Episódios
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Embark on a journey to the front lines of military medicine with our esteemed guest, retired Army Lieutenant Colonel Dr. Randi Schaefer. With her wealth of experience, Dr. Schaefer takes us through the intense world of emergency trauma care and her personal evolution from a college student to an accomplished military nurse and emergency medicine expert. We explore the educational paths and specialization opportunities within the military nursing field and the life-saving innovations in pre-hospital blood administration that have triumphed on the battlefield and transformed civilian emergency care.
Dr. Schaefer pulls back the curtain on the progressive tactics and challenges that have shaped blood transfusion practices over the years. From the early days of relying on hospital staff donors to the current state-of-the-art application of whole blood in the thick of combat, we discuss the critical observations and strategic collaborations that have driven these practices forward. The role of STRAC in revolutionizing pre-hospital care and the crucial impact of timely blood transfusions in saving lives take center stage in this compelling narrative that intertwines military precision with medical breakthroughs.
Our final moments with Dr. Schaefer reveal the innovative solutions combat medics deploy to save lives under the most extreme conditions, including providing blood transfusions amidst the chaos of active fire. We also shine a light on the advancements that continue to elevate the field, like the Vampire Program and the Tactical Combat Casualty Care training. Dr. Schaefer's ongoing consulting work and vision for emergency medicine not only reflect her unwavering dedication but also promise to guide the future of trauma care to even greater heights. Join us for this captivating episode where valor meets the rigor of medical science, and discover the incredible impact of one woman's journey on the world of emergency medicine.
Chapters:
(00:00) Addressing Hemorrhage in Trauma
(07:22) Early Blood Transfusion in Emergency Settings
(15:49) Pre-Hospital Blood Transfusion and Innovations
(27:57) Enhancing Pre-Hospital Blood Transfusion Rates
(37:26) Consulting on Pre-Hospital Blood Administration
Chapter Summaries:
(00:00) Addressing Hemorrhage in Trauma
Army nurse Randi Schaefer discusses pre-hospital hemorrhage control and the potential for future improvements in military and civilian sectors.
(07:22) Early Blood Transfusion in Emergency Settings
Nature's role in trauma care: reliance on hospital staff, evolution of transfusion practices, and efforts to improve pre-hospital capabilities.
(15:49) Pre-Hospital Blood Transfusion and Innovations
Nature's emergency blood transfusion process in pre-hospital settings, including training, logistics, and clinical guidelines for improved trauma care outcomes.
(27:57) Enhancing Pre-Hospital Blood Transfusion Rates
TCCC training, missed transfusion opportunities, and improvements in pre-hospital blood programs for combat medics.
(37:26) Consulting on Pre-Hospital Blood Administration
Practical aspects of pre-hospital blood product administration, logistics, military background, and legacy of service.
Take Home Messages:
Military medicine has played a critical role in innovating trauma and emergency care, specifically in the field of pre-hospital blood administration, due to the need for immediate life-saving measures in combat scenarios.Career progression within the Army can lead to educational opportunities and specializations in emergency medicine and trauma care, as evidenced by the journey of a retired Army Lieutenant Colonel and military nurse.The shift in blood transfusion practices, such as the transition from crystalloids and component therapy to the use of whole blood, has been influenced by clinical observations and the necessity for timely interventions to reduce mortality rates.The Southwest Texas Regional Advisory Council (STRAC) has been instrumental in connecting military and civilian trauma care practices, especially in pre-hospital blood administration.Training and protocols developed for combat medics, such as Tactical Combat Casualty Care (TCCC), have resulted in innovations that guarantee timely and safe blood transfusions even in active combat situations.The logistical challenges of storing and transporting blood products in combat situations have spurred innovative solutions, like the use of drones and advancements in non-liquid blood products such as spray-dried plasma.Clinical guidelines, such as using the shock index, assist medics in making decisions about when blood transfusions are necessary, leading to improved patient outcomes in pre-hospital trauma care.Doctoral research focused on increasing pre-hospital blood transfusion rates highlighted the significance of training, refining dispatch operations, and managing distractions during emergencies to prevent missed opportunities for life-saving transfusions.The practical implementation of pre-hospital blood product administration involves navigating logistical challenges, adhering to blood bank and FDA requirements, and ensuring the proper storage and temperature maintenance of blood products.The episode underscores the significance of continuous innovation and adaptation in emergency medicine, using lessons learned from military experiences to enhance civilian trauma care and ultimately save more lives.Episode Keywords:
Military Medicine Innovation, Trauma Care Advancements, Blood Transfusion Practices, Pre-Hospital Care Strategies, Emergency Medicine Podcast, Combat Medics Training, Dr. Randi Schaefer, Tactical Combat Casualty Care (TCCC), Whole Blood Transfusion, Medical Frontiers in Trauma, Battlefield Medicine Developments, Civilian Emergency Care Techniques, Military Nurse Education, Southwest Texas Regional Advisory Council (STRAC), Vampire Program Army, Pre-Hospital Hemorrhage Control, Trauma Care Lessons from Military, Blood Product Administration, Paramedic Blood Transfusion Training, Innovation in Military Healthcare.
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCareInnovation #DrRandiSchaefer #EmergencyMedicine #BloodTransfusion #CombatMedics #PreHospitalCare #MedicalFrontiers #TCCC #VampireProgram #MilitaryNurse #LifesavingInnovations #WholeBloodAdvancement #EmergencyCarePodcast #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
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
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 Channel: https://www.youtube.com/@wardocspodcast
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Embark on an unforgettable exploration of leadership and resilience with CMSgt Tanya Y. Johnson, the influential senior enlisted leader for the Defense Health Agency. With a legacy steeped in military healthcare and wisdom to impart, Chief Johnson unwraps the layers of her journey, from her roots in an Air Force medic family to her strategic prowess in overseeing the TRICARE Health Plan and combat support missions. This episode is an education in the nuances of guiding with compassion and clarity in the military and medicine high-stress environments.
As we traverse the landscape of the Military Health System's strategy, Chief Johnson illuminates the importance of transparent communication and the creation of an environment where feedback flourishes and trust is the cornerstone. This dive into the human side of healthcare delivery and the intricate dance of accountability and compassion in leadership is as enlightening as it is essential. Chief Johnson highlights the power of clear communication, the significance of fostering a culture where feedback thrives, and the importance of trust-building Listen in as she shares pearls of wisdom on leadership, especially the art of leading with grace in the high-stakes environment of military medicine.
Finally, the episode captures the transformative journey of healthcare technology within the military, sharing how it reshapes care delivery and the necessity of readiness in times of crisis. Chief Johnson recounts the poignant memories of her deployment, including the impactful mission during the Ebola outbreak in Liberia, painting a vivid picture of the adaptability and resilience of military teams. Her insights offer invaluable advice for anyone considering a career in military medicine and underscore the profound dedication that defines this noble field. Whether you're a current service member, a healthcare professional, or simply intrigued by military medicine, this episode offers a unique perspective on the dedication and innovation that define the field.
Chapters:
(00:04) CMSgt Tanya Johnson's Leadership Journey
(09:02) Military Health System Strategy Discussion
(15:22) Future of Military Healthcare Technology
(28:30) Leading With Grace in Military Medicine
(33:22) Military Career Advice and Deployment Experiences
(38:53) Military Deployment to Liberia Experience
Chapter Summaries:
(00:04) Tanya Johnson's Leadership Journey
Chief Master Sergeant Tanya Y. Johnson's military legacy, personal journey in Air Force Medicine, and leadership philosophy in the Defense Health Agency.
