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Learning to Care for Those in Harms Way

January 16, 2009

I’m very proud of my classmate & husband of 21 years. Check out todays Press Release:

Uniformed Services University
of the Health Sciences
4301 Jones Bridge Road
Bethesda, MD 20814-4799
Release No.09-01-02
January 16, 2009

News Release

USUCHD Enters Educational Training Partnership with Steptoe Group

BETHESDA, Md. — Uniformed Services University of the Health Sciences’ (USU) Center for Health Disparities Research and Education (USUCHD) and the Steptoe Group, LLC have entered into an agreement to research, develop and implement a culturally competent interdisciplinary educational training program for mental health providers and practitioners. The program is designed for health providers with the expertise and capacity to deliver high-quality services that are patient-centered, evidence-based and address the mental health needs of vulnerable populations within the military community.

The partnership will address the lack of health care provider and practitioner training, educational resources, uniformity and systemic impediments that exacerbate cultural, economic, familial, and regional geographic challenges contributing to disparities in health and health care. This is generally applicable when applied to mental health and mental health care issues found among military and veteran populations.

Dr. Tracy Sbrocco, USUCHD Director of Research (center), President and CEO of the Steptoe Group, LLC, Ronald Steptoe (right); and C.J. Jordan, sign a partnership agreement to develop an interdisciplinary educational training program.
The Steptoe Group, LLC and USUCHD shall work in concert with each other to research innovative solutions to the health care challenges facing the military and veteran provider and practitioner communities, including but not limited to the ability of health care providers and practitioners to adequately screen, diagnose, treat, and manage service members, service member’s families, and veterans in a culturally competent and patient- centered manner when implementing evidence-based best practices.
This includes managing and sharing information, delivering a standardized and effective mental health provider and practitioner training throughout the military and veteran communities. The programs will include, but are not limited to the following tools: DVD, Web Based Training, Web Based Certification, and Train- the-Trainer workshops.

Located on the grounds of Bethesda’s National Naval Medical Center and across from the National Institutes of Health, USU is the nation’s federal school of medicine and graduate school of nursing. The university educates health care professionals dedicated to career service in the Department of Defense and the U.S. Public Health Service. Students are active-duty uniformed officers in the Army, Navy, Air Force and Public Health Service, who are being educated to deal with wartime casualties, natural disasters, emerging infectious diseases, and other public health emergencies.

The USUCHD has renowned expertise in systemically assessing reasons for health and health care disparities and expertise in developing and implementing educational initiatives that aim to teach providers the key tools and skills to deliver high quality care to diverse populations grounded in patient centered methodologies to significantly enhance health care education, research, and practice.

The Steptoe Group, LLC and its strategic partners have developed expertise through successful past performances in Concept Refinement, Technology Development, System Development, Demonstration, Production and Deployment, as well as Operations and Support.

For more information or to learn more, contact Ronald Steptoe at ron@thesteptoegroup.com

Rangers Lead the Way

January 14, 2009

 

Alumni who have left the military recognize that much of what we learned about leadership in the Army is applicable in the civilian world.   I spend time with business people sharing insights into leadership that come out of my research as an historian and, less often, my own experiences.  Many of my civilian colleagues, most of whom don’t know any veterans personally, are skeptical about what they might learn from a soldier. 

What follows is a blog posting, written for my civilian audience, that underscores why it’s critical for leaders and decision-makers always to put forth their best effort.  

 

 

Years ago I spent nine weeks in the U. S. Army’s Ranger School, undergoing commando-style training in which students are deliberately stressed by food and sleep deprivation, strenuous days-long exercises and the pressure of constant evaluation. We took turns filling the leadership positions, but we were all leaders in training, mostly young officers and sergeants. Since it’s harder to lead miserable, cold, wet and exhausted soldiers than it is to lead well-fed and well rested ones, the thinking goes, practice here and you’ll be better prepared for combat.
When our patrol leader indicated that he found the spot, we set up a security perimeter—a big circle of armed men facing outward for enemy patrols that might have followed us. But we were all thinking the same thing: sometimes these supply drops included food. By this point we were subsisting on one or two rations a day while conducting extremely strenuous training. So even though we were in peak physical condition when we began, every one of us had lost weight: ten, fifteen, twenty pounds. We fantasized about food and sleep, sleep and food.

So while one man dug up the metal containers, the rest of us crowded round like greedy children, abandoning the perimeter and the ring of security we were supposed to maintain, dreaming about food. The man digging threw shovels full of sand until the top of an ammo can poked through. I must have stepped back, or looked behind me, because I didn’t see what happened next, but I heard it. There was a pop, followed by a shoosing sound as the air filled with a bright green cloud. It was a booby trap, only a smoke grenade, but real grenades, the kind that kill, work the same way.
“You losers are all dead,” one of the young Ranger instructors said, pointing to the five or six men closest to the hole. I slunk back to the perimeter, trying to look like I had stayed by my post. “Dig a grave,” another junior instructor said, “Big enough for those five.” The glum-looking casualties sat cross legged on the ground while we dug. Finished, we climbed out, waiting to be told to fill the hole. Then the senior instructor stepped in.  He had been in the background, off by himself outside the perimeter, probably smoking, certainly watching. He was a Viet Nam veteran, a Master Sergeant with a full head of brush cut hair, sun-baked skin and an impressive scowl; his face was a war novel.

“All you people get in here,” he said, motioning us into a tight circle. We hesitated. One grenade can get you all. “Come here, I said.” Amazingly we found some hustle left in our tired bodies. The young instructors backed off. “You five, down there.” The five “dead” Rangers obeyed instantly, with none of the scuffling, mute resistance that might have greeted an order from the younger trainers. They flopped into the hole, curling around each other in the tight space, a frieze of dirty uniforms. Their eyes were open, looking up; they didn’t move.

I remembered a story about Marine Corps basic training in the sixties, when some Drill Instructors at Parris Island got drunk one night and took a bunch of recruits on a road march, drowning several in the dismal swamps. “Cover ‘em up,” the Master Sergeant said, reaching over and snatching the rolled poncho from a Ranger student’s rucksack, then throwing it into the hole. We pulled out two or three more and tossed them into the grave where the corpses covered themselves.
“Get out your handbook,” the senior instructor said, gesturing to me, the closest student. I scrambled to find my mud-splattered Ranger Handbook, our bible for everything from planning airborne operations and reconnaissance patrols to blowing up bridges. There were prayers in the back. Prayers over the dead. I read the Rite of Protestant Burial. As I read, the big sergeant kicked some dirt into the hole: it splattered bright orange on the slick green ponchos. When I finished, we stood in awkward silence.

“You men are going to be leaders,” the old man said, “responsible for other people. When leaders make mistakes, when you get sloppy or lazy, when you forget that you’re in charge, when you back off a decision—people are going to get killed. Sometimes, for some of you unlucky bastards, you’ll make the best decision you can—a good decision, even—and people are still going to die. And that’s bad. But if you’ve been screwing off instead of paying attention, it’ll be worse.” He paused; I found I was holding my breath. In almost a whisper, he said, “You’ll wish you’d never been born.” He turned and walked out of the perimeter, shuffling a bit, too old for what he was doing. Like many of the veterans one saw around the Army in those days, he was probably already old at nineteen, instantly aged on some no-name battlefield, on a day when the young men under the ponchos didn’t get up after the training was over.

from www.MyLeadersCompass.com