1. How do we train military doctors for their role?
Brigadier Robin Simpson QHS
Defence Dean

5. Biggest Dangers!

6. POW (CPERS)

7. ACTIVITIES AS A MO
Aid dialogue
between
factions

8. Not involved!

17. Problem areas
Communication

18. Undergraduate training
Army Medical Officers Training pipeline
Speciality
Selection
Revalidation/ CCT
Selected for Commission
ASCAB
Deployment
Deployment
Deployment
GDMO
Consultant GP
PGMO
SPR F1 F2
Undergraduate training

19. The Pre-Commissioning Course - 2 days
Initial Medical Examination
Fitness tests
Aptitude tests

20. Commissioning Course - 2 days
Fitness tests
Aptitude tests
Leaderless tasks
Planning Exercise
Command tasks
Obstacle course
Presentation
Interview

21. Foundation Years For DMS in Deaneries where DMG located All DMS FY MOs
Derriford, Frimley Park, North Allerton, QE Birmingham, Portsmouth
All DMS FY MOs
A and E
GP (where possible in DMS GP Training Practice)

22. Phase 2A Military Medical Skills
Army PGMO Course
Exams
Phase 1 RMAS
Phase 2A
Military Medical Skills
Phase 2B
Medical Skills for
GDMO
6 Months

23. PGMO Exams Exams in: Primary Care Preventative Medicine
Military Medicine
Military Psychiatry
Diploma in Medical Care of Catastrophes'
MIMMS
BATLS

24. BATLS Primary Survey - <C>ABCDE Catastrophic Haemorrhage Control
Airway (and cervical spine control where appropriate)
Breathing and Ventilation (with oxygen where available)
Circulation and Haemorrhage Control
Disability or Neurological Deficit
Extremity / Environment / Exposure

25. Tourniquets

26. Topical Haemostatic
For non compressible haemorrhage Celox gauze, which contains a substance chitosan derived from crushed shellfish, becomes sticky on contact with blood, helping clots develop and
rapidly stopping even
severe bleeding.

27. Hypotensive resuscitation
A strategy of hypotensive resuscitation is acceptable for the first hour post-injury.
If the radial pulse is absent, give repeated intravenous boluses of 250mls of crystalloid fluid until the radial pulse can be detected.

28. MIMMS
Major Incident Medical Management and Support: the practical approach at the scene

29. Military Fellowships EM Aviation and Space Medicine Paediatrics PHEMUK
Australia
Aviation and Space Medicine
6 months in Florida or Kazakhstan

30. Military module RCoA
Military Operational Surgical Training Course – since week.
Prepare the multidisciplinary team for deployment
Lectures, small group workshops, fully immersive simulation scenarios and cadaveric workshops.

31. Military Fellowships Pre / Post CCT
Defence Anaesthesia Simulation Course - 2 days -
Competence with many of the key items of military anaesthetic equipment.
Realistic scenarios in a field operating theatre setting
Paediatric casualties

32. Pre Deployment Training
Weapons handling and skill at arms.
Kit prep and personal admin.
Camouflage and concealment.
Patrolling and Tactical Movement.
Communications including use of radio.
Preparation of defensive positions.
Land navigation (map reading!)
Night time movement.

33. ASCAB

34. Mandated to at least meet civilian standards
Clinical Governance including audit and Significant Event
Revalidation
Training Standards
Speciality Selection
Need to apply standards both in peacetime (barracks) and on operations (where possible)
CQC

35. Questions?