WarDocs - The Military Medicine Podcast

Special Operations Forces to School of Medicine (SOF to SOM): Ricky Ditzel

Hear an inspiring journey from elite special operations flight paramedic to medical school. Our guest, Ricky Ditzel, a 160th flight paramedic, shares his unique pathway from an unstable home life to becoming a medical student. Ricky speaks about his time as a young Ranger, his path to becoming a flight paramedic, and his experiences during the COVID-19 pandemic. He also discusses the responsibility that comes with his role and the importance of precision and care for pilots, crew chiefs, and special operators.
Turning challenges into opportunities, Ricky recounts his experience of building a field hospital in response to the pandemic. He emphasizes the importance of understanding anatomy for pre-hospital traumatic brain injury management and shares the difficulties of transitioning from military to medical school. Listen as Ricky discusses his nonprofit that provides support and resources for people making a similar transition and his belief in the power of networking and mentorship in reaching one's goals.
Get ready to be inspired by an incredible testament to resilience and dedication. Ricky shares his journey, struggles, and contribution to military healthcare. His message echoes the significant impact of military personnel in the healthcare industry. This episode is not just about Ricky’s journey but is an inspiring story of determination, resilience, and the will to make a difference. Tune in and get ready to be inspired!
 
 
Chapters:
(0:00:00) - Pathway to Special Operations Medicine
(0:07:42) - Military Medicine and Redemption in Early Career
(0:14:57) - Aviation and Paramedic Roles and Responsibilities
(0:26:24) - Flight Medic Procedures and Challenges
(0:33:44) - Military to Medical School
(0:45:05) - Medical School and Brain Injury Management
(0:55:53) - Supporting Special Operators in Medical School
(1:00:13) - Medical School Challenges and Military Legacy
 
 
Chapter Summaries:
(0:00:00) - Pathway to Special Operations Medicine
Ricky shares his journey from JROTC to military medicine, offering advice for similar transitions.
(0:07:42) - Military Medicine and Redemption in Early Career
Ricky recounts his journey from Ranger to flight paramedic, taking control of his career and finding success.
(0:14:57) - Aviation and Paramedic Roles and Responsibilities
Ricky shares his journey from military to flight paramedic, SOCCM, Green Platoon selection, special operations aviation medical indoctrination, survival training, and the 160th's mission of serving special operators.
(0:26:24) - Flight Medic Procedures and Challenges
Ricky shares stories of responding to urgent calls, preparing for flight, providing medical treatments, and the importance of quick decisions.
(0:33:44) - Military to Medical School and COVID
Ricky transitioned from military to medical school during the COVID-19 pandemic, building a 216-bed field hospital named after Navy Seal Ryan Larkin.
(0:45:05) - Medical School and Brain Injury Management
Ricky reflects on transitioning from military to medical school, the importance of anatomy for TBI management, networking, and the Pat Tillman Foundation's aid.
(0:55:53) - Supporting Special Operators in Medical School
Ricky is helping military personnel transition to medical school with resources, cognitive assessments, MCAT support, and publication assistance.
(1:00:13) - Medical School Challenges and Military Legacy
Ricky emphasizes teamwork, leadership, integrity, and values, encouraging listeners to find a balance and new passion.
 
Take Home Messages:
Resilience and perseverance are key to overcoming challenges.
Military personnel play an impactful role in the healthcare industry.
Understanding anatomy is crucial for pre-hospital traumatic brain injury management.
Transitions from the military to medical school can be complicated but are achievable.
Precision and care are vital in positions such as a flight paramedic.
Building a field hospital during a pandemic presents unique challenges and lessons.
Networking and mentorship can significantly aid in transitions from military service to medical school.
Military medicine provides a unique perspective and skill set in medical school.
Nonprofits can provide crucial support for those transitioning from military to medical school.
Balance and clear thinking are important when dealing with high-stress environments.
 
 
Episode Keywords:
Military Medicine, Flight Paramedic, JROTC, Cerebral Palsy, Special Operations, Aviation, Pre-Hospital Traumatic Brain Injury, Medical School, COVID-19 Field Hospital, Networking, Mentorship, Anatomy, MCAT, Leadership Gap, Nonprofit, Military Transition
 
Hashtags:
#MilitaryToMedicine #Resilience #HealthcareHeroes #InspiringJourneys #FromWarzoneToMedSchool #SpecialOperations #FlightParamedic #MedicalSchool #TransitionStories #HealthcareLeadership
 
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 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

Exploring the Intersection of Civilian and Military Medicine: A Story of Dedication and Leadership- MG(R) Joseph Caravalho, Jr. M.D.

