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15/08/2015

Quel médecin en role 1 ?

Perceptions of Frontline Providers on the Appropriate Qualifi cations for Battalion Level Care in United States Army Ground Maneuver Forces

Malish RG et Al. Military Medicine, 176, 12:1369, 2011

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Il est habituel pour nous qu'un médecin déployé en role 1 soit un médecin généraliste. Ce n'est pas le cas dans d'autres armées notamment l'armée américaine où d'une part des spécialistes hospitaliers  et d'autre part des officiers de santé ("physician assistant, souvent ancien combat medic) peuvent être déployés en role 1. 

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Objectives:

The U.S. Army emplaces physician assistants (PAs) in its maneuver battalions. When contingencies arise, clinic-based physicians join them to augment capability. Because both entities operate similarly, the policy permits a comparison of perceptions of optimal skill sets for the battalion medical mission.
 
Methods:
 
We conducted a survey to discover associations in opinion regarding the best qualifi cations for battalion care. We asked deployed PAs and physicians to rate themselves and their counterparts in eight domains. We hypothesized that both entities would rate PAs as superior based on their permanent presence at battalion level and their familiarity with the disease and injury patterns of their population.
 
Results:
 
Among 26 respondents, PAs awarded themselves a score of 8.3 ± 0.3 out of 10 and a score of 6.5 ± 0.5 to physicians. Physicians awarded PAs a score of 8.4 ± 0.3 and themselves a score of 8.3 ± 0.3. 
 
Conclusion:
 
Participants support the PA as an appropriate capability for battalion care in prolonged combat environments.