Skip to main content
Log in

Impact of an Enduring War on Two Military Psychiatry Residency Programs

  • In Depth Article: Commentary
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Four active duty military psychiatrists at different points in their careers were asked to reflect on the impact that the wars in Iraq and Afghanistan had on their respective training in military psychiatry residency programs. The result is an inside look from four unique perspectives on how military psychiatry residency training adapted over time to prepare their graduates to practice psychiatry in a wartime setting as many graduates went to the front lines of war shortly after graduation. This article will provide an understanding of the challenges faced by these residency programs striving to meet the behavioral health needs created by war while balancing this with ongoing ACGME requirements, how those challenges were met, and the impact it had on residents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. http://www.goarmy.com/amedd/education/hpsp.html

  2. “Evacuation syndrome develops in combat or in field training exercises when through accident or ignorance an evacuation route, usually through medical channels, opens to the rear for soldiers displaying a certain constellation of symptoms and signs,” which then allows honorable escape from combat [13].

References

  1. Council on Graduate Medical Education. Twenty-first report: improving value in graduate medical education. Health Resources and Services Administration. August 2013. http://www.hrsa.gov/advisorycommittees/bhpradvisory/cogme/Reports/twentyfirsteport.pdf. Accessed 1 Jun 2013

  2. Nagy CJ. The importance of a military-unique curriculum in active duty graduate medical education. Mil Med. 2012;177:243–4.

    Article  PubMed  Google Scholar 

  3. VA/DoD clinical practice guideline for management of post-traumatic stress, Version 1.0. Washington, D.C.; Veterans Health Administration, Jan 2004.

  4. VA/DoD clinical practice guideline for management of concussion/mild traumatic brain injury. Washington, D.C.; Veterans Health Administration, April 2009.

  5. Hill JV, Lange C, Bacon B. Becoming a successful division psychiatrist: the sequel. Mil Med. 2007;172(4):364–9.

    Article  PubMed  Google Scholar 

  6. Strang AB, Ager A. Psychosocial interventions: some key issues facing practitioners. Intervention. 2003;1(3):2–12.

    Google Scholar 

  7. Breton M. Neighborhood resiliency. J Commun Pract. 2001;19(1):21–36.

    Article  Google Scholar 

  8. Hernandez P. Resilience in families and communities: Latin American contributions from the psychology of liberation. Fam J Couns Ther Couples Fam. 2002;1(3):334–43.

    Google Scholar 

  9. Farber BA. Introduction: a critical perspective on burnout. In: Farber BA, editor. Stress and burnout in human service professions. New York: Pergamon; 1983. p. 1–20.

    Google Scholar 

  10. Frosch D. Fighting the terror of battles that rage in soldiers’ heads. NY Times 13 May 2007.

  11. Stahl S. Crisis in army psychopharmacology and mental health care at fort hood. CNS Spec. 2009;14(12):677–84.

    Google Scholar 

  12. Command notification requirements to dispel stigma in providing mental health care to service members. Department of Defense Instruction (DODI) 6490.08. Washington, DC, Department of Defence, August 17, 2011.

  13. Jones FD. Psychiatric lessons of war. In: Jones FD, Sparacino LR, Wilcox VL, Rothberg JM, Stokes JW, editors. War psychiatry. Washington, DC: Office of the Surgeon General-Borden Institute; 1995. p. 1–33.

    Google Scholar 

  14. Hoge CW, McGurk D, Thomas JL, Cox AL, Engel CC, Castro CA. Mild traumatic brain injury in U.S. soldiers returning from Iraq. N Engl J Med. 2008;358:453–63.

    Article  CAS  PubMed  Google Scholar 

  15. Priest D, Hull A. Soldiers face neglect, frustration at Army’s top medical facility. Washington Post 18 February 2007. http://www.washingtonpost.com/wpdyn/content/article/2007/02/17/AR2007021701172.html. Accessed 01 Jun 2014.

  16. Alvarez L. Suicides of soldier reach high of nearly 3 decades. NY Times. 29 Jan 2009. http://www.nytimes.com/2009/01/30/us/30suicide.html?_r = 0. Accessed 01 May 2014.

  17. Dao J, Cary B, Frosch D. For some troops, powerful drug cocktails have deadly results. NY Times 12 February 2011 http://www.nytimes.com/2011/02/13/us/13drugs.html?pagewanted = all&_r = 0. Accessed 01 May 2014.

  18. Philipps D. Lethal warriors: when the new band of brothers came home. New York: Palgrave MacMillian; 2010.

    Google Scholar 

  19. McFadden RD. Army doctor held in Ft. Hood rampage. NY Times. 05 Nov 2009. http://www.nytimes.com/2009/11/06/us/06forthood.html. Accessed 01 May 2014.

Download references

Acknowledgments

Paulette Tucciarone, Al Tsai, Dennis Sarmiento, and Scott Moran formed the work group that resulted in the suicide response plan at the National Capital Consortium. Jarred Hagan was responsible for the creation and implementation of “Fifth Wednesdays.”

Disclosures

On behalf of all authors, the corresponding author states that there are no conflicts of interest. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, Department of the Navy, Department of Defense, nor the US Government.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rhianon M. Groom.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Groom, R.M., Carr, R.B., Leong, S.L. et al. Impact of an Enduring War on Two Military Psychiatry Residency Programs. Acad Psychiatry 39, 354–359 (2015). https://doi.org/10.1007/s40596-015-0284-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-015-0284-2

Keywords

Navigation