From the azure waters of Hawaii to the bustling corridors of Washington's power centers, Dr. Joseph Carvalho has navigated a fascinating journey. This retired Army Major General has dived deep into the world of military medicine, and this week, we bring you an intriguing conversation about his experiences. His story starts in Hawaii, takes him to Gonzaga University on an ROTC scholarship, and then to the Uniform Services University of the Health Sciences, where he earned his medical degree. Along the way, he's held roles as an Internist, Nuclear Medicine Physician, and Cardiologist, as well as Commander of several important military medical Commands and as Joint Staff Surgeon advising the Chairman of the Joint Chiefs of Staff. He now serves as the president and CEO of the Henry M Jackson Foundation.
 
Dr. Carvalho doesn't just share his story, he unpacks what it means to serve in the medical arena of the military. Get ready for a deep exploration into the career paths, diversity of roles, and leadership challenges medical officers face in combat environments. We talk about his time commanding medical units during wartime, managing wounded warriors at major military hospitals like BAMC and Walter Reed, and the intricacies of military healthcare. We also delve into the factors that make military medical facilities stand out, the importance of military medical research, and the recent developments in transgender acceptance in the military.
 
We round up our conversation with a spotlight on the Henry M Jackson Foundation, where Dr. Carvalho now serves as the president and CEO. As we navigate this chapter of his journey, we discover the role this foundation plays in bridging the gap between civilian and military medicine. We dissect the needed balance between medical research and addressing human frailty in healthcare. So, join us as we traverse through the exciting, complex, and critical world of military healthcare. Don't miss this opportunity to gain insights from an expert who's been on the frontlines, and don't forget to bring your curiosity along for the ride.
 
Take Home Messages:
 
The path to a successful career in Military Medicine is a multifaceted one, requiring a combination of rigorous academic training, diverse professional experiences, and adaptability in different roles and environments.
Military Medicine goes beyond clinical practice and includes roles such as a joint staff surgeon and leading a major foundation focused on advancing military healthcare.
Working in different roles within Military Medicine, such as commanding deployed and CONUS medical units during wartime, offers unique insights into the leadership challenges faced by medical officers in combat environments.
The intricacies of military healthcare can be seen in the distinct experiences of managing wounded warriors at major Army hospitals like BAMC and Walter Reed.
The intersection of civilian and Military Medicine is crucial in advancing healthcare. One such instance is the Henry M. Jackson Foundation's work in bridging this gap.
The diversity of roles within Military Medicine extends to working with different military groups such as Special Forces and Ranger Regiment soldiers, each with unique healthcare needs.
San Antonio's medical facilities stand out due to the availability of resources, a Level 1 Trauma designation, the proximity to other medical facilities, and a supportive local community.
Military medical research plays a vital role in enhancing the healthcare provided to soldiers, with a focus on meeting unique requirements and adapting to the speed of the warfighter's needs.
The recent developments in transgender acceptance in the military highlight the ongoing evolution of military healthcare in line with societal changes.
Navigating a career in Military Medicine requires personal resilience, a deep sense of service, and a willingness to continually learn and adapt to new environments and challenges.
 
 
Episode Keywords:
 
Military Healthcare, Medical Officer, Combat Environments, Leadership, Trauma Center, Wounded Warriors, Military Hospitals, Medical Research, Transgender Acceptance, Henry M. Jackson Foundation, Military Medicine, Army Surgeon General, Jointness, Zika Outbreak, Human Frailty, Veterans, Medical Research, Human Frailty, Healthcare
 
Hashtags:
 
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #DrJosephCaravalho #HealthcareJourney #HenryMJacksonFoundation #CombatMedicine #ROTC #MilitaryHealthcare #LeadershipChallenges #MedicalResearch #MilitaryLife
 
 
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 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
YouTube- @wardocspodcast

Charting Unconventional Career Paths: From Navy Enlisted to America’s Medical School- ENS Alexius Russell

     When we think about the journey to a fulfilling career, we often ignore the fact that the route isn't always linear. Our special guest in today's episode can tell you all about it! Navy ENS Alexius Russell gracefully navigated through her path from an enlisted Navy personnel to her current role as a third-year medical student at USUHS, serving as a beacon of inspiration for many. Alexius opens up about her voyage, dishing out pearls of wisdom for those intending to embark on a similar journey. Her experiences as an Intercommunication Electrician, her commitment to excel in every role, and her belief in the power of mentorship form the cornerstone of our conversation.
    We further venture into Alexius' participation in the EMDP2 program, shining a light on the cruciality of setting tangible goals and embracing a well-rounded approach to success. She articulates her journey in the military medical field, her experiences with uniform and field training, and her aspiration towards a surgical specialty. Alexius also unfolds her intentions to establish a non-profit organization to aid aspiring medical students, reinforcing the importance of relentless dedication in every endeavor. So, gear up for an episode filled with inspiring narratives, insightful advice, and a fresh perspective on pursuing a career in military medicine.
 
