title: Translating research into practice: is evidence-based medicine being practiced in military-relevant orthopedic trauma?
abstract: Orthopedic trauma remains one of the most survivable battlefield injuries seen in modern conflicts. Translating research into practice is a critical bridge that permits surgeons to further optimize medical outcomes. Orthopedic surgeons serving in the military may treat little to no trauma in their stateside practice. In conflict zones, however, the majority of their patients will have traumatic injuries. Determining risk factors for nonevidence-based practice can help identify provider knowledge gaps, which can then be targeted before deployment. Surveys were developed which sought to identify factors contributing to continued medical education and practice, as well as scenario-based questions on military-relevant orthopedic trauma. Analysis of 188 survey respondents revealed that providers with military service and less than 10 years of practice are optimally bridging research into military-relevant orthopedic trauma practice.
authors.affiliation: Department of Orthopedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Niles
authors.affiliation: Department of Orthopedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889.
authors.forename: George C
authors.initials: GC
authors.lastname: Balazs
authors.affiliation: Lebanon Veterans' Affairs Medical Center, 1700 South Lincoln Avenue, Lebanon, PA 17042.
authors.forename: Christina
authors.initials: C
authors.lastname: Cawley
authors.affiliation: Department of Orthopedic Surgery, Carolinas Medical Center, 8800 North Tryon Street, Charlotte, NC 28262.
authors.forename: Michael
authors.initials: M
authors.lastname: Bosse
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205.
authors.forename: Ellen
authors.initials: E
authors.lastname: Mackenzie
authors.affiliation: Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910.
authors.forename: Yaunzhang
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Orthopedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889.
authors.forename: Romney C
authors.initials: RC
authors.lastname: Andersen
mesh_terms: D000328:Adult; D004502:Education, Medical, Continuing; D019317:Evidence-Based Medicine; D006801:Humans; D008887:Military Medicine / Q000379:methods*; D009985:Orthopedics / Q000379:methods*; D057170:Translational Research, Biomedical; D000067398:War-Related Injuries