WarDocs - The Military Medicine Podcast
Welcome to WarDocs! This is a podcast developed and hosted by 3 Army surgeons, Doug, Wayne and Kevin who all possess a passion to honor the legacy and preserve the oral history of Military Medicine and get the amazing stories of these healthcare heroes to our listeners. We will take a behind the scenes look into unique opportunities and experiences told firsthand from current and former military medical professionals and provide interesting and informative content about the mission, history, contributions, and achievements of Military Medicine from all the members of the team. You will better understand what Military Medicine does in deployed environments as well as the peacetime mission and how these healthcare providers train for the next conflict. You will also hear some incredible stories of how these WarDocs bring first class medical care from Level 1 Trauma Centers to the most austere of conditions in every corner of the globe Please visit our website at www.wardocspodcast.com to get additional information about our hosts and our guests and follow us on Facebook, Twitter and Instagram. If you like war stories and medical drama, WarDocs has you covered. Spread the word!
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Episodes
Episodes
Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-22-00154: “Ascertaining the Readiness of Military Orthopaedic Surgeons: A Revision to the Knowledge, Skills, and Abilities Methodology”
EPISODE SUMMARY
Discover the crucial factors for Military Orthopedic Surgeon readiness in our thought-provoking discussion with retired Air Force Colonel and Orthopedic Trauma Surgeon, Dr. Patrick Osborn. Together, we explore the updated revision of the Knowledge, Skills, and Abilities (KSA) methodology, examining the KSA project's concerning findings and the process of generating KSA scores to measure readiness in Military Medicine. We also discuss ways to eliminate and realign CPT codes for a more accurate assessment of Military Orthopedic Surgeon readiness.
We dive deeper into the challenges of integrating high-acuity cases from trauma centers into military treatment facilities (MTFs) and how off-duty employment data can be unreliable. Dr. Osborn shares insights on the KSA project's measurement of reps and procedures deemed important and ways to evaluate surgeon competence beyond CPT codes. Our conversation highlights the significance of military medical training, especially in the area of wound debridement, and the roles experience and confidence play in decision-making.
Lastly, we emphasize the need for readiness training for medical personnel and the importance of team experience in developing a Ready Medical Force. Dr. Osborn stresses the necessity for local community buy-in and commitment to supporting an ACS-designated trauma center. Join us in this vital conversation as we uncover the key aspects of improving Military Orthopedic Surgeon readiness and ensuring the competence of our medical forces in times of crisis.
EPISODE CHAPTERS
(0:00:01) - Improving Military Orthopedic Surgeon Readiness
(0:09:04) - Military Facility Readiness & Surgeon Competency
(0:17:33) - Building a Ready Medical Force
(0:24:18) - Future Improvements
EPISODE CHAPTER SUMMARIES
(0:00:01) - Improving Military Orthopedic Surgeon Readiness (9 Minutes)
Col(R) Patrick Osborn, MD discusses his Military Medicine paper: “Ascertaining the Readiness of Military Orthopaedic Surgeons: A Revision to the Knowledge, Skills, and Abilities Methodology” He discusses why the KSA project's findings were concerning; the process by which KSA scores are generated and used to measure readiness in Military Medicine; and how to decide which CPT codes to eliminate and realign to better measure the readiness of Military Orthopedic Surgeons.
(0:09:04) - Military Facility Readiness & Surgeon Competency (8 Minutes)
We discuss the difficulties of bringing high acuity cases from trauma centers into MTFs and how data can be unreliable regarding off-duty employment and moonlighting. We also look at the KSA project and how it measures the number of reps or procedures deemed important, and how we can measure the competence of surgeons beyond the number of CPT codes generated over a period of time
(0:17:33) - Building a Ready Medical Force (7 Minutes)
Dr. Osborn explains the importance of focused military medical training, particularly in the area of wound debridement after combat injuries. We discussed the need to do simple procedures well and how experience and confidence play a role in decision-making. We also discussed the need for readiness training for medical personnel and the importance of team experience in developing a Ready Medical Force. Lastly, we discussed the need for local community buy-in and commitment to support a trauma center.
(0:24:18) – Future Improvements (1 Minute)
We discussed the challenges of bringing high acuity cases from trauma centers into MTFs and how data can be unreliable regarding off-duty employment. We also discussed the need to update the Knowledge-Based Learning System to include the latest developments in trauma medicine.
