Training Military Psychiatrists to Adapt and Overcome: How COVID-19 Highlighted the Unique Flexibility of Military Psychiatry in Training and in the Fleet

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Abstract

Purpose of Review

Born out of necessity, military medicine continues to find itself at the forefront of medical innovation. This generation of military physicians has never previously been challenged with continuing to provide top notch medical support to servicemembers in a variety of operational settings in the midst of a global pandemic. While military medicine has always been able to uniquely meet the educational goals of residency training, COVID-19 brought new challenges to the forefront.

Recent Findings

While the threat presented by COVID-19 was different from the historical battlefield threats and challenges that have given birth to military medicine, it was nevertheless ready to pivot and adjust course, focusing on how to best meet the medical needs of the military patient population in an ever-changing geopolitical environment while continuing to meet and exceed the educational standards that training programs are held to. Historically and currently, mental health remains one of the most common reasons that servicemembers are evacuated from combat zones.

Summary

The COVID-19 pandemic provided an opportunity for modern military psychiatry to showcase its ability to adjust the educational focus in certain areas of residency training to prepare the next generation of military psychiatrists to be able to face the newest threat to force wellness.

Supplementary Information

The online version contains supplementary material available at 10.1007/s11920-022-01342-3.

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Most cited references 18

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Mental Health and the Covid-19 Pandemic

Betty Pfefferbaum, Carol North (2020)

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Mental health outcomes of the CoViD-19 pandemic.

Dalila Talevi, Valentina Socci, Margherita Carai … (2020)

The coronavirus disease 2019 (CoViD-19) caused by the novel Coronavirus strain SARS-CoV-2 is currently a pandemic. On January 30, 2020, the World Health Organization declared that the CoViD-19 outbreak is a public health emergency of international concern. The virus has already had a direct impact on the physical health of million people, and besides, it is supposed to pose a mental health threat of great magnitude globally. This review aims at synthesizing mounting evidence concerning the immediate psychological responses during the initial stage of the CoViD-19 pandemic among the general population, the health-care workers, and clinical populations. Experts point out the need to pay specific attention to other groups at risk of further distress that may need tailored interventions. Providing psychological first aid is an essential care component for populations that have been victims of emergencies and disasters, before, during and after the event. With the aim of dealing better with the urgent psychological problems of people involved in the CoViD-19 pandemic, a new psychological crisis intervention model is needed. Given the recommendation to minimize face-to-face interaction, online mental health services have been widely adopted in China and are urged in other countries.

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Enhancing Crisis Leadership in Public Health Emergencies

Scott Deitchman (2013)

Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises. ( Disaster Med Public Health Preparedness . 2013;0:1–7)

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Author and article information

Contributors

Meghan Quinn:

ORCID: http://orcid.org/0000-0003-2436-2519

meghan.e.quinn5.mil@mail.mil

Journal

Journal ID (nlm-ta): Curr Psychiatry Rep

Journal ID (iso-abbrev): Curr Psychiatry Rep

Title: Current Psychiatry Reports

Publisher: Springer US (New York )

ISSN (Print): 1523-3812

ISSN (Electronic): 1535-1645

Publication date (Electronic): 14 June 2022

Pages: 1-6

Affiliations

[1 ]GRID grid.414467.4, ISNI 0000 0001 0560 6544, Walter Reed National Military Medical Center, ; Bethesda, MD USA

[2 ]GRID grid.417051.6, ISNI 0000 0004 0419 9571, U.S. Naval Hospital, ; Okinawa, Japan

Author information

Meghan Quinn http://orcid.org/0000-0003-2436-2519

Samuel Dickinson http://orcid.org/0000-0002-1309-6019

Shram Shukla http://orcid.org/0000-0002-2901-5068

Article

Publisher ID: 1342

DOI: 10.1007/s11920-022-01342-3

PMC ID: 9192931

PubMed ID: 35699916

SO-VID: d881198c-af32-4128-b847-b5dfafd0466c

License:

This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

History

Date accepted : 6 May 2022

Training Military Psychiatrists to Adapt and Overcome: How COVID-19 Highlighted the Unique Flexibility of Military Psychiatry in Training and in the Fleet

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Abstract

Purpose of Review

Recent Findings

Summary

Supplementary Information

Related collections

Novel Coronavirus Disease COVID-19

Most cited references 18

Mental Health and the Covid-19 Pandemic

Mental health outcomes of the CoViD-19 pandemic.

Enhancing Crisis Leadership in Public Health Emergencies

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Contributors

Journal

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