WarDocs - The Military Medicine Podcast

Step into the world of military and civilian medical excellence as we share the stage with Dr. Peggy Knudsen, a leading trauma surgeon whose work bridges these two critical spheres. Her journey from a Minnesota mining town to the front lines of trauma surgery reveals the profound impact of military-civilian partnerships in healthcare. Through stories of her time in Iraq and Germany, Dr. Knudsen unravels the complexities of trauma care and the incredible strides made possible by the collaboration between military-civilian expertise and innovation. Imagine stepping off a plane and straight into an active war zone as a civilian surgeon. Our latest episode brings that reality to light, showcasing civilian surgeons who volunteered to serve in military hospitals during the Iraq and Afghanistan conflicts. Their integration into military teams and the skills honed in the heat of battle are not only harrowing tales of service but also invaluable learning experiences that have reshaped their professional and personal lives. Join us as we examine the rigorous process that prepared these civilians for the battlefield, and the indelible mark it left on their approach to surgery back home. These civilian heroes didn't just bring their expertise to the theater of war; they returned with invaluable insights that have since transformed the landscape of civilian trauma care. We address the evolving landscape of trauma medicine, where military innovations have found their place in our local hospitals. Dr. Knudsen sheds light on the importance of programs like Stop the Bleed and the pioneering strategies of damage control resuscitation, illustrating the profound influence of military protocols on saving lives in civilian emergencies. As we consider the future readiness of military medical professionals, she eloquently speaks to the importance of ongoing collaboration to maintain a high standard of combat casualty care, ensuring that, even in peacetime, our surgeons are prepared for the realities of war. Her experiences offer a unique lens on the Excelsior Surgical Society's role in nurturing military surgeons' professional development, painting a vivid picture of how these collaborations are pivotal in advancing modern trauma systems. As we face concerns over a potential decline in deployment experience among military medical personnel, Dr. Knudsen sheds light on collaborative efforts to ensure that the next generation of military surgeons retains the expertise necessary for future combat casualty care. It's an enlightening discussion that solidifies the critical nature of these ongoing partnerships in trauma care. Chapters: (00:04) Military-Civilian Partnerships in Trauma Care (11:56) Civilian Surgeons in War Zones (24:22) Improving Trauma Care Through Military-Civilian Partnerships (31:42) Military-Civilian Trauma Care Partnerships Chapter Summaries: (00:04) Military-Civilian Partnerships in Trauma Care Dr. Peggy Knudsen's journey in trauma surgery, her role in pediatric surgery, and the importance of military-civilian partnerships in advancing trauma care. (11:56) Civilian Surgeons in War Zones Civilian surgeons volunteered in military hospitals during Iraq and Afghanistan conflicts, learning from and working with military personnel. (24:22) Improving Trauma Care Through Military-Civilian Partnerships Military trauma care advancements, tourniquet use, damage control resuscitation, burn care improvements, and preserving surgical skills through partnerships. (31:42) Military-Civilian Trauma Care Partnerships Firsthand trauma experience, military-civilian partnerships, and readiness of trauma community to respond to large-scale operations. Take Home Messages: Episode Keywords: Trauma Care, Military-Civilian Partnerships, Medical Excellence, Military Precision, Civilian Practice, Senior Visiting Surgeon, Iraq, Germany, Military Surgeons, Professional Development, Excelsior Surgical Society, War Zones, Battlefield...

Join us on WarDocs as we chat with the legend himself, Dr. Norman Rich, who pioneered the field of military vascular surgery. We journey through his life and career, from his humble beginnings in a small Arizona copper mining town to becoming an international authority in his field. Listen as Dr. Rich discusses his groundbreaking work in Vietnam, his creation of the Vietnam Vascular Registry, and the completion of his landmark textbook, Vascular Trauma. Dr. Rich shares insights on his journey of pioneering military vascular surgery and his unique experiences operating on President Eisenhower in this riveting discussion. Hear his fascinating story about meeting with Dr. DeBakey. Discover his career's challenges and triumphs and valuable contributions to the military medicine field. Learn about the unique military pathologies that Dr. Rich brought to light through his extensive research and the role of international collaboration in spreading the word about military vascular surgery. You will also gain an understanding of the importance of having consultants to help with the newly formed USUHS medical school surgical program and the value of the Excelsior Surgical Society in advancing military medicine. Don't miss out on this chance to hear from a true visionary in military surgery. --------- EPISODE CHAPTERS WITH SHORT KEY POINTS --------- (0:00:00) - Dr. Norman Rich Dr Norman Rich was a pioneer in military vascular surgery, chairing surgery for 25 years and authoring the landmark textbook Vascular Trauma. (0:17:16) - Vietnam Vascular Trauma and Registry Dr. Norman Rich pioneered vascular surgery in the military, developing a registry system and writing the book Vascular Trauma. (0:33:51) – Walter Reed Fellowship Growth and Challenges Dr Rich pioneered military vascular surgery, strengthened fellowship through general surgery, and reached out internationally to start the Uniform Services University medical school. (0:41:39) - Military Unique Pathologies in Vascular Surgery Dr Rich assembled a team of specialists to pioneer military vascular surgery, addressing unique pathologies like Popliteal Entrapment Syndrome. (0:45:35) - International Collaboration on Vascular Issues Dr. Norman Rich spread knowledge of military vascular surgery, with consultants and Excelsior Surgical Society marketing, emphasizing the importance of expertise. (0:58:26) - Memorable Surgical Cases Dr. Rich reflects on his experience operating on Eisenhower, meeting with Dr. DeBakey, and the importance of experience and organization in military medicine.

