Saturday, July 6, 2013

The Day After Independence Day

 

I thought of several ways to title this post. 1. Changes in Battlefield Medicine 2.Educational opportunities on line at MYVEHU. 3.What non-VA physicians should know about VA and/or Military Medicine.

This post seemed timely as we have just celebrated our freedoms and liberties defended by our warriors some of whom become severely wounded and challenged from their wounds. It also may explain the increased number of multiple limb amputees and how their mortality  has been drastically reduced, and how advanced technology is brought to the battlefield hospital for intervention during the window of opportunity within one hour of the injury. This is no accident and is due to carefully orchestrated teamwork of the involved professionals on the battlefield

There is a lesson to be learned for civilian medical care, both acute and chronic. ln our present system the majority of MDs practice in a relatively isolated clinic environment. Most of their professional organization takes place in the hospital as a member of the medical staff and their specialty department.  There is little opportunity to engage other specialists not in their own field. The individual excellence of each physician is in a silo (much like health information)

Civilians medicine is in the process of transitioning from the old model into one of integrated systems, and accountable care organizations, capable of using military models of care.

With this introduction, let’s move on to some specifics about the VA system, and also the medical departments of the armed services.

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The Veteran’s Administration Health System offers continuing medical education for physicians and care-givers online, similar to many offerings for CME from universities and accredited programs.

MYVEHU is a source for VA personnel that also features topics relevant to the reorganization of civilian systems

 

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