Slabaugh Mark, Kopolovich Daniel, Robbins Richard J, Trappey Francois
United States Air Force Academy Clinic, U.S. Air Force Academy, Colorado.
San Antonio Military Medical Center, Ft. Sam Houston, Texas.
J Surg Orthop Adv. 2020 Summer;29(3):182-186.
The purpose of this study was to evaluate the operative experience of orthopaedic surgeons in the various deployment locations since 2012. We also evaluated the implications of humanitarian surgical care and the impact of deployment on an orthopaedic practice. An emailed survey was sent to orthopaedic surgeons deployed after 2012. The survey was 48 questions. Most cases in Iraq, Afghanistan and Syria were emergent traumas. In other locations, however, most cases were elective/non-emergent cases. Of surgeons surveyed, 44% performed less than 10 cases during their deployment, and 50% considered humanitarian surgery part of their mission. Six weeks was needed to prepare for deployment, and 4.4 weeks to re-build a practice. Disparity exists in surgical case volume and types of cases performed by orthopaedic surgeons that is dependent on deployed location. This dichotomy in operative experience places surgeons deployed to such locations at risk of losing surgical skills. (Journal of Surgical Orthopaedic Advances 29(3):182-186, 2020).
本研究的目的是评估自2012年以来骨科医生在不同部署地点的手术经验。我们还评估了人道主义外科护理的影响以及部署对骨科医疗实践的影响。通过电子邮件向2012年后部署的骨科医生发送了一份调查问卷。该调查问卷有48个问题。在伊拉克、阿富汗和叙利亚的大多数病例是紧急创伤。然而，在其他地点，大多数病例是择期/非紧急病例。在接受调查的外科医生中，44%在部署期间进行的手术少于10例，50%认为人道主义手术是其任务的一部分。部署需要六周时间准备，重建医疗实践需要4.4周时间。骨科医生进行的手术病例数量和病例类型存在差异，这取决于部署地点。这种手术经验的二分法使部署到这些地点的外科医生有失去手术技能的风险。（《外科骨科进展杂志》29(3):182 - 186, 2020）