EPISODE KEYWORDS
Military Orthopedic Surgeon Readiness, KSA Methodology, CPT Codes, Trauma Centers, MTFs, Off-Duty Employment, Reps and Procedures, Debridement, Readiness Training, Team Experience, Local Community Buy-In, Knowledge-Based Learning System, Trauma Medicine
#Military #Medical #Podcast #WarDocs #Orthopedics #Surgeon #SurgicalTeams #MilitaryMedicine #Readiness #Training #Knowledge #Skills #Abilities #KSAs
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-21-00551: “Impact of Civilian Patient Care on Major Amputation Case Volume in the Military Health System”
EPISODE SUMMARY
Discover the critical aspects of maintaining wartime surgical skills, especially major amputation surgery, in this thought-provoking conversation with retired Air Force Colonel and Orthopedic Trauma Surgeon, Dr. Patrick Osborn. We dive into his paper, Impact of Civilian Patient Care on Major Amputation Case Volume in the Military Health System and uncover the importance of partnerships between military and civilian providers in increasing surgical case volume and sustaining essential wartime skills. Understand the challenges medical professionals face in managing patients with potential amputations and the crucial role of direct patient care experience in honing their skills.
Join us as we explore the ways military medicine can enhance amputation care through MILCIV partnerships, combining the skillsets of military and civilian medical personnel to improve patient outcomes. Learn about the next research study in this area and why connecting patient outcomes to a medical professional's skills is vital. Don't miss this vital discussion with Dr. Patrick Osborn on the importance of his paper and the life-saving benefits of military and civilian collaboration in amputation care.
EPISODE CHAPTERS
(0:00:01) - Wartime Major Amputation Surgery Skills
(0:10:16) - Enhancing Amputation Care in Military Medicine
EPISODE CHAPTER SUMMARIES
(0:00:01) - Wartime Major Amputation Surgery Skills (10 Minutes)
We explore the challenges of sustaining critical wartime skills during inter-war periods and how major amputation surgery skills are commonly required during wartime. Dr. Osborn discusses the importance of partnerships between military and civilian institutions to increase major amputation surgical case volume and sustain wartime skills. We learn about the specialties expected to manage patients that may have indications for amputations in a down-range setting, and the percentage of the group of deploying surgeons that actually performed major amputations down-range. We also discuss why direct patient care experience is important, and why coursework and simulation are currently insufficient to cover the procedural experience gap.
(0:10:16) - Enhancing Amputation Care in Military Medicine (8 Minutes)
We discuss ways to get more exposure and experience to the acute phase of traumatic amputations and the importance of MILCIV partnerships. We look at the next research study in this area and the importance of connecting patient outcomes to the skillset of medical personnel. Finally, we discuss why this paper is important and why someone should take the time to read it.
EPISODE KEYWORDS
Military Medicine, Amputation Surgery, Wartime Skills, Major Amputation Case Volume, Civilian Patient Care, MILCIV Partnerships, Traumatic Amputations, Procedural Experience, Acute Phase, Patient Outcomes, Training Medical Personnel
#Military #Medical #Podcast #WarDocs #Orthopedics ##Surgeon #SurgicalTeams #MilitaryMedicine #Readiness #Training #Amputation
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Monday May 15, 2023
Monday May 15, 2023
Military Medicine & WarDocs present: "A Ready Medical Force Special Collection"
MILMED-D-21-00643: “Upper Extremity Vascular Exposures for Trauma: Comparative Performance Outcomes for General Surgeons and Orthopedic Surgeons”
EPISODE SUMMARY
Discover the critical skills Military General and Orthopedic Surgeons need to confidently diagnose and manage upper extremity vascular injuries on and off the battlefield. Our conversation with Dr. Pamela Andreatta, Director of Surgical Skills Assessment at the Uniformed Services University of Health Sciences and the Walter Reed National Military Medical Center, reveals the importance of courses like ASSET+ and the Combat Orthopedic Trauma Surgical Course in training and assessing readiness.
We dive deep into the factors influencing the performance of military surgeons and assess the pre-training scores of Military General Surgeons and Orthopedic Surgeons. Listen in as Dr. Andreatta breaks down how experience and the volume of operative practice impact success in managing these complex injuries. We also discuss the challenges military teams face when integrating into operational teams, and how pre-deployment and post-deployment rehearsals ensure the maintenance of critical capabilities.
Join us in this thought-provoking episode as we emphasize the importance of good research in Military Medicine and explore the complexities of maintaining preparedness and readiness in the field.
