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Military-Civilian Partnership Surgeon Performance Analysis by a Novel Current Procedural Terminology to Individual
Talia R Arcieri, Michael D Cobler-Lichter, Jessica M Delamater1
1Division of Trauma, Surgical Critical Care & Burns, Daughtry Family Department of Surgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital Ryder Trauma Center, and US Army Trauma Training Center, Miami, FL 33136, United States.
A new framework maps medical billing codes to military surgical tasks, enabling objective readiness assessment. This study demonstrates the effectiveness of military-civilian partnerships in maintaining surgeon skills for combat casualty care.
Area of Science:
- Military medicine
- Surgical readiness
- Trauma surgery
Background:
- Military surgeons require continuous training for combat casualty care.
- Limited exposure to high-acuity trauma in military facilities leads to skill degradation.
- Military-civilian partnerships (MCPs) embed surgeons in civilian trauma centers to bridge this gap.
Purpose of the Study:
- To develop a Current Procedural Terminology (CPT) to Individual Critical Task List (ICTL) mapping framework.
- To quantify U.S. Army surgeon readiness using administrative billing data within an MCP.
- To link civilian clinical experience to military readiness requirements.
Main Methods:
- Retrospective observational study at a Level I trauma center MCP.
- Analysis of CPT codes from billing logs for two embedded U.S. Army surgeons.
- Categorization of CPT codes and mapping to ICTs, with review for confirmation.
Main Results:
- Identified 1,239 CPT codes and 1,772 CPT-to-ICT associations.
- Open abdominal and thoracic procedures were most frequently mapped.
- Surgeons completed 2,020 and 1,358 ICTs, with FAST exams and laparotomies being most common.
Conclusions:
- A novel CPT-to-ICTL framework effectively quantifies military surgical readiness.
- MCPs provide valuable exposure to combat-relevant clinical activities.
- This approach offers objective readiness assessment, supporting reporting and policy development.