(09:02) Military Health System Strategy Discussion
Leadership decisions impact teams through communication, trust-building, and care, as seen in the Defense Health Agency's strategy for modernizing healthcare.
(15:22) Future of Military Healthcare Technology
Medical technology transforms healthcare delivery, addressing staffing shortages and enhancing patient-centric care, while also discussing TRICARE Health Plan administration and DHA's role in combat support.
(28:30) Leading With Grace in Military Medicine
Leading with grace in military medicine, managing expectations, treating professionals with respect, and opportunities for personal growth.
(33:22) Military Career Advice and Deployment Experiences
Military service and recruiting insights from a guest who found a rewarding career in military medicine, advice for young service members, and profound experiences during deployment.
(38:53) Military Deployment to Liberia Experience
Rapid deployment to Liberia during Ebola outbreak, building medical facility, avoiding virus, overcoming challenges through teamwork.
Take Home Messages:
Leadership Resilience:
Resilient leadership in high-pressure environments is key to successful outcomes, especially in military medicine where the stakes are high. The ability to maintain composure and lead with empathy and understanding is essential for managing teams effectively in challenging situations.
Communication and Feedback:
Clear communication and fostering a feedback-rich environment are critical components of effective healthcare leadership. Creating a culture where team members feel valued and heard contributes to the successful execution of strategic goals and the overall improvement of healthcare delivery.
Technology Integration:
Integrating advanced technology into healthcare systems is vital for modernizing care and enhancing service delivery. Embracing a digital-first approach not only addresses staffing shortages but also empowers healthcare professionals and improves patient outcomes.
Growth Opportunities:
The personal and professional growth opportunities within military medicine are unparalleled. Individuals interested in this field can expect a unique career path that offers education, leadership development, and the chance to serve one's country while making a significant impact on the health and well-being of service members and their families.
Deployment Experiences:
Experiences from deployment highlight the importance of adaptability, resourcefulness, and teamwork in crisis situations. The ability to navigate unfamiliar and often volatile environments while providing critical healthcare services exemplifies the dedication and innovation inherent in military medical teams.
Episode Keywords:
Military Medicine, Leadership, Military Health System, Defense Health Agency, Patient-Centered Care, Technology, Deployment, Ebola Outbreak, Resilience, Teamwork, Military Career, Combat Support, Medical Technology, Military Service, Military Legacy, Military Deployment, Military Strategy, Military Healthcare, Military Leadership, Military Teams
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineLeadership #ChiefJohnsonInsights #HealthcareStrategy #ResilientMilitaryHealth #AirForceMedicStories #TRICAREInnovation #DeploymentExperiences #MilitaryHealthTechnology #DefenseHealthAgency #LeadingWithGrace
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
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
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 Channel: https://www.youtube.com/@wardocspodcast
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Estão a faltar episódios?
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Embark on a captivating journey with Master Chief Troy Brown, a decorated Navy veteran whose life story unfolds like an epic saga across the globe's most challenging terrains, from the detainee cells of Camp Delta to the bustling medical tents of Camp Leatherneck. As a native of Joplin, Missouri, Troy's life took an unexpected turn during a fateful dinner conversation, setting him on a path that would define his character and commitment to military healthcare. Our latest episode navigates his transition from aspiring serviceman to a revered corpsman, revealing the hurdles overcome and the passion kindled for supporting the well-being of warfighters.
The echoes of 9/11 resonate through the personal narratives shared in our heartfelt discussion, casting light on the ripple effects such historical moments have on those in uniform. Troy's account of the ethical conundrums faced while caring for detainees at Guantanamo Bay is both enthralling and thought-provoking, offering listeners a rare glimpse into the realities of wartime medical practice. We also delve into the essence of leadership, as seen through the trials and triumphs of military service.
Concluding our session, we admire the indelible mark left by leaders such as Troy, who underscore the value of seizing diverse opportunities and forging robust relationships throughout one's career. Heeding the advice to 'Be the one,' we reveal the transformative power of initiative and the innovative strategies that bolster team support. Troy's reflections on a gratifying career in military medicine are a testament to the impact of dedication and the art of thinking beyond conventional limits.
Chapters:
(00:00) Navy Career
(07:24) Challenges of Military Deployments
(22:26) Military Leadership Experiences and Lessons
(36:31) Supporting People in Leadership Roles
(41:49) Career Legacy and Leadership Advice
Chapter Summaries:
(00:00) Navy Career
Master Chief Troy Brown's journey from Missouri to Navy corpsman, specializing in physical therapy and preventive medicine, with deployments in specialized roles.
(07:24) Challenges of Military Deployments
9/11's impact on military personnel, career effects, and wartime medical ethics in Guantanamo Bay.
(22:26) Military Leadership Experiences and Lessons
Veteran instructors' impact on students, adaptability in deployments, leadership in military health system, and low casualty rates.
(36:31) Supporting People in Leadership Roles
Flexibility and support in the workplace, prioritizing personnel issues, and the impact of individual initiative in leadership roles.
(41:49) Career Legacy and Leadership Advice
Seizing opportunities, valuing diversity, and building relationships are crucial in avoiding career limitations and leaving a positive legacy.
Take Home Messages:
**The Significance of Adaptability in Military Service**: The story underscored in this episode highlights the importance of adapting to diverse and challenging environments, particularly in military healthcare. Multiple deployments, including those to Guantanamo Bay and Camp Leatherneck, demonstrate the need for flexibility and the ability to learn from every situation to provide the best care possible in varying circumstances.**The Complex Ethical Landscape of War Medicine**: The episode delves into the ethical considerations of treating enemy combatants and the moral obligations of military medics. The experiences shared about treating detainees with combat-related injuries in Guantanamo Bay serve as a poignant reminder of the unique challenges faced by those serving in military healthcare.**Leadership and Mentorship are Crucial in Military Careers**: Through the reflections shared in this episode, the emphasis is put on the impact that strong leadership and mentorship can have on the careers of those in the military. The stories illustrate how experienced individuals can influence and shape the path of upcoming service members, highlighting the importance of legacy in military service.**'Be the One' - Taking Initiative in Command**: The conversation explores the leadership principle of 'Be the one,' which encourages taking initiative and being responsible in leadership roles. This actionable wisdom is not only applicable to military command but also translates into leadership in various fields.**Building a Fulfilling Career by Caring for Others**: The episode concludes with an exploration of the fulfilling nature of a career in military medicine. It is the relationships formed, the diverse opportunities embraced, and the impact made through caring for others that collectively contribute to a rewarding career and leave a lasting legacy in military healthcare.Episode Keywords:
Navy Career, Military Healthcare, Deployments, Leadership, Relationships, Military Medicine, 9/11, Guantanamo Bay, Wartime Ethics, Adaptability, Mission and Morale, Leadership Roles, Career Legacy, Diversity, Seizing Opportunities, Relationships and Networks, Military Personnel, Medical Care, Physical Therapy, Preventive Medicine, Athletic Training, National Defense University, Camp Delta, Camp Leatherneck, NATO Role 3 Multinational Medical Unit, Command Senior Chief, Tyrone, Camp X-ray, Kandahar, Officer, Casualty Rates, One-Trick Pony, Diversifying Experiences, Typecast, Pushing Boundaries, Thinking Outside the Box, Fulfilling Career
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #LeadershipLegacy #NavyCorpsmanJourney #MasterChiefBrown #WarMedicineValor #MentorshipInUniform #HealthcareHeroes #DeploymentChallenges #EthicsInWar #MilitaryHealthcareEvolution
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
Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast
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 Channel: https://www.youtube.com/@wardocspodcast
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Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery.
Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation.
As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike.
Chapters:
(00:04) Military Trauma Surgeon's Innovative Approach
(08:07) Innovating Surgical Retractors
(13:51) From Idea to Global Commercialization
(19:06) Innovative Surgical Retractor System Design
(31:10) Future Innovations in Trauma Surgery
Chapter Summaries:
(00:04) Military Trauma Surgeon's Innovative Approach
This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions.
(08:07) Innovating Surgical Retractors
This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspirations behind famous designs like the Balfour and Bookwalter retractors.
(13:51) From Idea to Global Commercialization
This chapter unfolds the journey of developing a new surgical retractor system, from the spark of innovation to international commercialization. Dr. Cestero shares his story of collaborating with a tech transfer office and co-inventing with a biomedical engineer to create a prototype, which we tested successfully on a cadaver. He highlights the challenges of balancing a full-time surgery career with entrepreneurship, leading to a gradual transition to dedicating myself fully to the company. Ramon also touches on the process of patenting, fundraising, and gathering feedback from various medical professionals to refine the prototype.
(19:06) Innovative Surgical Retractor System Design
This chapter, we explore the design and functionality of a revolutionary surgical retractor system that addresses common frustrations surgeons face with traditional retractors. We examine how its one-way assembly prevents incorrect setup, the satisfying ratchet sound that signals secure placement, and its adaptability to different incision sizes. The system's lightweight nature at only two pounds and compatibility with Bookwalter components are highlighted, along with its efficiency in providing exposure of the abdominal wall and retroperitoneum. A personal story reveals the retractor's surprising lightness and convenience in a combat environment, emphasizing its practicality for both the operating room and field surgery. Additionally, we discuss how the retractor can be adapted for upward lift, enhancing visibility in deep pelvic or upper abdominal procedures.
(31:10) Future Innovations in Trauma Surgery
This chapter focuses on the anticipated changes in military medical operations, drawing parallels with historical conflicts such as World War II and emphasizing the necessity for adaptability in modern warfare environments. We discuss the likelihood of increased casualties, the need for prolonged field care, and the possibility of surgeons re-operating on patients due to limited evacuation options. Additionally, we cover the Navy's evolving role and the potential shift toward more mobile surgical teams at sea. In terms of trauma surgery advancements, we touch on the ongoing efforts to improve blood product availability and the challenges faced by trainees with the transition from open to minimally invasive surgery. The conversation also highlights the importance of enhancing operating room efficiency, particularly through innovations in surgical retractors, lighting, and integration of suction to improve patient outcomes and the overall surgical experience.
**This Episode was supported in part by a generous educational grant from Advanced Surgical Retractor Systems, INC.**
Take Home Messages:
Military trauma surgery experiences have significantly contributed to the development and innovation of surgical technology, particularly in the design of surgical retractors optimized for battlefield conditions.The evolution of surgical retractors has been influenced by the necessity to operate efficiently under resource-limited conditions, with historical designs like the Balfour and Bookwalter retractors laying the foundation for modern advancements.A surgeon's ability to adapt and operate quickly in austere environments can have life-saving implications, underscoring the importance of equipment that is both effective and transportable.Bringing a new medical device from concept to global commercialization involves collaboration with engineers, navigating the patenting process, fundraising, and obtaining feedback from medical professionals to refine the design.The design of the discussed innovative surgical retractor system aims to address common frustrations, such as incorrect assembly, while providing rapid and secure placement, adaptability to different incision sizes, and compatibility with existing surgical components.Future innovations in trauma surgery are anticipated to include improved blood product availability, more efficient operating room technologies, and training adjustments to accommodate the transition from open to minimally invasive surgery.Military medical operations are likely to face changes with increased casualty numbers, necessitating adaptable and mobile surgical teams capable of prolonged field care and re-operation on patients.Enhancements in surgical tools can lead to better patient outcomes by improving exposure and efficiency in the operating room, even under combat or emergency conditions.Surgeons must balance maintaining traditional techniques with embracing new, potentially life-saving technologies, and training is essential for the successful adoption of innovative surgical devices.Operating room efficiency is critical not only in civilian trauma centers but also in military operations, with technological advancements being crucial to adapting to future combat environments and potentially high-casualty scenarios.Episode Keywords:
Military Trauma Surgery, Surgical Retractors, Innovation, Battlefield, Austere Conditions, Surgical Technology, Resilience, Resourcefulness, Operating Room Efficiency, Medical Entrepreneurship, Trauma Care, Navy, Surgical Teams, Blood Product Availability, Minimally Invasive Surgery, Operating Room Integration, Suction, Patient Outcomes
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #TraumaSurgery, #SurgicalInnovation, #MilitaryMedicine, #CombatSurgeon, #MedicalBreakthroughs, #OperatingRoomTech, #SurgicalRetractor, #MedicalEntrepreneurship, #TraumaCare, #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
YouTube Channel: WarDocs-The Military Medicine Podcast
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Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host’s journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant.
Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all.
Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out!
Chapters:
(00:00) Military Medicine and Leadership Lessons
(09:00) 452nd Hospital Experiences in Afghanistan
(13:14) Challenges in Afghanistan and Iraq
(19:56) Challenges in Military Medicine and Readiness
(39:03) Legacy of Military Medicine
Chapter Summaries:
(00:00) Military Medicine and Leadership Lessons
BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers.
(09:00) 452nd Hospital Experiences in Afghanistan
BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan.
(13:14) Challenges in Afghanistan and Iraq
Jennifer’s experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed.
(19:56) Challenges in Military Medicine and Readiness
BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs.
(39:03) Legacy of Military Medicine
BG Marrast Host’s legacy includes her passion for caring for soldiers and modernizing Army medicine.
Listeners Will…..
Embark on a journey from immigrant background to high-ranking military status.Gain a deep understanding of emotional and physical challenges encountered on the battlefield.Gain a complex perspective on military medicine, emphasizing the role of leadership, decision-making, and adaptability.Understand the role and significance of military reserves in medical missions and preparation for large-scale combat operations.Gain insight into the emotional strain of military medicine through the recounting of a young burn victim in Afghanistan.Understand the demanding balance between civilian careers and military obligations for reserve medical personnel.Learn valuable leadership lessons applicable in various contexts.Recognize the need for military medical personnel to maintain combat skills alongside medical expertise.Get a glimpse of the aspirations and dedication required to improve care and prepare the next generation of military medics.Use the podcast as an informative and inspiring resource for anyone considering a career in military medicine or interested in gaining insights into the demands of front-line healthcare.Episode Keywords:
Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories
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 Channel: WarDocs-The Military Medicine Podcast
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Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics. Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect.
As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training.
The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values. For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas.
Chapters:
(00:00) Exploring Medical Ethics and Consultations
(10:21) Military Medical Ethics and Committees
(18:23) Ethics in Healthcare and Deployed Settings
(30:28) Cultural Differences and Patient Confidentiality
(36:19) AI Impact on Medical Ethics
(44:54) Medical Ethics and Decision-Making Challenges
(50:03) Future of Military Medical Ethics
Chapter Summaries:
(00:00) Exploring Medical Ethics and Consultations
Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics.
(10:21) Military Medical Ethics and Committees
Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system.
