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Surgery Proficiency Targets

Surgery Proficiency Targets. Col Mark Boston, USAF, MC AFMOA/SGHM Version 2. Defining the Problem. Proficient – highly competent, skilled, adept Ready – prepared to act or be used immediately AFMS Surgeons are not busy enough Avg Gen Surg performed

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Surgery Proficiency Targets

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  1. Surgery Proficiency Targets Col Mark Boston, USAF, MC AFMOA/SGHM Version 2

  2. Defining the Problem • Proficient – highly competent, skilled, adept • Ready – prepared to act or be used immediately • AFMS Surgeons are not busy enough • Avg Gen Surg performed • 79 to 192 (WHMC) cases baseline (2008) • 159 cases (2010 data) • #1 complaint of AF surgeons - lack of clinical cases • Surgical volume not sufficient to maintain skills

  3. AFMS OR Optimization

  4. AFMS Current State

  5. Civilian General Surgery AFMS 2010 King, et al. Annals of Surgery, 2009.

  6. Busy is Better Smith, et al. Surg Obes Relat Dis, 2010.

  7. Speed Reduces Complications Procter, et al. J Am Coll Surg, 2010

  8. Proficiency Requirements

  9. Benefits Improved patient safety and quality surgical outcomes Busy surgeons are ready surgeons Busy, proficient surgeons are resilient surgeons Increased surgeon job satisfaction - Retention Performance plan supported – if increase can be done “in-house” – Recapture Recapturing care into the MTF supports organizational proficiency

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