Abstract:
BACKGROUND:Reorganization of the Army and critical assessment of Army Graduate Medical Education programs prompted the Occupational and Environmental Medicine (OEM) Consultant to the Army Surgeon General to initiate a review of current Army OEM residency training. Available information indicated the Army OEM residency at Aberdeen Proving Ground, MD, was the first and longest operating Army OEM residency. Describing this residency was identified as the first step in the review, with the objectives of determining why the residency was started and sustained and its relevance to the needs of the Army. METHODS:Records possibly related to the residency were reviewed, starting with 1954 since certification of physicians as Occupation Medicine specialists began in 1955. Interviews were conducted with selected physicians who had strong affiliations with the Army residency and the practice of Army OEM. FINDINGS:The Army OEM residency began in 1960 and closed in 1996 with the transfer of Army OEM residency training to the Uniformed Services University of the Health Sciences, Bethesda, MD. Over 36 years, 47 uniformed residency graduates were identified; 44 were from the Army. Forty graduated between 1982 and 1996. The OEM residency was part of a dynamic cycle. Uniformed OEM leaders identified the knowledge and skills required of military OEM physicians and where these people should be stationed in the global Army. Rotations at military sites to acquire the needed knowledge and skills were integrated into the residency. Residency graduates were assigned to positions where they were needed. Having uniformed residents and preceptors facilitated the development of trust with military leaders and access to areas where OEM physician skills and knowledge could have a positive impact. Early reports indicated the residency was important in recruiting and retaining OEM physicians, with emphasis placed on supporting the Army industrial base. The late 1970s into the 1990s was a more dynamic period. There was heightened interest in environmental protection and restoration of military installations, and in the threats posed by nuclear, biological and chemical weapons. Additionally, President Reagan initiated a military buildup that brought new health risks to soldiers who would use and maintain modern equipment. Army OEM physicians were required to possess competencies in many areas, to include depots in the Army industrial base, occupational health for the soldier for exposures like carbon monoxide in armored vehicles, military unique exposures like those from chemical threat agents, and environmental medicine to assess health risks on contaminated U.S. military sites and from exposures of deployed forces. These offered interesting OEM training opportunities that challenged residents in the program and helped recruit new residents. DISCUSSION:The strength of the first Army OEM residency was that it was part of a dynamic cycle that consisted of identifying and defining Army OEM needs, training physicians to meet those needs and assigning residency graduates to positions where they would have a positive impact. This paradigm can be used as the basis for contemporary assessments of the Army's need for uniformed OEM physicians and a uniformed OEM residency program.
journal_name
Mil Medjournal_title
Military medicineauthors
Gaydos JC,Mallon TM,Rice WAdoi
10.7205/MILMED-D-16-00118subject
Has Abstractpub_date
2016-11-01 00:00:00pages
e1637-e1643issue
11eissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
历史文章,杂志文章abstract:INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz132
更新日期:2020-02-13 00:00:00
abstract::A case report is presented of a young male who sustained a second-degree frostbite injury to the oral cavity, to include lower lip, hard palate, tongue, and buccal mucosa. This unusual injury occurred as a result of substance abuse: an attempt to inhale an aerosolized propane propellant as a means to achieve euphoria....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::A 22-year-old male U.S. Navy airman with new nontender subcutaneous, 4-cm mass inferior to the right anterior costal margin was sent for routine biopsy. Sudden appearance of axillary lymph nodes prompted immediate excisional biopsy of the primary mass. Pathological evaluation was initially read as Onchocerca volvulus,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00400
更新日期:2011-09-01 00:00:00
abstract::The purpose of this study was to assess changes in alcohol, tobacco, and other drug use after the terrorist attacks of September 11 among a cohort of young military personnel consisting of 661 active duty Navy personnel, including 164 women. Paired sample t tests were computed to assess mean differences in substance u...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.10.829
更新日期:2004-10-01 00:00:00
abstract::Typical military tasks include load carriage, digging, and lifting loads. To avoid accumulation of fatigue, it is important to know the energy expenditure of soldiers during such tasks. The purpose of this study was to measure cardiorespiratory responses during military tasks in field conditions. Unloaded (M1) and loa...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00299
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:Endotracheal intubation (ETI) is an important skill for all emergency providers; our ability to train and assess our learners is integral to providing optimal patient care. The primary aim of this study was to assess the inter-rater reliability (IRR) and discriminant validity of a novel field ETI assessment ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00570
更新日期:2016-11-01 00:00:00
abstract::To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy291
更新日期:2019-03-01 00:00:00
abstract::During Operation Assured Response in Liberia and Sierra Leone, between May and July 1996, five confirmed cases of falciparum malaria occurred in U.S. Navy personnel. The threat of malaria in west central Africa was recognized from the outset, and preventive medicine guidance was given to all the units participating in...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:The Medical College Admissions Test (MCAT) is a high-stakes test required for entry to most U. S. medical schools; admissions committees use this test to predict future accomplishment. Although there is evidence that the MCAT predicts success on multiple choice-based assessments, there is little information ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00550
更新日期:2015-04-01 00:00:00
abstract::In the easily surveyable and rather homogeneous military population of the Norwegian Armed Forces, a group of 112 male suicide-attempting conscripts was studied retrospectively. Compared to a normal conscript population, suicide attempters more often had troublesome backgrounds, had experienced psychiatric problems an...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract:INTRODUCTION:Within the Military Health System (MHS), facilities have struggled to meet minimum recommended volume thresholds for certain procedures. Understanding variations in complication rates and cost can help policymakers tailor policy to target improvement. Our objective was to quantify the variation in bariatri...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz454