(18:23) Ethics in Healthcare and Deployed Settings
Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments.
(30:28) Cultural Differences and Patient Confidentiality
Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios.
(36:19) AI Impact on Medical Ethics
Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics.
(44:54) Medical Ethics and Decision-Making Challenges
Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology.
(50:03) Future of Military Medical Ethics
Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes.
Take Home Messages:
Medical ethics in the military setting require balancing individual autonomy with military protocol, highlighting the unique ethical challenges faced by military medical professionals.The journey from neonatology to a consultant for the Army Surgeon General underscores the importance of interdisciplinary backgrounds and analytical thinking in navigating complex ethical decisions in military medicine.The role of ethics committees in military medical treatment facilities is critical, offering diverse perspectives and aiding in difficult decision-making processes when commanders and medics must align on service member treatment.Ethical training and guidelines are essential for military healthcare providers, particularly in deployed settings where high-pressure situations demand rapid and morally sound decision-making.Cultural sensitivity and confidentiality issues present unique ethical dilemmas in military medicine, necessitating careful consideration of cultural relativism and the intent behind sharing medical information within the command structure.The advent of artificial intelligence and human enhancement technologies in healthcare brings forth new ethical dimensions that require transparency and the involvement of ethicists to ensure moral foundations are integrated.The COVID-19 pandemic has highlighted the need for robust ethical frameworks in military medicine, particularly regarding vaccinations and individual autonomy versus mission readiness.Early ethicist involvement in policy-making and shared decision-making processes is key to aligning medical actions with patients' values, ensuring that care remains patient-centered even amidst rapid changes in the medical landscape.Medical students, especially those in military programs, must be equipped with a strong ethical toolkit to face the challenges of contemporary and future medical practice, including varying treatment approaches and legal constraints.The future of military medical ethics points towards an increase in formal ethics training and the early incorporation of ethical considerations in policy-making to better prepare for complex situations such as pandemics and large-scale combat operations.Episode Keywords:
Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol, Ethics Committees, Artificial Intelligence, Cultural Sensitivity, Patient Confidentiality, Healthcare, Ethics Consultations, Military Healthcare System, Ethical Training, Organizational Ethics, Resource Allocation, Combat Operations, Cultural Relativism, AI Algorithms, Human Enhancement, Informed Consent, Pandemic Response, Vaccinations, Harm Principle, Ethical Toolkit, Ethics of Care, Legal Constraints, Neonatology, Formal Ethics Training, Shared Decision-Making, Emergency Situations, Guidance
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalEthics #DrJeanneKrick #BioethicsInUniform #HealthcareOnTheFrontlines #EthicalDecisionMaking #ArtificialIntelligenceEthics #PatientAutonomy #MedicalEthicsTraining #NeonatologyEthics #CulturalSensitivityInMedicine
Other Medical Ethics Resources:
-DoD Medical Ethics Center- https://www.usuhs.edu/research/centers/dmec The DMEC is situated out of USUHS and has several resources for those in uniform on medical ethics (I am a little embarrassed that I forgot to mention them in the actual interview last night...). Their website has a link to their internal training course, which is really a series of YouTube videos that cover some basic bioethics topics. They also have an app (I believe it's available through all the usual sources and on all devices) that is free to download and has plenty of resources. The app could be a great resource for folks looking for more material, especially in austere environments.
-American Society for Bioethics and Humanities- https://asbh.org/ This is the main organization for medical ethics within the US. There are links to many helpful resources on their site, including professional development, endorsed meetings, and guidelines/standards for clinical ethics consultation.
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
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Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences. She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career. She currently serves as the Director of the Defense Health Agency.
On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know. You will hear her provide insightful answers to the following questions:
How do you choose a Mentee? What are the characteristics of effective mentors? How many Mentees should you have? Does it matter? What are some Mentor competencies? What “process skills” are necessary for Mentors How do you know you are ready to be a Mentor? How do you prepare to be a mentor? What are some “Don’ts” for a Mentor What do you do if the relationship is not working out or you just want out?Personal Reflections on Mentorship
Who was your most influential mentor? Why What was the best advice you got from a mentor? What do you know now that you wish you would have learned much earlier? What characterizes a “good” or “not so good” mentorship relationship from your experience? Provide examples What is some practical advice for someone interested in mentoring or being mentored? What are the next steps to take?Telita shares many insights and mentorship lessons learned over a distinguished career. You don’t want to miss this special episode!
Take Home Messages
Mentorship in military healthcare is a critical aspect of professional development, with nuances unique to the armed forces environment.Effective mentors within the military medicine context are approachable, self-aware, and invested in the growth and development of their mentees.A successful mentor-mentee relationship requires clear communication, commitment from both parties, and the alignment of career guidance with personal aspirations.Mentors in military healthcare often have to navigate their mentees' professional paths while considering work-life balance and family commitments.One key to effective mentorship is the mentor's ability to provide honest feedback and advocate for their mentees when necessary.It's essential for mentors to avoid imposing their own career ambitions on mentees, as this can strain the relationship and hinder the mentee's individual growth.Mentorship is a dynamic process, and the readiness to mentor comes when one becomes genuinely excited about aiding in the development of others.Mentors should proactively reach out to potential mentees they believe they can help, showcasing the proactive nature of mentorship in fostering future leaders.Both mentors and mentees can benefit from formal mentorship programs, but the most impactful relationships are often organic and based on mutual respect and investment.Mentorship is not just about climbing the ranks; it's about lifting others as you go, embodying the ethos of leadership within the military healthcare system.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
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Ever wondered what it takes to lead in one of the world’s most challenging environments, the US Navy? Do you find yourself intrigued by the thought of making critical decisions under immense pressure? Then this episode is for you. As we sit down with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton, we uncover a lifetime of leadership lessons, critical decision-making insights, and stories from his remarkable 37-year-long career. Admiral Moulton shares his experiences deployed during Operation Desert Storm to the heart of the Pentagon on one of the darkest days in US history.
In our conversation, Admiral Moulton delves into the challenges he faced during his deployment on the USS Nimitz, his time in Okinawa, and the unforgettable experience of being in the Pentagon on 9/11. His accounts of these events, woven with lessons on leadership, draw a vivid picture of the realities of Military Medicine. You will hear about the intuitive decisions Admiral Moulton made to handle patient safety concerns, his performance-based approach to promotions, and the importance he placed on trusting his staff. His story illustrates the courage, resilience, and dedication necessary to thrive in high-stakes environments.
RADM (Ret) Moulton opens up about his time leading the Tidewater Multiservice Market Office. His unique perspective on uniting the three Services, aligning with the needs of the MHS, and managing dual responsibilities offers invaluable advice for those navigating leadership roles within similar structures. Whether you're a veteran, on active duty, or simply interested in learning about leadership from a unique perspective, this episode promises a wealth of wisdom and a deeper understanding of Military Medicine. Terry's wisdom and advice, combined with his fascinating experiences, make this episode a must-listen for anyone seeking inspiration and leadership guidance.
Chapters:
(0:00:00) - Lessons From Early Years in Navy Medicine
(0:05:28) - Military Assignments, Mentoring, and Medical Readiness
(0:12:08) - Military Experience Around 9/11
(0:19:04) - Leadership Challenges in Okinawa and During Deployment
(0:26:18) - Leadership Approach in Multiservice Market
Chapter Summaries:
(0:00:00) - Lessons From Early Years in Navy Medicine (5 Minutes)
We speak with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton. Admiral Moulton shares his story of joining the Navy, his deployment lessons learned aboard the USS Nimitz, and the experience of being in the Pentagon on 9-11. He provides advice to those advancing in roles with increased levels of accountability and responsibility. Admiral Moulton also shares his understanding of how enhanced multi-service markets and managed care support contractors can enable a ready medical force and a medically ready force. We discuss his early years and his early assignments, his roles and responsibilities, and the leadership lessons he learned. Join us as we explore these topics and more with Admiral Moulton.