Embark on a journey to the front lines of military medicine with our esteemed guest, retired Army Lieutenant Colonel Dr. Randi Schaefer. With her wealth of experience, Dr. Schaefer takes us through the intense world of emergency trauma care and her personal evolution from a college student to an accomplished military nurse and emergency medicine expert. We explore the educational paths and specialization opportunities within the military nursing field and the life-saving innovations in pre-hospital blood administration that have triumphed on the battlefield and transformed civilian emergency care. Dr. Schaefer pulls back the curtain on the progressive tactics and challenges that have shaped blood transfusion practices over the years. From the early days of relying on hospital staff donors to the current state-of-the-art application of whole blood in the thick of combat, we discuss the critical observations and strategic collaborations that have driven these practices forward. The role of STRAC in revolutionizing pre-hospital care and the crucial impact of timely blood transfusions in saving lives take center stage in this compelling narrative that intertwines military precision with medical breakthroughs. Our final moments with Dr. Schaefer reveal the innovative solutions combat medics deploy to save lives under the most extreme conditions, including providing blood transfusions amidst the chaos of active fire. We also shine a light on the advancements that continue to elevate the field, like the Vampire Program and the Tactical Combat Casualty Care training. Dr. Schaefer's ongoing consulting work and vision for emergency medicine not only reflect her unwavering dedication but also promise to guide the future of trauma care to even greater heights. Join us for this captivating episode where valor meets the rigor of medical science, and discover the incredible impact of one woman's journey on the world of emergency medicine. Chapters: (00:00) Addressing Hemorrhage in Trauma (07:22) Early Blood Transfusion in Emergency Settings (15:49) Pre-Hospital Blood Transfusion and Innovations (27:57) Enhancing Pre-Hospital Blood Transfusion Rates (37:26) Consulting on Pre-Hospital Blood Administration Chapter Summaries: (00:00) Addressing Hemorrhage in Trauma Army nurse Randi Schaefer discusses pre-hospital hemorrhage control and the potential for future improvements in military and civilian sectors. (07:22) Early Blood Transfusion in Emergency Settings Nature's role in trauma care: reliance on hospital staff, evolution of transfusion practices, and efforts to improve pre-hospital capabilities. (15:49) Pre-Hospital Blood Transfusion and Innovations Nature's emergency blood transfusion process in pre-hospital settings, including training, logistics, and clinical guidelines for improved trauma care outcomes. (27:57) Enhancing Pre-Hospital Blood Transfusion Rates TCCC training, missed transfusion opportunities, and improvements in pre-hospital blood programs for combat medics. (37:26) Consulting on Pre-Hospital Blood Administration Practical aspects of pre-hospital blood product administration, logistics, military background, and legacy of service. Take Home Messages: Episode Keywords: Military Medicine Innovation, Trauma Care Advancements, Blood Transfusion Practices, Pre-Hospital Care Strategies, Emergency Medicine Podcast, Combat Medics Training, Dr. Randi Schaefer, Tactical Combat Casualty Care (TCCC), Whole Blood Transfusion, Medical Frontiers in Trauma, Battlefield Medicine Developments, Civilian Emergency Care Techniques, Military Nurse Education, Southwest Texas Regional Advisory Council (STRAC), Vampire Program Army, Pre-Hospital Hemorrhage Control, Trauma Care Lessons from Military, Blood Product Administration, Paramedic Blood Transfusion Training, Innovation in Military Healthcare. Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCareInnovation...

Embark on an unforgettable exploration of leadership and resilience with CMSgt Tanya Y. Johnson, the influential senior enlisted leader for the Defense Health Agency. With a legacy steeped in military healthcare and wisdom to impart, Chief Johnson unwraps the layers of her journey, from her roots in an Air Force medic family to her strategic prowess in overseeing the TRICARE Health Plan and combat support missions. This episode is an education in the nuances of guiding with compassion and clarity in the military and medicine high-stress environments. As we traverse the landscape of the Military Health System's strategy, Chief Johnson illuminates the importance of transparent communication and the creation of an environment where feedback flourishes and trust is the cornerstone. This dive into the human side of healthcare delivery and the intricate dance of accountability and compassion in leadership is as enlightening as it is essential. Chief Johnson highlights the power of clear communication, the significance of fostering a culture where feedback thrives, and the importance of trust-building Listen in as she shares pearls of wisdom on leadership, especially the art of leading with grace in the high-stakes environment of military medicine. Finally, the episode captures the transformative journey of healthcare technology within the military, sharing how it reshapes care delivery and the necessity of readiness in times of crisis. Chief Johnson recounts the poignant memories of her deployment, including the impactful mission during the Ebola outbreak in Liberia, painting a vivid picture of the adaptability and resilience of military teams. Her insights offer invaluable advice for anyone considering a career in military medicine and underscore the profound dedication that defines this noble field. Whether you're a current service member, a healthcare professional, or simply intrigued by military medicine, this episode offers a unique perspective on the dedication and innovation that define the field. Chapters: (00:04) CMSgt Tanya Johnson's Leadership Journey (09:02) Military Health System Strategy Discussion (15:22) Future of Military Healthcare Technology (28:30) Leading With Grace in Military Medicine (33:22) Military Career Advice and Deployment Experiences (38:53) Military Deployment to Liberia Experience Chapter Summaries: (00:04) Tanya Johnson's Leadership Journey Chief Master Sergeant Tanya Y. Johnson's military legacy, personal journey in Air Force Medicine, and leadership philosophy in the Defense Health Agency. (09:02) Military Health System Strategy Discussion Leadership decisions impact teams through communication, trust-building, and care, as seen in the Defense Health Agency's strategy for modernizing healthcare. (15:22) Future of Military Healthcare Technology Medical technology transforms healthcare delivery, addressing staffing shortages and enhancing patient-centric care, while also discussing TRICARE Health Plan administration and DHA's role in combat support. (28:30) Leading With Grace in Military Medicine Leading with grace in military medicine, managing expectations, treating professionals with respect, and opportunities for personal growth. (33:22) Military Career Advice and Deployment Experiences Military service and recruiting insights from a guest who found a rewarding career in military medicine, advice for young service members, and profound experiences during deployment. (38:53) Military Deployment to Liberia Experience Rapid deployment to Liberia during Ebola outbreak, building medical facility, avoiding virus, overcoming challenges through teamwork. Take Home Messages: Leadership Resilience: Resilient leadership in high-pressure environments is key to successful outcomes, especially in military medicine where the stakes are high. The ability to maintain composure and lead with empathy and understanding is essential for managing teams effectively in challenging...

