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BMJ Mil Health. 2021 Jun;167(3):168-171. doi: 10.1136/jramc-2019-001303. Epub 2020 Feb 02.

Evaluation of a fellowship abroad as part of the initial training of the French military surgeon.

BMJ military health

Camille Choufani, O Barbier, T Demoures, L Mathieu, S Rigal

Affiliations

  1. Orthopaedic Surgery, Military Training Hospital Begin, Saint Mande, France [email protected].
  2. Orthopedic and Traumatology, Hopital d'Instruction des Armees Begin, Saint Mande, France.
  3. Orthopaedic Surgery, Military Training Hospital Begin, Saint Mande, France.
  4. Department of Orthopaedic, Trauma and Reconstructive Surgery, HIA Percy, Clamart, France.
  5. Department of Traumatology and Orthopedics, HIA Percy, Clamart, France.

PMID: 32015183 DOI: 10.1136/jramc-2019-001303

Abstract

INTRODUCTION: Military surgery requires skills that in general cannot be easily learnt in civilian training. Participation in a fellowship abroad adapted to the particular operating conditions of the foreign deployment is one route that might secure the necessary supplementary training. We therefore assessed the relevance of such a fellowship in the preparedness of young military surgeons in their first deployment.

METHODS: This study included all active military surgeons who had completed a fellowship abroad during their initial training from 2004 to 2017 in Tchad or Senegal or Djibouti. The collection of data was performed using a questionnaire. The main judgement criterion was the rate of positive answers awarded to the relevance of this fellowship in the preparedness of respondents' first foreign deployment.

RESULTS: Sixty-nine of 73 surgeons answered. Sixty-one estimated the fellowship had allowed them to feel more operational during their first mission, with 83.61% rating this feeling as important. Also, 61 recommended the use of a fellowship for war surgery training. The grade assigned to the surgical benefit was 8.48/10.

CONCLUSION: A fellowship abroad permits one to become familiar with surgical practice under austere circumstances and the particularities of the surgical structures at the front. Current trainees' feedback confirms its relevance.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: fellowship; military; surgery; training

Conflict of interest statement

Competing interests: None declared.

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