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Area of Science:

  • Military medicine
  • Surgical readiness assessment

Background:

  • The Military Health System (MHS) globally provides health services and trained medical forces.
  • Military providers exhibit varying deployment preparedness levels.

Purpose of the Study:

  • To develop and assess knowledge, skills, and abilities (KSAs) crucial for combat casualty care.
  • Establish a metric to quantify surgical readiness within the MHS.

Main Methods:

  • Developed a KSA metric specifically for general and orthopedic surgery.
  • Conducted a proof-of-concept study across six medical treatment facilities.

Main Results:

  • The KSA metric effectively quantifies the combat relevance of surgical practices.
  • Orthopedic surgeons demonstrated a higher likelihood of meeting readiness thresholds compared to general surgeons.
  • Current medical treatment facilities lack sufficient demand for general surgery to ensure adequate readiness.

Conclusions:

  • The Clinical Readiness Program identified a disparity between healthcare delivery and military readiness missions.
  • Addressing the readiness gap requires the MHS to prioritize high-KSA value procedures, enhance access to care, and foster civilian partnerships.