Embark on a captivating journey with Master Chief Troy Brown, a decorated Navy veteran whose life story unfolds like an epic saga across the globe's most challenging terrains, from the detainee cells of Camp Delta to the bustling medical tents of Camp Leatherneck. As a native of Joplin, Missouri, Troy's life took an unexpected turn during a fateful dinner conversation, setting him on a path that would define his character and commitment to military healthcare. Our latest episode navigates his transition from aspiring serviceman to a revered corpsman, revealing the hurdles overcome and the passion kindled for supporting the well-being of warfighters. The echoes of 9/11 resonate through the personal narratives shared in our heartfelt discussion, casting light on the ripple effects such historical moments have on those in uniform. Troy's account of the ethical conundrums faced while caring for detainees at Guantanamo Bay is both enthralling and thought-provoking, offering listeners a rare glimpse into the realities of wartime medical practice. We also delve into the essence of leadership, as seen through the trials and triumphs of military service. Concluding our session, we admire the indelible mark left by leaders such as Troy, who underscore the value of seizing diverse opportunities and forging robust relationships throughout one's career. Heeding the advice to 'Be the one,' we reveal the transformative power of initiative and the innovative strategies that bolster team support. Troy's reflections on a gratifying career in military medicine are a testament to the impact of dedication and the art of thinking beyond conventional limits. Chapters: (00:00) Navy Career (07:24) Challenges of Military Deployments (22:26) Military Leadership Experiences and Lessons (36:31) Supporting People in Leadership Roles (41:49) Career Legacy and Leadership Advice Chapter Summaries: (00:00) Navy Career Master Chief Troy Brown's journey from Missouri to Navy corpsman, specializing in physical therapy and preventive medicine, with deployments in specialized roles. (07:24) Challenges of Military Deployments 9/11's impact on military personnel, career effects, and wartime medical ethics in Guantanamo Bay. (22:26) Military Leadership Experiences and Lessons Veteran instructors' impact on students, adaptability in deployments, leadership in military health system, and low casualty rates. (36:31) Supporting People in Leadership Roles Flexibility and support in the workplace, prioritizing personnel issues, and the impact of individual initiative in leadership roles. (41:49) Career Legacy and Leadership Advice Seizing opportunities, valuing diversity, and building relationships are crucial in avoiding career limitations and leaving a positive legacy. Take Home Messages: Episode Keywords: Navy Career, Military Healthcare, Deployments, Leadership, Relationships, Military Medicine, 9/11, Guantanamo Bay, Wartime Ethics, Adaptability, Mission and Morale, Leadership Roles, Career Legacy, Diversity, Seizing Opportunities, Relationships and Networks, Military Personnel, Medical Care, Physical Therapy, Preventive Medicine, Athletic Training, National Defense University, Camp Delta, Camp Leatherneck, NATO Role 3 Multinational Medical Unit, Command Senior Chief, Tyrone, Camp X-ray, Kandahar, Officer, Casualty Rates, One-Trick Pony, Diversifying Experiences, Typecast, Pushing Boundaries, Thinking Outside the Box, Fulfilling Career Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #LeadershipLegacy #NavyCorpsmanJourney #MasterChiefBrown #WarMedicineValor #MentorshipInUniform #HealthcareHeroes #DeploymentChallenges #EthicsInWar #MilitaryHealthcareEvolution Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military...

Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery. Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation. As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike. Chapters: (00:04) Military Trauma Surgeon's Innovative Approach (08:07) Innovating Surgical Retractors (13:51) From Idea to Global Commercialization (19:06) Innovative Surgical Retractor System Design (31:10) Future Innovations in Trauma Surgery Chapter Summaries: (00:04) Military Trauma Surgeon's Innovative Approach This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions. (08:07) Innovating Surgical Retractors This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspirations...

Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host’s journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant. Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all. Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out! Chapters: (00:00) Military Medicine and Leadership Lessons (09:00) 452nd Hospital Experiences in Afghanistan (13:14) Challenges in Afghanistan and Iraq (19:56) Challenges in Military Medicine and Readiness (39:03) Legacy of Military Medicine Chapter Summaries: (00:00) Military Medicine and Leadership Lessons BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers. (09:00) 452nd Hospital Experiences in Afghanistan BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan. (13:14) Challenges in Afghanistan and Iraq Jennifer’s experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed. (19:56) Challenges in Military Medicine and Readiness BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs. (39:03) Legacy of Military Medicine BG Marrast Host’s legacy includes her passion for caring for soldiers and modernizing Army medicine. Listeners Will….. Episode Keywords: Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47....

Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics. Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect. As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training. The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values. For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas. Chapters: (00:00) Exploring Medical Ethics and Consultations (10:21) Military Medical Ethics and Committees (18:23) Ethics in Healthcare and Deployed Settings (30:28) Cultural Differences and Patient Confidentiality (36:19) AI Impact on Medical Ethics (44:54) Medical Ethics and Decision-Making Challenges (50:03) Future of Military Medical Ethics Chapter Summaries: (00:00) Exploring Medical Ethics and Consultations Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics. (10:21) Military Medical Ethics and Committees Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system. (18:23) Ethics in Healthcare and Deployed Settings Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments. (30:28) Cultural Differences and Patient Confidentiality Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios. (36:19) AI Impact on Medical Ethics Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics. (44:54) Medical Ethics and Decision-Making Challenges Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology. (50:03) Future of Military Medical Ethics Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes. Take Home Messages: Episode Keywords: Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol,...

Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences. She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career. She currently serves as the Director of the Defense Health Agency. On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know. You will hear her provide insightful answers to the following questions: Personal Reflections on Mentorship Telita shares many insights and mentorship lessons learned over a distinguished career. You don’t want to miss this special episode! Take Home Messages Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast

