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Monica Lypson, M.D., M.H.P.E. and Paula Ross, Ph.D.

Improving health care for veterans has become a matter of national attention and has gained increasing attention from the medical community. With the current surge of veterans reintegrating into civilian society it is critical to improve the training of the next cadre of providers who will provide care for our veterans. It is widely known that veterans receive care in all aspects of the health system, thus providers in veteran focused care facilities, military health serves and civilian locals must be aware of the unique needs of veterans. It is perhaps even more important to educate civilian providers who may be unfamiliar with the unique physical, mental and emotional needs related to military service.

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Improving health care for veterans has become a matter of national attention and has gained increasing attention from the medical community. With the current surge of veterans reintegrating into civilian society it is critical to improve the training of the next cadre of providers who will provide care for our veterans. It is widely known that veterans receive care in all aspects of the health system, thus providers in veteran focused care facilities, military health serves and civilian locals must be aware of the unique needs of veterans. It is perhaps even more important to educate civilian providers who may be unfamiliar with the unique physical, mental and emotional needs related to military service.

Course Audience

- all health professions learners, example:

- medical students, resident physicians, dental students,

- nursing students, advanced practice nurses,

- social work, pharmacy student as graduate level learners

- as well as any and all health professionals interested in veteran-centered care

What You Will Learn:

This course will provide learners the opportunity to engage with material to facilitate their understanding of the origins of Academic Medical Centers and Veterans Administration affiliations, recognize and manage the influence of bias, class, and power on the clinical encounter and self-reflect on their biases that particularly affect U.S. military veterans. This course also features several video clips from the acclaimed documentary, Where Soldiers Come From, directed by Heather Courtney.

The views expressed in this course are those of the authors and do not necessarily reflect the position or the policy of the Department of Veterans Affairs or the U.S. government.

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What's inside

Syllabus

Unit 1
Unit 1 highlights the relationship between Academic Medical Centers and Veterans Health Administration and provides an overview of knowledge of the military and basic demographic of U.S. veterans.
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Unit 2
Unit 2 provides clear instruction on conceptual differences between determinants of health and health disparities and health care disparities; illustrate individual-based and system-based sources of health disparities for veterans.
Unit 3
Unit 3 outlines the fundamental principles of patient-centeredness and cultural competence in health care, provide tools to develop self-awareness of individual assumptions, stereotypes and biases that influence the medical encounter and deliver activities that help learners acknowledge the importance of patients’ values, culture, and beliefs in improving health care.
Unit 4
Unit 4 illustrates the role of empathy in health care delivery, using key experiences, concerns and perspectives of U.S. military veterans as a clinical context. This unit also describes the relationship between medical history taking and health care delivery as well as develops knowledge in areas related to military and veteran centered care.
Unit 5
Unit 5 allows learners to use everything they have learned and apply those principles to improving assessment and triage skills for patients with post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) and identifying anxiety and depression.
Unit 6
Unit 6 highlights the importance of partnership and collaboration across professional disciplines to enhance veteran centered to achieve optimal health.
Unit 7
Unit 7 highlights the importance of partnership and collaboration across professional disciplines to enhance veteran centered care.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Geared towards educating health professionals and students who are interested in veteran-centered care
Introduces learners to the origins of Academic Medical Centers and Veterans Health Administration affiliations
Provides a clear understanding of the differences between determinants of health and health disparities and health care disparities
Outlines the fundamental principles of patient-centeredness and cultural competence in health care
Highlights the importance of partnership and collaboration across professional disciplines to enhance veteran-centered care
Taught by recognized experts in the field, Monica Lypson, M.D., M.H.P.E., and Paula Ross, Ph.D

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Reviews summary

Veteran-centered care

According to students, Service Transformed: Lessons in U.S. Veteran Centered Care is a positive course for those seeking to work with veterans or to pursue a career in the medical stream in the U.S. Armed Forces. It provides an excellent overview of how to navigate the V.A., especially for veterans themselves. However, some do not find it worthwhile if they already work with veterans or are veterans themselves. Reviews indicate that the course may contain some biases that should be updated for better accuracy.
Some students offer positive feedback.
""Excellent overview.""
""This is a wonderful course.""
"It provides a positive overview of the V.A."
Some students find the course lacking
""Not worth the money for veterans.""
""The information needs to be updated.""
""The course has biases.""