EPISODE CHAPTERS
(0:00:01) - Preparing Surgeons for Battlefield Vascular Injuries
(0:12:12) - Assessing Surgical Training and Performance
(0:24:25) - Maintaining Critical Medical Team Capabilities
EPISODE CHAPTER SUMMARIES
(0:00:01) - Preparing Surgeons for Battlefield Vascular Injuries (12 Minutes)
We explore the preparedness of Military General Surgeons and Orthopedic Surgeons to confidently deal with upper extremity vascular injuries in battlefield settings. To assess readiness and train critical expeditionary procedural skills, we discuss the importance of courses like ASSET+ and the Combat Orthopedic Trauma Surgical Course. Dr. Andreatta discusses her Military Medicine paper, “Upper Extremity Vascular Exposures for Trauma: Comparative Performance Outcomes for General Surgeons and Orthopedic Surgeons”. We look back at the recent high op tempo time in OIF and OEF and consider the likelihood of encountering extremity vascular injuries in Role II MTFs and below. We discuss the importance of preparedness to recognize and control peripheral vascular bleeds to save lives and limbs.
(0:12:12) - Assessing Surgical Training and Performance (12 Minutes)
We investigate the pre-training scores of Military General Surgeons and Orthopedic Surgeons, exploring the factors that could influence the performance of these medical professionals. The sample was largely homogeneous and consisted of junior personnel with limited deployment experience, though it was found that the more experienced surgeons with a higher volume of operative practice tended to perform better. We also discuss the determination of the benchmark score, and how it is rooted in measurement science and clinical medicine. Lastly, we learn that although the Orthopedic Surgeons did not reach the benchmark at baseline, the quality of the surgeons and the fact that they are able to recognize performance gaps allows them to work on improving their skills.
(0:24:25) - Maintaining Critical Medical Team Capabilities (6 Minutes)
We discuss the challenges military teams face when integrating into operational teams and the necessity of individual professional role capabilities. We also discuss the need for pre-deployment and post-deployment rehearsals, and the importance of providing resources for military surgeons to maintain their abilities. Finally, we explore the potential of pre-planning through videos and reading to reduce the "Walker dip" between deployments.
EPISODE KEYWORDS
Military Medicine, Battlefield Vascular Injuries, Surgical Training, Performance, Medical Team Capabilities, Pre-Deployment Rehearsals, Post-Deployment Rehearsals, Dr. Pamela Andreatta, Asset Plus, Combat Orthopedic Trauma Surgical Course, Operative Practice, Junior Personnel, Deployment Experience, Benchmark Score, Measurement Science, Clinical Medicine, Walker Dip, Journal of Military Medicine, WarDocs
#Military #Medical #Podcast #WarDocs #Orthopedics #Surgeon #GeneralSurgeon #Vascular #Injuries #MilitaryMedicine #Readiness #Training #Knowledge #Skills #Abilities #KSAs
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Friday May 12, 2023
Friday May 12, 2023
EPISODE SUMMARY
What does it take to become a Special Forces Medic, and how has combat casualty care evolved over the years? Discover the world of Special Operations Medics and Military Medicine in our captivating conversation with retired Army Master Sergeant Samuel Rodriguez. Through Sam's expertise, you'll gain insights into the rigorous training, crucial qualifications, and evolution of Special Operations medics, while understanding how the Special Operations Medical Association (SOMA) has transformed battlefield care and saved countless lives.
Join us as we discuss the importance of unconventional medicine in Special Operations, from planning for extreme situations to the actual medical supplies and procedures used on the battlefield. Hear incredible stories from Sam's experiences deep in the Amazon basin and learn about the challenges and initiatives currently being tackled by SOMA. Don't miss this opportunity to see how the advancement of technology and knowledge in military medicine is enhancing the survivability and recovery of Special Operations personnel.
EPISODE CHAPTERS
(0:00:00) - Special Operations Medics and Military Healthcare
(0:11:10) - Special Operations Medic Lessons
(0:21:44) - Unconventional Medicine in Special Operations
CHAPTER SUMMARIES
(0:00:00) - Special Operations Medics and Military Healthcare (11 Minutes)
MSG Samuel Rodriguez shares his pathway to becoming a special forces medic and explains how the training and experiences of Special Operations medics have evolved. He also talks about the history of the Special Operations Medical Association (SOMA) and how it has utilized lessons learned to improve care on the battlefield and save lives. Sam shares some helpful resources and information on programs for veterans and first responders to help them improve their quality of life, following traumatic experiences. We discuss the qualifications required to become an 18D and the importance of physical and mental preparedness. Finally, Sam shares how his training has evolved and changed over the years.
