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










  • High-intensity tasks with external load in military applications: a review.

    abstract::This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...

    journal_title:Military medicine

    pub_type: 杂志文章,评审


    authors: O'Neal EK,Hornsby JH,Kelleran KJ

    更新日期:2014-09-01 00:00:00

  • Management of a multinational mass fatality incident in Kaprun, Austria: a forensic medical perspective.

    abstract::The Armed Forces Regional Medical Examiner in Europe is responsible for medico-legal death investigations for the U.S. military in 89 countries in Europe, Southwest Asia, and Africa. The Disaster Mortuary Affairs Response Team (DMART) is a rapidly deployable, experienced, multidisciplinary team patterned after the reg...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Labovich MH,Duke JB,Ingwersen KM,Roath DB

    更新日期:2003-01-01 00:00:00

  • High-resolution ultrasound findings in the symptomatic residual limbs of amputees.

    abstract:INTRODUCTION:Amputations are increasingly prevalent because of medical complications associated with diabetes, meningitis, peripheral vascular disease, and neoplasms as well as road traffic accidents and war. The use of ultrasound (U/S) to diagnose the cause of pain in the residual limb of amputees is presented togethe...

    journal_title:Military medicine

    pub_type: 杂志文章,评审


    authors: O'Reilly MA,O'Reilly PM,O'Reilly HM,Sullivan J,Sheahan J

    更新日期:2013-12-01 00:00:00

  • The military emergency tourniquet program's lessons learned with devices and designs.

    abstract:OBJECTIVE:The purpose of this study is to report the device lessons learned from an emergency tourniquet program and, in particular, to emphasize analysis of discarded devices recovered after clinical use. METHODS:Discarded tourniquet devices were analyzed after use in emergency care of war casualties to determine wea...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Kragh JF Jr,O'Neill ML,Walters TJ,Dubick MA,Baer DG,Wade CE,Holcomb JB,Blackbourne LH

    更新日期:2011-10-01 00:00:00

  • Return to Military Duty After Anterior Cruciate Ligament Reconstruction.

    abstract:Background:Return to play and risk factors for functional limitations have been widely reported among athletes following anterior cruciate ligament reconstruction (ACLR) but has not been well studied in the military population. Methods:We conducted a retrospective review of all active duty service members who underwen...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Antosh IJ,Patzkowski JC,Racusin AW,Aden JK,Waterman SM

    更新日期:2018-01-01 00:00:00

  • Combat medicine in Afghanistan.

    abstract::I visited Afghanistan during the recent conflict. The conditions were primitive, and all patients with major injuries died in the field. Those who could make the 2 to 3 week trip over the mountains to Pakistan received only basic medical care at best. Without air superiority and helicopter evacuation, this could be th...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: LaTourette G

    更新日期:1990-05-01 00:00:00

  • Ischemic colitis of the ascending colon: a diagnostic and management conundrum.

    abstract::Ischemic colitis is the most common form of intestinal ischemia. It most commonly involves the left side of the colon presenting with acute onset of abdominal pain followed by bloody diarrhea. Involvement of only the right or ascending colon is an infrequent occurrence. Because this problem is less recognized than its...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Lucha PA Jr

    更新日期:2008-03-01 00:00:00

  • Lessons learned from producing health information booklets for deploying U.S. military personnel.

    abstract::Health information booklets deliver information to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know of the materials produced to meet this need so that they can facilitate booklet distribution....

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Huycke KA,Gambel JM,Petruccelli BP,Wasserman GM

    更新日期:1997-03-01 00:00:00

  • Shortening and angulation for soft-tissue reconstruction of extremity wounds in a combat support hospital.

    abstract:BACKGROUND:Bone and soft-tissue loss are common extremity injuries sustained in current military conflicts. Selected host national patients had their definitive orthopedic care performed at our combat support hospital. Soft-tissue reconstruction can be a challenging task in this environment. There are several situation...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hsu JR,Beltran MJ,Skeletal Trauma Research Consortium.