(0:05:28) - Military Assignments, Mentoring, and Medical Readiness (7 Minutes)
Retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton reflects on his experience joining the Navy and the people who had a lasting impact on his career. He recounts his deployment on the USS Nimitz during Operation Desert Storm, and his efforts to ensure medical readiness on the ship. Finally, Admiral Moulton shares how the USS Midway Fire After-Action Report informed his approach to medical readiness.
(0:12:08) - Military Experience Around 9/11 (7 Minutes)
RADM (Ret) Moulton recalls his time serving in the Pentagon on 9/11. He reflects on the events of that day and how staying in the Pentagon to help set up a triage station transformed his future medical and military service. He speaks about the training he had done in the past that prepared him for this moment and the leadership challenges he faced when he was put in command roles.
(0:19:04) - Leadership Challenges in Okinawa and Navy (7 Minutes)
RADM (Ret) Moulton reflects on his leadership challenges in Okinawa. He discusses how he addressed patient safety concerns and relied on his intuition when making decisions. Admiral Moulton also shares his involvement in the planning for the evacuation of US citizens from mainland Japan and his role in ensuring their safe arrival to Okinawa. He emphasizes the importance of trusting his staff and the performance-based approach to promotion boards.
(0:26:18) - Leadership Approach in Multiservice Market (17 Minutes)
Terry speaks about his experience leading the Tidewater Multiservice Market Office. Admiral Moulton shares his approach to leading the three services with a focus on unity of effort and alignment with what the MHS needed. He then offers advice to the nine DHA directors and MTF directors on how to effectively communicate direction and understand their dual-hatted responsibilities. Lastly, Admiral Moulton counsels those in leadership positions on resolving conflicts between the hats they are wearing.
Take Home Messages:
Leadership often involves tackling difficult situations with honesty and integrity, whether it's addressing patient safety concerns or making critical decisions in high-pressure situations.Trusting your staff and adopting a performance-based approach to promotions are key leadership principles in any organization.When leading diverse teams, it's crucial to unite everyone with a common vision and align them with the organization's needs.Good leaders communicate effectively, providing clear direction and follow-ups. They ensure their teams understand what is important and what needs to be executed.It's essential for leaders to understand their dual responsibilities and roles, particularly in complex organizations where they might be wearing different 'hats.'Effective leadership requires an understanding of when to delegate tasks and when to be directly involved, often trusting one's gut instinct to make this decision.In challenging times, such as the evacuation of citizens during a crisis, leaders must make quick decisions, trust their staff, and have a plan in place to ensure safety and security.In healthcare, patient safety and quality of care should always be the top priorities. Leaders should pay close attention to these aspects and act promptly on any concerns.Mentorship is a valuable tool in leadership. It's important to learn from senior leaders and, in turn, guide those who are new to the organization or role.Embracing change and adaptability are critical to leadership. With changing scenarios, leaders must be ready to adapt their strategies and reassure their teams about the future.Episode Keywords:
Navy, Medical Service Corps, Terry J Moulton, USS Nimitz, Operation Desert Storm, Pentagon, 9/11, Leadership Challenges, Medical Readiness, Military Assignments, Mentoring, Evacuation of US Citizens, Performance-Based Approach, Multiservice Market, DHA Directors, MTF Directors, Unity of Effort, Alignment with MHS, Effective Communication, Dual-Hatted Responsibilities, Conflict Resolution, Local Civilian Medical Providers, Quality Care for Veteran Patients, Leadership Impact
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #NavyLeadership #MilitaryMedicine #TerryMoulton #RearAdmiralInsights #Pentagon911 #LeadershipPrinciples #TidewaterMultiservice #MilitaryCareer #LeadershipChallenges #DHAAdvice
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
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Episode Summary:
Retired Navy Captain Dr. Matthew Provencher shares his incredible journey from the decks of the USNS Mercy to the sidelines with the New England Patriots, revealing the profound connections between military orthopedics and sports medicine. His stories take us from the skies he once dreamed of conquering as a fighter pilot to the operating rooms where he honed his skills in orthopedics sports medicine, ultimately shaping the future of musculoskeletal injury research. Dr. Provencher's unique perspective not only discusses his transformative work in developing the Special Forces Tactical Athlete Program but also delves into the global impact of military medicine on orthopedic care. His stories will captivate you, revealing the profound impact of military medicine both in the field and on the homefront.
Feel the ocean's swell as we set sail on the USNS Mercy, where Dr. Provencher once led surgical teams on life-saving missions. He recounts the evolution of these floating hospitals, detailing their critical role in disaster relief and humanitarian aid. As we navigate through his experiences, the leadership lessons gleaned from his tenure resonate with anyone seeking to foster accountability, integrity, and inclusive environments—whether at sea or in any professional setting. The lessons learned extend far beyond the operating room, spotlighting the core values of accountability and integrity that resonate in any high-pressure environment. His accounts of international collaboration and safety-forward medical practices on these ships underscore military medicine's extraordinary capabilities and adaptability.
The podcast wraps up with Dr. Provencher transitioning from the high-stakes world of the NFL to providing second opinions for athletes across the sports spectrum. He reflects on pioneering surgical approaches born from the battlefield that have advanced orthopedic practices, sharing an anecdote involving Coach Bill Belichick that perfectly encapsulates the nexus of military service and professional sports. Through these discussions, Dr. Provencher illuminates the ever-present thread of innovation and excellence that military medicine weaves throughout the fabric of societal health and well-being.
Chapters:
(00:00) Military Medicine and Orthopedic Training
(09:49) Military Sports Medicine and Humanitarian Missions
(17:10) Leadership Lessons From a Hospital Ship
(23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics
(31:08) The Evolution of Military Fitness Programs
(44:50) Sports Medicine and Military Orthopedics Advances
(50:00) Military Medicine and NFL Experiences
Chapter Summaries:
(00:00) Military Medicine and Orthopedic Training
Retired Navy Captain Dr. Matthew Provencher's journey from Naval Academy to medical career, experiences as orthopedic surgeon, and contributions to research.
(09:49) Military Sports Medicine and Humanitarian Missions
Military sports medicine, treating complex battlefield injuries, innovative techniques, collaborative efforts, humanitarian missions, rewarding aspects.
(17:10) Leadership Lessons from a Hospital Ship
US Navy's hospital ships, their capabilities and operations, evolution of use, leadership challenges, and importance of safety in medical operations.
(23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics
Nature's challenges in performing cataract surgeries in equatorial regions, the importance of ophthalmology in medical diplomacy, and the establishment of the Military Orthopedic Tracking Injuries Network (MOTION).
(31:08) The Evolution of Military Fitness Programs
The evolution of the Tactical Athlete Program for Special Warfare personnel, collaborative efforts to enhance soldier readiness and resilience, and strategies for preventing and treating common injuries.
(44:50) Sports Medicine and Military Orthopedics Advances
Sports medicine advancements, military lessons, and SOMOS collaborations enhance orthopedic care and research for athletes.
