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

BMJ Mil Health. 2021 Jun;167(3):168-171. doi: 10.1136/jramc-2019-001303. Epub 2020 Feb 2.

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.

Keywords: fellowship; military; surgery; training.

MeSH terms

  • Education, Medical, Continuing / methods
  • Education, Medical, Continuing / standards*
  • Fellowships and Scholarships / methods
  • Fellowships and Scholarships / standards*
  • France / ethnology
  • Humans
  • Military Personnel / education
  • Retrospective Studies
  • Surgeons / education*
  • Surgeons / statistics & numerical data
  • Surveys and Questionnaires
  • Teaching / standards