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Douglas W. Soderdahl - One of the best experts on this subject based on the ideXlab platform.

  • U.S. Army Medical Corps Recruitment, Job Satisfaction, and Retention: Historical Perspectives and Current Issues.
    Military Medicine, 2020
    Co-Authors: W Sanders Marble, E Darrin Cox, Julie A Hundertmark, Paul J Goymerac, Clinton K. Murray, Douglas W. Soderdahl
    Abstract:

    INTRODUCTION This study was conducted to identify and understand the current factors affecting recruitment, job satisfaction, and retention of U.S. Army Medical Corps officers and provide historical background to understand if the current factors are dissimilar. MATERIALS AND METHODS An anonymous, voluntary questionnaire was sent to U.S. Army Medical Corps officers, and responses were tabulated and analyzed. Historical research was conducted and historical analysis applied. RESULTS Recruiting, job satisfaction, and retention among Army Medical Corps Officers have been problematic throughout the 50-year history of the all-volunteer force. Recruiting has largely been of Medical students, with very limited numbers of direct accessions. At times, satisfactory overall numbers have camouflaged shortages in key go-to-war specialties. Also, satisfactory numbers in a specialty have sometimes camouflaged problems in depth of experience. Satisfaction has been seen as a problem but apparently only studied informally and/or episodically. Retention has largely been addressed through service obligations, followed by monetary bonuses, although these have to be across the Department of Defense, limiting service flexibility. There has never been consistent, longitudinal sampling of opinion among Medical Corps Officers to allow senior leaders to influence the Department of Defense policy. A recent (2016) study provides substantial data but should be repeated rather than being isolated. CONCLUSION As the situation in the Department of Defense and Army Medical Department changes, with more focus on go-to-war specialties, the Army needs to better measure opinion among Medical Corps Officers to inform policy. These studies should be conducted regularly to generate reliable information on trends and allow prioritization of effort to areas that hamper recruiting, undermine satisfaction, and prevent retention.

  • Army Physician Career Satisfaction Based on a Medical Corps Survey.
    Military Medicine, 2020
    Co-Authors: Barbara E. Wojcik, Catherine R. Stein, Kenzi Guerrero, Brandon J Hosek, Rebecca J. Humphrey, Douglas W. Soderdahl
    Abstract:

    Introduction It is critical the U.S. Army retains skilled physicians in the Medical Corps (MC) to ensure direct support to military operations and Medical readiness. The purpose of this study was to examine U.S. Army physicians' opinions concerning: readiness to perform required duties, work environment, support and recognition they receive, military career intentions, and how these factors may relate to Army physician job satisfaction. Materials and methods A cross-sectional study of Army physicians was conducted using a 45-item web-based survey tool, "Army Medicine Medical Corps (MC) Engagement/Satisfaction Survey 2018." The survey used a combination of multiple choice (Likert-scaled and categorical) and open text statements and questions. Satisfaction with their Army physician career was measured using a 5-point unipolar Likert scale response on level of satisfaction. Chi-square tests of independence were conducted on all demographic characteristics to examine if levels of satisfaction with Army physician career were associated with a particular demographic profile. Agreement opinions expressed on 20 statements about professional readiness, work environment, and job recognition were summarized and rank-ordered by percentage of "strongly agree" responses. Categorical responses to several questions related to career intentions were summarized overall and by career satisfaction level. Multivariate logistic regression was performed to identify demographic factors, which may influence career satisfaction as an Army physician. Results Approximately 47% (2,050/4,334) of U.S. Army physicians participated in the MC 2018 survey. Career satisfaction percentages overall were: "extremely satisfied" (10.0%), "quite satisfied" (24.8%), "moderately satisfied" (33.9%), "slightly satisfied" (22.6%), and "not at all satisfied" (8.3%). Respondents were in least agreement to statements about sufficient administrative support and recognition of doing good work. Logistic regression results showed military rank as a significant predictor of negative career satisfaction as an Army physician. For Captains, the odds for being "not at all satisfied" with their military career were almost nine times that of Colonels. Also, compared to their baseline group, physicians who completed their graduate Medical education training, mission critical surgeons, and physicians who worked in military treatment facilities that were either a hospital (not a Medical center) or a clinic-ambulatory surgery center had a greater risk of being "not at all satisfied" with their career as an Army physician. Conclusions There is significant room for improvement in MC officer career satisfaction. The drivers of satisfaction are multiple and apply differently among MC officers of varied ranks and experience. Senior officers are the ones who are the most satisfied with their military career. Results of this novel MC officer study may serve as an impetus to identify existing shortcomings and make necessary changes to retain skilled Army physicians. Army leaders should invest resources to develop and sustain initiatives that improve military career satisfaction and retention of MC officers.