Chapters:
(00:00) Enlisted Soldier to Physician
(14:16) Enlisted to Medical Degree Preparation Program
(27:19) Military Medicine and Career Goals
 
Chapter Summaries:
(00:00) Enlisted to Doctor
We chat with Ensign Alexius Russell, a third-year medical student at USUHS, about her pathway to military medicine. Alexius shares her story, her experiences as an enlisted Navy personnel and her process of joining the military. She also gives excellent advice for those wanting to pursue a career in medicine. Alexius emphasizes the importance of giving your best in any position you are put in and surrounding yourself with medical mentors to guide you. She shares stories of her job as an Intercommunication Electrician and her involvement in different extra-curriculars on the ship, ultimately leading to her attending medical school.
 
(14:16) Enlisted to Medical Degree Preparation Program
Ensign Alexius Russell, a third-year medical student at USUHS, emphasizes the importance of having tangible goals and being well-rounded for success. She also stresses the importance of having mentors and understanding the requirements of the programs you want to apply for. Lastly, Alexius shares what it's like to be a student in the EMDP2 program and the importance of putting in the work to succeed.
 
(27:19) Military Medicine and Career Goals
Alexius Russell's journey to military medicine and the importance of being open-minded is discussed. She speaks about the uniform and field training required of medical students at USUHS and the surgical specialty she is interested in pursuing. The importance of putting in full effort into every activity, no matter how big or small, is highlighted and Alexius shares her plans to create a nonprofit to assist applicants in the medical school process.
 
Take Home Messages:
The journey to a fulfilling career is often not linear; it requires adaptability, resilience, and an open mind to navigate the twists and turns.
Excelling in any role you're put in, regardless of whether it aligns with your ultimate career goal, demonstrates your work ethic and integrity.
Surrounding yourself with mentors, particularly in the medical field, can provide invaluable guidance and advice on the pathway to becoming a doctor.
Setting tangible goals and embracing a well-rounded approach to success is crucial in any career, including medicine.
The military offers numerous programs that assist enlisted personnel in achieving their career goals, particularly in the healthcare field.
Regardless of the program or career path you choose, it's important to remain dedicated and hardworking. Success requires more than just having the right tools; you must also put in the work.
It's important to be adaptable and willing to take extra steps or classes to achieve your career goals. Humility can be a great asset in this process.
A well-rounded applicant for any medical program should possess not only good academic records but also leadership skills, empathy, and a strong commitment to the mission of military medicine.
There are various paths to becoming a doctor in the military, and it's crucial to research and understand these different routes before deciding on the best one for you.
The experience of being a medical student, particularly in the military, can be challenging due to the demanding schedule and frequent moves. However, the end goal of becoming a doctor makes the hard work worthwhile.
Episode Keywords:
Military Medicine, Ensign Alexius Russell, USUHS, Intercommunication Electrician, EMDP2 Program, Tangible Goals, Mentorship, Uniform Training, Field Training, Surgical Specialty, Non-Profit Organization, Medical School Process, Medical Mentors, Extra-Curriculars, Career Pathway, Relentless Dedication
 
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd, #MilitaryMedicine #CareerPathways #MedicalJourney #EnlistedToDoctor #NavyEnlisted #MedicalStudent #Mentorship #USUHS #EMDP2Program #MilitaryHealthcare
 
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 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

Perfect Practice: A Navy Captain’s Surgical Journey: CAPT (Ret) Paul B. Roach, MD, FACS

    Listen in as we explore the journey of retired Navy Captain Paul B. Roach, MD, FACS, where he shares his valuable deployment experiences that led to significant improvements in combat casualty care.  From his early deployments as a flight surgeon in Okinawa to his gritty 14-month stint in Afghanistan, Dr. Roach offers a riveting account of combat surgery that will captivate and enlighten.  There, he learned the delicate dance of trauma algorithms and rhythms of combat surgery.
    Dr. Roach explains his motivations to capture his experiences, trials, and triumphs in his memoir, Citizen Surgeon. His deeply moving recollections underscore the critical importance of training and preparation for those deployed, and his mantra of "perfect practice makes perfect" will leave lasting impressions. In an in-depth discussion, we delve into the American College of Surgeons' military-specific curriculum and how it prepares surgeons for the realities of the battlefield.
  Finally, we navigate the evolution of Military Medicine through Dr. Roach's lens. His career trajectory showcases not just the rigors of deployment but also the harsh reality of transitioning home and the importance of family support. As a Navy Medical Corps Officer, a physician, and a mentor preparing the next generation of Military Medical professionals, Dr. Roach's narratives are an essential listen for anyone interested in the converging worlds of medicine and the military. This episode promises a wealth of insights and real-world experiences from the frontline of Military Medicine.
 
