军民合作与临床战备任务：来自军事卫生系统和美国外科医师学会的一项初步研究。
Military-civilian partnerships and the clinical readiness mission: A preliminary study from the Military Health System and the American College of Surgeons.
作者信息
Grabo Daniel J, Gurney Jennifer M, Parascandola Lowell, Knudson M Margaret
机构信息
From the Department of Surgery (D.J.G.), West Virginia University, Morgantown, West Virginia; US Army Institute of Surgical Research (J.M.G.); Defense Committee on Trauma; Joint Trauma System (J.M.G.), San Antonio, Texas; West Virginia University (L.P.), Morgantown, West Virginia; and University of California San Francisco (M.M.K.), San Francisco, California, Uniformed Services University for the Health Sciences (M.M.K.), Bethesda, Maryland, Military Health System Strategic Partnership (M.M.K.), American College of Surgeons, Chicago, Illinois.
出版信息
J Trauma Acute Care Surg. 2022 Aug 1;93(2S Suppl 1):S16-S21. doi: 10.1097/TA.0000000000003704. Epub 2022 May 18.
BACKGROUND
The Blue Book , published in conjunction with the Military Health System Strategic Partnership with the American College of Surgeons, serves as a reference manual for institutions wishing to establish a military-civilian partnership (MCP). To evaluate the applicability of the criteria contained in the Blue Book , we created a survey to be distributed to MCP military surgeons and their civilian host champions.
METHODS
E-mail surveys were sent to MCP military surgeons and civilian host champions. Military surgeons were queried about basic demographic information and aspects of the MCP including type, duration of assignment, onboarding, malpractice coverage, and billing for services. We gathered information on the role of military surgeons at the MCP, workload information, and trauma cases. The civilian host champions survey focused on institutional activities including trauma surgical volume, clinical and educational opportunities for the military surgeons, and exposure to research. Military-civilian partnership military surgeons and civilian host champions were questioned on program attributes: administrative support, budget, and profile of the program within the institution.
RESULTS
Ten MCP military surgeons and 7 host champions completed surveys. The majority of military surgeons were assigned to the MCP for a 3-year instructor role (90%), and most were trauma surgeons (80%). Clinical activities for the military surgeon were where 60% spent ≥13 weeks annually on trauma. Military surgeons identified host program support in academic growth, deployment preparation, and sense of value at the MCP as positive attributes. Civilian host champions unanimously reported that exposure to research, opportunities to lead trauma teams, dedicated intensive care unit time, and patient volume were positive program attributes.
CONCLUSION
This preliminary survey demonstrates that the criteria put forth in the Blue Book align with experiences of MCP military surgeons and host champions. Continued development of this survey and others like it may be useful in the MCP program selection and evaluation process.
LEVEL OF EVIDENCE
Therapeutic/care management; Level V.
背景
与美国外科医师学会军事卫生系统战略伙伴关系联合出版的《蓝皮书》，作为希望建立军民伙伴关系（MCP）的机构的参考手册。为评估《蓝皮书》中标准的适用性，我们创建了一项调查，分发给MCP的军事外科医生及其 civilian host champions。
方法
通过电子邮件向MCP的军事外科医生和 civilian host champions 发送调查问卷。询问军事外科医生的基本人口统计学信息以及MCP的各个方面，包括类型、任务期限、入职培训、医疗事故保险范围和服务计费。我们收集了军事外科医生在MCP中的角色信息、工作量信息和创伤病例。 civilian host champions 调查问卷聚焦于机构活动，包括创伤手术量、军事外科医生的临床和教育机会以及研究接触情况。就项目属性对军民伙伴关系军事外科医生和 civilian host champions 进行了询问：行政支持、预算以及该项目在机构内的形象。
结果
10名MCP军事外科医生和7名 host champions 完成了调查。大多数军事外科医生被分配到MCP担任为期3年的教员角色（90%），并且大多数是创伤外科医生（80%）。军事外科医生的临床活动方面，60%的人每年在创伤方面花费≥13周时间。军事外科医生认为在学术成长、部署准备以及在MCP中的价值感方面，主办方项目的支持是积极属性。 civilian host champions 一致报告称，接触研究、领导创伤团队的机会、专门的重症监护病房时间以及患者数量是该项目的积极属性。
结论
这项初步调查表明，《蓝皮书》中提出的标准与MCP军事外科医生和主办方 champion 的经验相符。继续开展这项调查以及类似调查可能有助于MCP项目的选择和评估过程。
证据水平
治疗/护理管理；V级。
Zotero 插件