Simulation Training for Operational Medicine Providers (STOMP): Design and Implementation of a Novel Comprehensive Skills-Based Curriculum for Military General Medical Officers

Polk, Travis M.; Greer, Joy A.; Alex, John E; Kiser, Rebecca A; Gunzelman, Kim; Petersen, Carl; Spooner, Michael

doi:10.1093/milmed/usx140

Cited by 8 publications

(3 citation statements)

References 20 publications

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“…34 Non-primary-based procedural specialties including psychiatry, family medicine, internal medicine and emergency medicine included more examples of operational training including field-based training, joint exercises and simulation training, likely owing the differences in overall training requirements set by civilian governing bodies. [35][36][37][38][39] For example, emergency medicine residencies are traditionally 3 years, but the military has 4-year programs that enable trainees to participate in asynchronous operational experiences through the program, given the flexibility with increased training time. 37 The variation in requirements across specialties shows the difficulty in creating a universal MUC, as each specialty has a different interpretation of which skills and additional training are necessary to prepare military physicians.…”

Section: Discussionmentioning

confidence: 99%

Developing the Ready Military Medical Force: military-specific training in Graduate Medical Education

Baird,

Lammers,

Betzold

et al. 2024

Trauma Surg Acute Care Open

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IntroductionGraduate Medical Education plays a critical role in training the next generation of military physicians, ensuring they are ready to uphold the dual professional requirements inherent to being both a military officer and a military physician. This involves executing the operational duties as a commissioned leader while also providing exceptional medical care in austere environments and in harm’s way. The purpose of this study is to review prior efforts at developing and implementing military unique curricula (MUC) in residency training programs.MethodsWe performed a literature search in PubMed (MEDLINE), Embase, Web of Science, and the Defense Technical Information Center through August 8, 2023, including terms “graduate medical education” and “military.” We included articles if they specifically addressed military curricula in residency with terms including “residency and operational” or “readiness training”, “military program”, or “military curriculum”.ResultsWe identified 1455 articles based on title and abstract initially and fully reviewed 111. We determined that 64 articles met our inclusion criteria by describing the history or context of MUC, surveys supporting MUC, or military programs or curricula incorporated into residency training or military-specific residency programs.ConclusionWe found that although there have been multiple attempts at establishing MUC across training programs, it is difficult to create a uniform curriculum that can be implemented to train residents to a single standard across services and specialties.

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Section: Discussionmentioning

confidence: 99%

Developing the Ready Military Medical Force: military-specific training in Graduate Medical Education

Baird,

Lammers,

Betzold

et al. 2024

Trauma Surg Acute Care Open

View full text Add to dashboard Cite

show abstract

“…As the use of simulation continues to expand within the MHS, funding and trained personnel are a constant need (Polk et al 2018;Dorlac, Bishop, and Dorlac 2014 (Mills et al 2018;Petersen et al 2017;Stokes-Parish, Duvivier, and Jolly 2017).…”

Section: Discussionmentioning

confidence: 99%

Rapid Application Temporary Tattoos for Medical Moulage: From Development to Testing and Commercialization

Weissbrod¹,

Lopreiato²,

Bowyer³

et al. 2020

JBC

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Military medical education and training often utilize theatrical makeup, or moulage, to simulate injuries or pathologies. Traditional methods of moulage application are incredibly realistic when expertly applied. However, moulage can be expensive in terms of supplies, manpower, and time. We proposed that by creating a library of illustrations for use with temporary tattoos, the overall cost of moulage could decrease with little to no impact on training goals and objectives. The development, detailed testing and plans for commercialization are outlined herein.

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“…In 2015, a medical simulation physician-based curriculum titled STOMP (Simulation Training for Operational Medical Providers) was developed at Naval Medical Center Portsmouth (NMCP), Virginia, to ensure that general medical officer (GMO) physicians deploying to an austere environment were proficient in the performance of their low-frequency primary care skills. The curriculum was particularly timely, as more than 50% of Navy interns (graduating PGY-1 physicians) provide primary care to operational military forces as GMO physicians [4].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Ophthalmological Training Component of the STOMP (Simulation Training for Operational Medical Providers) Curriculum

Spooner¹,

Delorey²,

Miller³

et al. 2021

Cureus

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Introduction: Simulation has been used in medicine to train clinicians to manage a variety of clinical scenarios. A key adaptation of the use of simulation in military healthcare occurred in 2015 with the development of the STOMP (Simulation Training for Operational Medical Providers) curriculum, a specific curriculum designed for the intern (PGY-1) trained physicians being sent into the military to practice primary care. Despite showing the curriculum's influence on self-perceived comfort scores, no study has determined whether simulation is an effective means of improving general medical officer (GMO) physicians' skills compared to other traditional styles of education. Specifically, this study sought to determine whether simulation-based education (SBE) of ophthalmologic skills improves GMO physicians' clinical performance, as compared to traditional didactic-based instruction. Methods: The study, conducted at Naval Medical Center Portsmouth, included GMO physicians who were enrolled in the 2019 STOMP class. Following a brief overview of the study, GMO physicians who elected to participate in the study were randomized to either SBE or lecture-based training for three commonly used ophthalmological procedures: slit lamp exam, tonometry, and corneal foreign body removal. After completing the simulation and lecture-based education training sessions, participants' procedural performance was evaluated utilizing a locally developed performance checklist, and completion time for each of the three procedures was recorded. Data were analyzed using the t-test and Mann-Whitney test. A significance level of 0.05 was considered to be statistically significant. Results: Of the 50 consented participants, 46 completed the study. The mean overall completion scores for the performance checklists were significantly higher for the SBE group (n=26) compared to the lecture group (n=20) [80% (95% CI 78-82%) vs 41% (95% CI 35-47%), respectively]. Time to completion of the individual tasks was also significantly shorter for the SBE group compared to the lecture group (with mean differences ranging from 27 to 126 seconds, all p<.05). Conclusions: Simulation-based training appeared to be more effective at teaching three ophthalmological procedures (slit lamp exam, tonometry, and corneal foreign body removal) to GMO physicians compared to didactic-based instruction alone.

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Simulation Training for Operational Medicine Providers (STOMP): Design and Implementation of a Novel Comprehensive Skills-Based Curriculum for Military General Medical Officers

Cited by 8 publications

References 20 publications

Developing the Ready Military Medical Force: military-specific training in Graduate Medical Education

Developing the Ready Military Medical Force: military-specific training in Graduate Medical Education

Rapid Application Temporary Tattoos for Medical Moulage: From Development to Testing and Commercialization

Effectiveness of the Ophthalmological Training Component of the STOMP (Simulation Training for Operational Medical Providers) Curriculum

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