Military Unique Clinical Topics

Textbook of Military Medicine Links to full text online for many volumes
Emergency War Surgery Full text pdf with all figures and tables

Defense Medical Readiness Training Institute
Uniformed Services University of the Health Sciences Military Graduate Medical Education
- CHE
- Military Training Network
AF Medical Education (AFPC/DPAME)
Army Medical Education           
Navy Medical Education

Common Conditions

  • Respiratory
  • Dermatologic
  • Gastrointestinal
  • Musculoskeletal
  • ID
  • ENT
  • Dental

Environmental

Psychosocial

Notes from survey
Topics to expound upon

Clinical
- Reliance on PE vice high-technology diagnostics
- Predominance: respiratory, dermatologic, gastroenterologic
- Typical epidemiological curves
Emergency: cardiac, ACLS, respiratory, airway (RSI, pediatric), trauma - initial management, snake bites
- Antidotes: TIG, dT, anitvenom, epinephrine, Benadryl, Narcan, Flumazenil
- Mass casualty triage: accident, natural disaster, enemy action
Preventive medicine, health maintenance
Musculoskeletal
- Trauma
- Overuse, sports medicine
- Fracture, external fixation
- Podiatric basics (i.e., rash, blisters, stress fracture, toenail problems)
ID
- Third World, tropical medicine
- Travel medicine
- STD (CDC guidelines 2002 | pdf)
Dermatologic
ENT
Dental emergencies
Psychosocial, morale, stress management

Environmental Illness/Injury
Heat Injury
Glazer J. Management of Heatstroke and Heat Exhaustion. Am Fam Physician 2005;71:2133-40, 2141-2. | pdf | Patient Handout

Combat Stress/Mental Health
FM 6-22.5, FM 8-51, FM 22-51 CISM
AFI 44-153
BUMEDINST 6440.6 MMART Manual, OPNAVINST 6440.1C
MCRP 6-11C
COMDINST 1754.3

Background
Roop SA, Murray CK, Pugh AM, Phillips YY, Bolan CD. Operational medicine experience integrated into a military internal medicine residency curriculum. Mil Med. 2001 Jan;166(1):34-9.
The optimal training of physicians should prepare them for the environment in which they will practice. During the past several years, the practice of internal medicine has shifted from a focus on the inpatient setting to one that includes an emphasis on the ambulatory clinic. Military internists must be further prepared to practice medicine with forward units, at field hospitals, and in other operational settings. Community-based teaching programs that reflect present and future practice are increasingly recognized as essential, yet details on the structure and implementation of such programs, especially those designed to teach field and operational medicine, are lacking. The Internal Medicine Residency Program at Walter Reed Army Medical Center has developed and implemented an operational medicine curriculum that includes a field medical training exercise. The program is driven by the residents and chief resident and requires little additional funding. Resident research continues to increase, morale remains high, and the first class to complete the 3-year operational curriculum achieved a 100% pass rate on the American Board of Internal Medicine certification examination. We describe our 3-year experience of implementing this program, with an emphasis on curriculum design and execution, qualitative assessment, and initial lessons learned.


   
   

  This page © copyright 1997-2007 by CAPT Bob Marshall MD MPH MISM, Faculty, Puget Sound Family Medicine Residency/NavMedWest AHLTA Regional Champion/Consultant, Naval Hospital, Bremerton, WA.
 
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