The Joint Emergency Medicine Exercise: A Capstone Training Evolution of a Military Unique Curriculum for Emergency Medicine Residents.


INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address this gap, the Naval Medical Center San Diego EM residency program introduced a Military Unique Curriculum (MUC) culminating in a capstone event, the Joint Emergency Medicine Exercise (JEMX). METHODS:Part of an approved Quality Improvement project, annual survey results from 2012 to 2017 evaluated graduate opinion on the strengths and weaknesses of the MUC. We describe a pilot project conceived by tri-service EM physicians to evaluate the feasibility of the JEMX. RESULTS:Forty-eight graduate residents responded to surveys, 18 of which were administered pre-MUC implementation. With a 100% response rate from graduate residents, overall trends showed greater perceived readiness for postresidency operational assignments after MUC implementation. Written comments received cited the MUC as areas where the Naval Medical Center San Diego EM program excelled and the successful JEMX evolutions as the most valuable curricular component of the MUC. CONCLUSION:An integrated MUC with a capstone exercise, such as our JEMX, provides a feasible and effective educational experience that improves operational readiness of graduating EM residents.


Mil Med


Military medicine


Engelbert LPR,Deaton TG,Walrath BD,Rudinsky SL




Has Abstract


2020-01-07 00:00:00




Suppl 1










  • Two-Stage Osseointegrated Reconstruction of Post-traumatic Unilateral Transfemoral Amputees.

    abstract::A new technique called osseointegration was introduced recently by intimately connecting the artificial limb prosthesis to the residual bone, eliminating the problematic socket-residuum interface. The objective here is to describe the two-stage strategy for the osseointegrated reconstruction of amputated limbs and dis...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Muderis MA,Lu W,Glatt V,Tetsworth K

    更新日期:2018-03-01 00:00:00

  • Three-dose vaccination of infants under 8 months of age with a conjugate Haemophilus influenzae type B vaccine.

    abstract::The first licensed Haemophilus influenzae type B (Hib) vaccines were of a purified capsular oligosaccharide. Unfortunately, oligosaccharides are poorly immunogenic in younger children and resulted in these vaccines not routinely being used until past the period of peak incidence of Hib disease. Subsequent Hib vaccine ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Rowe JE,Messinger IK,Schwendeman CA,Popejoy LA

    更新日期:1990-10-01 00:00:00

  • Historical Review: The U.S. Army Medical Belt for Front Line First Aid: A Well-Considered Design That Failed the Medical Department During the First World War.

    abstract::In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devise...

    journal_title:Military medicine

    pub_type: 历史文章,杂志文章


    authors: Wever PC,Korst MB,Otte M

    更新日期:2016-10-01 00:00:00

  • Perceptions of frontline providers on the appropriate qualifications for battalion level care in United States Army ground maneuver forces.

    abstract:OBJECTIVES:The U.S. Army emplaces physician assistants (PAs) in its maneuver battalions. When contingencies arise, clinic-based physicians join them to augment capability. Because both entities operate similarly, the policy permits a comparison of perceptions of optimal skill sets for the battalion medical mission. ME...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Malish RG,Maxwell GL,Witters R,Macias-Moriarity LZ,Gelperin RL

    更新日期:2011-12-01 00:00:00

  • Improving the adoption of evidence-based practice among nurses in Army outpatient medical treatment facilities.

    abstract::This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursing practice and culture. A conceptual mo...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章


    authors: Yackel EE,Short NM,Lewis PC,Breckenridge-Sproat ST,Turner BS

    更新日期:2013-09-01 00:00:00

  • Outcomes Following Multilevel Cervical Disc Arthroplasty in the Young Active Population.

    abstract:BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Zarkadis NJ,Cleveland AW,Kusnezov NA,Dunn JC,Caram PM,Herzog JP

    更新日期:2017-03-01 00:00:00

  • Academic medical centers: a prescription for success in an era of managed care and capitation.

    abstract::Academic medical centers (AMCs) have traditionally symbolized technological advancements and specialization in patient care. AMCs are defined as institutions that include at a minimum a hospital and associated clinics and a medical education role. Today, these institutions face a transition to managed care and radical...

    journal_title:Military medicine

    pub_type: 杂志文章,评审


    authors: Huntsinger CR Jr,Rubenstein DA

    更新日期:1999-08-01 00:00:00

  • Follow-up study on vision health readiness in the military.

    abstract::A retrospective study reviewed medical records of military personnel who had participated in a vision readiness study the previous year. The review evaluated (1) the number of personnel who returned for an eye examination (as recommended), (2) the number of dilated eye examinations, (3) the number of optical devices o...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Buckingham RS,McDuffie D,Whitwell K,Lee RB

    更新日期:2003-10-01 00:00:00

  • Physiological effects of night vision goggle counterweights on neck musculature of military helicopter pilots.

