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Improving medical skills and training doctors in austere environments

Image credit: Abdulhakim Zaggut

Muhammad M Rahman
Muhammad M Rahman Feb 13, 2021

[1]1. Zaggut AW et al. Training Non-Specialists for Craniomaxillofacial Trauma in a Warzone Setting. September 2020, Journal of Dentistry Open Access. DOI: 10.31487/j.JDOA.2020.02.06

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General comments

Shubhankar Kulkarni
Shubhankar Kulkarni17 days ago
There can be training programs for the doctors. During a crisis, along with the experienced doctors (experienced in providing medical care in austere environments), other doctors can accompany them as their associates. The experienced doctors can take charge of the patient while the fresh doctors can study the situation (absorb it - prepare themselves mentally for such situations), take notes on what alternative options need to be utilized in case of more demand and lack of expensive high-end diagnostic technology, and also assist the experienced doctors in providing medical care. This will no doubt increase the cost of employing more number of doctors (along with their transport, food, and shelter) but we will have a batch of experienced doctors and could more properly manage a similar situation in the future. Also, the doctors will have real-life experience, which is better than simulations.
Povilas S
Povilas S2 days ago
Shubhankar Kulkarni Exactly what I was thinking - training in advance in actual austere environments. The non-experienced doctors could come when the situation is not an emergency, when it's rather steady and manageable, but the conditions are nevertheless harsh. I bet such circumstances are a status quo in many developing countries. Then the experienced ones would have more time and less stress which is a much better situation for teaching as well as for the patients who need the full attention of the experienced doctors in emergency times. Emergencies could be simulated so that the next time when the real one happens the newly trained doctors would be already familiar with the environment, the equipment available, and how things are done there and had undergone the training for extreme situations.