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A Comprehensive Review of the ADvanced VIrtual Support for OpeRational Forces (ADVISOR) Program: Use and User
Caryn A Stern1, Michael Kile2, Gary Legault3
1Joint Trauma System, DoD Center of Excellence for Trauma, Fort Sam Houston, TX, United States.
Military Medicine
|June 13, 2025
Summary
The ADvanced VIrtual Support for OpeRational Forces (ADVISOR) program provides vital telemedicine support to military personnel in austere environments. This study highlights the program
Area of Science:
- Military medicine
- Telehealth
- Operational health support
Background:
- The ADvanced VIrtual Support for OpeRational Forces (ADVISOR) program offers 24/7 teleconsultation for U.S. military casualty care in austere and operational settings.
- It provides remote expert guidance to local caregivers, aiming to ensure optimal care for casualties in resource-limited environments.
Purpose of the Study:
- To holistically assess the impact of the ADVISOR program by analyzing both real-world and training calls.
- To qualitatively analyze survey data to refine capability requirements for telemedicine support of forward-deployed military teams.
Main Methods:
- Retrospective analysis of Operational Virtual Health Reports and Evaluation data from June 2017 to December 2022.
- Data grouped by patient demographics, case description, consultant recommendations, and outcomes.
- Narrative analysis of patient history and case details to identify diagnoses and caregiver queries; exclusion of non-clinical calls.
Main Results:
- 1,719 calls logged between 2017-2022 (568 real-world, 904 training).
- Of 171 real-world calls with reports, 30.1% were completed, with infectious disease, veterinary, critical care, and orthopedics as leading specialties.
- Positive feedback from local caregivers on system access, expert recommendations, and implementation, with all indicating willingness to use ADVISOR again.
Conclusions:
- Telehealth's value in military settings is underappreciated, necessitating better understanding and refinement of capabilities for improved outcomes.
- Enhanced documentation and codification of programs like ADVISOR are crucial for sustained funding and future battlefield support.
- Findings can inform pre-deployment training for providers, emphasizing the critical role of telemedicine in operational casualty care.
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