Document Detail


Perceived effects of deployments on surgeon and physician skills in the US Army Medical Department.
MedLine Citation:
PMID:  21545919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The military health care system is unique in that almost every physician deploys for ≥6 months to a combat or far-forward setting. The aim of this study was to determine the perceived changes in clinical skills in this deployed population.
METHODS: A survey was sent out to all specialty consultants to the Army Surgeon General to query active duty staff physicians in their specialty areas who have deployment experience in August 2007. Questions concerning specialty, length of deployment, perceived changes in skills, skill use while deployed, and time to get back to baseline clinically after deployment were asked.
RESULTS: Surveys were sent to approximately 1,500 physicians, of which 673 were usable, for a 45% response rate. More than 70% of respondents were deployed for >6 months. Fifty-nine percent reported that they were used in their specialties <40% of the time deployed. Surgeons rated surgical skills before and after deployment as 6.0 ± 1.0 and 4.0 ± 1.5, respectively (on a 7-point, Likert-type scale ranging from 1 = worst to 7 = best; P = .001). Most felt that the time needed to get back to predeployment skill levels was 1 to 6 months.
CONCLUSIONS: There was significant perceived degradation in both the surgical and clinical skills of those deploying for >6 months, and the degradation was correlated with the length of time deployed. Most surgical specialists felt that it took them 3 to 6 months to return to their clinical and surgical performance baseline upon returning from a deployment and that 6 months was the most amount of time they could be deployed without a significant decrement in skills.
Authors:
Shad H Deering; Robert M Rush; Richard N Lesperance; Bernard J Roth
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  201     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-06     Completed Date:  2011-07-19     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  666-72     Citation Subset:  AIM; IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Department of Obstetrics and Gynecology, Andersen Simulation Center, Madigan Army Medical Center, Uniformed Services University of the Health Sciences, University of Washington School of Medicine, Tacoma, WA, USA.
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence / standards*
General Surgery / standards*
Hospitals, Military / standards*
Humans
Military Medicine / standards*
Military Personnel
Physicians / standards*
Questionnaires
United States
War

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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