Training Military Psychiatrists to Adapt and Overcome: How COVID-19 Highlighted the Unique Flexibility of Military Psychiatry in Training and in the Fleet.
COVID-19
Graduate Medical Education (GME)
Military
Psychiatry
Residency
Journal
Current psychiatry reports
ISSN: 1535-1645
Titre abrégé: Curr Psychiatry Rep
Pays: United States
ID NLM: 100888960
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
accepted:
06
05
2022
pubmed:
15
6
2022
medline:
27
8
2022
entrez:
14
6
2022
Statut:
ppublish
Résumé
Born out of necessity, military medicine continues to find itself at the forefront of medical innovation. This generation of military physicians has never previously been challenged with continuing to provide top notch medical support to servicemembers in a variety of operational settings in the midst of a global pandemic. While military medicine has always been able to uniquely meet the educational goals of residency training, COVID-19 brought new challenges to the forefront. While the threat presented by COVID-19 was different from the historical battlefield threats and challenges that have given birth to military medicine, it was nevertheless ready to pivot and adjust course, focusing on how to best meet the medical needs of the military patient population in an ever-changing geopolitical environment while continuing to meet and exceed the educational standards that training programs are held to. Historically and currently, mental health remains one of the most common reasons that servicemembers are evacuated from combat zones. The COVID-19 pandemic provided an opportunity for modern military psychiatry to showcase its ability to adjust the educational focus in certain areas of residency training to prepare the next generation of military psychiatrists to be able to face the newest threat to force wellness.
Identifiants
pubmed: 35699916
doi: 10.1007/s11920-022-01342-3
pii: 10.1007/s11920-022-01342-3
pmc: PMC9192931
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
369-374Informations de copyright
© 2022. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
Références
Welton RS, Hamaoka DA, Broderick PJ, Schillerstrom JE. The best of both worlds: psychiatry training at combined civilian-military programs. Acad Psychiatry. 2015;39(4):360–4. https://doi.org/10.1007/s40596-015-0300-6 .
doi: 10.1007/s40596-015-0300-6
pubmed: 25772128
Capaldi VF, Zembrzuska HD. Thrust into the breach: psychiatry in a combat zone within 1 year of residency completion. Acad Psychiatry. 2015;39(4):410–5. https://doi.org/10.1007/s40596-015-0283-3 .
doi: 10.1007/s40596-015-0283-3
pubmed: 25636255
Will JS, Malave B. Military physicians are not just physicians in the military: using leadership training in military graduate medical education to assure mission success. Mil Med. 2019;184(3–4):61–3. https://doi.org/10.1093/milmed/usy423 . This talks about how residency training for military physicians can positively impact outcomes in dynamic environments.
Meyer EG. The importance of understanding military culture. Acad Psychiatry. 2015;39(4):416–8. https://doi.org/10.1007/s40596-015-0285-1 .
doi: 10.1007/s40596-015-0285-1
pubmed: 25690349
HOME: NCC - psychiatry residency program: Bethesda, MD. NCC. (n.d.). https://www.nccpsychiatry.com/ .
Groom RM, Carr RB, Leong SL, Hornbaker-Park MB. Impact of an enduring war on two military psychiatry residency programs. Acad Psychiatry. 2015;39(4):354–9. https://doi.org/10.1007/s40596-015-0284-2 .
doi: 10.1007/s40596-015-0284-2
pubmed: 25739934
Muck AE, Givens M, Bebarta VS, Mason PE, Goolsby C. Emergency physicians at war. West J Emerg Med. 2018;19(3):542–7. https://doi.org/10.5811/westjem.2018.1.36233 .
doi: 10.5811/westjem.2018.1.36233
pubmed: 29760853
pmcid: 5942022
Widge AS, Hunt J, Servis M. Systems-based practice and practice-based learning for the general psychiatrist: old competencies, new emphasis. Acad Psychiatry. 2014;38(3):288–93. https://doi.org/10.1007/s40596-014-0104-0 .
doi: 10.1007/s40596-014-0104-0
pubmed: 24711094
Anagnostou E, Michas A, Giannou C. Practicing military medicine in truly austere environments: what to expect, how to prepare, when to improvise. Mil Med. 2020;185(5–6):e656–61. https://doi.org/10.1093/milmed/usz467 . This talks about how the military physician must be ready to adapt to unique environments to meet the needs of their patients.
Hutter PJ, Roski J, Woodson J, Middleton A, Kneeland R, Worthy A, Zitelman D, Trinh T, Cruz SD, Cooper E. Readiness of medical providers in the military health system: overview of operational and policy considerations. Health Aff (Millwood). 2019;38(8):1274–80. https://doi.org/10.1377/hlthaff.2019.00336 .
doi: 10.1377/hlthaff.2019.00336
Parsons I, Hutley EJ, Gibb I, Lentaigne J, Wilson D, Cox AT. Deployed military general internal physician’s toolkit: the recent past and near future. J R Army Med Corps. 2018;164(4):230–4. https://doi.org/10.1136/jramc-2017-000846 .
doi: 10.1136/jramc-2017-000846
pubmed: 29563164
Woodson J. Roles and responsibilities of the military medical officer. In F. G. O'Connor, E. B. Schoomaker, & D. C. Smith (Eds.), Fundamentals of Military Medicine. Fort Sam Houston, Texas: Office of The Surgeon General, Borden Institute, US Army Medical Department Center and School, Health Readiness Center of Excellence. 2019. This reviews core fundamentals of military medicine and officership.