    abstract:UNLABELLED:Increased helmet-mounted mass and specific neck postures have been found to be a cause of increased muscular activity and stress. However, pilots who use night vision goggles (NVG) frequently use counterweight (CW) equipment such as a lead mass that is attached to the back of the flight helmet to provide bal...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Harrison MF,Neary JP,Albert WJ,Veillette MD,Forcest C,McKenzie NP,Croll JC

    更新日期:2007-08-01 00:00:00

  • The Winchester Accord: the Confederacy and the humane treatment of captive medical officers.

    abstract::Civil war prisoners of war fared badly. But there was one extraordinary wartime development that promoted the humane treatment of captive enemy soldiers. Beginning in June 1862, Union and Confederate authorities regarded medical officers as non-combatants. Largely attributable to the initiative of Hunter Holmes McGuir...

    journal_title:Military medicine

    pub_type: 传,历史文章,杂志文章


    authors: Breeden JO

    更新日期:1993-11-01 00:00:00

  • Vitamin D and prostate cancer survival in veterans.

    abstract::Prostate cancer remains the second most commonly diagnosed cancer among the male population worldwide. Vitamin D deficiency has been linked to prostate cancer and its aggressiveness. Herein, we initiated a retrospective study to evaluate vitamin D status and monitoring in veterans with prostate cancer, and to examine ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Der T,Bailey BA,Youssef D,Manning T,Grant WB,Peiris AN

    更新日期:2014-01-01 00:00:00

  • Vascularized plantar myocutaneous free flap transfer for amputee stump preparation: a proof of concept cadaver study.

    abstract::Lower extremity amputee stump ulceration, irritation, and pain have been a deterrent to consistent long-term or continuous use of lower extremity prosthetics. This study is the first in a series that hypothesizes that these complications can be minimized through the insetting of a vascularized plantar free flap (VPFF)...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Smith LN,Richards WT,Mozingo DW,Lottenberg L

    更新日期:2013-02-01 00:00:00

  • The Central Simulation Committee (CSC): a model for centralization and standardization of simulation-based medical education in the U.S. Army healthcare system.

    abstract::In this report, we describe the organizational framework, operations and current status of the Central Simulation Committee (CSC). The CSC was established in 2007 with the goals of standardizing simulation-based training in Army graduate medical education programs, assisting in redeployment training of physicians retu...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Deering S,Sawyer T,Mikita J,Maurer D,Roth BJ

    更新日期:2012-07-01 00:00:00

  • U.S. Soldiers and Foreign Language School: Stressors and Health.

    abstract:INTRODUCTION:While previous studies have examined the stress of the military training environment, studies have not systematically examined the stress associated with attending the Defense Language Institute Foreign Language Center (DLIFLC). Service members assigned to DLIFLC endure intense academic pressure to succeed...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Sipos ML,Lopez AA,Nyland J,Taylor MR,McDonald J,LoPresti ML,Cabrera OA,Adler AB

    更新日期:2019-07-01 00:00:00

  • The clinical detection of scleral icterus: observations of multiple examiners.

    abstract::Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examin...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Ruiz MA,Saab S,Rickman LS

    更新日期:1997-08-01 00:00:00

  • Review: management of adjustment disorder in the deployed setting.

    abstract::Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...

    journal_title:Military medicine

    pub_type: 杂志文章,评审


    authors: Fielden JS

    更新日期:2012-09-01 00:00:00

  • Dimensionality, reliability, and validity of the combat experiences scale.

    abstract::Few studies have measured combat exposure during deployment to a war zone. Valid, reliable, and specific measurement is needed to broaden existing knowledge of combat experiences to accurately answer clinically important questions regarding postcombat treatment and recovery, particularly with the recognition of new ki...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Guyker WM,Donnelly K,Donnelly JP,Dunnam M,Warner GC,Kittleson J,Bradshaw CB,Alt M,Meier ST

    更新日期:2013-04-01 00:00:00

  • Reaction of Army families with grade school children to the Active Duty Dependents Dental Insurance Plan.

    abstract::In March-May 1988, we collected data on enrollment of 1,445 Army families with grade school children in the Active Duty Dependents Dental Insurance Plan at two Army posts. We also surveyed their reactions to the plan. Results show that, although nearly two-thirds of families are enrolled in the plan, most consider the...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Chisick MC,Guerin RD,Williams TR

    更新日期:1992-06-01 00:00:00

  • Modeling intensive care unit census.

    abstract::A mathematical model revealing the relationships between bed capacity, average patient admission rate, average patient length of stay, utilization rate, and overfill rate in intensive care units is developed and explained. Mathematical model predictions are compared to predictions of two kinds of discrete event intens...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Lamiell JM

    更新日期:1995-05-01 00:00:00

  • Hormone-containing cosmetics may cause signs of early sexual development.

