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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
Summary
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.
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.