![]() Data analysis was performed from October 2020 to May 2021. Participants included US military surgeons who had combat deployments to a far-forward role 2 treatment facility during predefined peak casualty periods in Iraq (2003-2008) and Afghanistan (2009-2012), as identified by purposeful snowball sampling. Objective To characterize MID among military surgeons deployed during periods of high casualty volumes through a mixed-methods approach.ĭesign, Setting, and Participants This qualitative study using convergent mixed methods was performed from May 2020 to October 2020. This practice setting has no civilian corollary for comparison or current specific tool for measurement. Deployed military surgeons provide care to both injured soldiers and civilians under command-driven medical rules of engagement (MROE) in variably resourced settings. Importance Moral injury and distress (MID), which occurs when individuals have significant dissonance with their belief system and overwhelming feelings of being powerless to do what is believed to be right, has not been explored in the unique population of military surgeons deployed far forward in active combat settings. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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