Ever wondered what it takes to lead in one of the world’s most challenging environments, the US Navy? Do you find yourself intrigued by the thought of making critical decisions under immense pressure? Then this episode is for you. As we sit down with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton, we uncover a lifetime of leadership lessons, critical decision-making insights, and stories from his remarkable 37-year-long career. Admiral Moulton shares his experiences deployed during Operation Desert Storm to the heart of the Pentagon on one of the darkest days in US history. In our conversation, Admiral Moulton delves into the challenges he faced during his deployment on the USS Nimitz, his time in Okinawa, and the unforgettable experience of being in the Pentagon on 9/11. His accounts of these events, woven with lessons on leadership, draw a vivid picture of the realities of Military Medicine. You will hear about the intuitive decisions Admiral Moulton made to handle patient safety concerns, his performance-based approach to promotions, and the importance he placed on trusting his staff. His story illustrates the courage, resilience, and dedication necessary to thrive in high-stakes environments. RADM (Ret) Moulton opens up about his time leading the Tidewater Multiservice Market Office. His unique perspective on uniting the three Services, aligning with the needs of the MHS, and managing dual responsibilities offers invaluable advice for those navigating leadership roles within similar structures. Whether you're a veteran, on active duty, or simply interested in learning about leadership from a unique perspective, this episode promises a wealth of wisdom and a deeper understanding of Military Medicine. Terry's wisdom and advice, combined with his fascinating experiences, make this episode a must-listen for anyone seeking inspiration and leadership guidance. Chapters: (0:00:00) - Lessons From Early Years in Navy Medicine (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (0:12:08) - Military Experience Around 9/11 (0:19:04) - Leadership Challenges in Okinawa and During Deployment (0:26:18) - Leadership Approach in Multiservice Market Chapter Summaries: (0:00:00) - Lessons From Early Years in Navy Medicine (5 Minutes) We speak with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton. Admiral Moulton shares his story of joining the Navy, his deployment lessons learned aboard the USS Nimitz, and the experience of being in the Pentagon on 9-11. He provides advice to those advancing in roles with increased levels of accountability and responsibility. Admiral Moulton also shares his understanding of how enhanced multi-service markets and managed care support contractors can enable a ready medical force and a medically ready force. We discuss his early years and his early assignments, his roles and responsibilities, and the leadership lessons he learned. Join us as we explore these topics and more with Admiral Moulton. (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (7 Minutes) Retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton reflects on his experience joining the Navy and the people who had a lasting impact on his career. He recounts his deployment on the USS Nimitz during Operation Desert Storm, and his efforts to ensure medical readiness on the ship. Finally, Admiral Moulton shares how the USS Midway Fire After-Action Report informed his approach to medical readiness. (0:12:08) - Military Experience Around 9/11 (7 Minutes) RADM (Ret) Moulton recalls his time serving in the Pentagon on 9/11. He reflects on the events of that day and how staying in the Pentagon to help set up a triage station transformed his future medical and military service. He speaks about the training he had done in the past that prepared him for this moment and the leadership challenges he faced when he was put in command...

Episode Summary: Retired Navy Captain Dr. Matthew Provencher shares his incredible journey from the decks of the USNS Mercy to the sidelines with the New England Patriots, revealing the profound connections between military orthopedics and sports medicine. His stories take us from the skies he once dreamed of conquering as a fighter pilot to the operating rooms where he honed his skills in orthopedics sports medicine, ultimately shaping the future of musculoskeletal injury research. Dr. Provencher's unique perspective not only discusses his transformative work in developing the Special Forces Tactical Athlete Program but also delves into the global impact of military medicine on orthopedic care. His stories will captivate you, revealing the profound impact of military medicine both in the field and on the homefront. Feel the ocean's swell as we set sail on the USNS Mercy, where Dr. Provencher once led surgical teams on life-saving missions. He recounts the evolution of these floating hospitals, detailing their critical role in disaster relief and humanitarian aid. As we navigate through his experiences, the leadership lessons gleaned from his tenure resonate with anyone seeking to foster accountability, integrity, and inclusive environments—whether at sea or in any professional setting. The lessons learned extend far beyond the operating room, spotlighting the core values of accountability and integrity that resonate in any high-pressure environment. His accounts of international collaboration and safety-forward medical practices on these ships underscore military medicine's extraordinary capabilities and adaptability. The podcast wraps up with Dr. Provencher transitioning from the high-stakes world of the NFL to providing second opinions for athletes across the sports spectrum. He reflects on pioneering surgical approaches born from the battlefield that have advanced orthopedic practices, sharing an anecdote involving Coach Bill Belichick that perfectly encapsulates the nexus of military service and professional sports. Through these discussions, Dr. Provencher illuminates the ever-present thread of innovation and excellence that military medicine weaves throughout the fabric of societal health and well-being. Chapters: (00:00) Military Medicine and Orthopedic Training (09:49) Military Sports Medicine and Humanitarian Missions (17:10) Leadership Lessons From a Hospital Ship (23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics (31:08) The Evolution of Military Fitness Programs (44:50) Sports Medicine and Military Orthopedics Advances (50:00) Military Medicine and NFL Experiences Chapter Summaries: (00:00) Military Medicine and Orthopedic Training Retired Navy Captain Dr. Matthew Provencher's journey from Naval Academy to medical career, experiences as orthopedic surgeon, and contributions to research. (09:49) Military Sports Medicine and Humanitarian Missions Military sports medicine, treating complex battlefield injuries, innovative techniques, collaborative efforts, humanitarian missions, rewarding aspects. (17:10) Leadership Lessons from a Hospital Ship US Navy's hospital ships, their capabilities and operations, evolution of use, leadership challenges, and importance of safety in medical operations. (23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics Nature's challenges in performing cataract surgeries in equatorial regions, the importance of ophthalmology in medical diplomacy, and the establishment of the Military Orthopedic Tracking Injuries Network (MOTION). (31:08) The Evolution of Military Fitness Programs The evolution of the Tactical Athlete Program for Special Warfare personnel, collaborative efforts to enhance soldier readiness and resilience, and strategies for preventing and treating common injuries. (44:50) Sports Medicine and Military Orthopedics Advances Sports medicine advancements, military lessons, and SOMOS collaborations enhance orthopedic...

