Knuth T E, Wilson A, Oswald S G
Perioperative Services, Uniformed Services University of the Health Sciences, Blanchfield Army Community Hospital, Fort Campbell, KY 42223, USA.
Mil Med. 1998 Sep;163(9):608-14.
The Regional Trauma Network was launched in 1996 to provide trauma training opportunities for Army surgeons in the Southeast Regional Medical Command. Training directors at eight civilian level I trauma centers agreed to allow military surgeons to function at the fellowship level of responsibility for up to 30 days at a time. In the first year, 7 surgeons participated in rotations at five different centers and 13 surgeons attended nationally recognized trauma symposia. The response from participating civilian and military participants has been overwhelmingly positive as confidence and enthusiasm for treating seriously injured patients are refreshed. Significant lessons were learned in providing good clinical training experiences, administering a regional program, and measuring the costs and benefits of additional readiness training. Although the data collection processes were devised to capture both the actual and the opportunity costs of training at civilian centers, more participants are needed before a conclusive analysis can be made. A joint services effort on a regional basis and support throughout the chain of command are key to strengthening the surgical readiness training program.
地区创伤网络于1996年启动，为东南地区医疗司令部的陆军外科医生提供创伤培训机会。八个一级民用创伤中心的培训主任同意允许军事外科医生每次以研究员级别的职责工作长达30天。第一年，7名外科医生在五个不同的中心参加了轮转，13名外科医生参加了全国认可的创伤研讨会。参与的民用和军事参与者的反应非常积极，因为对治疗重伤患者的信心和热情得到了恢复。在提供良好的临床培训经验、管理区域项目以及衡量额外战备培训的成本和效益方面学到了重要经验。尽管设计了数据收集流程以获取在民用中心培训的实际成本和机会成本，但在进行 conclusive 分析之前还需要更多参与者。在区域基础上的联合服务努力以及整个指挥链的支持是加强外科战备培训计划的关键。
