USU: Knowledge Skills Assessment (KSA) – Trauma Surgery Competency, 2022-2025
The KSA (Knowledge Skills and Abilities) Clinical Readiness Program is designed to assure the clinical readiness of military medical personnel to provide comprehensive patient care across all role theaters. The goal of the program is to sustain clinical capabilities for expeditionary practice between deployments through routine assessment and focused training opportunities to close any identified gap areas in currency or capability. The metrics for the KSA clinical readiness program include routine knowledge assessment using comprehensive multiple choice exams that cover the breadth and depth of identified performance requirements for each clinical specialty. These performance requirements were identified through a rigorous process that included representatives from the Army, Navy, and Air Force with relevant clinical expertise in each specialty domain and recent deployment experience. These specialists used a consensus approach to establish the required competencies for the expeditionary scope of practice within their respective specialties, and reviewed multiple specialty and military clinical practice guidelines that typify the performance requirements. They identified a performance taxonomy that includes critical performance categories, sub-categories, and specific competencies, with specific performance benchmarks for requisite knowledge determined by consensus and professional practice guidelines. This course addresses the knowledge component of these domain competencies, each of which are delineated in Appendix 3 of the attached document.
This activity provides continuing education for physicians.
This activity is also approved for physicians who are board certified with the American Board of Surgery.
- Identify the best patient management strategy for specific clinical situations at various role theaters.
- Select optimal strategies for patient transport across role theaters.
- Determine the best strategies for resource allocation and management in austere care contexts.
- Illustrate the best strategy for managing military-specific concerns in the context of patient care (e.gs. Live ordinance, detainees, local nationals, care under fire, etc.).
- Identify the best strategies for caring for an injured or ill working dog.
- Recognize the necessary communication and documentation requirements that must be implemented as part of patient care in deployed settings.
- Demonstrate familiarity with the Joint Trauma System reporting and documentation requirements.
- Demonstrate operative management of diaphragm, hollow viscous injury, kidney, liver, pancreas, spleen with an abdominal trauma.
- Demonstrate familiarity with diagnosis and management of common obstetric and gynecologic emergencies that may be seen by the austere general surgeon to include: ruptured ovarian cyst, ovarian torsion, non-traumatic vaginal hemorrhage in the non-pregnant and pregnant patient, precipitous vaginal delivery, vaginal and perineal laceration identification and repair, cesarean section, uterine atony, ectopic pregnancy, and neonatal resuscitation.
- Define the considerations when deciding on whether to proceed with repair, partial nephrectomy, or nephrectomy.
- Describe expected increases in caloric needs and protein supplementation of severely burned patients.
- Describe the impact of inhalation injury, dehydration, intoxication, and concomitant trauma on resuscitation fluid requirements in burn patients.
- Describe the 4 main treatment components of chemical inhalational injury.
- Describe the principles of lung protective ventilation.
- Outline the treatment for local anesthetic toxicity.
- Demonstrate the performance of an emergency surgical airway.
- Describe multimodal pain treatment for the combat casualty to minimize adverse outcomes for these patients (including continuous sedatives/analgesics, regional modalities).
- Identify clinical scenarios that predispose patients to acute kidney injury (crush injury, massive transfusion, electrolyte disturbance, sepsis, shock, hypotension).
- Describe targeted temperature management for patients post cardiac arrest and when to use this as a therapy.
- Given a scenario, describe the delayed complications of common injuries and illnesses and provide mitigation strategies (reperfusion injury, pulmonary edema, SIRS, coagulopathy, MODS, cerebral edema, fat emboli syndrome etc).
Mark Bowyer, M.D., F.A.C.S., D.M.C.C., F.R.C.S. Presenter has no financial or non-financial relationships to disclose.
Jay Johannigman, M.D., F.A.C.S., F.C.C.M. Presenter has no financial or non-financial relationships to disclose.
- 60.00 ABS MOC II
- 60.00 AMA PRA Category 1 Credit™DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Enduring Material (Home Study) activity for a maximum of 60.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 60.00 Certificate of Attendance
- 60.00 IPCEThis activity was planned by and for the healthcare team, and learners can receive up to 60.00 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.
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