This podcast contains remarks from a JUN 23 presentation by Dr. Warren Dorlac to the Excelsior Surgical Society. Prepare to be enlightened as we embark on an insightful journey into the world of combat casualty care with trauma surgeon and military veteran Dr. Warren Dorlac. With his firsthand experience from multiple deployments and active role in the American College of Surgeons, Dr. Dorlac offers an unparalleled perspective on the evolution of battlefield medicine over the past two decades. We explore impactful initiatives like the Ranger Regiment's life-saving mission to eliminate preventable deaths and the profound influence of Secretary Gates' mandate to expedite surgical care for combat patients. Prepare to delve into the complexities of paramedic involvement in the battlefield and the vital importance of continuous in-route care. Dr. Dorlac puts the spotlight on extremity trauma management and the multitude of challenges it presents in military settings, from temporary vascular shunts to the alarming rise in osteomyelitis cases in long-term patient follow-ups. He focuses on the high re-operation rates in major lower extremity amputations and the game-changing role of initiatives like the Integrated Orthotic Rehabilitation Initiative in returning our brave service members to duty. He also reflects on the critical role of CCATT in military casualty care and how it's revolutionizing the field. Wrapping up his discussion, Dr. Dorlac delves into the remarkable advancements in military trauma care from 1993 to 2012 and covers the courageous efforts of the Ukrainian military's tactical healthcare initiatives in their ongoing conflict with Russia. He highlights the indispensable role of education, collaboration, and technological innovations in this field, with a special mention of the groundbreaking REBOA catheter. From the pivotal development of the Acute Lung Rescue Team to the enriching insights brought by civilian surgeons through the Senior Visiting Surgeon Program, Dr. Dorlac leaves no stone unturned. This enlightening episode is a must-listen for anyone interested in the intricate world of military medicine, where lives are saved on the front lines every day. Chapters: (00:00) Innovations in Combat Casualty Care (17:01) Vascular Shunts, Infections, Amputations, Rehabilitation (25:29) Advancements in Military Trauma Care (30:48) Ukrainian Military's Tactical Healthcare Initiatives Chapter Summaries: (00:00) Innovations in Combat Casualty Care Combat casualty care advancements and challenges, eliminating preventable deaths, in-route care, and need for paramedics in the field. (17:01) Vascular Shunts, Infections, Amputations, Rehabilitation Nature's extremity trauma management in military settings, including vascular shunts, venous repair, transport time, infections, amputations, irrigation, orthosis, and rehabilitation. (25:29) Advancements in Military Trauma Care Advancements in military trauma care from 1993-2012, including transport challenges, education, collaboration, and technological innovations, leading to decreased case fatality ratio. (30:48) Ukrainian Military's Tactical Healthcare Initiatives Military medical care in conflict zones: tactical combat training, rethinking traditional practices, damage control, continuity of care, and evacuation challenges. Take Home Messages: Episode Keywords: Combat Casualty Care, Trauma Surgeon, Military Veteran, American College of Surgeons, Battlefield Medicine, Preventable Deaths, Secretary Gates, Surgical Care, Paramedic, Extremity Trauma Management, Vascular Shunts, Osteomyelitis, Lower Extremity Amputations, Integrated Orthotic Rehabilitation Initiative, CCATT, Advancements, Military Trauma Care, Ukrainian Military, Tactical Healthcare Initiatives, Education, Collaboration, Technological Innovations, Acute Lung Rescue Team, Senior Visiting Surgeon Program, Conflict Zones, Targeted Attacks, Medical Personnel, Military Damage Control...

Get ready to be captivated as we sit down with COL Dr. John Horton, Chief of Pediatric Surgery at Madigan Army Medical Center and Deputy Consultant to the US Army Surgeon General for General Surgery. This episode is packed with insights, as Dr. Horton lifts the veil on the realities and complexities of pediatric trauma care within military confines. Embrace the opportunity to discover the unique curriculum designed by the American College of Surgeons specifically for the military, and examine how pediatric trauma cases accounted for 7% of US military hospital admissions during recent conflicts. Learn why treating these fragile young patients can induce a sense of guilt among the medical staff. Our conversation with Dr. Horton takes a fascinating turn as we delve into his experiences of telecommunication surgery using FaceTime, and the wisdom he shares during these crucial interactions. Listen closely as he narrates the intricate processes of an infant's complex surgery, highlighting the hurdles faced surgical care in maintaining the baby's airway and IV access. This episode underscores the central role of decisive action and confidence, particularly when one is operating outside of their comfort zone. At the heart of the discussion lies the invaluable advice for anyone preparing for deployment in pediatric trauma care. Join us for this illuminating episode that underscores the critical role of pediatric trauma care in military medicine. --------- EPISODE CHAPTERS --------- (0:00:00) - Pediatric Trauma Care in the Military Dr John Horton discusses pediatric trauma care in the military, the American College of Surgeons' curriculum, and his approach to pediatric patient care. (0:15:10) - Pediatric Trauma Surgery Challenges & Preparation Dr John Horton provides telecommunication surgery advice, discussing an infant's atresia, airway maintenance, ventilator removal, and decision-making in pediatric trauma care.

Step into the vanguard of battlefield medicine with Dr. John M. Croushorn, an engineer-turned-emergency physician whose innovations are redefining trauma treatment. From his pivotal career switch of joining Army Medicine post-9/11 to creating the Abdominal Aortic Junctional Tourniquet (AAJT-S), this episode weaves together the personal and the technical, providing an intimate look at the challenges and triumphs of military medicine. As we converse with Dr. Croushorn, you'll be transported to the front lines of tactical emergency medical solutions, where the origins of such practices in the military and law enforcement laid the groundwork for today's life-saving techniques. Discover the birth of the AAJT-S, spurred by tragedy and necessity, and how a chance encounter with a Special Forces Medic brought the device's development full circle. This narrative captures the essence of innovation — where creativity meets critical needs, and every step in the design process can mean the difference between life and death. The trenches of tactical medicine are filled with stories of lives saved and legacies forged, and each tale tightens the bond between trauma care advancements and those who stand ready at the front lines. Dr. Croushorn continues to pull back the curtain on the dynamic field of military medicine, guiding us through the application of junctional tourniquets and their profound impact on saving lives in pre-hospital scenarios. We'll also cast an eye to the future, examining ongoing research and the global implications of these medical advancements. Hear tales of the AAJT-S's deployment in diverse environments, from the deserts of the Middle East to the conflict in Ukraine, and learn how this technology is not just a tool but a testament to human resilience and the relentless pursuit of advancing trauma treatment. Chapters: (00:00) Military Medicine and Trauma Treatment Innovation (15:08) Developing Tactical Emergency Medical Solutions (21:26) Junctional Tourniquets for Hemorrhage Control (35:19) Junctional Tourniquet Application and Future Innovations (45:38) Physiologic Effects of a Cardiac Device Chapter Summaries: (00:00) Military Medicine and Trauma Treatment Innovation Former Army Medical Corps officer shares journey from engineering to military medicine, including deployment experiences and innovative contributions. (15:08) Developing Tactical Emergency Medical Solutions Tactical medicine's role in the FBI, development of the AAJT-S for pelvic bleeding, and a serendipitous encounter with a Special Forces Medic. (21:26) Junctional Tourniquets for Hemorrhage Control Junctional tourniquets are crucial in trauma care, effectively controlling hemorrhage in extremity-torso junctions and surpassing other methods. (35:19) Junctional Tourniquet Application and Future Innovations Versatile junctional tourniquet device for pediatric to 64-inch circumference patients, efficacy compared to REBOA, and use in trauma centers and NCTH. (45:38) Physiologic Effects of a Cardiac Device Innovative application of the AAJT-S has shown impressive results in traumatic cardiac arrest scenarios, leading to protocol changes and ongoing studies in Ukraine. Take Home Messages: Episode Keywords: Military Medicine, Trauma Treatment, Emergency Medical Protocols, Abdominal Aortic Junctional Tourniquet, Tactical Medicine, Hemorrhage Control, Pre-hospital Setting, Medical Device Development, Special Forces Medic, Junctional Tourniquet, Extremities, Combat Gauze, Expandable Foams, Pediatric Patients, Non-compressible Torso Hemorrhage, Physiologic Effects, Traumatic Cardiac Arrest, Return of Spontaneous Circulation, Porcine Model, Emergency Protocols, Ukrainian Vascular Surgeon, Bakhmut Conflict, Military Medical Authorities Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineInnovation #AbdominalAorticTourniquet #TacticalMedicineTech #TraumaCareBreakthroughs...