Chapters:
(0:00:00) - Early Military Medical Experiences
(0:07:06) - Surgical Oncology Career Path & Specialization
(0:15:38) - Combat Surgery
(0:29:18) - Military Specific Curriculum for Combat Surgeons
(0:34:46) - The Evolution of Military Medicine
 
Chapter Summaries:
(0:00:00) - Early Military Medical Experiences (7 Minutes)
We talk with retired Navy Captain Paul B. Roach, MD, FACS about his experiences from deployments and the important lessons learned that have led to improvements in combat casualty care. We also discuss his memoir Citizen Surgeon and his work to prepare the next generation of military medical professionals, as well as his work with the American College of Surgeons. Dr Roach also recounts his experience as a flight surgeon in Okinawa with the Marines, including a medevac mission he was involved with.
 
(0:07:06) - Surgical Oncology Career Path & Specialization (9 Minutes)
Dr.  Roach's deployments and the lessons he learned from them have shaped his career. He transitioned from his military service back to training and offers advice for those returning to their residencies after a break. His assignment to NAS Sigonella, Italy, gave him a unique opportunity. He decided to do fellowship training in complex surgical oncology.
 
(0:15:38) - Combat Surgery (14 Minutes)
Dr. Roach recounts his experience from his 14-month deployment in Afghanistan. He explains how his training in surgical oncology prepared him for any area he was called upon to work in and how he had to adjust to the trauma algorithms and rhythms of combat surgery. He shares his experience of writing his memoir, Citizen Surgeon, as a way to process his experience and to understand his deployment. He dealt with situations that were outside of his comfort zone, such as pediatric gunshot wounds, and used his med school and residency training to remind himself that he was capable of carrying out the mission.
 
(0:29:18) - Military Specific Curriculum for Combat Surgeons (5 Minutes)
Dr. Roach's experience with the American College of Surgeons' military-specific curriculum and exam is discussed. He explains how his training and practice prepared him for his deployments, including his stance on providing care to enemy combatants. He shares how his team was able to handle the Mass Casualty drills, even with members who were new to the experience, and his mantra of "perfect practice makes perfect" and the importance of training and preparation for those deployed.
 
(0:34:46) - The Evolution of Military Medicine (12 Minutes)
Paul shares his own journey from being a medical student dressed as a Naval Officer to becoming a Naval oOficer who happens to be a physician. He also explains how the transition home from deployment can be difficult and how his family has been his anchor. We explore the differences between Role 2 and Role 3 facilities and how to best prepare for deployment in either scenario. Finally, we discuss the importance of tumor boards in the care of cancer patients and how a multidisciplinary team can craft an individualized solution for each patient.
Take Home Messages:
Transitioning from point-of-injury battlefield care to an operating room requires immense adaptability and resilience, as both environments demand unique skill sets and mental preparedness.
Military medicine plays a crucial role in shaping an individual's career, especially when they transition from military service to civilian life.
A compelling narrative of frontline experience can provide valuable insights and lessons, contributing to improvements in combat casualty care.
The importance of 'perfect practice' is highlighted as a key to achieving excellence in the medical field, especially in high-pressure situations.
The evolution of military medicine has seen a convergence of medical expertise and military discipline, which has led to more effective healthcare for both military and civilian populations.
Multidisciplinary tumor boards play a vital role in cancer patient care, emphasizing the importance of a team-based approach to healthcare.
Continuous training and preparation are crucial for medical professionals, particularly those deployed in combat zones.
Writing and sharing personal experiences can help medical professionals process their experiences and understand their roles better.
Deployed medical professionals face unique challenges and require certain skill sets that differ from those used in traditional hospital settings.
The transition from military service to civilian life can be difficult, underscoring the importance of having strong support systems in place.
Episode Keywords:
Military Medicine, Combat Surgery, Surgical Oncology, Mass Casualty Drills, Flight Surgeon, Medevac Mission, Okinawa, American College of Surgeons, Role 2 Facilities, Role 3 Facilities, Multidisciplinary Team, Tumor Boards, Combat Casualty Care, Perfect Practice, Memoir Citizen Surgeon, Transition Home, Deployment Preparation
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #CombatSurgery #MedicalJourney #FromBattlefieldToOperatingRoom #CitizenSurgeon #DrPaulRoach #MilitaryToMedicine #NavyCaptain #MedicalExcellence #OncologyTraining
 
 
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 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

An Inside Look into General Surgery training in the Military with Recent Graduate Dr. Alexis Lauria

