time data on clinical activity are essential for evaluating MCP success.
  • These preliminary findings offer insights into MCP contributions to military medical readiness.
  • Further research is needed to optimize hands-on skill development within MCPs.