(0:11:10) - Special Operations Medic Lessons (11 Minutes)
We explore the planning process for medical care in dangerous and austere situations and the types of medical supplies and procedures carried out on the battlefield. Sam shares a memorable clinical experience of providing medical aid in an area of the Amazon basin, as well as the advice given to the US Army Special Operations Command from a medical and enlisted medic perspective.
(0:21:44) - Unconventional Medicine in Special Operations (14 Minutes)
From its inception in 1987 to its official formation in 1992, SOMA’s main mission has been to ensure the survivability and speed of recovery of Special Operations personnel through advancing technology and knowledge in unconventional medicine. We explore the different learning tracks at SOMA meetings, ranging from canine sessions to brain health sessions, and discuss some of the most significant milestones in the organization's history. We also discuss the challenges SOMA has faced and the initiatives and projects they are currently focused on.
EPISODE KEYWORDS
Special Operations Medics, Military Healthcare, Unconventional Medicine, Special Operations Medical Association, Battlefield Care, Amazon Basin, Technology, Knowledge, Canine Sessions, Brain Health, Survivability, Recovery, Special Operations Personnel, Qualifications, Physical Preparedness, Mental Preparedness, Planning Process, Medical Supplies, Procedures, Clinical Experience, US Army Special Operations Command, SOMA, Milestones, Challenges, Initiatives, Projects
#SpecialOperationsMedics #MilitaryHealthcare #BattlefieldMedicine #MilitaryMedicine #SOMA #Survivability #UnconventionalMedicine #SpecialForces #ArmyMasterSergeant #SamRodriguez
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Friday May 05, 2023
Friday May 05, 2023
Episode Summary:
In this episode of WarDocs: The Military Medicine Podcast, we had the pleasure of speaking with Dr. Joshua Anchan, the Neonatal Transport Director at the US Naval Hospital in Okinawa, Japan. We discussed the fascinating world of military neonatal transport teams, their history, roles, and training. We also explored the unique challenges these teams face when transporting critically ill newborns in military aircraft, including dealing with hypoxia and minimizing the risks of intracranial hemorrhage. Dr. Anchan shared memorable stories from his experiences in Okinawa and Guam and emphasized the importance of innovation and preserving the mission in the future of neonatal military transport. Join us for this engaging and eye-opening conversation about providing critical care for our military families most vulnerable members.
Chapters:
(0:00:01) - Neonatal Transport Teams
(0:15:34) - Transporting Neonates
Chapter Summaries:
(0:00:01) - Neonatal Transport Teams (16 Minutes)
In this episode of WarDocs: The Military Medicine Podcast, we explore how the United States military provides care for critically ill newborns in remote locations without access to nearby ICU care. Dr. Joshua Anchan, the Neonatal Transport Director at the US Naval Hospital in Okinawa, Japan, discusses the history, roles, and training of military neonatal transport teams, as well as their mission scenarios and lessons learned.
(0:15:34) - Transporting Neonates (12 Minutes)
We delve into the unique challenges and environmental limitations faced during neonatal transport in military aircraft. From dealing with hypoxia to minimizing risks of intracranial hemorrhage, neonatal care in flight requires extensive training and expertise. The conversation also covers the crucial role of the Air Evacuation team, the parent's involvement in the transport process, and memorable stories from Dr. Josh Anchan's experiences in Okinawa and Guam. The discussion concludes with insights on lessons learned and the future of neonatal military transport, emphasizing the importance of innovation and preserving the mission.
