Field ExercisesAs part <strong>of</strong> <strong>the</strong>ir education, USU students take part in a number <strong>of</strong> field exercises that prepare <strong>the</strong>m to practicemedicine in challenging environments and exercise <strong>the</strong> leadership skills <strong>the</strong>y will need as uniformed <strong>of</strong>ficers.Antietam Road MarchFirst-year medical and nursing students participatein a memorable educational experience designedto teach <strong>the</strong>m <strong>the</strong> tenets <strong>of</strong> battlefield health care.The students travel to Antietam National Battlefieldnear Sharpsburg, Maryland, <strong>the</strong> infamous site <strong>of</strong><strong>the</strong> bloodiest one-day battle in American history.They take part in a six-mile road march, stopping atdesignated stations where local Civil War re-enactorsOperation KerkesnerOperation Kerkesner is designed to teach criticalmilitary skills in a simulated battlefield environment.The four-day exercise provides training in areas includingland navigation, hand-to-hand combat, firearmstraining and use <strong>of</strong> military vehicles and radios. Italso gives students a chance to experience some <strong>of</strong><strong>the</strong> challenges <strong>of</strong> providing medical care in harshenvironments, including starting an IV in a field settingdiscuss conditions and battlefield strategies, andwhere USU faculty members discuss medical aspects<strong>of</strong> <strong>the</strong> battle. The exercise underscores <strong>the</strong> school’sdistinctive curriculum, and for students with no priormilitary experience, is <strong>the</strong>ir first experience walkingcross-country in controlled movements by platoons,and wearing load-bearing gear.and triaging and treating fellow service memberswhile “under fire.”Approximately half <strong>of</strong> USU students have no prioruniformed services experience. Operation Kerkesnerprovides essential military skills training and servesas an introduction to <strong>the</strong> challenges <strong>of</strong> practicingbattlefield medicine.Commander John Love, M.D.,graduated from <strong>the</strong> USU School<strong>of</strong> Medicine in 1994 and hasexperienced two deploymentsto Iraq. He was invited to returnto <strong>the</strong> university to assist withOperation Bushmaster.“It’s not just an exam.Everything you learn isdefinitely applicable towhat you do out <strong>the</strong>re.”- as quoted in <strong>the</strong> Chronicle <strong>of</strong>Higher Education10
Operation BushmasterMany USU graduates credit Operation Bushmasterwith providing some <strong>of</strong> <strong>the</strong> most helpful and memorabletraining <strong>the</strong>y received while at <strong>the</strong> university.The exercise is <strong>the</strong> culmination <strong>of</strong> and practicalexam for <strong>the</strong> rigorous Military and ContingencyMedicine (MCM) course, taken by all fourth-yearSchool <strong>of</strong> Medicine students, as well as somestudents in <strong>the</strong> Graduate School <strong>of</strong> Nursing.The MCM course augments students’ clinicalknowledge with specialized medical educationcovering a broad range <strong>of</strong> military-relevant topics,including advanced trauma life support, preventivemedicine, patient care in flight, military medicalethics and combat stress control. Students <strong>the</strong>n areput to <strong>the</strong> test during a four-day simulation exerciseat Fort Indiantown Gap, Pennsylvania.Throughout Operation Bushmaster, students live infield conditions, working in groups <strong>of</strong> roughly 15to run medical units under continually changingconditions. The students set up sites where <strong>the</strong>yreceive “casualties” (played by first-year students),suffering both routine illnesses and battlefieldinjuries. Students are evaluated by USU faculty on<strong>the</strong>ir medical knowledge and leadership abilitiesas <strong>the</strong>y rotate through positions as commander,executive <strong>of</strong>ficer, medical <strong>of</strong>ficer and ambulanceteam leader. When not under evaluation, studentsfill in as medics, radio operators or security personnel,and spend time working in a deployablemedical facility. They also take part in a combatstress rotation designed to familiarize <strong>the</strong>m with andgive <strong>the</strong>m an opportunity to “treat” combat-relatedmental health issues.The event culminates in a dramatic nighttime masscasualty exercise in which students are placedin <strong>the</strong> scenario <strong>of</strong> responding to a platoon thathas sustained significant casualties. Under stressful,changing conditions, <strong>the</strong> students must find<strong>the</strong> “wounded” and triage <strong>the</strong>m, treat <strong>the</strong>m andarrange for <strong>the</strong>ir evacuation.In total darkness, with only <strong>the</strong> voices <strong>of</strong><strong>the</strong> “wounded” to guide <strong>the</strong>m, <strong>the</strong> studentsmust locate and retrieve casualties.“No o<strong>the</strong>r medical school expects<strong>the</strong>ir students and graduates tobe able to perform individual andmass casualty care under fire.The skills learned throughout thismonth-long experience have beenapplied directly on <strong>the</strong> battlefield.”Critical TrainingCaptain Glenn Burns, M.D., is anAssistant Pr<strong>of</strong>essor in <strong>the</strong> Department<strong>of</strong> Military and EmergencyMedicine. A USU graduate, Dr.Burns participated in <strong>the</strong> Militaryand Contingency Medicine courseand Operation Bushmaster as astudent and saw its lessons at workduring his emergency medicineresidency and a tour in Iraq with <strong>the</strong>U.S. Special Operations Command.Now he is an instructor in <strong>the</strong>department that runs <strong>the</strong> course.11