Join us for an intriguing conversation with our guest, Dr. Kevin O'Connor, a retired Army Colonel and Physician to the President of the United States. We journey through the corridors of Military Medicine, tracing Dr. O'Connor's inspirational journey from medical school to the White House, with stints in operational medicine at Fort Bragg and Womack Army Medical Center. We dig into his deployment experiences, delve into tales of the transition from military to executive medicine, and bask in the glow of stories of his role as the caretaker of the nation's Commander-in-Chief. We traverse Dr. O'Connor's career progression, from his days as a resident in World War II barracks to his time serving the nation's top executives. We discuss the importance of trust, the necessity of worst-case scenario planning, and how medical emergencies are handled in remote locations. We underscore the value of honesty and straightforwardness in executive medicine, even when delivering unwelcome news, and illuminate the day-to-day life of the White House medical team, casting a new light on a fundamentally crucial role. Finally, we pull back the curtain on the day-to-day interactions with the President, revealing the challenges of maintaining a team of doctors and nurses for the President, First Lady, and Vice President. Shining a light on the importance of continuity of care, we also discuss the need for change and fresh perspectives. Trust us, you won't want to miss Dr. O'Connor's valuable advice for those interested in a similar career path, as well as his insightful reflections on his own journey. Chapters: (00:00) Dr. Kevin O'Connor's Military Medicine Career (06:18) Military Life and Career Development (12:56) Deployment Experiences and Career Transition (20:04) Transitioning to Physician to President Role (29:34) Executive Medicine (36:28) Honest Communication in Executive Medicine (39:53) Presidential Medical Care and White House Physician (44:49) Daily Interactions With the President Chapter Summaries: (00:00) Dr. Kevin O'Connor's Military Medicine Career This chapter of WarDocs features a conversation with retired Army Colonel and current physician to the President of the United States, Dr. Kevin O'Connor. Dr. O'Connor shares his journey into Military Medicine, from being inspired by his father's military service to receiving ROTC scholarships and completing medical school. He also discusses his assignments at Fort Bragg (Now Fort Liberty) before and after 9/11, where he worked with troop medical clinics and Womack Army Medical Center. Dr. O'Connor reflects on feeling prepared for his role as a medical corps officer and shares some important insights and lessons learned about delivering executive medicine in both the military and civilian sector. He also provides advice for those interested in pursuing a similar career. Tune in to hear more about Dr. O'Connor's distinguished career and experiences. (06:18) Military Life and Career Development This chapter explores Kevin's experience working in a Troop Medical Clinic. Kevin shares his first job as a resident, taking care of young soldiers in a World War II barracks. He also talks about his engagement and being a geographic bachelor while his fiancée was in New Jersey. Kevin then shares how he met a young doctor who gave him valuable advice on expressing his interest in the military. Kevin was assigned to a PROFIS unit in the 504 Parachute Infantry Regiment, where he met the brigade commander, Colonel David Petraeus. Kevin proudly shares how he introduced himself to the commander and expressed his desire to train with them before the balloon goes up. The conversation ends with Kevin being called to jump by the CSM. (12:56) Deployment Experiences and Career Transition This chapter explores the experiences of a military unit during the 9/11 attacks and their subsequent deployment to Afghanistan and Iraq. We discuss their initial reactions to the attacks and their...

Hear an inspiring journey from elite special operations flight paramedic to medical school. Our guest, Ricky Ditzel, a 160th flight paramedic, shares his unique pathway from an unstable home life to becoming a medical student. Ricky speaks about his time as a young Ranger, his path to becoming a flight paramedic, and his experiences during the COVID-19 pandemic. He also discusses the responsibility that comes with his role and the importance of precision and care for pilots, crew chiefs, and special operators. Turning challenges into opportunities, Ricky recounts his experience of building a field hospital in response to the pandemic. He emphasizes the importance of understanding anatomy for pre-hospital traumatic brain injury management and shares the difficulties of transitioning from military to medical school. Listen as Ricky discusses his nonprofit that provides support and resources for people making a similar transition and his belief in the power of networking and mentorship in reaching one's goals. Get ready to be inspired by an incredible testament to resilience and dedication. Ricky shares his journey, struggles, and contribution to military healthcare. His message echoes the significant impact of military personnel in the healthcare industry. This episode is not just about Ricky’s journey but is an inspiring story of determination, resilience, and the will to make a difference. Tune in and get ready to be inspired! Chapters: (0:00:00) - Pathway to Special Operations Medicine (0:07:42) - Military Medicine and Redemption in Early Career (0:14:57) - Aviation and Paramedic Roles and Responsibilities (0:26:24) - Flight Medic Procedures and Challenges (0:33:44) - Military to Medical School (0:45:05) - Medical School and Brain Injury Management (0:55:53) - Supporting Special Operators in Medical School (1:00:13) - Medical School Challenges and Military Legacy Chapter Summaries: (0:00:00) - Pathway to Special Operations Medicine Ricky shares his journey from JROTC to military medicine, offering advice for similar transitions. (0:07:42) - Military Medicine and Redemption in Early Career Ricky recounts his journey from Ranger to flight paramedic, taking control of his career and finding success. (0:14:57) - Aviation and Paramedic Roles and Responsibilities Ricky shares his journey from military to flight paramedic, SOCCM, Green Platoon selection, special operations aviation medical indoctrination, survival training, and the 160th's mission of serving special operators. (0:26:24) - Flight Medic Procedures and Challenges Ricky shares stories of responding to urgent calls, preparing for flight, providing medical treatments, and the importance of quick decisions. (0:33:44) - Military to Medical School and COVID Ricky transitioned from military to medical school during the COVID-19 pandemic, building a 216-bed field hospital named after Navy Seal Ryan Larkin. (0:45:05) - Medical School and Brain Injury Management Ricky reflects on transitioning from military to medical school, the importance of anatomy for TBI management, networking, and the Pat Tillman Foundation's aid. (0:55:53) - Supporting Special Operators in Medical School Ricky is helping military personnel transition to medical school with resources, cognitive assessments, MCAT support, and publication assistance. (1:00:13) - Medical School Challenges and Military Legacy Ricky emphasizes teamwork, leadership, integrity, and values, encouraging listeners to find a balance and new passion. Take Home Messages: Episode Keywords: Military Medicine, Flight Paramedic, JROTC, Cerebral Palsy, Special Operations, Aviation, Pre-Hospital Traumatic Brain Injury, Medical School, COVID-19 Field Hospital, Networking, Mentorship, Anatomy, MCAT, Leadership Gap, Nonprofit, Military Transition Hashtags: #MilitaryToMedicine #Resilience #HealthcareHeroes #InspiringJourneys #FromWarzoneToMedSchool #SpecialOperations #FlightParamedic...