    更新日期:2009-08-01 00:00:00

  • Spine Injuries Sustained by U.S. Military Personnel in Combat are Different From Non-Combat Spine Injuries.

    abstract::Spine injuries are more prevalent among Iraq and Afghanistan veterans than among veterans of previous conflicts. The purpose of this investigation was to characterize the context, mode, and clinical outcomes of spine injuries sustained by U.S. military personnel in theater. Injury and clinical data from patients who s...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Szuflita NS,Neal CJ,Rosner MK,Frankowski RF,Grossman RG

    更新日期:2016-10-01 00:00:00

  • Military Health Provider Training and Evaluation of a Problem-Solving Intervention to Reduce Distress and Enhance Readiness Among Service Members.

    abstract:INTRODUCTION:Department of Defense (DoD) has identified problem-solving training (PST) as a promising prevention/early intervention for mental health disorders. PST is a four-session group intervention that emphasizes building problem-solving and coping skills to mitigate emotional dysregulation and the adverse effects...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Cooper DC,Bates MJ

    更新日期:2019-05-01 00:00:00

  • Providing managed care options for a large population: evaluating the CHAMPUS reform initiative. Civilian Health and Medical Program of the Uniformed Services.

    abstract:OBJECTIVES:To evaluate a managed care demonstration project in CHAMPUS (Civilian Health and Medical Program of the Uniformed Services), the insurance program covering physical and mental health care services for the dependents of active duty military personnel, military retirees, and the retirees' dependents. The demon...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章


    authors: Zwanziger J,Kravitz RL,Hosek SD,Hart K,Sloss EM,Sullivan O,Kallich JD,Goldman DP

    更新日期:2000-05-01 00:00:00

  • Attention deficit hyperactivity disorder subtypes and their relation to cognitive functioning, mood states, and combat stress symptomatology in deploying U.S. soldiers.

    abstract:OBJECTIVES:To explore the relationship between adult attention deficit hyperactivity disorder (ADHD) subtypes and neuropsychological functioning among U.S. soldiers. METHODS:Deploying soldiers (N = 260) completed the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener. Cognitive tests, a deployment ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hanson JA,Haub MD,Walker JJ,Johnston DT,Goff BS,Dretsch MN

    更新日期:2012-06-01 00:00:00

  • Building strong and ready Army families: a multirisk reduction health promotion pilot study.

    abstract::A quasi-experimental prospective study was conducted to assess the stage of change progression and elimination of unhealthy behaviors among active duty Army soldiers and their spouses (N = 245) before and after attending a community-based wellness program. Significant differences in stage progression between the inter...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Niederhauser VP,Maddock J,LeDoux F,Arnold M

    更新日期:2005-03-01 00:00:00

  • Septic syndrome and septic shock in the wounded treated at the Split Clinical Hospital Intensive Care Unit.

    abstract:INTRODUCTION:A retrospective study on the occurrence of septic syndrome and septic shock, as well as multiorgan failure, in the wounded at the Split Clinical Hospital Intensive Care Unit (ICU). PATIENTS AND METHODS:From 1991 to 1995, 257 wounded persons were treated at the Split Clinical Hospital ICU. Criteria for sep...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Bacić A,Gluncić I

    更新日期:1997-05-01 00:00:00

  • Ethylene glycol toxicity.

    abstract::Ethylene glycol is an inexpensive, readily available substance that may be associated with accidental or intentional toxicity. Toxicity from this substance may be encountered in the military and civilian populations. Because it is highly toxic and can result in death if not treated appropriately, it is imperative to r...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Cox RD,Phillips WJ

    更新日期:2004-08-01 00:00:00

  • The Impact of Adherence to Treatment for ADHD on the Quality of Military Service - The Israeli Military Experience.

    abstract:INTRODUCTION:Attention deficit hyperactive disorder (ADHD) is prevalent in 5.9-7.1% of children and adolescents, and 5% of adults. It results in poor academic, occupational, and social functioning. Pharmacotherapy improves core symptoms; however, average adherence levels are low and decrease at 16-17 years of age, just...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Zur M,Magnezi R,Portuguese S,Reuveni I,Kedem R,Fruchter E

    更新日期:2018-09-01 00:00:00

  • Positive and negative consequences of a military deployment.

    abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Newby JH,McCarroll JE,Ursano RJ,Fan Z,Shigemura J,Tucker-Harris Y

    更新日期:2005-10-01 00:00:00

  • A Tale of Two Compulsions - Two Case Studies Using Accelerated Resolution Therapy (ART) for Obsessive Compulsive Disorder (OCD).

    abstract::Although research for accelerated resolution therapy (ART) has been predominately for post-traumatic stress disorder, ART has shown promise as a treatment for other behavioral health conditions as well. ART is a brief, trauma-focused, eye movement-based therapy that has been successfully utilized to treat a wide array...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Schimmels J,Waits W

    更新日期:2019-05-01 00:00:00

  • A Comparative in vivo Study of Semi-constrained and Unconstrained Cervical Artificial Disc Prostheses.

    abstract:PURPOSE:The objective of this study is to directly compare different types of cervical artificial disc implants using an in vivo model capable of simulating the axial load on a neck that is similar to the human neck. METHODS:Cervical arthroplasty was performed at C3-4 in 14 healthy female adult Alpine goats. The goats...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Choi H,Baisden JL,Yoganandan N

