The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the dem... more The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the demands of the Global War on Terrorism (GWOT). Due to this expansion, there is a need for more and better-experienced SOF physician assistants (PA). In 2008, the Physician Assistant Section, Army Medical Specialist Corps (AMSC) updated its Career Life Cycle Model. Career branch managers and individual PAs employ this model to chart career progression. According to this model, Army PAs can serve in SOF units (Appendix A) until reaching the rank of Lieutenant Colonel (P). The Modified Table of Allowances and Equipment (MTOE) is the Army's organizational structure for assigning individuals and equipment (http://www.army.mil/usapa/epubs/pdf/r570_4.pdf) to a specific tactical unit. Currently, the MTOE within the SOF community only supports hiring of PAs with the rank of Captain or Major and retention up to the rank of Major (exception USSOCOM). With the need to retain and expand the number of high quality PAs within the community, an MTOE change is required within all Army SOF units. This change will balance the PA life cycle model with actual MTOE allocations within SOF units. The overall effect would be the retention of increased numbers of experienced PAs within the SOF community. During the 1970s, the U.S. Army was losing many physicians to civilian practice. Due to this shortage, military physicians saw a need for developing a military PA profession. Congress authorized the training of Army PAs and training began in 1971. The first class graduated in 1973. The other Services quickly followed the Army's lead and established their own programs. Later, these programs combined to form one school. Today, the Interservice Physician Assistant Program (IPAP) is the only Department of Defense institution for training military PAs. The IPAP is the largest PA program in the United States with approximately 200 graduates annually. Approximately 115 of the current students are active duty Army. Today, PAs work in all types of medical and surgical practice environments. Advanced training in formal residencies such as orthopedics, general surgery, and emergency medicine are available. Despite these specialties, the majority of Army PAs serve in combat arms units. Currently, of the 973 Army PAs serving on active duty, 97% have deployed to combat with an average combined deployment time being 29 months. Special Operations units conduct unconventional missions in austere environments. Due to the remoteness of these missions and the lack of direct physician oversight, the employment of more seasoned PAs is imperative. Currently, according to Lieutenant Colonel Earl "Buck" Benson, USASOC Senior PA (personal correspondence), USASOC employs mainly company grade physician assistants. Currently, the United States Army Special Operations Command (USASOC) and Joint Special Operations Command (JSOC) are expanding the number of assigned personnel. An increase in Special Operations rank structure is necessary given the complexity of Special Operations missions and the investment in training of PAs. By utilizing more experienced PAs, the Special Operations medical community can decrease the risk of medical errors, medic-training shortcomings, enhance mission planning, and improve patient care.
Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2010
The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the dem... more The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the demands of the Global War on Terrorism (GWOT). Due to this expansion, there is a need for more and better-experienced SOF physician assistants (PA). In 2008, the Physician Assistant Section, Army Medical Specialist Corps (AMSC) updated its Career Life Cycle Model. Career branch managers and individual PAs employ this model to chart career progression. According to this model, Army PAs can serve in SOF units (Appendix A) until reaching the rank of Lieutenant Colonel (P). The Modified Table of Allowances and Equipment (MTOE) is the Army's organizational structure for assigning individuals and equipment (http://www.army.mil/usapa/epubs/pdf/r570_4.pdf) to a specific tactical unit. Currently, the MTOE within the SOF community only supports hiring of PAs with the rank of Captain or Major and retention up to the rank of Major (exception USSOCOM). With the need to retain and expand the number of high quality PAs within the community, an MTOE change is required within all Army SOF units. This change will balance the PA life cycle model with actual MTOE allocations within SOF units. The overall effect would be the retention of increased numbers of experienced PAs within the SOF community. During the 1970s, the U.S. Army was losing many physicians to civilian practice. Due to this shortage, military physicians saw a need for developing a military PA profession. Congress authorized the training of Army PAs and training began in 1971. The first class graduated in 1973. The other Services quickly followed the Army's lead and established their own programs. Later, these programs combined to form one school. Today, the Interservice Physician Assistant Program (IPAP) is the only Department of Defense institution for training military PAs. The IPAP is the largest PA program in the United States with approximately 200 graduates annually. Approximately 115 of the current students are active duty Army. Today, PAs work in all types of medical and surgical practice environments. Advanced training in formal residencies such as orthopedics, general surgery, and emergency medicine are available. Despite these specialties, the majority of Army PAs serve in combat arms units. Currently, of the 973 Army PAs serving on active duty, 97% have deployed to combat with an average combined deployment time being 29 months. Special Operations units conduct unconventional missions in austere environments. Due to the remoteness of these missions and the lack of direct physician oversight, the employment of more seasoned PAs is imperative. Currently, according to Lieutenant Colonel Earl "Buck" Benson, USASOC Senior PA (personal correspondence), USASOC employs mainly company grade physician assistants. Currently, the United States Army Special Operations Command (USASOC) and Joint Special Operations Command (JSOC) are expanding the number of assigned personnel. An increase in Special Operations rank structure is necessary given the complexity of Special Operations missions and the investment in training of PAs. By utilizing more experienced PAs, the Special Operations medical community can decrease the risk of medical errors, medic-training shortcomings, enhance mission planning, and improve patient care.
Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2009
Musculoskeletal complaints comprise the majority of cases encountered by military physicians when... more Musculoskeletal complaints comprise the majority of cases encountered by military physicians when evaluating young active duty Soldier-athletes. This is a case of reactive arthritis in a 19-year-old active duty Soldier-athlete whose failure to improve with conservative therapy initiated further investigation. When evaluating what appear to be routine overuse injuries, it is important to actively include other potential causes of musculoskeletal complaints in the differential diagnosis. Further investigation of disease in patients whose symptoms and complaints do not improve with routine conservative care is paramount. Reactive arthritis, though self-limiting in two-thirds of those affected, can become a chronic disabling disease affecting as many as 40 out of 100 patients. Current theories suggest the persistent presence of non-culturable bacteria and bacterial antigens residing in the joint synovia as the etiology of the disease state. There is no curative therapy for reactive arth...
Isolated perivesicular hematomas are uncommonly described and not an injury typically reported in... more Isolated perivesicular hematomas are uncommonly described and not an injury typically reported in the literature after parachuting or skydiving. Herein, we described a series of three patients with isolated perivesicular hematomas sustained after military parachuting. All three patients were managed nonoperatively after a somewhat prolonged hospital course. Despite the lack of orthopedic injuries, all required physical therapy consultation and required an assisting device to aide with ambulation at the time of discharge. For all three individuals, follow-up imaging months after the injury demonstrated a continued presence of the hematoma. Clinically, the patients continued to have ambulatory and urological difficulties for several months after their injury. This injury pattern is uncommonly reported in the literature. An appropriate index of suspicion must be maintained or there may be a delay in diagnosis. Management of these injuries requires coordinated care between the trauma se...
The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the dem... more The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the demands of the Global War on Terrorism (GWOT). Due to this expansion, there is a need for more and better-experienced SOF physician assistants (PA). In 2008, the Physician Assistant Section, Army Medical Specialist Corps (AMSC) updated its Career Life Cycle Model. Career branch managers and individual PAs employ this model to chart career progression. According to this model, Army PAs can serve in SOF units (Appendix A) until reaching the rank of Lieutenant Colonel (P). The Modified Table of Allowances and Equipment (MTOE) is the Army's organizational structure for assigning individuals and equipment (http://www.army.mil/usapa/epubs/pdf/r570_4.pdf) to a specific tactical unit. Currently, the MTOE within the SOF community only supports hiring of PAs with the rank of Captain or Major and retention up to the rank of Major (exception USSOCOM). With the need to retain and expand the number of high quality PAs within the community, an MTOE change is required within all Army SOF units. This change will balance the PA life cycle model with actual MTOE allocations within SOF units. The overall effect would be the retention of increased numbers of experienced PAs within the SOF community. During the 1970s, the U.S. Army was losing many physicians to civilian practice. Due to this shortage, military physicians saw a need for developing a military PA profession. Congress authorized the training of Army PAs and training began in 1971. The first class graduated in 1973. The other Services quickly followed the Army's lead and established their own programs. Later, these programs combined to form one school. Today, the Interservice Physician Assistant Program (IPAP) is the only Department of Defense institution for training military PAs. The IPAP is the largest PA program in the United States with approximately 200 graduates annually. Approximately 115 of the current students are active duty Army. Today, PAs work in all types of medical and surgical practice environments. Advanced training in formal residencies such as orthopedics, general surgery, and emergency medicine are available. Despite these specialties, the majority of Army PAs serve in combat arms units. Currently, of the 973 Army PAs serving on active duty, 97% have deployed to combat with an average combined deployment time being 29 months. Special Operations units conduct unconventional missions in austere environments. Due to the remoteness of these missions and the lack of direct physician oversight, the employment of more seasoned PAs is imperative. Currently, according to Lieutenant Colonel Earl "Buck" Benson, USASOC Senior PA (personal correspondence), USASOC employs mainly company grade physician assistants. Currently, the United States Army Special Operations Command (USASOC) and Joint Special Operations Command (JSOC) are expanding the number of assigned personnel. An increase in Special Operations rank structure is necessary given the complexity of Special Operations missions and the investment in training of PAs. By utilizing more experienced PAs, the Special Operations medical community can decrease the risk of medical errors, medic-training shortcomings, enhance mission planning, and improve patient care.
Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2010
The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the dem... more The U.S. Army is rapidly expanding its Special Operations Forces (SOF) capability to meet the demands of the Global War on Terrorism (GWOT). Due to this expansion, there is a need for more and better-experienced SOF physician assistants (PA). In 2008, the Physician Assistant Section, Army Medical Specialist Corps (AMSC) updated its Career Life Cycle Model. Career branch managers and individual PAs employ this model to chart career progression. According to this model, Army PAs can serve in SOF units (Appendix A) until reaching the rank of Lieutenant Colonel (P). The Modified Table of Allowances and Equipment (MTOE) is the Army's organizational structure for assigning individuals and equipment (http://www.army.mil/usapa/epubs/pdf/r570_4.pdf) to a specific tactical unit. Currently, the MTOE within the SOF community only supports hiring of PAs with the rank of Captain or Major and retention up to the rank of Major (exception USSOCOM). With the need to retain and expand the number of high quality PAs within the community, an MTOE change is required within all Army SOF units. This change will balance the PA life cycle model with actual MTOE allocations within SOF units. The overall effect would be the retention of increased numbers of experienced PAs within the SOF community. During the 1970s, the U.S. Army was losing many physicians to civilian practice. Due to this shortage, military physicians saw a need for developing a military PA profession. Congress authorized the training of Army PAs and training began in 1971. The first class graduated in 1973. The other Services quickly followed the Army's lead and established their own programs. Later, these programs combined to form one school. Today, the Interservice Physician Assistant Program (IPAP) is the only Department of Defense institution for training military PAs. The IPAP is the largest PA program in the United States with approximately 200 graduates annually. Approximately 115 of the current students are active duty Army. Today, PAs work in all types of medical and surgical practice environments. Advanced training in formal residencies such as orthopedics, general surgery, and emergency medicine are available. Despite these specialties, the majority of Army PAs serve in combat arms units. Currently, of the 973 Army PAs serving on active duty, 97% have deployed to combat with an average combined deployment time being 29 months. Special Operations units conduct unconventional missions in austere environments. Due to the remoteness of these missions and the lack of direct physician oversight, the employment of more seasoned PAs is imperative. Currently, according to Lieutenant Colonel Earl "Buck" Benson, USASOC Senior PA (personal correspondence), USASOC employs mainly company grade physician assistants. Currently, the United States Army Special Operations Command (USASOC) and Joint Special Operations Command (JSOC) are expanding the number of assigned personnel. An increase in Special Operations rank structure is necessary given the complexity of Special Operations missions and the investment in training of PAs. By utilizing more experienced PAs, the Special Operations medical community can decrease the risk of medical errors, medic-training shortcomings, enhance mission planning, and improve patient care.
Journal of special operations medicine : a peer reviewed journal for SOF medical professionals, 2009
Musculoskeletal complaints comprise the majority of cases encountered by military physicians when... more Musculoskeletal complaints comprise the majority of cases encountered by military physicians when evaluating young active duty Soldier-athletes. This is a case of reactive arthritis in a 19-year-old active duty Soldier-athlete whose failure to improve with conservative therapy initiated further investigation. When evaluating what appear to be routine overuse injuries, it is important to actively include other potential causes of musculoskeletal complaints in the differential diagnosis. Further investigation of disease in patients whose symptoms and complaints do not improve with routine conservative care is paramount. Reactive arthritis, though self-limiting in two-thirds of those affected, can become a chronic disabling disease affecting as many as 40 out of 100 patients. Current theories suggest the persistent presence of non-culturable bacteria and bacterial antigens residing in the joint synovia as the etiology of the disease state. There is no curative therapy for reactive arth...
Isolated perivesicular hematomas are uncommonly described and not an injury typically reported in... more Isolated perivesicular hematomas are uncommonly described and not an injury typically reported in the literature after parachuting or skydiving. Herein, we described a series of three patients with isolated perivesicular hematomas sustained after military parachuting. All three patients were managed nonoperatively after a somewhat prolonged hospital course. Despite the lack of orthopedic injuries, all required physical therapy consultation and required an assisting device to aide with ambulation at the time of discharge. For all three individuals, follow-up imaging months after the injury demonstrated a continued presence of the hematoma. Clinically, the patients continued to have ambulatory and urological difficulties for several months after their injury. This injury pattern is uncommonly reported in the literature. An appropriate index of suspicion must be maintained or there may be a delay in diagnosis. Management of these injuries requires coordinated care between the trauma se...
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