Episode Keywords:
Military Medicine, Neonatal Transport, Military Neonatal Transport, US Naval Hospital, Okinawa, Critically Ill Newborns, Neonatal Care, Hypoxia, Intracranial Hemorrhage, Aeromedical Evacuation, Airevac, Neonatal Transport Training, Neonatal Transport Challenges, Neonatal Transport History, Neonatal Transport Roles, Military Families, Military Aircraft, Remote Locations, ICU Care, Neonatal Transport Innovation, Dr. Joshua Anchan
#podcast #military #medicince #neonatal #transport #criticalcare #airevac
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Friday Apr 28, 2023
Friday Apr 28, 2023
Episode Summary:
In this episode of WarDocs, we dive into the world of point-of-care ultrasound (POCUS) in military medicine with Army COL Cristin Mount, MD, and LTC(P) Scott Grogan, DO. We discuss the various applications of POCUS in hospital and battlefield settings, as well as training opportunities and its role in graduate education, credentialing, and certification. We explore the practical applications of POCUS in trauma and disease non-battle injuries and its role in evacuation decision-making. Additionally, we examine the challenges surrounding POCUS privileges and the future of POCUS in combat casualty care, focusing on telehealth and artificial intelligence integration. Join us as we delve into the impact of POCUS on patient-provider relationships and the potential for further improvement in military medicine.
Chapters:
(0:00:00) - Point of Care Ultrasound
(0:12:28) - Ultrasound Use in Military Medicine
(0:25:44) - Privileging for Point of Care Ultrasound
(0:31:20) - Ultrasound for Military Careers
(0:43:52) - Reimagining Patient-Provider Interactions
Chapter Summaries:
(0:00:00) - Point of Care Ultrasound (12 Minutes)
In this episode of WarDocs, we explore the use of point of care ultrasound (POCUS) in military medicine with Army COL Cristin Mount, MD, and LTC(P) Scott Grogan, DO. They discuss the various applications of POCUS in both hospital and battlefield settings, as well as training opportunities and its role in graduate education, credentialing, and certification. The conversation highlights how POCUS can improve care at far-forward medical facilities in combat zones and provides a vision for future utilization.
(0:12:28) - Ultrasound Use in Military Medicine (13 Minutes)
In this portion of the conversation, we delve into the practical applications of point of care ultrasound (POCUS) in trauma and disease non-battle injuries, as well as its role in evacuation decision-making. We also discuss the military's process of field testing and acquiring equipment, the current state of documentation, and the integration of POCUS images into electronic health records. The development of a standardized workflow and infrastructure for POCUS is also touched upon, highlighting the potential for further improvement in Military Medicine
(0:25:44) - Privileging for Point of Care Ultrasound (6 Minutes)
We discuss the current state of encounter-based workflows for point-of-care ultrasound (POCUS), highlighting that while the technology is still in its early stages, it is being worked on at the DHA level and will eventually be widely available. The conversation also touches on the challenges surrounding POCUS privileges, the need for more specific privileges, and the importance of demonstrating competency before implementing them. In addition, we examine the role of POCUS in Individual Critical Task Lists (ICTLs), noting that it is primarily used in trauma and procedure-based situations, but its application may evolve as POCUS becomes more prevalent in Military Medicine
(0:31:20) - Ultrasound for Military Careers (13 Minutes)
We examine the training and certification programs available for healthcare providers who are already out of their Graduate Medical Education (GME) programs and wish to learn point of care ultrasound (POCUS). The conversation touches upon the need for practice and supervision in POCUS training and how the military GME programs differ from civilian counterparts. The future of POCUS in combat casualty care is also discussed, with a focus on telehealth and artificial intelligence integration.
(0:43:52) - Reimagining Patient Provider Interactions (7 Minutes)
In this part of the discussion, we explore the impact of point of care ultrasound (POCUS) on the patient-provider relationship and share personal epiphanies from our experiences with the technology. We reflect on how POCUS has brought healthcare providers closer to their patients, allowing for more hands-on, bedside interaction and improving diagnostic decision-making. Furthermore, we discuss how POCUS has provided unexpected benefits, such as helping to determine whether a critically ill patient needs to be transported for further imaging, thereby reducing risks associated with transport of the critically ill patient.
Episode Keywords:
Point of Care Ultrasound, POCUS, Military Medicine, Battlefield Medicine, Ultrasound Training, Graduate Education, Credentialing, Certification, Trauma Care, Disease Non-Battle Injuries, Evacuation Decision-Making, POCUS Privileges, Combat Casualty Care, Telehealth, Artificial Intelligence Integration, Patient-Provider Relationship, Healthcare Providers, Diagnostic Decision-Making, Ultrasound Equipment
#POCUS #MilitaryMedicine #Ultrasound
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Tuesday Apr 25, 2023
Tuesday Apr 25, 2023
PART 2 OF 2
For nearly 30 years, VADM(Ret) Bono served with honor and distinction as a highly respected Naval Officer and the first woman surgeon in the military to hold the rank of Vice Admiral.
