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Related Concept Videos

SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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The Air Force Visiting Surgeon Program: Development, Outcomes, and Future Application.

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The Air Force Visiting Surgeon Program (VSP) successfully provided subspecialty surgical care to remote military bases, improving access and saving millions. This initiative enhanced readiness and demonstrated a cost-effective model for military healthcare delivery.

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Area of Science:

  • Military Medicine
  • Surgical Access
  • Healthcare Management

Background:

  • Limited access to specialized surgical care for active duty service members and families stationed overseas (OCONUS).
  • The Air Force Visiting Surgeon Program (VSP) was established to deliver subspecialty surgical services to OCONUS locations via temporary duty (TDY) assignments.

Purpose of the Study:

  • To evaluate the impact of the VSP over a 12-year period (2009-2021).
  • To identify key lessons learned and assess the program's future viability.
  • To analyze cost-effectiveness and beneficiary access improvements.

Main Methods:

  • A retrospective review of 58 missions conducted between 2009 and 2021.
  • Missions were deployed to four OCONUS sites (Alaska, Italy, England, Japan) based on patient volume, OR capacity, and local support.
  • Program formalization in 2015 included Air Force Instruction 44-102, defining roles, responsibilities, and safety measures.

Main Results:

  • 58 missions completed by 21 surgeons across four international and domestic OCONUS locations.
  • 2,000 patient consultations and 865 surgical cases performed, resulting in an estimated cost avoidance of $6.7 million.
  • The VSP enhanced mission readiness for participating surgeons and host surgical teams, with support from Army and Navy personnel.

Conclusions:

  • The VSP offers a cost-effective template for delivering subspecialty surgical care within the military health system.
  • The program serves as a model for forward deployment of military plastic surgeons and promotes triservice collaboration.
  • The VSP effectively addresses access challenges for OCONUS beneficiaries while optimizing healthcare resource utilization.