Join us on this fascinating journey with Captain Dr. Alexis Lauria, a graduating chief resident in general surgery at Walter Reed National Military Medical Center. Listen in as she takes us through her path to military medicine, the intricacies of applying for medical school, and her time at Penn State University. Hear about her experiences in the HPSP program during medical school and her subsequent general surgery training. We also celebrate Alexis’s remarkable accomplishment of completing six years of general surgery training.
In the second part of our discussion, Alexis recounts her time as a resident at Walter Reed, her research experiences, and the unique challenges she faced in her second and third year. She also talks about the importance of forming strong relationships with faculty members during medical rotations and shares valuable insights on effective leadership as a chief resident. She goes on to describe her time leading the general surgery team at Walter Reed and provides priceless advice for medical students considering a career in general surgery.
In the final segment, we discuss the value of mentorship and Alexis's experiences in her surgery residency. She explains how having strong support systems, like her marriage and class, played a crucial role in her journey. We also delve into the demanding process of becoming a board-certified general surgeon. Lastly, Alexis provides some helpful advice for new surgery residents. Tune in to hear Alexis discuss her favorite and challenging surgeries in training and the unique challenges and opportunities she faced in her military training.
 
--------- EPISODE CHAPTERS ---------
(0:00:01) - Military Medicine and General Surgery
(0:11:27) - General Surgery Residency and Research Experiences
(0:21:12) - Leadership in General Surgery Residency
(0:27:37) - Mentorship in Surgery Residency
(0:36:17) - Advice for New Surgery Residents
(0:40:53) - Favorite and Challenging Surgeries in Training
(0:43:23) - Challenges and Opportunities in Military Training
 
 
--------- EPISODE CHAPTERS WITH SHORT KEY POINTS ---------
(0:00:01) - Military Medicine and General Surgery
Alexis Lauria shares her journey to medical school, the HPSP program, and six years of general surgery training.
(0:11:27) - General Surgery Residency and Research Experiences
Alexis Lauria shares her military medical program experience, including Walter Reed residency and Society for Vascular Surgery Meeting.
(0:21:12) - Leadership in General Surgery Residency
Alexis Lauria shares advice on making meaningful connections with faculty, personalizing military applications, and leading a team as a chief resident.
(0:27:37) - Mentorship in Surgery Residency
Alexis Lauria shares her journey through surgery residency, discussing the qualifying exam, oral boards, mentors, and specialty development.
(0:36:17) - Advice for New Surgery Residents
Alexis Lauria emphasizes the importance of showing care for team members.
(0:40:53) - Favorite and Challenging Surgeries in Training
Vascular surgery challenges and rewards discussed, including laparoscopic cholecystectomy and vascular endografts, with advice from Alexis on military medical program.
(0:43:23) - Challenges and Opportunities in Military Training
Captain Dr. Alexis Lauria highlights the rewards of military work, relationships with faculty, and vascular surgery experiences.
 
 
EPISODE KEYWORDS
Military Medicine, General Surgery Residency, HPSP Program, Walter Reed, Chief Resident, Medical Rotations, Board-Certified General Surgeon, Vascular Surgery, Laparoscopy, Endografts, Leadership, Mentorship, Medical School, Residency Program, Interview Process, Research Experiences, Building Relationships, Advice
 
HASHTAGS
#MilitaryMedicine #VascularSurgery #GeneralSurgery #MedicalEducation #MedicalMentorship #HealthProfessionsScholarshipProgram #LeadershipInMedicine #WomenInMedicine #JourneyIntoMedicine #WalterReed
 
TAKE HOME MESSAGES
Military medicine provides unique opportunities for growth and learning, especially in areas such as mentorship, leadership, and specialty education.
The Health Professions Scholarship Program (HPSP) offers valuable experiences and roles, aiding in the journey towards becoming a general surgeon.
The process of entering medical school and training to be a general surgery resident can be intricate and challenging, requiring significant dedication and passion for the field.
Mentorship plays a crucial role in the medical field, guiding young professionals in their journey and helping them navigate challenges and make strategic decisions.
Specialty and subspecialty medical education within the military is structured and organized, offering a clear path for those interested in specific areas of medicine.
A research year can provide invaluable experience and insights, especially when pursuing a specific specialty such as vascular surgery.
The structure and working of surgery teams are crucial for effective patient care, with each level carrying specific responsibilities.
Balancing responsibilities and maintaining relationships is essential in a demanding field like medicine.
Becoming a board-certified general surgeon involves various steps, including mentorship, research, and academic focus.
Organization and compartmentalization of stressors are crucial for team leaders in medical fields, helping to set an example for the team and ensure ideal patient care.
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 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
 

Navigating Operational Medicine Challenges in Military Medicine: COL(R) Jonathan Jaffin, MD

