Models and practical games in training the medical service officers to control the medical care quality

The 3-component structure of the model of medical service quality (MSQ) control is proposed. The model reflects the functional dependence of qualitative parameters of military treatment-and-prophylactic institutions' (TPI) activities: Qn = f(Rn, Mn), where the independent variables are the following: Rn is the provision of n-TPI with resources, Mn is the level of administrative activities and Qn function is MSQ. It allows transferring to information-and-analytical modeling of TPI as the triad of indices that reflect the resource quality (cadre, financial, material and technical), management and medical-and-statistical indices of medical service quality. For each of the model's component the information-and-analytical indices and criteria of their assessment are proposed. The scenario of practical games is based on abovementioned peculiarities of the model and consists of logically interconnected and successively solved situational problems. The methods and problems described can be used during medical service officers' training, for studying TPI physicians, in educational process of some departments of military medical higher schools. The specific feature of proposed models and methods is their applicability both in educational process and in practical work.     

Joint service training for medical readiness

Medical Readiness Training is of major importance in preparing to meet the challenge of medical care during wartime and national emergencies or disasters. As an alternative to simulated casualty training, the U.S. Public Health Service and the U.S. Army joined forces to provide "real world" medical care for troops during training. Although simulated training provides insight into casualty and trauma medicine, it is felt that many aspects of real medical care are often ignored or taken for granted. Providing medical care under austere field conditions provides a realistic environment and presents situations that can not be evaluated by simulated training.     

The characteristics of the staffing of the 40th Army with medical service officers]

The officer procurement for the Medical Service of the 40th Army had some specific features which were predetermined by the character of an active service in Afghanistan. The article describes the screening process and training system of army physicians who were assigned to the 40-th Army. The authors stress the fact that even in peaceful time it is necessary to constitute a reserve of medical specialists for operational activation of units and establishments.     

士官护士卫勤保障救援综合能力调查

目的 探讨士官护士卫勤保障救援能力的培养方法.方法 采用个人访谈、问卷调查、素质测试等方法对10省（市）武警部队医院的162名士官护士分类调查.结果 士官护士卫勤保障救援能力薄弱.表现在37.50％的士官护士对现阶段承担的卫勤保障救援任务不明确,不了解具体工作,对保障救援任务自我认知程度不够;应急处置方面表示“知识欠缺”的102名占62.96％;现场救援的动手能力方面表示“知识欠缺”的79名占48.77％;急救知识和急救技能测试合格率偏低,急救技术理论成绩优秀率最低,仅为7.27％;军事体能素质下滑.结论 士官护士急救技术不过硬,缺乏对突发事件的应对能力,有必要采取多样化继续培训等方式提升士官护士卫勤保障救援综合能力.     

An Evaluation of the Medical Training Application Service as experienced by Defence Medical Service Medical Officers

OBJECTIVES: In 2007 Defence Medical Service (DMS) Medical Officers (MOs) applying to train within hospital based specialities were selected using the Medical Training Application Service (MTAS). Recognising the problems being reported about MTAS, the Defence Postgraduate Medical Deanery (DPMD) conducted an evaluation in order to assess whether DMS MOs had also experienced problems with the MTAS process. METHODS: DMS MO applicants were sent an email questionnaire, requesting both graded (Likert scale) and narrative responses, to gauge their opinion about the application service. The questionnaire covered the technical aspects of the process, the support available and the ability to demonstrate appropriate knowledge and skills. RESULTS: Only 42 responses (32%) were received. However, having considered areas of potential bias, the graded questionnaire results and thematic analysis of the narrative responses showed a clear consensus amongst the applicants in many areas. More than three quarters (78%) of DMS applicants criticised the opportunity to record their abilities and achievements, and 91% recorded that the questions were unable to differentiate between candidates. These views were mirrored in the narrative responses, with more than 130 statements covering five topic areas highlighting areas for improvement. Strong support was recorded for the work and advice provided by DPMD in support of the candidates. CONCLUSIONS: DMS MOs presented very negative opinions of their experiences of MTAS, highlighting their perceptions that they were unable to record their particular skills and experiences and that the questions were unable to discriminate between specialties. Particular difficulties were reported in presenting non-NHS experiences and skills.     

A multicenter evaluation of the accuracy of prehospital eFAST by a physician-staffed helicopter emergency medical service

Emergency Radiology - The purpose of this study is to report the relative accuracy of prehospital extended focused assessment with sonography in trauma (eFAST) examinations performed by HEMS...