    abstract::Exogenous hormone exposure can cause early sexual development, but only one report suggests that this may occur secondary to the use of hair-care products. This study evaluated the usage frequency and biological effects of hormone-containing hair-care products. We reviewed the records of 102 consecutive dependent chil...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Zimmerman PA,Francis GL,Poth M

    更新日期:1995-12-01 00:00:00

  • Is a Dental Health Risk Assessment predictive of dental health?

    abstract::A complete dental examination is the basis for identifying the dental readiness of Air Force Reserve Command members. Historically, these were done on an infrequent basis. Recently, an annual dental examination has been mandated for all military members. Current dental personnel manning and resources are not sufficien...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Callison GM

    更新日期:2005-01-01 00:00:00

  • A profile of tobacco use among teenage dependents.

    abstract::This study profiles tobacco use by 2,241 dependent teenagers in grades 6-12 at two Army posts. Data were collected in February 1989 by self-administered questionnaires. Results show 40.9% of dependent teenagers have tried smoking and 16.4% have tried smokeless tobacco. Most youths who tried tobacco did so experimental...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Chisick MC,Lee S,Raker T,Williams TR

    更新日期:1992-07-01 00:00:00

  • Podiatric utilization referral patterns at an Army medical center.

    abstract::Presented is the first descriptive data on a large military Podiatry Clinic supporting largely combat troops. Data consist of initial podiatric problems of soldiers and other beneficiaries of podiatric care. Demographic, physician referral patterns, and other pertinent summarized survey information of outpatient utili...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Jones RO,Christenson CJ,Lednar WM

    更新日期:1992-01-01 00:00:00

  • A study of cancer in the military beneficiary population.

    abstract::This study's objective was to describe: (1) patterns of cancer prevalence and type, (2) patient demographics, and (3) the sources, and cost, of medical care in the military beneficiary population using the Military Health System administrative databases. Calendar year 2002 patient enrollment, inpatient and outpatient ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Crawford RS 3rd,Wu J,Park D,Barbour GL

    更新日期:2007-10-01 00:00:00

  • A NATO guide for assessing deployability for military personnel with chronic medical conditions: medical fitness for expeditionary missions, Task Group 174, Human Factors, and Medicine Panel.

    abstract:BACKGROUND:Each time a deployed military member has an exacerbation of a pre-existing chronic disease there is a potential risk to mission success, individual health, and the safety of the unit. Currently, North Atlantic Treaty Organization (NATO) member nations employ different approaches to assessing an individual's ...

    journal_title:Military medicine

    pub_type: 杂志文章,实务指引


    authors: Russell R,Reid A,Borgers G,Wassink H,Grove A,Niebuhr DW,North Atlantic Treaty Organization.

    更新日期:2014-12-01 00:00:00

  • Efficacy of a cognitive-behavioral program to improve psychological adjustment among soldiers in recruit training.

    abstract::This study evaluated the efficacy of a brief cognitive-behavioral program in modifying causal attributions, expectancy of control, coping strategies, and psychological adjustment in a sample of Australian Army soldiers undergoing a 45-day recruit training program. Participants (N = 174) were randomly allocated within ...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Cohn A,Pakenham K

    更新日期:2008-12-01 00:00:00

  • Planning for medical support of disasters.

    abstract::Disaster health care plans require that planners consider personnel, equipment, supplies (including pharmaceuticals), and logistical support for transportation, food, water, and resupply. The authors believe that military Table of Organization and Equipment (TOE) hospitals have the potential to be invaluable sources o...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Haines ET,Weidenbach B

    更新日期:1993-10-01 00:00:00

  • Ophthalmomyiasis during Operation Desert Shield.

    abstract::A case of fly larva infestation of the eye (ophthalmomyiasis) is reported in an American soldier serving in Operation Desert Shield. Background information, prognosis, and treatment are discussed. ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Torok PG,Davis DL,Roley E

    更新日期:1991-08-01 00:00:00

  • No wrong door to smoking cessation care: a Veterans Affairs Chaplain survey.

    abstract::Cigarette smoking disproportionately affects veterans, particularly those with psychiatric diagnoses. Chaplains working within the Department of Veterans Affairs (VA) play key roles in emotional, physical, and spiritual health care of veterans, and veterans often turn to chaplains with mental health concerns. The VA/D...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Van Voorhees EE,Hamlett-Berry K,Christofferson DE,Beckham JC,Nieuwsma JA

    更新日期:2014-05-01 00:00:00

  • Rubella outbreak, Fort Bragg, North Carolina, 1995: a clash of two preventive strategies.

    abstract::An outbreak of rubella occurred among visiting German troops involved in a combined military exercise at Fort Bragg, North Carolina, in April 1995. Public health and military operational concerns centered on the significant contact the German soldiers had had with host battalion dependents and the impact of the outbre...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Craig SC,Broughton G 2nd,Bean J,McKee KT Jr

    更新日期:1999-09-01 00:00:00