Nachman Ash - One of the best experts on this subject based on the ideXlab platform.

  • From a Quality Assurance and Control System for Medical Processes, Through Epidemiological Trends of Medical Conditions, to a Nationwide Health Project
    Modern Approaches To Quality Control, 2011
    Co-Authors: Yossy Machluf, Nachman Ash, Amir Navon, Avi Yona, Avinoam Pirogovsky, Elio Palma, Orna Tal, Avi Cohen, Yoram Chaiter
    Abstract:

    Yossy Machluf1,2, Amir Navon1, Avi Yona1, Avinoam Pirogovsky1,3, Elio Palma1,4, Orna Tal5, Nachman Ash6, Avi Cohen1 and Yoram Chaiter1 1Quality Assurance and Control Committee, Medical Corps, IDF, 2Weizmann Institute of Science, Rehovot, 3Head of Standards and Regulation Department in the Division of Community Medicine, Ministry of Health, Tel Aviv, 4Head of Department of Occupational Medicine, Clalit Health Services, Afula, 5Israeli Center for Technology Assessment in Health Care; The Gertner Institute for Epidemiology and Health Policy Research, Head of Emerging Technologies Unit, Tel Aviv, 6Chief Medical Officer, Medical Corps, IDF, Israel

  • Medicine and the Holocaust: a visit to the Nazi death camps as a means of teaching Medical ethics in the Israel Defense Forces Medical Corps
    Journal of Medical Ethics, 2010
    Co-Authors: Anthony S Oberman, Tal Brosh-nissimov, Nachman Ash
    Abstract:

    A novel method of teaching military Medical ethics, Medical ethics and military ethics in the Israel Defense Force (IDF) Medical Corps, essential topics for all military Medical personnel, is discussed. Very little time is devoted to Medical ethics in Medical curricula, and even less to military Medical ethics. Ninety-five per cent of American students in eight Medical schools had less than 1 h of military Medical ethics teaching and few knew the basic tenets of the Geneva Convention. Medical ethics differs from military Medical ethics: the former deals with the relationship between Medical professional and patient, while in the latter military physicians have to balance between military necessity and their traditional priorities to their patients. The underlying principles, however, are the same in both: the right to life, autonomy, dignity and utility. The IDF maintains high moral and ethical standards. This stems from the preciousness of human life in Jewish history, tradition and religious law. Emphasis is placed on these qualities within the Israeli education system; the IDF teaches and enforces moral and ethical standards in all of its training programmes and units. One such programme is ‘Witnesses in Uniform’ in which the IDF takes groups of officers to visit Holocaust memorial sites and Nazi death camps. During these visits daily discussions touch on intricate Medical and military ethical issues, and contemporary ethical dilemmas relevant to IDF officers during active missions.

John Pearn - One of the best experts on this subject based on the ideXlab platform.

  • in arduis fidelis centenary history of the royal army Medical Corps 1898 1998
    BMJ, 1998
    Co-Authors: John Pearn
    Abstract:

    John S G Blair Scottish Academic Press, £25, pp 576 ISBN 0707 3076 94 Rating: ![Graphic][1] ![Graphic][2] ![Graphic][3] One in eight of all doctors who graduate from the Medical schools in countries that follow the British system will serve in uniform at some stage of their Medical careers. Military medicine is an important part of the profession more generally, and all will be touched by it in the wars of the unknowable future. Insofar as history is a tool for decision makers of the present, In arduis fidelis joins the ranks of major texts that chronicle the evolution of this important institution, the Royal Army Medical Corps—important not only in the army and in medicine,but in society itself. The author, Dr (Colonel) John Blair is eminently suited to write this history. A senior surgeon in civilian life … [1]: F1/embed/inline-graphic-1.gif [2]: F1/embed/inline-graphic-2.gif [3]: F1/embed/inline-graphic-3.gif

