MEDU-4085 - Military Officer Training Elective

MEDU-4085 - Military Officer Training Elective

Elective Title: Military Officer Training Elective
Course Number: MEDU-4085
Elective Type: career Duration/Weeks: 4-8 Max Enrollment: 2
Prerequisites: Successful completion of Year 2
Additional Requirements: Commissioned Military Officer -HPSP Student, C-form is required to enroll. Please send C Form to Chelsea Tippit,
Responsible Faculty Director: Joaquin Cortiella, MD Periods Offered: 1-13 including holiday period 8 
Coordinator: Other Faculty:
Location to Report on First Day:
Per Military Orders

All Health Professions Scholarship Program (HPSP) Military students must complete an officer training course. The course will develop critical thinking in decision making processes that incorporate medical decisions within both a battlefield
scenario as well as in a hospital setting. This course will emphasize how an officer fits within the TEAMSTEP consept of medical management which enforces medical excellence, team building within a hospital.

For the Army, the course is comprised of a six-week Basic Officer Leadership Course (BOLC) at Fort Sam Houston in San Antonio, Texas. The Navy course, Officer Development School (ODS), is a five-week training program located at Officer Training Command in Newport, Rhode Island. Each has similar, but individual goals as detailed below:

BOLC: This course is designed to instruct students on the basics of being an Army and Army Medical Department (AMEDD) officer. It will assist the student in making their transition into the Army a smooth one. This course will provide the student with an increased understanding of the U.S. Army, its various missions and most importantly, how to contribute to the success of those missions. The student`s focus should be discipline, teamwork, basic Soldier skills, tactical medical doctrine, and learning the principles behind becoming an resilient, agile leader.

ODS: ODS is designed to prepare the student for a future as a commissioned officer by providing the basic knowledge of the naval profession and its related military, academic and nautical subjects. It will provide moral, mental and physical development, and instill the highest ideals of duty, honor and loyalty.

The long-term objective is to develop team leaders within a medical team that enforce excellence in patient care. The student will also be expected to develop teaching skills that will be incorporated into the daily planning of the officer.

1) The student will be required to take and pass the Army Physical Fitness Test and meet the height weight standard in order to graduate from the course.
2)Personal objectives include: discipline, teamwork, basic Soldier skills, tactical medical doctrine, and leadership principles.

1) Students will be expected to take and pass the Navy Third Class Swim Test.
2) Personal objectives include: learning military structure, traditions and customs, the legal system, military etiquette, and fundamental aspects of leadership necessary to function in the role of a newly commissioned Naval Officer.

Description of course activities
BOLC: This training provides an introduction to the Army and to military health care in the field and community hospital environments. The curriculum consists of the Army Training and Doctrine Command (TRADOC) Military Qualifications Skills (MQS) and the AMEDD Common Core subjects. These subjects are intended to impart basic military skills and to provide an understanding of the Army health service support mission and the doctrine to accomplish it. Examinations will be given as a means of testing the student's knowledge of the subject areas. The course also includes physical fitness training and tests.

Only HPSP (commisioned military officers) are able to complete this course. The course must be scheduled and approved by the military branch's respective HPSP office. Training is typically performed between the first and second year of medical school, but can be completed at any time. Training is a mandatory requirement upon graduation from medical school and the beginning of medical internship (PGY-1).

This course helps the students understand the importance of a team and how to fit within the team. The skills learned in this course will help the student become a functioning and active member of the medical team in their third and fourth year medical rotations.

ODS: Military training at ODS is comprised of physical training, room and locker inspection, personnel inspection, drill, third class swim, and memorization items. Academically, ODS is divided into 7 units of instruction: Military Indoctrination, Damage Control, Naval Leadership, Division Officer, Military Law, Naval Warfare, Programs and Policies. It also provides leadership training through the Division Officer Leadership Course. Physical Training will include daily runs and physical readiness assessments at the beginning and ending of the five week program

Type of students who would benefit from the course
Only HPSP (commissioned military officers) are able to complete this course. The course must be scheduled and approved by the military branch's respective HPSP office. Training is typically performed between the first and second year of medical school, but can be completed at any time. Training is a mandatory requirement upon graduation from medical school and the beginning of medical internship (PGY-1).

Weekly Schedule
  Clinical Activities (estimated schedule)  
Day of Week   AM   PM
Monday 4:30 5:00
Tuesday 4:30 5:00
Wednesday 4:30 5:00
Thursday 4:30 5:00
Friday 4:30 5:00
Saturday 4:30 5:00
Sunday 4:30 5:00

 Average number of patients seen per week: N/A
 Call Schedule: N/A

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time
Self-Directed Study

Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Course leaders and peers
  B. Frequency / Duration of Presentation(s)?
    Dependent upon specific training
  C. Format - What guidelines are set for the student's presentation?
    Dependent upon specific training
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
  B. Format - What guidelines are set for the student's written work?
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    BOLC: Students are required to complete two online courses prior to graduating the course. The first course is Antiterrorism Awareness Level I (ATL 1). The second is Composite Risk Management (CRM) Basic Course. Other activities may be required. ODS: Seven NKO courses are required to be completed. Other activities may be required. ODS: Seven NKO courses are required to be completed. Other activities may be required.

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".

7.  Other Modes of Evaluation
  Please explain below.
    BOLC: All students attending are required to have a passing Army Physical Fitness Test score and passing Army Height and Weight. Medical and dental screenings will be completed at Fort Sam Houston for all Active Duty personnel PCSing to their first duty assignment.

ODS: Students will conduct two Physical Readiness Tests and are required to take and pass the Navy Third Class Swim Test. Room and personnel inspections occur at regular intervals. Students are required to pass Navy body fat regulations.

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.

Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.

How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?

What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?

An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?

How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?

How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?

Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.