lunes, 11 de febrero de 2019

Virtual training platform maintains, improves military surgeon’s skills | Health.mil

Virtual training platform maintains, improves military surgeon’s skills | Health.mil

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Virtual training platform maintains, improves military surgeon’s skills

Airmen assigned to the 99th Medical Group perform in an orthopedic spine surgery at Nellis Air Force Base, Nevada. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)



Airmen assigned to the 99th Medical Group perform in an orthopedic spine surgery at Nellis Air Force Base, Nevada. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)



FALLS CHURCH, Va. — It is vital for military medical professionals to continuously maintain and improve their skills. To access more training opportunities, military surgeons are looking to virtual training platforms.
The Air Force is working with sister services to study a virtual training platform called Crowd-Sourced Assessment of Technical Skills, or C-SATS. C-SATS provides specialized training for surgeons to further improve their specialized skills.
According to Air Force Maj. Joshua Tyler, director of robotics at Keesler Air Force Base, Mississippi, C-SATS lets surgeons receive virtual feedback on an objective, third party platform. This unbiased feedback helps improve their skills.
“Basically, a panel of expert surgeons virtually reviews a case you submit, and [then] provides feedback,” said Tyler. “This helps our surgeons learn the most advanced surgical techniques they would otherwise have less exposure to.”
While C-SATS shows promising results in studies with civilian surgeons, it has not yet been studied with military surgeons.
“The Department of Defense’s trained surgeons are talented and qualified, but it takes experience and time to become proficient,” said Army Col. Robert Lim, chief of Minimally Invasive Surgery at Tripler Army Medical Center, Hawaii. “The C-SATS platform provides additional opportunities to ensure skills are maintained and perfected.”
To assess C-SATS’s use on improving the skills and capabilities of military surgeons, Lim and his team, including Tyler, received a grant from the Telemedicine and Advanced Technology Research Center at the U.S. Army Medical Research and Materiel Command in December of 2017.
“The grant will look at military surgeons recently back from deployment,” said Lim. “We are looking at surgeons at Keesler Air Force Base, Naval Base San Diego, William Beaumont Army Medical Center, and Tripler Army Medical Center.”
One benefit of the C-SATS platform is that busy surgeons can use it on their schedule, instead of waiting for training opportunities.
“This is especially important for specialists who may not have as many opportunities to practice their specific skills on-base,” said Tyler. “This platform provides another way to ensure they can retain their clinical currency.”
Using C-SATS, surgeons submit a recording of a case they have completed, after removing any identifiable patient information. The development team at C-SATS will then edit the video file into key steps of the procedure and send it to expert reviewers familiar with the procedure.
One of those expert reviewers is Tyler.
“Not only do we take great care to ensure patient privacy, but we also ensure the surgeon that performs the operation and the reviewers remain anonymous,” said Tyler. “The expert surgeons will then score the video on key areas such as how well the surgeon used their hands, how well they manipulated the tissue, or assess their pace. The surgeon gets feedback on a very granular level, specifying the exact second where a surgeon could improve their technique.”
As Tyler explains, C-SATS has the potential to be an in important tool that supports full-spectrum medical readiness by maintaining currency and improving skills.
“C-SATS has had tremendous success in improving skills and patient outcomes in the private sector, and we want to know how this platform can work for our military surgeons,” said Tyler. “This platform can provide military surgeons an additional opportunity to stay up-to-date on advanced techniques and receive additional support with new innovations like surgical robotics.”
Disclaimer: Re-published content may have been edited for length and clarity.  Read original post.


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Policy
This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (p), establishes the Defense Health Agency’s (DHA) procedures for implementing and managing IT assets and LCMS/Enterprise Activity functions by the Chief Information Officer (CIO), Deputy Assistant Director, Information Operations (DAD IO)/J-6 for the Military Health System (MHS). This DHA-IPM: • Is binding on DoD Components and supports the Director, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by the DHA. • Is effective immediately and will expire 12 months from date of signature. It must be incorporated into a DHA-Procedural Instruction; reviewed annually and updated as determined by the CIO.
  • Identification #: 19-001
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  • Date: 1/15/2019
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  • Type: DHA Interim Procedures Memorandum
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  • Topics: Technology

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This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (p): • Establishes the Defense Health Agency’s (DHA) procedures for the physical custody and control of DoD Health Records at all DoD Military Treatment Facilities (MTFs) and the management, monitoring, review, and evaluation of DoD Health Record availability at MTFs. • This DHA-IPM is effective immediately and will expire effective 12 months from the date of issue. It must be incorporated into the forthcoming DHA-Procedural Instruction, “Health Records Management”.

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This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (v), establishes Defense Health Agency’s (DHA) procedures to: • Establish the overarching guidance to implement policies and procedures for managing DHA Deputy Assistant Director, Information Operations (DAD IO)/J-6 Defense Health Program (DHP) IT resources. The DHA Investment Management Framework is used as an enabler for MHS leadership to make informed transparent financial decisions associated with the DHA DAD IO/J-6 systems, services, and capabilities and will continue to be used in the foreseeable future. • Provide full and total awareness of all IT across the enterprise ensuring all MHS healthcare-related IT investments are accounted for and integrated both operationally and financially. This includes all IT systems, applications, and devices and all their funding identified to manage a coherent and integrated healthcare capability across the enterprise. • Provide and supersede guidance and instructions previously provided through the Services. As Military Medical Treatment Facilities (MTFs) transition to DHA management and responsibility, procedures in this DHA-IPM will supersede IT systems guidance and instructions previously provided through the Services; including IT systems in all MTFs, clinics, and enterprise services provided to Other Lines-of-Business (OLB), such as training and research, etc. In addition, it supports a coherent and comprehensive catalog of IT capability investments encompassing all IT used to support the MHS mission. • Require that all funding sources, type and Budget Activity Group (BAG), purchasing or supporting any IT must be identified for inclusion in the DHA portfolio of IT capability investments. • Provide superseding guidance and instruction, through this DHA-IPM until a DHA-Procedural Instruction is issued previously provided by the Services in References (w) through (ad), for the MTFs as they are transitioned to DHA management and responsibility. • This DHA-IPM is effective immediately and it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.
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  • Date: 11/6/2018
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  • Type: DHA Interim Procedures Memorandum
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  • Topics: Technology

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This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (s): • Establishes the Defense Health Agency’s (DHA) procedures for centralized oversight, standardized operations, and ensured quality and performance for the coding of DoD Health Records. • This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire 12 months from the date of issue.

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This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the requirements of References (d) through (y): • Establishes the Defense Health Agency’s (DHA) procedures to implement and maintain a DHA Cybersecurity Program for the Military Health System (MHS) to protect and defend DHA information and Information Technology (IT). • Is effective immediately; it will be converted into DHA-Procedural Instruction (DHA-PI), “Cybersecurity Program Management.” This DHA-IPM will expire effective 12 months from the date of issue.
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  • Date: 10/17/2018
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Policy
This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (m), establishes the Defense Health Agency’s (DHA) procedures for acceptable use of DHA IT by authorized and privileged users.
  • Identification #: DHA PI 8140.01
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  • Date: 10/16/2018
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  • Type: DHA Procedural Instruction
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  • Topics: Technology

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