Hospital rotations for medical proficiency training give medics who operate in the field the opportunity to see what “right” looks like. Knowing this and understanding treatment principles can allow a flexible medic to adapt to unique situations in the absence of protocols, guidelines and evidence. If properly coordinated and supported, MPTs can be an invaluable and eye opening experience. When thrown together with a naive or indifferent staff or unmotivated medic, it can be a huge waste of time and money for everyone involved. In this episode Dennis and Dr. Mark Shapiro talk about several MPT programs, and strategies to maximize the effectiveness of an MPT.
Here are several elements necessary for a positive MPT experience:
An approved MOU
A motivated lead clinician
An administrative coordinator
A limited amount of competition with residents and fellows
Multiple capabilities and scope of practice briefs and videos to catch staff in all departments and shifts in which a medic will be working (Share this episode)
A synopsis of your scope of practice and goals emailed to the specific departments in the days prior
A list of procedures or experiences the medic is trying to complete may help the staff understand goals
If an MPT is meant to prep for prolonged field care the medic should strive to respond to the trauma bay and accompany the patient through the continuum of care including prep, surgery, post op and ICU
One last thing before the podcast;
Please dont show up to your first day to work at a world class level 1 trauma center and medical school wearing pink ranger panties when everyone else is in suit and tie. I wouldn’t say it if it hadn’t happened…
Here are some links from current and past Academis partners who have participated in Military/civilian MPT partnerships:
It has been our experience that high quality prolonged field care training takes time, resources and expertise by dedicated trainers well versed and experienced in critical care concepts. That being said we also believe that there are fundamental principles which can help
Training materials were the number 1 most requested item from our SOMSA AAR. We have put out other training recommendations in the past but wanted to also highlight some important skills that will help you identify gaps in your PFC training program, plan future training and measure progress. We will get more into this cycle in the future however, this should be a good place to start. Many thanks go out to Andrew who labored over many versions of the list over the past few months. One last thing, be sure that you are already at 100% T for Trained on your TCCC task list. There is no use in getting into PFC training prior to mastering TCCC. If you see something we may have overlooked and would like to see it on future versions, please comment below and let us know.