From the azure waters of Hawaii to the bustling corridors of Washington's power centers, Dr. Joseph Carvalho has navigated a fascinating journey. This retired Army Major General has dived deep into the world of military medicine, and this week, we bring you an intriguing conversation about his experiences. His story starts in Hawaii, takes him to Gonzaga University on an ROTC scholarship, and then to the Uniform Services University of the Health Sciences, where he earned his medical degree. Along the way, he's held roles as an Internist, Nuclear Medicine Physician, and Cardiologist, as well as Commander of several important military medical Commands and as Joint Staff Surgeon advising the Chairman of the Joint Chiefs of Staff. He now serves as the president and CEO of the Henry M Jackson Foundation. Dr. Carvalho doesn't just share his story, he unpacks what it means to serve in the medical arena of the military. Get ready for a deep exploration into the career paths, diversity of roles, and leadership challenges medical officers face in combat environments. We talk about his time commanding medical units during wartime, managing wounded warriors at major military hospitals like BAMC and Walter Reed, and the intricacies of military healthcare. We also delve into the factors that make military medical facilities stand out, the importance of military medical research, and the recent developments in transgender acceptance in the military. We round up our conversation with a spotlight on the Henry M Jackson Foundation, where Dr. Carvalho now serves as the president and CEO. As we navigate this chapter of his journey, we discover the role this foundation plays in bridging the gap between civilian and military medicine. We dissect the needed balance between medical research and addressing human frailty in healthcare. So, join us as we traverse through the exciting, complex, and critical world of military healthcare. Don't miss this opportunity to gain insights from an expert who's been on the frontlines, and don't forget to bring your curiosity along for the ride. Take Home Messages: Episode Keywords: Military Healthcare, Medical Officer, Combat Environments, Leadership, Trauma Center, Wounded Warriors, Military Hospitals, Medical Research, Transgender Acceptance, Henry M. Jackson Foundation, Military Medicine, Army Surgeon General, Jointness, Zika Outbreak, Human Frailty, Veterans, Medical Research, Human Frailty, Healthcare Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #DrJosephCaravalho #HealthcareJourney #HenryMJacksonFoundation #CombatMedicine #ROTC #MilitaryHealthcare #LeadershipChallenges #MedicalResearch #MilitaryLife Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter:...

When we think about the journey to a fulfilling career, we often ignore the fact that the route isn't always linear. Our special guest in today's episode can tell you all about it! Navy ENS Alexius Russell gracefully navigated through her path from an enlisted Navy personnel to her current role as a third-year medical student at USUHS, serving as a beacon of inspiration for many. Alexius opens up about her voyage, dishing out pearls of wisdom for those intending to embark on a similar journey. Her experiences as an Intercommunication Electrician, her commitment to excel in every role, and her belief in the power of mentorship form the cornerstone of our conversation. We further venture into Alexius' participation in the EMDP2 program, shining a light on the cruciality of setting tangible goals and embracing a well-rounded approach to success. She articulates her journey in the military medical field, her experiences with uniform and field training, and her aspiration towards a surgical specialty. Alexius also unfolds her intentions to establish a non-profit organization to aid aspiring medical students, reinforcing the importance of relentless dedication in every endeavor. So, gear up for an episode filled with inspiring narratives, insightful advice, and a fresh perspective on pursuing a career in military medicine. Chapters: (00:00) Enlisted Soldier to Physician (14:16) Enlisted to Medical Degree Preparation Program (27:19) Military Medicine and Career Goals Chapter Summaries: (00:00) Enlisted to Doctor We chat with Ensign Alexius Russell, a third-year medical student at USUHS, about her pathway to military medicine. Alexius shares her story, her experiences as an enlisted Navy personnel and her process of joining the military. She also gives excellent advice for those wanting to pursue a career in medicine. Alexius emphasizes the importance of giving your best in any position you are put in and surrounding yourself with medical mentors to guide you. She shares stories of her job as an Intercommunication Electrician and her involvement in different extra-curriculars on the ship, ultimately leading to her attending medical school. (14:16) Enlisted to Medical Degree Preparation Program Ensign Alexius Russell, a third-year medical student at USUHS, emphasizes the importance of having tangible goals and being well-rounded for success. She also stresses the importance of having mentors and understanding the requirements of the programs you want to apply for. Lastly, Alexius shares what it's like to be a student in the EMDP2 program and the importance of putting in the work to succeed. (27:19) Military Medicine and Career Goals Alexius Russell's journey to military medicine and the importance of being open-minded is discussed. She speaks about the uniform and field training required of medical students at USUHS and the surgical specialty she is interested in pursuing. The importance of putting in full effort into every activity, no matter how big or small, is highlighted and Alexius shares her plans to create a nonprofit to assist applicants in the medical school process. Take Home Messages: Episode Keywords: Military Medicine, Ensign Alexius Russell, USUHS, Intercommunication Electrician, EMDP2 Program, Tangible Goals, Mentorship, Uniform Training, Field Training, Surgical Specialty, Non-Profit Organization, Medical School Process, Medical Mentors, Extra-Curriculars, Career Pathway, Relentless Dedication Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd, #MilitaryMedicine #CareerPathways #MedicalJourney #EnlistedToDoctor #NavyEnlisted #MedicalStudent #Mentorship #USUHS #EMDP2Program #MilitaryHealthcare Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who...