Currently, she is the Chief Health Officer for Viking Cruises, an industry-leading model to establish a C-suite office for restarting the cruise and travel business while maintaining a public health safety profile.
In this episode, Dr. Bono discusses her pathway toward a career in Navy Medicine and her training to become a critical care-trained trauma surgeon. She talks about her experiences in the first Gulf War and how lessons learned from that conflict shaped her view of the critical role of Military Medicine in supporting war efforts and how she used this experience following the attacks on 9/11 and subsequent military operations in Southwest Asia.
Dr. Bono played a significant role in transforming how Electronic Health Records were utilized and integrated by the VA and DoD and discusses some of the challenges and successes during this work. She also describes her involvement in the dramatic shift in how the Military Health System was organized in her role as the second director of the Defense Health Agency. She provides a behind-the-scenes perspective on implementing this new Agency, and it's role in supporting a medically ready force and ensuring a ready medical force.
VADM(Ret) Bono provides valuable leadership and mentorship advice for the next generation of military healthcare professionals.
A board-certified trauma surgeon, Dr. Bono is an inspiration and role model for all surgeons, especially female surgeons nationwide and in the military. Dr. Bono received her bachelor's degree from the University of Texas, Austin; her Master of Business Administration from Washington State University, Spokane; and her medical degree from Texas
Tech Health Sciences Center, Lubbock. She completed her surgical internship and residency at the Naval Medical Center, Portsmouth, VA. She performed a trauma and critical care fellowship at the Eastern Virginia Graduate School of Medicine, Norfolk.
Dr. Bono's leadership positions in the DoD include CEO/director, DHA (2015-2019); CEO/director, National Capital Region Medical Directorate (2013-2015); acting commander, Joint Task Force (JTF), National Capital Region (2013); functional champion, MHS GENESIS, the VA and DoD EHR (2014-2015); command surgeon, U.S. Pacific Command (2011-2013); chief of staff, TRICARE, DoD (2008-2010); commanding officer (CEO), Naval Hospital, Jacksonville, FL (2005-2008) and other significant positions.
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
Friday Apr 21, 2023
Friday Apr 21, 2023
PART 1 OF 2
For nearly 30 years, VADM(Ret) Bono served with honor and distinction as a highly respected Naval Officer and the first woman surgeon in the military to hold the rank of Vice Admiral.
Currently, she is the Chief Health Officer for Viking Cruises, an industry-leading model to establish a C-suite office for restarting the cruise and travel business while maintaining a public health safety profile.
In this episode, Dr. Bono discusses her pathway toward a career in Navy Medicine and her training to become a critical care-trained trauma surgeon. She talks about her experiences in the first Gulf War and how lessons learned from that conflict shaped her view of the critical role of Military Medicine in supporting war efforts and how she used this experience following the attacks on 9/11 and subsequent military operations in Southwest Asia.
Dr. Bono played a significant role in transforming how Electronic Health Records were utilized and integrated by the VA and DoD and discusses some of the challenges and successes during this work. She also describes her involvement in the dramatic shift in how the Military Health System was organized in her role as the second director of the Defense Health Agency. She provides a behind-the-scenes perspective on implementing this new Agency, and it's role in supporting a medically ready force and ensuring a ready medical force.
VADM(Ret) Bono provides valuable leadership and mentorship advice for the next generation of military healthcare professionals.
A board-certified trauma surgeon, Dr. Bono is an inspiration and role model for all surgeons, especially female surgeons nationwide and in the military. Dr. Bono received her bachelor's degree from the University of Texas, Austin; her Master of Business Administration from Washington State University, Spokane; and her medical degree from Texas
Tech Health Sciences Center, Lubbock. She completed her surgical internship and residency at the Naval Medical Center, Portsmouth, VA. She performed a trauma and critical care fellowship at the Eastern Virginia Graduate School of Medicine, Norfolk.
Dr. Bono's leadership positions in the DoD include CEO/director, DHA (2015-2019); CEO/director, National Capital Region Medical Directorate (2013-2015); acting commander, Joint Task Force (JTF), National Capital Region (2013); functional champion, MHS GENESIS, the VA and DoD EHR (2014-2015); command surgeon, U.S. Pacific Command (2011-2013); chief of staff, TRICARE, DoD (2008-2010); commanding officer (CEO), Naval Hospital, Jacksonville, FL (2005-2008) and other significant positions.
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