(50:00) Military Medicine and NFL Experiences
Transition from NFL to medical second opinions, military case of ankle bone in shoulder reconstruction, and intersection of sports and military service.
Take Home Messages:
Military discipline can significantly influence and improve sports medicine practices, fostering a culture of accountability and precision.The integration of military medical techniques in sports medicine has been transformative, especially in the development of programs for elite athletes like those in the NFL.Hospital ships such as the USNS Comfort and Mercy play a crucial role in disaster relief and humanitarian aid, highlighting the adaptability of military medicine.Leadership skills honed in military environments, including accountability and creating inclusive workspaces, are invaluable in any professional setting.The evolution of military fitness programs has led to a reduction in injury rates and improved recovery processes, benefiting the broader military and potentially civilian populations.Innovations in orthopedic surgery and treatment, such as the bridge-type repair for tendon injuries and the use of biologics, have been spurred by military medical research.Collaboration between military and civilian surgeons through organizations like the Society of Military Orthopedic Surgeons is critical for advancing orthopedic care and research globally.Military medicine's focus on fundamental training, such as thorough histories and physical exams, is essential for diagnosing and treating injuries when advanced technology is not available.The importance of comprehensive fitness, wellness, and rehabilitation programs in professional sports has roots in military medicine practices.The episode underscores the continuous thread of innovation, excellence, and global impact that military medicine contributes to societal health and well-being.Episode Keywords:
Military Medicine, Orthopedic Training, Sports Medicine, Humanitarian Missions, Leadership Lessons, Hospital Ships, Ophthalmology, Cataract Surgery, Military Orthopedics, Military Fitness Programs, Tactical Athlete Program, Special Warfare, Sports Injuries, Biologics, Professional Sports, NFL, Second Opinions, Military Service, WarDocs Podcast
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #SportsMedicine #DrMatthewProvencher #OrthopedicSurgery #NavyToNFL #TacticalAthleteProgram #USNSMercy #LeadershipLessons #InjuryPrevention #HumanitarianMissions
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
-
This podcast contains remarks from a JUN 23 presentation by Dr. Warren Dorlac to the Excelsior Surgical Society.
Prepare to be enlightened as we embark on an insightful journey into the world of combat casualty care with trauma surgeon and military veteran Dr. Warren Dorlac. With his firsthand experience from multiple deployments and active role in the American College of Surgeons, Dr. Dorlac offers an unparalleled perspective on the evolution of battlefield medicine over the past two decades. We explore impactful initiatives like the Ranger Regiment's life-saving mission to eliminate preventable deaths and the profound influence of Secretary Gates' mandate to expedite surgical care for combat patients. Prepare to delve into the complexities of paramedic involvement in the battlefield and the vital importance of continuous in-route care.
Dr. Dorlac puts the spotlight on extremity trauma management and the multitude of challenges it presents in military settings, from temporary vascular shunts to the alarming rise in osteomyelitis cases in long-term patient follow-ups. He focuses on the high re-operation rates in major lower extremity amputations and the game-changing role of initiatives like the Integrated Orthotic Rehabilitation Initiative in returning our brave service members to duty. He also reflects on the critical role of CCATT in military casualty care and how it's revolutionizing the field.
Wrapping up his discussion, Dr. Dorlac delves into the remarkable advancements in military trauma care from 1993 to 2012 and covers the courageous efforts of the Ukrainian military's tactical healthcare initiatives in their ongoing conflict with Russia. He highlights the indispensable role of education, collaboration, and technological innovations in this field, with a special mention of the groundbreaking REBOA catheter. From the pivotal development of the Acute Lung Rescue Team to the enriching insights brought by civilian surgeons through the Senior Visiting Surgeon Program, Dr. Dorlac leaves no stone unturned. This enlightening episode is a must-listen for anyone interested in the intricate world of military medicine, where lives are saved on the front lines every day.
Chapters:
(00:00) Innovations in Combat Casualty Care
(17:01) Vascular Shunts, Infections, Amputations, Rehabilitation
(25:29) Advancements in Military Trauma Care
(30:48) Ukrainian Military's Tactical Healthcare Initiatives
Chapter Summaries:
(00:00) Innovations in Combat Casualty Care
Combat casualty care advancements and challenges, eliminating preventable deaths, in-route care, and need for paramedics in the field.
(17:01) Vascular Shunts, Infections, Amputations, Rehabilitation
Nature's extremity trauma management in military settings, including vascular shunts, venous repair, transport time, infections, amputations, irrigation, orthosis, and rehabilitation.
(25:29) Advancements in Military Trauma Care
Advancements in military trauma care from 1993-2012, including transport challenges, education, collaboration, and technological innovations, leading to decreased case fatality ratio.
(30:48) Ukrainian Military's Tactical Healthcare Initiatives
Military medical care in conflict zones: tactical combat training, rethinking traditional practices, damage control, continuity of care, and evacuation challenges.
Take Home Messages:
Battlefield medicine has undergone significant evolution over the past two decades, with considerable advancements in combat casualty care.The Ranger Regiment has been at the forefront of efforts to eliminate preventable deaths in pre-hospital settings on the battlefield, highlighting the importance of mastery and continuous rehearsal of basic life-saving skills.The mandate to deliver surgical care to combat patients within an hour has substantially improved survival rates, underscoring the critical nature of rapid medical intervention in combat zones.Continuous in-route care and the presence of paramedics in the field are vital for improving outcomes for military personnel who sustain injuries during combat.The management of extremity trauma, particularly in military settings, presents unique challenges that have led to innovations like temporary vascular shunts and increased focus on preventing osteomyelitis in long-term patient care.Rehabilitation initiatives, such as the Integrated Orthotic Rehabilitation Initiative, are transformative in helping service members return to duty and maintain unit cohesion and operational readiness.The introduction of CCATT (Critical Care Air Transport Teams) has revolutionized the transport of critically injured service members, ensuring they receive the necessary care during transport from the combat zone to medical facilities.Military trauma care from 1993 to 2012 witnessed remarkable advancements, with a decrease in case fatality ratios despite an increase in the severity of injuries, demonstrating improved effectiveness of trauma care systems.Education, collaboration, and technological innovations are crucial in advancing military medicine and enhancing the ability to save lives in combat scenarios, as seen with tools like the REBOA catheter.Tactical healthcare initiatives, such as those adopted by the Ukrainian military, illustrate the ongoing need to adapt and improve combat casualty care in response to different conflict environments and challenges.Episode Keywords:
Combat Casualty Care, Trauma Surgeon, Military Veteran, American College of Surgeons, Battlefield Medicine, Preventable Deaths, Secretary Gates, Surgical Care, Paramedic, Extremity Trauma Management, Vascular Shunts, Osteomyelitis, Lower Extremity Amputations, Integrated Orthotic Rehabilitation Initiative, CCATT, Advancements, Military Trauma Care, Ukrainian Military, Tactical Healthcare Initiatives, Education, Collaboration, Technological Innovations, Acute Lung Rescue Team, Senior Visiting Surgeon Program, Conflict Zones, Targeted Attacks, Medical Personnel, Military Damage Control Techniques, Continuity of Care, Evacuation
Hashtags:
#BattlefieldMedicine #CombatCasualtyCare #MilitaryTrauma #LifeSavingInnovations #TraumaSurgery #MilitaryMedics #WarriorHealth #TacticalHealthcare #MedicalAdvancements #VeteranSurgeons
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
-
Get ready to be captivated as we sit down with COL Dr. John Horton, Chief of Pediatric Surgery at Madigan Army Medical Center and Deputy Consultant to the US Army Surgeon General for General Surgery. This episode is packed with insights, as Dr. Horton lifts the veil on the realities and complexities of pediatric trauma care within military confines. Embrace the opportunity to discover the unique curriculum designed by the American College of Surgeons specifically for the military, and examine how pediatric trauma cases accounted for 7% of US military hospital admissions during recent conflicts. Learn why treating these fragile young patients can induce a sense of guilt among the medical staff.