    更新日期:2019-03-01 00:00:00

  • Relations Between Cognitive Functioning and Alcohol Use, Craving, and Post-Traumatic Stress: An Examination Among Trauma-Exposed Military Veterans With Alcohol Use Disorder.

    abstract::Cognitive dysfunction is commonly observed among individuals with alcohol use disorder (AUD) and trauma exposure and is, in turn, associated with worse clinical outcomes. Accordingly, disruptions in cognitive functioning may be conceptualized as a trans-disease phenomenon representing a potential high-yield target for...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Heinz AJ,Pennington DL,Cohen N,Schmeling B,Lasher BA,Schrodek E,Batki SL

    更新日期:2016-07-01 00:00:00

  • Developing military nursing research priorities.

    abstract::Congress established the TriService Nursing Research Program (TSNRP) in 1992 to serve the nursing research needs of the military. The TSNRP advances the science of military nursing to support mission readiness and deployment, improves the health and quality of life of military personnel, and provides optimal nursing c...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Duong DN,Schempp C,Barker E,Cupples S,Pierce P,Ryan-Wenger N,Turner M,Young-McCaughan S

    更新日期:2005-05-01 00:00:00

  • Efficacy of Hemostatic Gauzes in a Swine Model of Prolonged Field Care with Limb Movement.

    abstract:INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Landers GD,Townsend C,Gaspary M,Kachur R,Thorne B,Stuart S,Henao J,Zarow GJ,Natarajan R,Boboc M

    更新日期:2021-01-25 00:00:00

  • Intersex patients in military service.

    abstract::The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex con...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Marom T,Itskoviz D,Ostfeld I

    更新日期:2008-11-01 00:00:00

  • Risk Factors for Rhabdomyolysis in the U.S. Army.

    abstract::The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkale...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hill OT,Scofield DE,Usedom J,Bulathsinhala L,McKinnon C,Kwon P,Haley T,Carter R 3rd

    更新日期:2017-07-01 00:00:00

  • Utility of the trauma symptom inventory for the assessment of post-traumatic stress symptoms in veterans with a history of psychological trauma and/or brain injury.

    abstract::Correspondence of three core Trauma Symptom Inventory (TSI) posttraumatic stress disorder (PTSD) scales (Intrusive Experiences, Defensive Avoidance, and Anxious Arousal) and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV) PTSD module were examined among 72 veterans with traumatic brain injury (...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Bahraini NH,Brenner LA,Harwood JE,Homaifar BY,Ladley-O'Brien SE,Filley CM,Kelly JP,Adler LE

    更新日期:2009-10-01 00:00:00

  • Self-collection of group B Streptococcus cultures in pregnant women.

    abstract:OBJECTIVE:This study assesses the sensitivity of self-collected rectovaginal culture specimens for group B Streptococcus by pregnant patients. METHODS:A volunteer sample of 240 pregnant women at 28 weeks gestation self-collected rectovaginal culture swabs to screen for the presence of group B Streptococcus. The patien...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Spieker MR,White DG,Quist BK

    更新日期:1999-07-01 00:00:00

  • Long-Term Outcomes of Refractive Surgery Performed During the Military.

    abstract:INTRODUCTION:To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population. MATERIALS AND METHODS:Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.) obtained ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Godiwalla RY,Magone MT,Kaupp SB,Jung H,Cason JB

    更新日期:2019-12-01 00:00:00

  • Intubating laryngeal mask airway versus laryngoscopy and endotracheal intubation in the nuclear, biological, and chemical environment.

    abstract:OBJECTIVE:Intubation is a difficult skill under normal circumstances and more so with a limited visual field such as wearing a protective mask in a chemical or biological incident. This study sought to determine whether successful intubation using the intubating laryngeal mask airway (ILMA) under protective mask condit...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Wedmore IS,Talbo TS,Cuenca PJ

    更新日期:2003-11-01 00:00:00

  • Comparison of the Effects of Motion and Environment Conditions on Accuracy of Handheld and Finger-Based Pulse Oximeters.

    abstract:INTRODUCTION:The most common cause of preventable death on the battlefield is significant blood loss, eventually causing decrease in tissue oxygen delivery. Pulse oximeters (POs) are widely used by the Israeli Defense Forces to obtain fast and noninvasive information about peripheral oxygen saturation (SpO2). However, ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Mark N,Lyubin A,Gerasi R,Ofir D,Tsur AM,Chen J,Bader T

    更新日期:2021-01-25 00:00:00