    We're honored to bring you a conversation with Dr. Jonathan Jaffin, an accomplished General Surgeon, a retired Colonel in the Army Medical Corps, and a Specialist Executive with Deloitte Consulting. Our dialogue circles the exciting advancements in operational medicine with an eye on austere environments, a topic that was the centerpiece of the 2023 Operational Medicine Symposium. We grapple with the shifting landscape of military operations, the emergence of near-peer competitors, and the potential for large-scale ground combat under resource constraints. Dr. Jaffin's insights into the challenges of maintaining readiness and the strains faced by individuals and caregivers are truly enlightening.
     Moving forward, we venture into the realm of future warfare and the preparation of surgeons for these unprecedented challenges. We explore the role of telemedicine and the promising Knowledge, Skills, and Abilities (KSA) project, a venture that Dr. Jaffin is no stranger to. His reflections on the KSA project provide a valuable insider's perspective into how training can be tailored to address specific knowledge and skill gaps. We delve into the crucial role of commanders in deployment readiness and the decisive impact of military medicine on these decisions. Dr. Jaffin also opens up about his military career, the unique relationships it has fostered, and the rewarding sense of contribution it offers. This episode provides a riveting glimpse into the evolving landscape of military medicine.
 
Chapters:
(00:00) Advancing Operational Medicine for Austere Environments
(05:47) Preparing Surgeons for Future Warfare
(15:45) Advantages of a Military Career
 
Chapter Summaries:
(00:00) Advancing Operational Medicine for Austere Environments
Dr. Jonathan Jaffin, a general surgeon and retired Colonel in the Army Medical Corps, speaks about his current work with Deloitte Consulting and his focus on social determinants of health. The importance of the 2023 Operational Medicine Symposium is discussed, along with the innovations and opportunities to advance the practice of medicine in austere environments. The impact of a near-peer competitor on operational medicine and the need to prepare for large-scale ground combat operations with limited resources is explored. A panel of military chiefs shares the challenges of maintaining readiness, trauma to individuals and caregivers, and how to make difficult decisions in the face of limited resources.
 
(05:47) Preparing Surgeons for Future Warfare
We discuss the challenges of maintaining surgical skills in an era of sub-specialization, how telemedicine can provide care in far-forward areas, and the Knowledge, Skills, and Abilities (KSA) project to ensure healthcare professionals are ready for deployment. Dr. Jaffin shares his experience with the KSA project, including how to structure training based on gaps in skills and knowledge. We also discuss the role of commanders in deciding who is ready to deploy, and how the medical department can inform their decision.
 
(15:45) Advantages of a Military Career
Dr. Jaffin shares his thoughts on the advantages of pursuing a military career and how it has helped him build close relationships. He reflects on the importance of contributing to the nation and the satisfaction from doing so. We also learn more about his current work with Deloitte Consulting and the role of telemedicine in providing care in remote locations.
Take Home Messages:
Advancements in operational medicine are crucial, especially for austere environments where resources may be limited.
The potential for large-scale ground combat with near-peer competitors presents a significant challenge for military medicine due to resource constraints.
Preparing surgeons for future warfare involves addressing skill gaps and ensuring readiness for unexpected situations.
Telemedicine can greatly aid medical care in remote locations, from diagnosis to expert consultations.
The Knowledge, Skills, and Abilities (KSA) project is key in tailoring training to address specific skill gaps in military healthcare professionals.
Commanders play a crucial role in deployment readiness and decisions, and military medicine can greatly inform these decisions.
Military medicine's mission extends beyond providing outstanding healthcare, it also includes preparing individuals for deployment.
Simulation technology for surgical training has significantly advanced, although there's still room for improvement, especially in simulating the feel of big procedures.
A military career can be gratifying, offering unique experiences, relationships, and the satisfaction of serving one's nation.
Meetings such as The 2023 Operational Medicine Symposium serve as essential platforms for discussing current issues and innovations in military medicine.
Episode Keywords:
Operational Medicine, Austere Environments, Military Operations, Near-Peer Competitors, Ground Combat, Readiness, Telemedicine, KSA Project, Training Gaps, Deployment Readiness, Military Career, Contribution, Deloitte Consulting, Telemedicine, Remote Locations
Hashtags:
#MilitaryMedicine #OperationalMedicine #DrJonathanJaffin #WarDocs #AustereEnvironments #MilitaryHealthcare #Telemedicine #FutureWarfare #KSAPproject #DeloitteConsulting #SurgeonPreparation #MilitaryCareer #ArmyMedicalCorps #OperationalMedicineSymposium #DeploymentReadiness #HealthcareInnovation #CombatCare #MilitarySurgeons #AdvancementsInMedicine #HealthcareTraining
 
 
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 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

Exploring Military and Diplomatic Medicine with State Department Regional Medical Officer Andrew P. Hyatt, DO, FAAFP

Imagine being a medical professional on the front lines of not just war but diplomacy as well. Our guest, Dr. Andrew Hyatt, has lived this life and is here to share his incredible journey from an Army Family Medicine physician to a Regional Medical Officer for the Department of State, serving in over 50 countries. He provides a behind-the-scenes look at his deployment in Hungary during Operation Joint Endeavour, where his medical skills were tested in the midst of Europe's transformation in the mid-90s. His story provides a unique lens into the world of Military Medicine and its instrumental role in foreign service.
 