Listen in as we explore the journey of retired Navy Captain Paul B. Roach, MD, FACS, where he shares his valuable deployment experiences that led to significant improvements in combat casualty care. From his early deployments as a flight surgeon in Okinawa to his gritty 14-month stint in Afghanistan, Dr. Roach offers a riveting account of combat surgery that will captivate and enlighten. There, he learned the delicate dance of trauma algorithms and rhythms of combat surgery. Dr. Roach explains his motivations to capture his experiences, trials, and triumphs in his memoir, Citizen Surgeon. His deeply moving recollections underscore the critical importance of training and preparation for those deployed, and his mantra of "perfect practice makes perfect" will leave lasting impressions. In an in-depth discussion, we delve into the American College of Surgeons' military-specific curriculum and how it prepares surgeons for the realities of the battlefield. Finally, we navigate the evolution of Military Medicine through Dr. Roach's lens. His career trajectory showcases not just the rigors of deployment but also the harsh reality of transitioning home and the importance of family support. As a Navy Medical Corps Officer, a physician, and a mentor preparing the next generation of Military Medical professionals, Dr. Roach's narratives are an essential listen for anyone interested in the converging worlds of medicine and the military. This episode promises a wealth of insights and real-world experiences from the frontline of Military Medicine. Chapters: (0:00:00) - Early Military Medical Experiences (0:07:06) - Surgical Oncology Career Path & Specialization (0:15:38) - Combat Surgery (0:29:18) - Military Specific Curriculum for Combat Surgeons (0:34:46) - The Evolution of Military Medicine Chapter Summaries: (0:00:00) - Early Military Medical Experiences (7 Minutes) We talk with retired Navy Captain Paul B. Roach, MD, FACS about his experiences from deployments and the important lessons learned that have led to improvements in combat casualty care. We also discuss his memoir Citizen Surgeon and his work to prepare the next generation of military medical professionals, as well as his work with the American College of Surgeons. Dr Roach also recounts his experience as a flight surgeon in Okinawa with the Marines, including a medevac mission he was involved with. (0:07:06) - Surgical Oncology Career Path & Specialization (9 Minutes) Dr. Roach's deployments and the lessons he learned from them have shaped his career. He transitioned from his military service back to training and offers advice for those returning to their residencies after a break. His assignment to NAS Sigonella, Italy, gave him a unique opportunity. He decided to do fellowship training in complex surgical oncology. (0:15:38) - Combat Surgery (14 Minutes) Dr. Roach recounts his experience from his 14-month deployment in Afghanistan. He explains how his training in surgical oncology prepared him for any area he was called upon to work in and how he had to adjust to the trauma algorithms and rhythms of combat surgery. He shares his experience of writing his memoir, Citizen Surgeon, as a way to process his experience and to understand his deployment. He dealt with situations that were outside of his comfort zone, such as pediatric gunshot wounds, and used his med school and residency training to remind himself that he was capable of carrying out the mission. (0:29:18) - Military Specific Curriculum for Combat Surgeons (5 Minutes) Dr. Roach's experience with the American College of Surgeons' military-specific curriculum and exam is discussed. He explains how his training and practice prepared him for his deployments, including his stance on providing care to enemy combatants. He shares how his team was able to handle the Mass Casualty drills, even with members who were new to the experience, and his mantra of "perfect practice makes perfect" and the...

Join us on this fascinating journey with Captain Dr. Alexis Lauria, a graduating chief resident in general surgery at Walter Reed National Military Medical Center. Listen in as she takes us through her path to military medicine, the intricacies of applying for medical school, and her time at Penn State University. Hear about her experiences in the HPSP program during medical school and her subsequent general surgery training. We also celebrate Alexis’s remarkable accomplishment of completing six years of general surgery training. In the second part of our discussion, Alexis recounts her time as a resident at Walter Reed, her research experiences, and the unique challenges she faced in her second and third year. She also talks about the importance of forming strong relationships with faculty members during medical rotations and shares valuable insights on effective leadership as a chief resident. She goes on to describe her time leading the general surgery team at Walter Reed and provides priceless advice for medical students considering a career in general surgery. In the final segment, we discuss the value of mentorship and Alexis's experiences in her surgery residency. She explains how having strong support systems, like her marriage and class, played a crucial role in her journey. We also delve into the demanding process of becoming a board-certified general surgeon. Lastly, Alexis provides some helpful advice for new surgery residents. Tune in to hear Alexis discuss her favorite and challenging surgeries in training and the unique challenges and opportunities she faced in her military training. --------- EPISODE CHAPTERS --------- (0:00:01) - Military Medicine and General Surgery (0:11:27) - General Surgery Residency and Research Experiences (0:21:12) - Leadership in General Surgery Residency (0:27:37) - Mentorship in Surgery Residency (0:36:17) - Advice for New Surgery Residents (0:40:53) - Favorite and Challenging Surgeries in Training (0:43:23) - Challenges and Opportunities in Military Training --------- EPISODE CHAPTERS WITH SHORT KEY POINTS --------- (0:00:01) - Military Medicine and General Surgery Alexis Lauria shares her journey to medical school, the HPSP program, and six years of general surgery training. (0:11:27) - General Surgery Residency and Research Experiences Alexis Lauria shares her military medical program experience, including Walter Reed residency and Society for Vascular Surgery Meeting. (0:21:12) - Leadership in General Surgery Residency Alexis Lauria shares advice on making meaningful connections with faculty, personalizing military applications, and leading a team as a chief resident. (0:27:37) - Mentorship in Surgery Residency Alexis Lauria shares her journey through surgery residency, discussing the qualifying exam, oral boards, mentors, and specialty development. (0:36:17) - Advice for New Surgery Residents Alexis Lauria emphasizes the importance of showing care for team members. (0:40:53) - Favorite and Challenging Surgeries in Training Vascular surgery challenges and rewards discussed, including laparoscopic cholecystectomy and vascular endografts, with advice from Alexis on military medical program. (0:43:23) - Challenges and Opportunities in Military Training Captain Dr. Alexis Lauria highlights the rewards of military work, relationships with faculty, and vascular surgery experiences. EPISODE KEYWORDS Military Medicine, General Surgery Residency, HPSP Program, Walter Reed, Chief Resident, Medical Rotations, Board-Certified General Surgeon, Vascular Surgery, Laparoscopy, Endografts, Leadership, Mentorship, Medical School, Residency Program, Interview Process, Research Experiences, Building Relationships, Advice HASHTAGS #MilitaryMedicine #VascularSurgery #GeneralSurgery #MedicalEducation #MedicalMentorship #HealthProfessionsScholarshipProgram #LeadershipInMedicine #WomenInMedicine #JourneyIntoMedicine #WalterReed TAKE HOME MESSAGES Honoring the...