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USAFP Is Connection Point for Military FPs Worldwide
By Sheri Porter • Las Vegas
Place was sitting in an army tent with an American flag placed strategically behind him. It was the middle of the night somewhere in Afghanistan when AAFP President Glen Stream, M.D., M.B.I., of Spokane, Wash., stepped to the stateside podium to administer the oath of office to Place.
And then Stream turned his laptop around so the webcam atop the computer scanned the audience.
Place said he's only missed a few chapter meetings during the past 17 years. "I was trained as a family physician by members in that room, and both saved lives and lost lives in combat with others," he said.
- The Uniformed Services AFP (USAFP) recently installed its new president, who is deployed to Afghanistan, via the Internet phone service known as Skype.
- The USAFP serves as a point of connection for the 2,400 family physician members serving in the military around the globe.
- The chapter has a strong focus on trauma-oriented research and CME, as well as leadership training.
Place made it clear that the chapter would carry on just fine during his deployment. "The duties of the president are officially transferred to the vice president when the president is unable or unqualified to serve," he said. Even so, Place is able to participate in much of the chapter's routine business via e-mail, telephone and the occasional teleconference.
"We share a culture, not a location," said Col. Mary Krueger, D.O., M.P.H., one of several attendees who stopped to share their stories with AAFP News Now during meeting breaks.
Indeed, the 588 USAFP members who flocked to the chapter's 2012 annual meeting hearkened from 41 states and the District of Columbia. But the registration list revealed that many of these family physicians had traveled from far more distant places than that, flying in from at least 24 countries, including Iraq, Afghanistan, Germany, Japan, Guam, Italy, Korea, Portugal and the United Kingdom.
Preparing to Leave Patients, Practice Behind
Chapter Is the Glue That Binds
Maj. Julie Hundertmark, M.D., said she'd only missed one chapter meeting since joining the USAFP in 2006, and that's because she was deployed. "It was like missing the family reunion."
Family physicians in the military are unique, said Hundertmark, "because we take care of (basically) the same populations of people, but it's across the globe."
"You know from the beginning, even in medical school, that the reason the Army employs you is to make sure soldiers are ready to fight and that their families are taken care of," she said, adding that military men and women can't perform at their highest levels when they're worried about their loved ones back home.
According to Hundertmark, chapter meetings provide another service that is crucial to military FPs. "There are a lot of challenges to navigating your career as a military physician, and the networking and mentoring that connect chapter members help physicians discover the career paths that are available and show them how to get there," she said.
During the past four years, Hundertmark has been the medical director of a troop clinic, a battalion surgeon in a deployed environment, an officer in charge of a family medicine clinic and a family medicine educator. She called hers a very normal progression.
"It is not necessarily about what I want to be, but what I need to be as a family physician to support the mission," she said.
Krueger, a past president of the USAFP, noted that relationships between physicians in the various military branches are formed and nurtured at USAFP chapter meetings. "We see each other at this meeting, and the next time I see that colleague might be crossing the street in Bagram, Afghanistan; on the deck of a Navy ship evacuating our soldiers; or on an airfield offloading patients from a helicopter to an Air Force jet for evacuation back to the states," said Krueger.
Focus on CME, Research and Leadership Training
She said "medical home" means something different to the operational forces. "We have to make soldiers, sailors, airmen and Marines fit to fight and get them back to work," said Padden. "Downtime from work can affect the mission of the operational forces commanders," she added.
The USAFP chapter helps military physicians fulfill that duty.
"It's hard to find CME on combat trauma, traumatic brain injury and post-traumatic stress injury," said Padden. "The chapter has a unique mission in that it provides relevant CME and up-to-date information and training."
Facts About the Uniformed Services AFP
Number of chapter members: 2,400
Date chapter was chartered: Oct. 13, 1974
Location of chapter headquarters: Richmond, Va.
2013 annual meeting/scientific conference date/location: March 21-26, Walt Disney Dolphin Hotel, Orlando, Fla.
Another of the USAFP's missions is to help train members to be leaders. "We fine-tune leadership skills so that military FPs are able to perform in stressful environments, maintain their composure and lead their teams when others likely would crumble," said Padden.
"Military physicians lead teams in caring for patients, but they also are 'sage advisers' to military line commanders," said Padden. It's the physician who advises senior military officers about whether to stop a mission and transport a patient to a facility or stabilize the patient on the ship and continue the mission, she explained.
"We make split-second decisions regarding active military operations," said Padden, adding, "There is no greater duty than taking care of operational forces."
AAFP Chapter Spotlight series
USAFP Connects Widespread Membership