     Transitioning from combat boots to diplomatic corridors, his responsibilities expanded to providing primary care to U.S. diplomats and their families across the globe. As he navigates us through these roles, Andy highlights the unique challenges of practicing medicine in unstable regions and the protocols that ensure the safety of medical personnel. He provides an illuminating look into the protocols and challenges of coordinating care with the Military system and even evacuating patients when necessary—ever wondered how the State Department ensures the safety of its medical personnel in dangerous locations? Dr. Hyatt's firsthand accounts give you an insider's understanding of the intricate network of Diplomatic Security Service, Marine Security Guards, and host nation protection that all work in unison to guarantee safety. Join us for this riveting discussion that takes you on an enthralling adventure into the life of a physician in the Department of State.
 
Chapters:
(0:00:00) - Military Medicine and Transition to the Department of State
(0:14:17) – Foreign Service Medical Care in the State Department
(0:27:46) - Safety in Dangerous Locations
 
Chapter Summaries:
0:00:00) - Military Medicine and Transition to the Department of State
(14 Minutes)
   Dr Andrew Hyatt shares his experiences of deploying to Hungary with the 67th CSH to support Operation Joint Endeavour, and then his subsequent deployments around the globe. He talks about the opportunities available for foreign medical service with the State Department and how prior service in Military Medicine provides an excellent preparation experience. We also discuss the state of Europe in the mid-90s, particularly as Military Medicine was poised to help the country.
 
(0:14:17) - Foreign Service Medical Care in the State Department (13 Minutes)
Dr. Hyatt relates his experiences as a Regional Medical Officer (RMO) for the Department of State, providing primary care to U.S. diplomats, family members, and other personnel in over 50 countries. He describes the different types of health care providers employed by the Department of State, as well as the protocols for evacuating a patient for specialty care. He also discusses the challenges of coordinating care with the military system when necessary.
 
(0:27:46) - Safety in Dangerous Locations (12 Minutes)
Dr. Hyatt served as a supervising Regional Medical Officer in Ukraine, and his Family Medicine background helped him recognize and manage mental health issues. He shares the complexity of providing medical care in unstable and dangerous areas and how the Department of State ensures the safety of its medical personnel and their families. Challenges of providing medical care in these contexts include the Diplomatic Security Service, Marine Security Guards, and host nation protection, all playing a role in keeping personnel safe.
 
Take Home Messages:
Military Medicine often serves as excellent preparation for roles in the diplomatic field, offering experiences in diverse environments and emergency situations.
As a Regional Medical Officer, one provides primary care to U.S. diplomats, their families, and other personnel in multiple countries. This position also involves coordinating care with the military system when necessary.
Transitioning from Military Medicine to diplomatic medicine involves changing roles from active combat to providing healthcare in diplomatic corridors. However, both roles require resilience, adaptability, and a commitment to serving others.
A Regional Medical Officer's role extends beyond primary care to include investigating relationships with local medical colleagues and assessing local facilities for the benefit of U.S. diplomats and their families.
In places with limited local specialty care, the Regional Medical Officer may need to arrange for patient evacuation to a location with the necessary medical facilities, even back to the U.S if necessary.
Working as a Regional Medical Officer involves decision-making about where a patient's needs will be best met, considering local capabilities, the urgency of the situation, and the patient's condition.
Diplomatic medical personnel are often stationed in unstable regions. Their safety is ensured through coordination with the Diplomatic Security Service, Marine Security Guards, and host nation protection.
The unique challenges of practicing medicine in unstable regions include coordinating with different security services and ensuring the safety of medical personnel and their families.
Providing medical care in dangerous areas often involves working with a small, close-knit group, which can foster a strong sense of camaraderie. The experience can be rewarding, despite the potential risks.
The interplay of medicine, military, and diplomacy provides unique opportunities and challenges. It's a testament to the adaptability and resilience of the medical field and those who choose to serve in these roles.
Episode Keywords:
Military Medicine, State Department, Operation Joint Endeavor, Regional Medical Officer, Primary Care, US Diplomats, Foreign Medical Service, Europe, Mid-90s, Mental Health, Diplomatic Security Service, Marine Security Guards, Host Nation Protection
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #DiplomaticMedicine #GlobalHealthcare #MedicalJourney #CombatToCorridors #MedicineOnTheFrontlines #MedicalDiplomacy #BattlefieldMedicine #HealthcareHeroes #MedicineAcrossBorders
 
 
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 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

Insights into Military Maternity Leave and Retention Rates: Lt. Col. Minette Herrick

