88th Surgical Operations Squadron, Wright Patterson Medical Center, Wright Patterson AFB, OH 45433, USA.
Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Mil Med. 2021 Jul 1;186(7-8):183-186. doi: 10.1093/milmed/usab162.
Military treatment facility-assigned surgeons face numerous challenges in maintaining critical wartime skills, including the "peacetime effect" and the "dual mission." Using the field of plastic surgery to illustrate these issues, we contrast plastic surgeons' contributions to combat casualty care with primary data describing plastic surgeons' clinical practice in many military hospitals. Then, we outline the current administrative mechanisms being promoted at the enterprise-level for surgeons to gain a more mission-focused, clinical practice, while also examining significant shortcomings in these policies. Finally, we conclude with a call to action for the military surgical community to accelerate change in the development of more robust clinical practices for our surgeons, or potentially lose our ability to field a ready surgical force.
军医院指派的外科医生在维持关键战时技能方面面临诸多挑战，包括“和平时期效应”和“双重任务”。我们以整形外科学领域为例来说明这些问题，对比了整形医生在战斗伤员救治中的贡献和描述许多军队医院整形医生临床实践的原始数据。然后，我们概述了目前在企业层面上为外科医生推行的行政机制，以使其获得更注重任务的临床实践，同时也研究了这些政策的重大缺陷。最后，我们呼吁军队外科学界加快发展更强大的临床实践，以提高我们外科医生的能力，否则我们可能会失去组建一支随时可用的外科力量的能力。
