De Lorenzo Robert A
Department of Emergency Medicine, Brooke Army Medical Center, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX 78234-6200, USA.
Mil Med. 2005 Oct;170(10):824-30. doi: 10.7205/milmed.170.10.824.
The prosecution of modern war and the competing missions of peacekeeping, humanitarian missions, and beneficiary care place great demands on the military medical system. Meeting the military medical training challenges of the new millennium requires the best trained and most experienced medical personnel possible. Various strategies for initial and sustainment (continuing) medical training are available to ensure that the medical force is ready for the next mission. Accredited programs both in and out of the military are the mainstay of training for both enlisted personnel and officers, with professional certification serving as the standard for competency. Clinical sustainment training can take place in military medical treatment facilities, civilian institutions, or a combination of the two. When direct patient care opportunities cannot provide the proper mixture of experiences to maintain certain skills, short courses, distance education, and patient simulators can play important roles. Because each training strategy offers certain advantages in different settings, it is likely that military medical departments will need to use all of them. An optimal training environment benefits from all strategies used, in combination or separately.
现代战争的开展以及维和、人道主义任务和受益人员护理等相互竞争的任务，对军事医疗系统提出了巨大要求。应对新千年的军事医疗培训挑战需要尽可能训练有素且经验丰富的医务人员。有多种针对初始和持续（继续）医疗培训的策略，以确保医疗部队为下一次任务做好准备。军队内外经认可的项目是士兵和军官培训的支柱，专业认证是能力的标准。临床持续培训可在军事医疗设施、民用机构或两者结合的地方进行。当直接的患者护理机会无法提供维持某些技能所需的适当经验组合时，短期课程、远程教育和患者模拟器可发挥重要作用。由于每种培训策略在不同环境中都有一定优势，军事医疗部门可能需要运用所有这些策略。一个优化的培训环境受益于所使用的所有策略，无论是综合使用还是单独使用。