    We're thrilled to welcome Air Force Lieutenant Colonel Minette Herrick on our latest episode of WarDocs. A Registered Dietician and international board-certified Lactation Consultant, Minette provides important insights on her compelling research, which draws from professional studies and personal experiences. The focus is on her enlightening article, 'Increasing Maternity Leave and Decreasing Attrition Rates of US Active Duty Women in the Prenatal and Immediate Postpartum Period.' She brings to the fore the critical issues surrounding maternity leave policies and their effect on the retention rates of female service members.
We take you through the intriguing journey of the Department of Navy's shift from a six-week maternity leave policy to an 18-week one. Explore with us how this transition has significantly impacted the recruitment and retention rates in the military sector. We also shed light on critical policies like the National Defense Authorization Act of 2008 and 2009 and the Secretary of Defense Leave Policy of 2016. Learn about the influence these policy shifts, including the Military Couples Caregiver Separation policy, have had on the experiences of Active-Duty married members. Join in and gain a broader understanding of the importance of family-friendly policies in the military.
Chapters:
(00:00) Extended Maternity Leave in the Military
(08:23) Military Maternity Leave and Retention Rates
 
Chapter Summaries:
(00:00) Extended Maternity Leave in the Military
Air Force Lieutenant Colonel Minette Herrick, a registered dietician and international board-certified lactation consultant, speaks about her article Increasing Maternity Leave and Decreasing Attrition Rates of US Active Duty Women in the Prenatal and Immediate Postpartum Period. Minette explains the reasons for her research, which included her personal experience of having four children while on active duty, and explores how providing paid parental leave can impact the organization. The results of the research show that women who are allotted six weeks of maternity leave had significantly greater odds of leaving the military, measured from the time of their initial prenatal visit to one year postpartum, than those who are entitled to 12 weeks of leave. We discuss the implications of these findings and the importance of health policy in positively impacting the health of people both inside and outside of the military.
 
(08:23) Military Maternity Leave and Retention Rates
We discuss the changes in the Department of Navy's maternity leave policy, from six weeks to 18 weeks, and the impact it has had on recruitment and retention of female service members. We shed light on the importance of the National Defense Authorization Act of 2008 and 2009, which first allowed for maternity leave, and the Secretary of Defense Leap Policy of 2016, which allowed for 12 weeks of parental leave for both birth parents after a period of convalescent leave. We explore the implications of the Military Couples Caregiver Separation policy, which gives active-duty married members the option to request caregiver separation. Finally, we discuss the findings of a retrospective cohort study of 67,281 active-duty women that found increased allotment of maternity leave from six weeks to 12 weeks was associated with decreased attrition rates.
 
 
Take Home Messages:
Maternity leave policies can have a significant impact on the retention rates of female service members in the military.
The shift from a six-week to an 18-week maternity leave policy in the Department of Navy has considerably influenced recruitment and retention rates.
The National Defense Authorization Act of 2008 and 2009 and the Secretary of Defense Leap Policy of 2016 have played a crucial role in shaping maternity leave policies in the military.
Policies such as the Military Couples Caregiver Separation policy have affected the experiences of active-duty married members.
Family-friendly policies are of paramount importance in the military, helping to foster a healthier and more supportive environment for service members.
Women who were allotted six weeks of maternity leave had significantly greater odds of leaving the military than those who received 12 weeks of leave.
The Department of Defense's policy change in 2016, which increased maternity leave from six to 12 weeks, was intended to encourage workforce recruitment and retention and help the well-being of military families.
Changes in maternity leave policy had the most significant retention benefit among junior enlisted and junior officers, emphasizing the importance of retaining talent among future leaders and innovators in the military.
The new parental leave policy implemented in 2023, providing 12 weeks of leave to both birth parents, should be studied further for its impact on attrition, family dynamics, and paternal bonding.
Family-friendly policies not only help retain talent but also send an essential message to military members and their families, affirming that the vitality of the military family is essential to mission success.
 
Episode Keywords:
Military Maternity Leave, Retention Rates, National Defense Authorization Act, Secretary of Defense Leap Policy, Military Couples Caregiver Separation, Prenatal Visit, Postpartum Period, Paid Parental Leave, Health Policy, Attrition Rates, Convalescent Leave, Retrospective Cohort Study
 
Hashtags:
#MilitaryMaternityLeave #PolicyShifts #RetentionRates #LieutenantColonelHerrick #MilitaryFamilies #WomenInMilitary #MaternityPolicyChange #FamilyFriendlyPolicies #ActiveDuty #MilitaryMedicine #WarDocsPodcast #ParentalLeave #NavyMaternityPolicy #MilitaryRetention #NationalDefenseAuthorizationAct #MilitaryRecruitment #MilitaryAttritionRates #MilitaryServiceMembers #MilitaryFamilySupport #PostpartumInMilitary
 
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 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