更新日期:2020-08-14 00:00:00
abstract::Teratomas of the testis in infants are rare tumors which often display immature elements, disturbing in their histologic appearance. Although the presence of similar histologic features worsens prognosis in testicular teratomas in adults and in teratomas of infants and children presenting at other anatomic sites, the ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-09-01 00:00:00
abstract::Unit watch over suicidal patients by nonmedical soldiers is often necessary in a deployed environment, but this strategy's risks may outweigh its benefits in a garrison environment. This case study illustrates risks of unit watches that are difficult for medical personnel to effectively mitigate. The suicidal soldier ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00519
更新日期:2015-06-01 00:00:00
abstract::The Wars in Afghanistan and Iraq witnessed the first widespread use of U.S. Army Forward Surgical Teams (FSTs). Although doctrinally designed to support maneuver brigades in a linear front conflict, FSTs were quickly adapted to fulfill area support and special operation support missions as part of Operation Enduring F...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00137
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:To optimally practice medicine, and to live healthy lives, providers and patients need convenient access to authoritative information. The goal of this study was to determine the information needs of naval primary care providers and patients at sea to aid development of a digital health sciences library for n...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-02-01 00:00:00
abstract:INTRODUCTION:Firearm-related injuries account for 20% of all injury-related deaths and are responsible for 105,000 injuries annually. The occurrence of bullet emboli to the heart is exceedingly rare. Given the rarity of emboli, controversy exists over management. The primary endpoint of this study is to establish a man...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx191
更新日期:2018-09-01 00:00:00
abstract::The Army experience with discharges against medical advice (AMA) from 1971 to 1988 is analyzed. AMA discharges have declined in a statistically significant manner in both medical centers and community hospitals. Discharges have decreased among men but increased among women. AMA discharges have decreased for both black...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-02-01 00:00:00
abstract:BACKGROUND:Deployed service members exposed to burn pit smoke can experience a multitude of symptoms. Respiratory symptoms after burn pit smoke exposure are well recognized, but neurologic symptoms are less well recognized. There are reports of migraines triggered by odors but no specific reports of new onset migraines...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00200
更新日期:2017-05-01 00:00:00
abstract::While on the surface the future of military GME appears uncertain, closer inspection demonstrates opportunities to achieve excellence in education. In many cases, programs will emerge with larger and more diverse faculty and increased collaboration with local institutions. On an individual level, military faculty will...
journal_title:Military medicine
pub_type: 社论
doi:
更新日期:2006-03-01 00:00:00
abstract:INTRODUCTION:Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. M...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx112
更新日期:2018-09-01 00:00:00
abstract::This paper reports on U.S. service members' satisfaction with family dental care. The data come from a 26-site survey of active duty Army, Navy, Marine, and Air Force personnel conducted from April 1994 to January 1995. Of 12,050 respondents (81% response rate) to a prestratified, random sample, 4,412 had at least one...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract::Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.551
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVES:The study establishes the functional outcomes of service personnel injured in current conflicts by correlating data on initial injury to the findings of medical boards after trauma and reconstructive treatment. Data comprehensively include all casualties of the Royal Navy and Royal Marines and all functional...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00180
更新日期:2013-11-01 00:00:00
abstract::The purpose of this study was to explore the nature of information in after-action reports in terms of nursing practice and the utility of using after-action reports in a feedback loop to improve nursing training. This was a three-phase, mixed-method, qualitative study, using focus groups, phone surveys, and e-mail su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.2.210
更新日期:2008-02-01 00:00:00
abstract::The Physical Training and Rehabilitation Program (PTRP) is a recovery and reintegration program for recruits in Initial Entry Training (IET) who are unable to continue training because of serious injury. This investigation examined PTRP admission incidence among recruits in IET at Forts Jackson, Leonard Wood, Benning,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00361
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:Canadian Armed Forces adopted fibrinogen concentrate (RiaSTAP) for hemostatic resuscitation in the far-forward combat setting, given its potential benefits of reducing blood loss, blood transfusion and mortality, and its long storage stability and high portability. The current guidance recommends that RiaS...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa409
更新日期:2020-11-16 00:00:00
abstract::The U.S. military may consider exploring the inclusion of the long-chain omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), in the diets of active duty military personnel. To be successful, certain challenges must be overcome including determining appropriate dosage, ensuring cost efficie...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00148
更新日期:2014-11-01 00:00:00
abstract::The purpose of this study was to evaluate the effects of the M17 and M43 protective masks on stereoacuity. Twelve subjects were tested on the Keystone diagnostic series stereopsis test at nearpoint and the Howard-Dolman apparatus at 40 cm and 6 m. Stereopsis was evaluated without a mask and with the M43 and M17 masks....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::Successful rehabilitation of female service members suffering traumatic injuries to the maxillofacial region is both a physiological and a psychological issue. A clinical evaluation to determine if an association exists between sex hormone levels and dental implant success was undertaken. Endosseous dental implants we...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract::This study seeks to investigate the mortality rates of U.K. servicemen with postcombat syndromes following the Boer War and World War I. Random samples of veterans awarded war pensions for either disordered action of the heart (DAH) or neurasthenia/shellshock were compared with gunshot wounded ex-servicemen as control...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00