  • Medicine and multimedia: In arduis fidelis: Centenary History of The Royal Army Medical Corps 1898-1998
    BMJ, 1998
    Co-Authors: John Pearn
    Abstract:

    One in eight of all doctors who graduate from the Medical schools in countries that follow the British system will serve in uniform at some stage of their Medical careers. Military medicine is an important part of the profession more generally, and all will be touched by it in the wars of the unknowable future. Insofar as history is a tool for decision makers of the present, In arduis fidelis joins the ranks of major texts that chronicle the evolution of this important institution, the Royal Army Medical Corps—important not only in the army and in medicine, but in society itself. The author, Dr (Colonel) John Blair is eminently suited to write this history. A senior surgeon in civilian life and a former national service officer in the regular army, he has given a professional lifetime of service in the Territorial Army. A former president of both the Scottish and British Societies of the History of Medicine, he is currently a reader in history at the University of St Andrews. This centenary history was written as an academic reference and to document the chronology of professional achievement of the RAMC. It has achieved these aims commendably. It describes both the development of military medicine as a specialty and the evolution of the “fitting in” of the RAMC from its foundation to its present role in the broader Department of Defence. A particular strength of this book is its use of human anecdotes to make a point or to define a critical episode in the evolution of the RAMC. Almost every country in the world relies on its reserve Medical officers to take their place during periods of regular service, both in peacetime garrison duty and during armed conflicts. Many doctors and medics recall their first period of national service or of other service, and a short anecdote describes one who “ended my military career with the Regular Army after two years active service in Korea .... However, military service is a disease and I was sufficiently affected to continue for a further thirty years with the Territorial Army.” Many readers of the BMJ will identify with this sentiment. From a technical point of view, the book contains important reference sections on the evolution of initial treatment, in the field, of surgical shock and of the development of the military subspecialties within medicine (anaesthesia, radiology, and military psychiatry). For both professional and amateur historians, the broad sweep of military Medical history over the past century is all here—the Boer war, the Mesopotamian campaign, the two world wars, and the Falklands and Gulf wars. The author handles well that ubiquitous theme that runs constantly through the politico-social history of all defence health services—never enough money and the danger of reactive (rather than proactive) training when unexpected international contingencies arise. He also describes the team approach to military medicine, enunciated so well by Alexander Hood (in 1947): “Who was it then, who made up this team? .... We profited enormously from the large number of technicians, pharmacists, physiotherapists, laboratory workers, male nurses and many others who came into our ranks, yet the vast majority (of RAMC personnel) were drawn, quite untrained, from bench or counter, workshop or lathe, from study or the farm.” All who love soldiering and who gain satisfaction from the practice of or reading about military medicine will enjoy this book. As the author says, “No Regiment, or any Corps can be prouder than we—the RAMC ... for we [are] the preservers of life ... and the conservers of manpower in a tiny country where manpower over many centuries has been the most crucial commodity.” To order any multimedia products reviewed here contact the BMJ Bookshop, BMA House, Tavistock Square, London WC1H9JR. Tel 0171 383 6244. Fax 0171 383 6455. e-mail:moc.pohskoobjmb@sredro. You can pay by cheque in sterling drawn on a UK bank or credit card (Mastercard, Visa, or American Express) stating number, expiry date, and full name.

Meghan Fitzpatrick - One of the best experts on this subject based on the ideXlab platform.

Jessica Meyer - One of the best experts on this subject based on the ideXlab platform.

  • An Equal Burden: The Men of the Royal Army Medical Corps in the First World War
    2019
    Co-Authors: Jessica Meyer
    Abstract:

    An Equal Burden is the first scholarly study of the Army Medical Services in the First World War to focus on the roles and experiences of the men of the Royal Army Medical Corps (RAMC). Though they were not professional Medical caregivers, they were called upon to provide urgent Medical care and, as non-combatants, were forbidden from carrying weapons. Their role in the war effort was quite unique and warranting of further study. Structured both chronologically and thematically, An Equal Burden examines the work that RAMC rankers undertook and its importance to the running of the chain of Medical evacuation. It additionally explores the gendered status of these men within the Medical, military, and cultural hierarchies of a society engaged in total war. Through close readings of official documents, personal papers, and cultural representations, Meyer argues that the ranks of the RAMC formed a space in which non-commissioned servicemen, through their many roles, defined and redefined Medical caregiving as men's work in wartime.