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How to train small military medical teams
David McConnell1, Peter Harper2
1Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK David.Mcconnell101@mod.gov.uk.
BMJ Military Health
|August 10, 2026
Summary
Small military medical teams face unique challenges in austere settings. Pre-deployment preparation focusing on behavioral alignment and psychological safety is crucial for patient safety and operational readiness.
Area of Science:
- Military Medicine
- Team Dynamics
- Human Factors Psychology
Background:
- Small military medical teams operate in remote, austere environments with limited redundancy.
- Team fragility arises from concentrated expertise and lack of organizational depth, making them susceptible to dysfunction.
- Dysfunction stems from maladaptive behavioral responses to psychological stress, not technical deficits.