Our conversation with Dr. Horton takes a fascinating turn as we delve into his experiences of telecommunication surgery using FaceTime, and the wisdom he shares during these crucial interactions. Listen closely as he narrates the intricate processes of an infant's complex surgery, highlighting the hurdles faced surgical care in maintaining the baby's airway and IV access. This episode underscores the central role of decisive action and confidence, particularly when one is operating outside of their comfort zone. At the heart of the discussion lies the invaluable advice for anyone preparing for deployment in pediatric trauma care. Join us for this illuminating episode that underscores the critical role of pediatric trauma care in military medicine.
--------- EPISODE CHAPTERS ---------
(0:00:00) - Pediatric Trauma Care in the Military
Dr John Horton discusses pediatric trauma care in the military, the American College of Surgeons' curriculum, and his approach to pediatric patient care.
(0:15:10) - Pediatric Trauma Surgery Challenges & Preparation
Dr John Horton provides telecommunication surgery advice, discussing an infant's atresia, airway maintenance, ventilator removal, and decision-making in pediatric trauma care.
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Step into the vanguard of battlefield medicine with Dr. John M. Croushorn, an engineer-turned-emergency physician whose innovations are redefining trauma treatment. From his pivotal career switch of joining Army Medicine post-9/11 to creating the Abdominal Aortic Junctional Tourniquet (AAJT-S), this episode weaves together the personal and the technical, providing an intimate look at the challenges and triumphs of military medicine.
As we converse with Dr. Croushorn, you'll be transported to the front lines of tactical emergency medical solutions, where the origins of such practices in the military and law enforcement laid the groundwork for today's life-saving techniques. Discover the birth of the AAJT-S, spurred by tragedy and necessity, and how a chance encounter with a Special Forces Medic brought the device's development full circle. This narrative captures the essence of innovation — where creativity meets critical needs, and every step in the design process can mean the difference between life and death. The trenches of tactical medicine are filled with stories of lives saved and legacies forged, and each tale tightens the bond between trauma care advancements and those who stand ready at the front lines.
Dr. Croushorn continues to pull back the curtain on the dynamic field of military medicine, guiding us through the application of junctional tourniquets and their profound impact on saving lives in pre-hospital scenarios. We'll also cast an eye to the future, examining ongoing research and the global implications of these medical advancements. Hear tales of the AAJT-S's deployment in diverse environments, from the deserts of the Middle East to the conflict in Ukraine, and learn how this technology is not just a tool but a testament to human resilience and the relentless pursuit of advancing trauma treatment.
Chapters:
(00:00) Military Medicine and Trauma Treatment Innovation
(15:08) Developing Tactical Emergency Medical Solutions
(21:26) Junctional Tourniquets for Hemorrhage Control
(35:19) Junctional Tourniquet Application and Future Innovations
(45:38) Physiologic Effects of a Cardiac Device
Chapter Summaries:
(00:00) Military Medicine and Trauma Treatment Innovation
Former Army Medical Corps officer shares journey from engineering to military medicine, including deployment experiences and innovative contributions.
(15:08) Developing Tactical Emergency Medical Solutions
Tactical medicine's role in the FBI, development of the AAJT-S for pelvic bleeding, and a serendipitous encounter with a Special Forces Medic.
(21:26) Junctional Tourniquets for Hemorrhage Control
Junctional tourniquets are crucial in trauma care, effectively controlling hemorrhage in extremity-torso junctions and surpassing other methods.
(35:19) Junctional Tourniquet Application and Future Innovations
Versatile junctional tourniquet device for pediatric to 64-inch circumference patients, efficacy compared to REBOA, and use in trauma centers and NCTH.
(45:38) Physiologic Effects of a Cardiac Device
Innovative application of the AAJT-S has shown impressive results in traumatic cardiac arrest scenarios, leading to protocol changes and ongoing studies in Ukraine.
Take Home Messages:
The tragic events of 9/11 inspired a shift in career from electrical engineering to Military Medicine, highlighting the profound impact significant historical events can have on individual life choices.The development of the Abdominal Aortic Junctional Tourniquet (AAJT-S) marked a significant advancement in pre-hospital trauma care, particularly for severe hemorrhage control in areas where traditional tourniquets are ineffective.Innovation in military medical devices can stem from unexpected places, including the adaptation of materials like bike shop inner tubes, demonstrating resourcefulness in the face of challenges.Collaboration between medical professionals and those with hands-on battlefield experience, such as Special Forces Medics, is crucial for the practical development of life-saving medical technologies.Tactical emergency medical solutions, like the AAJT-S, have evolved to meet the specific needs of military and emergency response situations, including combat scenarios and disaster relief efforts.The versatility of junctional tourniquets makes them a critical tool not only for the military but also for civilian emergency services, as evidenced by their use by air ambulance services and fire departments.Emergency Medicine is continually advancing, with a focus on developing solutions for non-compressible torso hemorrhage, which presents new challenges in the field of trauma care.Groundbreaking research into the physiologic effects of medical devices in traumatic cardiac arrest scenarios is paving the way for updated emergency protocols and potentially higher survival rates.The global impact of military medical innovations can be seen in various international settings, including conflict zones like Ukraine, where they play a vital role in saving lives on the battlefield.Effective hemorrhage control, particularly in junctional areas, is essential for improving survival rates in trauma patients, emphasizing the importance of continuous innovation and application of medical devices in pre-hospital settings.Episode Keywords:
Military Medicine, Trauma Treatment, Emergency Medical Protocols, Abdominal Aortic Junctional Tourniquet, Tactical Medicine, Hemorrhage Control, Pre-hospital Setting, Medical Device Development, Special Forces Medic, Junctional Tourniquet, Extremities, Combat Gauze, Expandable Foams, Pediatric Patients, Non-compressible Torso Hemorrhage, Physiologic Effects, Traumatic Cardiac Arrest, Return of Spontaneous Circulation, Porcine Model, Emergency Protocols, Ukrainian Vascular Surgeon, Bakhmut Conflict, Military Medical Authorities
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineInnovation #AbdominalAorticTourniquet #TacticalMedicineTech #TraumaCareBreakthroughs #LifesavingInventions
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
-
Join us for an intriguing conversation with our guest, Dr. Kevin O'Connor, a retired Army Colonel and Physician to the President of the United States. We journey through the corridors of Military Medicine, tracing Dr. O'Connor's inspirational journey from medical school to the White House, with stints in operational medicine at Fort Bragg and Womack Army Medical Center. We dig into his deployment experiences, delve into tales of the transition from military to executive medicine, and bask in the glow of stories of his role as the caretaker of the nation's Commander-in-Chief.
We traverse Dr. O'Connor's career progression, from his days as a resident in World War II barracks to his time serving the nation's top executives. We discuss the importance of trust, the necessity of worst-case scenario planning, and how medical emergencies are handled in remote locations. We underscore the value of honesty and straightforwardness in executive medicine, even when delivering unwelcome news, and illuminate the day-to-day life of the White House medical team, casting a new light on a fundamentally crucial role.