McGraw K, Adler J, Andersen SB, Bailey S, Bennett C, Blasko K, Blatt AD, Greenberg N, Hodson S, Pittman D, Ruscio AC. Mental health care for service members and their families across the globe. Mil Med. 2019 Mar 1;184(Supplement_1):418–25. https://doi.org/10.1093/milmed/usy324 . This talks about baseline status of MH care for military members across the world and provides context.
Phillips LA, McAndrew L, Laman-Maharg B, Bloeser K. Evaluating challenges for improving medically unexplained symptoms in US military veterans via provider communication. Patient Educ Couns. 2017;100(8):1580–7. https://doi.org/10.1016/j.pec.2017.03.011 .
doi: 10.1016/j.pec.2017.03.011
pubmed: 28291576
pmcid: 9014883
Warner CH, Appenzeller GN, Grieger TA, Benedek DM, Roberts LW. Ethical considerations in military psychiatry. Psychiatr Clin North Am. 2009;32(2):271–81. https://doi.org/10.1016/j.psc.2009.02.006 .
doi: 10.1016/j.psc.2009.02.006
pubmed: 19486813
Schnitzlein C W, Lee DJ, Wise JE, Warner CH. Both feet in: maintaining an academic focus during the transition from residency to a first military assignment. Acad Psychiatry. 2015;39(4):372–375. https://doi.org/10.1007/s40596-015-0369-y
King HC, Spritzer N, Al-Azzeh N. Perceived knowledge, skills, and preparedness for disaster management among military health care personnel. Mil Med. 2019;184(9–10):e548–54. https://doi.org/10.1093/milmed/usz038 .
doi: 10.1093/milmed/usz038
pubmed: 30877799
Babayigit MA, Ilhan MN, Oysul FG. Military medical students’ awareness and practice concerning occupational health and safety. Mil Med. 2016;181(9):1088–94. https://doi.org/10.7205/MILMED-D-15-00423 .
doi: 10.7205/MILMED-D-15-00423
pubmed: 27612358
Pfefferbaum B, North CS. Mental health and the COVID-19 pandemic. N Engl J Med. 2020;383(6):510–2. https://doi.org/10.1056/NEJMp2008017 .
doi: 10.1056/NEJMp2008017
pubmed: 32283003
Talevi D, Socci V, Carai M, Carnaghi G, Faleri S, Trebbi E, di Bernardo A, Capelli F, Pacitti F. Mental health outcomes of the COVID-19 pandemic. Riv Psichiatr. 2020;55(3):137–44. https://doi.org/10.1708/3382.33569 .
doi: 10.1708/3382.33569
pubmed: 32489190
Deitchman S. Enhancing crisis leadership in public health emergencies. Disaster Med Public Health Prep. 2013;7(5):534–40. https://doi.org/10.1017/dmp.2013.81 .
doi: 10.1017/dmp.2013.81
pubmed: 24274133
Guo X, Wu L, Yu X, Sun Z, Liu W. Mental health care for military personnel in the COVID-19 epidemic. Mil Med. 2020;185(9–10):e1401–5. https://doi.org/10.1093/milmed/usaa127 .
doi: 10.1093/milmed/usaa127
pubmed: 32559299
Han RH, Schmidt MN, Waits WM, Bell AKC, Miller TL. Planning for mental health needs during COVID-19. Curr Psychiatry Rep 2020;22(12):66. https://doi.org/10.1007/s11920-020-01189-6 . This talked about past sequelae of pandemics and how we can potentially predict the impact of COVID.
Grathwohl KW, Venticinque SG. Organizational characteristics of the austere intensive care unit: the evolution of military trauma and critical care medicine; applications for civilian medical care systems. Crit Care Med. 2008;36(7 Suppl):S275-283. https://doi.org/10.1097/CCM.0b013e31817da825 .
doi: 10.1097/CCM.0b013e31817da825
pubmed: 18594253
Chern A, McCoy A, Brannock T, Martin GJ, Scouten WT, Porter CK, Riddle MS. Incidence and risk factors for disease and non-battle injury aboard the hospital ship USNS COMFORT during a Humanitarian Assistance and Disaster Response Mission, Continuing Promise 2011. Trop Dis Travel Med Vaccines. 2016;2:7. https://doi.org/10.1186/s40794-016-0023-z .
doi: 10.1186/s40794-016-0023-z
pubmed: 28883951
pmcid: 5530908