Varpio Lara, Bader Larsen Karlen, Hamwey Meghan, Semelrath Kevin, Paradis Elise
Department of Medicine, Uniformed Services University of the Health Sciences , Bethesda, MD, USA.
The Henry M Jackson Foundation for the Advancement of Military Medicine , Bethesda, MD, USA.
J Interprof Care. 2021 Jan-Feb;35(1):55-63. doi: 10.1080/13561820.2020.1711718. Epub 2020 Feb 18.
Research into military interprofessional healthcare teams (MIHTs) is rarely reported in the interprofessional literature. MIHTs must effectively collaborate in the low resource and chaotic contexts of humanitarian and combat deployments; however, we have yet to study how MIHTs learn to work in these contexts. To address this gap, we investigated military interprofessional education (MIPE). Using an ethnographic approach, we conducted non-participant observations (n = 30.5 hours) of a specific platoon (n = 32 participants) during an MIPE simulation called Operation Bushmaster - a large-scale immersive simulation of battlefield deployment. Findings indicated three aspects of MIPE: (1) a culture where ; (2) the importance of ; and (3) an interprofessional respect fostered by . Considering these findings through Dweck's conceptualization, we suggest that - although unusual when compared with traditional IPE - MIPE's teaching and learning methods provide developmental opportunities for team members. We also suggest why Dweck's mind-set conceptualizations could be usefully extended from an individual-focus to also include a collaborative-team-focus. We contend that the findings developed from this research could be transferred to civilian contexts so that the lessons learned by those who serve on the war front could inform those who serve at home.
关于军事跨专业医疗团队(MIHTs)的研究在跨专业文献中鲜有报道。MIHTs必须在人道主义和战斗部署的资源匮乏且混乱的环境中有效协作;然而,我们尚未研究MIHTs如何学习在这些环境中工作。为了填补这一空白,我们对军事跨专业教育(MIPE)进行了调查。我们采用人种志方法,在名为“丛林大师行动”的MIPE模拟期间,对一个特定排(32名参与者)进行了非参与观察(共30.5小时)——这是一次大规模的沉浸式战场部署模拟。研究结果表明了MIPE的三个方面:(1)一种……的文化;(2)……的重要性;(3)由……培养的跨专业尊重。通过德韦克的概念化来考虑这些发现,我们认为——尽管与传统的IPE相比不常见——MIPE的教学方法为团队成员提供了发展机会。我们还提出了为什么德韦克的思维模式概念化可以从关注个人有效地扩展到也包括关注协作团队。我们认为,这项研究得出的结果可以应用于民用环境,以便那些在战争前线服役的人所学到的经验教训能够为那些在后方服役的人提供参考。