Has Current French Training for Military Orthopedic Surgeons Deployed in External Operations Been Appropriately Adapted?

Barbier, Olivier; Racle, Maelle

doi:10.1093/milmed/usy013

Cited by 8 publications

(3 citation statements)

References 31 publications

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“…Lectures, discussions, role-playing, ’hands-on’ basic skills training, materials, videos and simulations were used as in-person modalities. Additionally, 9 studies [ 27 , 84 , 86 , 90 , 118 , 225 , 264 , 298 , 308 ] suggested a professional approach (such as Masters degrees and postgraduate studies in universities) as a way of preparing healthcare workers for health emergencies.…”

Section: Resultsmentioning

confidence: 99%

“…On training methods, 68 studies [ 13 – 17 , 20 – 25 , 27 – 30 , 32 , 33 , 37 , 41 , 45 , 47 , 48 , 53 , 58 , 59 , 62 , 65 , 68 , 79 , 84 , 85 , 87 , 88 , 90 , 93 , 97 , 111 , 123 – 125 , 138 , 141 , 145 , 146 , 148 , 153 , 161 , 167 , 168 , 170 , 193 , 204 , 214 , 216 , 247 , 251 , 255 , 261 , 294 , 297 , 298 , 300 , 304 , 313 , 321 , 322 …”

Section: Prominent Topic Areasunclassified

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Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

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Background Keeping the health workforce and the public informed about the latest evolving health information during a health emergency is critical to preventing, detecting and responding to infectious disease outbreaks or other health emergencies. Having a well-informed, ready, willing, and skilled workforce and an informed public can help save lives, reduce diseases and suffering, and minimize socio-economic loss in affected communities and countries. Providing “just in time” support and opportunities for learning in health emergencies is much needed for capacity building. In this paper, ‘learning intervention’ refers to the provision of ad-hoc, focused, or personalized training sessions with the goal of preparing the health workers for emergencies or filling specific knowledge or skill gaps. We refer to ‘training methods’ as instructional design strategies used to teach someone the necessary knowledge and skills to perform a task. Methods We conducted a scoping review to map and better understand what learning interventions and training methods have been used in different types of health emergencies and by whom. Studies were identified using six databases (Pubmed/Medline, Embase, Hinari, WorldCat, CABI and Web of Science) and by consulting with experts. Characteristics of studies were mapped and displayed and major topic areas were identified. Results Of the 319 records that were included, contexts most frequently covered were COVID-19, disasters in general, Ebola and wars. Four prominent topic areas were identified: 1) Knowledge acquisition, 2) Emergency plans, 3) Impact of the learning intervention, and 4) Training methods. Much of the evidence was based on observational methods with few trials, which likely reflects the unique context of each health emergency. Evolution of methods was apparent, particularly in virtual learning. Learning during health emergencies appeared to improve knowledge, general management of the situation, quality of life of both trainers and affected population, satisfaction and clinical outcomes. Conclusion This is the first scoping review to map the evidence, which serves as a first step in developing urgently needed global guidance to further improve the quality and reach of learning interventions and training methods in this context.

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Section: Resultsmentioning

confidence: 99%

Section: Prominent Topic Areasunclassified

Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

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“…The curriculum is more and more determined by early hyperspecialisation, with little possibility of experiencing other surgical specialties, even within or related to the chosen specialty. Thus, deployments, which may require broader medical expertise, necessitate an additional level of preparedness among young military surgeons 3 4 8–10. The supplementary education can include compulsory additional training under the aegis of the Val-de-Grâce School for two semesters outside the specialty, extra-curricular courses (Advanced Course for Deployment Surgery; ACDS11 and ATLS)12 and a fellowship abroad.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a fellowship abroad as part of the initial training of the French military surgeon

et al. 2020

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IntroductionMilitary surgery requires skills that in general cannot be easily learnt in civilian training. Participation in a fellowship abroad adapted to the particular operating conditions of the foreign deployment is one route that might secure the necessary supplementary training. We therefore assessed the relevance of such a fellowship in the preparedness of young military surgeons in their first deployment.MethodsThis study included all active military surgeons who had completed a fellowship abroad during their initial training from 2004 to 2017 in Tchad or Senegal or Djibouti. The collection of data was performed using a questionnaire. The main judgement criterion was the rate of positive answers awarded to the relevance of this fellowship in the preparedness of respondents’ first foreign deployment.ResultsSixty-nine of 73 surgeons answered. Sixty-one estimated the fellowship had allowed them to feel more operational during their first mission, with 83.61% rating this feeling as important. Also, 61 recommended the use of a fellowship for war surgery training. The grade assigned to the surgical benefit was 8.48/10.ConclusionA fellowship abroad permits one to become familiar with surgical practice under austere circumstances and the particularities of the surgical structures at the front. Current trainees’ feedback confirms its relevance.

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Role of Cancer Surgery in the Improvement of the Operative Skills of Military Surgeons During Deployment: A Single-Center Study

et al. 2021

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Introduction The maintenance of military surgeons’ operative skills is challenging. Different and specific training strategies have been implemented in this context; however, little has been evaluated with regard to their effectiveness. Cancer surgery is a part of military surgeons’ activities in their home hospitals. This study aimed to assess the role of oncological surgery in the improvement of military surgeons’ operative skills. Methods Between January and June 2019, the surgical activities of the departments of visceral, ear, nose, and throat, urological, and thoracic surgery were retrospectively reviewed and assessed in terms of the operative time (OT). All surgeons working at the Sainte Anne Military Teaching Hospital were sent a survey to rate on a 5-point scale the current surgical practices on their usefulness in improving surgical skills required for treating war injuries during deployment (primary endpoint) and to compare on a 10-point visual analog scale the influence of cancer surgery and specific training on surgical fluency (secondary endpoint). Results Over the study period, 2,571 hours of OT was analyzed. Oncological surgery represented 52.5% of the surgical activity and almost 1,350 hours of cumulative OT. Considering the primary endpoint, the mean rating allocated to cancer surgery was 4.53 ± 0.84, which was not statistically different than that allocated to trauma surgery (4.42 ± 1.02, P = 0.98) but higher than other surgery (2.47 ± 1.00, P < 0.001). Considering the secondary endpoint, cancer surgery was rated higher than specific training by all surgeons, without statistically significant difference (positive mean score of + 2.00; 95% IC: 0.85–3.14). Conclusion This study demonstrates the usefulness of cancer surgery in improving the operative skills of military surgeons.

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Has Current French Training for Military Orthopedic Surgeons Deployed in External Operations Been Appropriately Adapted?

Cited by 8 publications

References 31 publications

Learning interventions and training methods in health emergencies: A scoping review

Learning interventions and training methods in health emergencies: A scoping review

Evaluation of a fellowship abroad as part of the initial training of the French military surgeon

Role of Cancer Surgery in the Improvement of the Operative Skills of Military Surgeons During Deployment: A Single-Center Study

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