Finally, we pull back the curtain on the day-to-day interactions with the President, revealing the challenges of maintaining a team of doctors and nurses for the President, First Lady, and Vice President. Shining a light on the importance of continuity of care, we also discuss the need for change and fresh perspectives. Trust us, you won't want to miss Dr. O'Connor's valuable advice for those interested in a similar career path, as well as his insightful reflections on his own journey.
Chapters:
(00:00) Dr. Kevin O'Connor's Military Medicine Career
(06:18) Military Life and Career Development
(12:56) Deployment Experiences and Career Transition
(20:04) Transitioning to Physician to President Role
(29:34) Executive Medicine
(36:28) Honest Communication in Executive Medicine
(39:53) Presidential Medical Care and White House Physician
(44:49) Daily Interactions With the President
Chapter Summaries:
(00:00) Dr. Kevin O'Connor's Military Medicine Career
This chapter of WarDocs features a conversation with retired Army Colonel and current physician to the President of the United States, Dr. Kevin O'Connor. Dr. O'Connor shares his journey into Military Medicine, from being inspired by his father's military service to receiving ROTC scholarships and completing medical school. He also discusses his assignments at Fort Bragg (Now Fort Liberty) before and after 9/11, where he worked with troop medical clinics and Womack Army Medical Center. Dr. O'Connor reflects on feeling prepared for his role as a medical corps officer and shares some important insights and lessons learned about delivering executive medicine in both the military and civilian sector. He also provides advice for those interested in pursuing a similar career. Tune in to hear more about Dr. O'Connor's distinguished career and experiences.
(06:18) Military Life and Career Development
This chapter explores Kevin's experience working in a Troop Medical Clinic. Kevin shares his first job as a resident, taking care of young soldiers in a World War II barracks. He also talks about his engagement and being a geographic bachelor while his fiancée was in New Jersey. Kevin then shares how he met a young doctor who gave him valuable advice on expressing his interest in the military. Kevin was assigned to a PROFIS unit in the 504 Parachute Infantry Regiment, where he met the brigade commander, Colonel David Petraeus. Kevin proudly shares how he introduced himself to the commander and expressed his desire to train with them before the balloon goes up. The conversation ends with Kevin being called to jump by the CSM.
(12:56) Deployment Experiences and Career Transition
This chapter explores the experiences of a military unit during the 9/11 attacks and their subsequent deployment to Afghanistan and Iraq. We discuss their initial reactions to the attacks and their preparations for potential retaliation. The participants share their experiences during their deployments, including a humorous incident involving a meteor shower mistaken for enemy fire. We also touch on the differences and similarities between the two theaters of war. I also ask about any interesting clinical cases during the deployments, to which the guest shares their pride in avoiding cases of diarrhea due to their strict hygiene practices.
(20:04) Transitioning to Physician to President Role
This chapter explores the journey of Dr. Kevin O'Connor, a military physician who became the physician to the President and Vice President of the United States. We hear about his experience as part of the White House medical team and how he earned the nickname "bone cracker" from President Bush. Dr. O'Connor also discusses the flawed system of selecting the physician to the President and his belief that the President should have a say in the selection process. He emphasizes the importance of remaining apolitical in his role and highlights the peaceful transition of power between administrations.
(29:34) Executive Medicine
This chapter explores the unique challenges and responsibilities of being a physician in the White House, particularly when traveling with the president and vice president to third world countries. We discuss the importance of presenting oneself as a lesser to gain trust and have candid conversations with others. We also touch on the preparation and contingency plans in place for medical emergencies during these trips, emphasizing the need to be a pessimist and constantly think of worst-case scenarios to mitigate risks. The chapter highlights the role of the advanced team in planning every movement of the president and vice president during their travels. In austere locations with limited medical facilities, we explain how the situation is handled by quietly augmenting with assets from the Department of Defense. Overall, this chapter provides valuable insight into the responsibilities and strategies of a physician in the White House.
(36:28) Honest Communication in Executive Medicine
This chapter emphasizes the importance of honesty and straightforwardness in executive medicine when dealing with patients, even if it means delivering unwelcome news. The host shares a personal experience with a high-ranking patient who insisted on traveling despite being ill, and how they had to stand their ground and convince the patient to prioritize their health. The conversation underscores the need for doctors to always prioritize their patients' well-being and maintain their professional integrity.
(39:53) Presidential Medical Care and White House Physician
This chapter provides insight into the unique and important role of the White House physician. We explore the daily responsibilities of serving the President and their family, including the decision-making process for medical procedures. We also discuss the significance of expressing interest in joining the White House medical unit and the distinction between military beneficiaries and civilian care. Additionally, we get a behind-the-scenes look at the average day or week of a physician to the President. Overall, this chapter sheds light on the crucial role of the White House physician and the intricacies of their work.
(44:49) Daily Interactions With the President
This chapter provides insight into the daily routine of the White House doctors and nurses, specifically their interactions with the President. We speak with David L, a White House doctor, who explains how the President's morning routine includes a stop at the doctor's office. This is not only for medical assessments, but also for strategic reasons, as it is easier to monitor the President's health and avoid media speculation. We also discuss the call schedule and the challenges of maintaining a team of doctors and nurses for the President, First Lady, and Vice President. The importance of continuity of care is emphasized, but also the need for change and new perspectives. Overall, this chapter sheds light on the unique role of the White House medical team and the challenges they face in providing care for the nation's leaders.
Take Home Messages:
The journey from Military Medicine to presidential healthcare involves an interesting and unique career path, filled with diverse experiences and assignments.Trust, honesty and worst-case scenario planning are critical elements in the practice of executive medicine, particularly when serving as a physician to top-level officials such as the President of the United States.Deployment experiences and transitions between different theaters of war provide valuable lessons and insights that can be beneficial in any medical career.The role of a physician to the President requires an ability to handle medical emergencies in remote locations and a commitment to maintaining the health and well-being of the nation's leader.It's important for a physician in executive medicine to always prioritize their patients' well-being and maintain professional integrity, even when delivering unwelcome news.The daily routine of White House doctors and nurses involves close interaction with the President and maintaining a team of healthcare professionals for the President, First Lady, and Vice President.The continuity of care is vital in the role of a White House physician, but there's also a need for change and fresh perspectives.The transition from a military physician to the role of physician to the President is a unique journey that offers invaluable lessons and experiences.The selection process of the physician to the President should be apolitical, emphasizing the importance of the peaceful transition of power between administrations.The physician to the President needs to constantly think of worst-case scenarios and have contingency plans in place to mitigate risks during the President's travels, highlighting the responsibilities and strategies of a physician in the White House.Episode Keywords:
Military Medicine, Executive Medicine, White House Physician, Presidential Medical Care, Career Development, Deployment Experiences, Transitioning, Trust, Worst-Case Scenario Planning, Honest Communication, Continuity of Care, Medical Emergencies, Remote Locations, Military Beneficiaries, Civilian Care, Daily Interactions, Team of Doctors and Nurses, Fresh Perspectives, Valuable Advice, Inspirational Journey
Hashtags:
#PresidentialHealthcare #DrKevinOConnor #MilitaryMedicine #WhiteHouseMedicine #ExecutiveMedicine #ArmyMedicine #PresidentialPhysician #HealthcareHeroes #MilitarytoMedicine #NationLeadersHealthcare
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
-
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
-
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
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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
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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
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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
-
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
-
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
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