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Service Transformed: Lessons in U.S. Veteran Centered Care with these activities:
Review basic anatomy and physiology
Reviewing these fundamentals can help you better understand the complex material in this course
Browse courses on Human Anatomy
Show steps
  • Review your old notes on anatomy and physiology
  • Practice taking medical histories and performing physical exams
  • Consult with a doctor or nurse to clarify any uncertainties
Attend weekly lectures on military medicine and veteran health
These lectures provide insight from leading experts in the field and expose you to the latest clinical research
Show steps
  • Read the assigned materials before each lecture
  • Take detailed notes during the lectures
  • Review the notes and textbooks after each lecture
Lead a study group for fellow medical students
Mentoring others consolidates your own understanding while contributing to their success
Show steps
  • Review study materials and prepare discussion topics
  • Facilitate discussions and answer questions from study group members
  • Provide constructive feedback and support to fellow students
Five other activities
Expand to see all activities and additional details
Show all eight activities
Practice taking patient histories and physical exams
These exercises will equip you with practical skills in gathering and interpreting medical information
Show steps
  • Conduct mock patient interviews and physical exams
  • Attend clinical rotations to gain hands-on experience
Volunteer at a VA hospital or community health clinic
Experiential learning in a clinical setting allows you to witness firsthand the unique challenges faced by veterans
Show steps
  • Contact local va hospitals or community health clinics to inquire about volunteering opportunities
  • Assist with tasks such as patient care, administrative support, or research
  • Observe interactions between health care providers and veteran patients
Compile a list of resources for veterans' health
This project will provide you with a valuable resource for your future clinical practice
Show steps
  • Research veterans' health organizations, support groups, and government programs
  • Create a comprehensive list of resources that covers a range of topics such as health care, mental health, and financial assistance
Prepare a patient care plan for a veteran with a chronic condition
This project allows you to synthesize course concepts and develop a comprehensive treatment plan
Show steps
  • Identify a veteran patient with a chronic condition
  • Take the patient's medical history and perform a physical exam
  • Develop a comprehensive care plan that includes diagnosis, treatment, and follow-up
Contribute to open-source projects related to veteran care
Participating in open-source projects can help improve your problem-solving and collaboration skills
Show steps
  • Identify open-source projects related to veteran care
  • Choose a project and join the community forum
  • Contribute to the project by writing code, testing, or providing documentation

Career center

Learners who complete Service Transformed: Lessons in U.S. Veteran Centered Care will develop knowledge and skills that may be useful to these careers:
Physical Therapist
Physical Therapists help people regain or improve their ability to move and function after an injury or illness. For veterans, they may help them regain physical function that they lost due to a physical or mental health condition related to their military service. This course can help Physical Therapists understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Occupational Therapist
Occupational Therapists help people regain or improve their ability to do everyday activities, such as eating, dressing, or working. For veterans, they may help them regain skills that they lost due to a physical or mental health condition related to their military service. This course can help Occupational Therapists understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Physician Assistant
Physician Assistants help patients by managing their illnesses and overall health. For veterans, they may provide care for physical or mental health conditions related to their military service. This course can help Physician Assistants understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Social Worker
Social Workers help people cope with difficult life circumstances, such as illness, disability, or poverty. For veterans, they may provide support for mental health conditions, family problems, or financial difficulties related to their military service. This course can help Social Workers understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Psychologist
Psychologists help people with mental health issues, such as anxiety, depression, or trauma. For veterans, they may provide counseling for mental health conditions related to their military service. This course can help Psychologists understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Registered Nurse
Registered Nurses provide direct patient care, including assessing patients' needs, developing and implementing care plans, and administering medications. For veterans, they may provide care for physical or mental health conditions related to their military service. This course can help Registered Nurses understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Speech-Language Pathologist
Speech-Language Pathologists help people with speech, language, and swallowing disorders. For veterans, they may help them with communication problems related to a physical or mental health condition related to their military service. This course can help Speech-Language Pathologists understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Counselor
Counselors help people with mental health issues, such as anxiety, depression, or trauma. For veterans, they may provide counseling for mental health conditions related to their military service. This course can help Counselors understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Audiologist
Audiologists help people with hearing and balance disorders. For veterans, they may help them with hearing loss or tinnitus related to their military service. This course can help Audiologists understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Registered Dietitian
Registered Dietitians help people improve their health by providing nutrition counseling and education. For veterans, they may help them manage their weight or eat healthier to improve their overall health. This course can help Registered Dietitians understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Pharmacist
Pharmacists dispense medication and provide information about medication use to patients. For veterans, they may help them manage their medications for physical or mental health conditions related to their military service. This course can help Pharmacists understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Public Health Educator
Public Health Educators develop and implement programs to promote health and prevent disease. For veterans, they may work on programs that promote the health of veterans. This course can help Public Health Educators understand the unique needs of veterans and how to develop programs that meet those needs. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Health Policy Analyst
Health Policy Analysts analyze and develop policies that affect the healthcare system. For veterans, they may work on policies that affect the care of veterans. This course can help Health Policy Analysts understand the unique needs of veterans and how to develop policies that meet those needs. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Healthcare Administrator
Healthcare Administrators oversee the operations of healthcare facilities, such as hospitals and clinics. For veterans, they may work in facilities that provide care for veterans. This course can help Healthcare Administrators understand the unique needs of veterans and how to provide culturally competent care. It also covers topics such as patient-centeredness, empathy, and collaboration across professional disciplines, which are all essential for providing high-quality care to veterans.
Medical Researcher
Medical Researchers conduct research to improve the understanding of diseases and develop new treatments. For veterans, they may work on research related to the health of veterans. This course may be useful for Medical Researchers who want to learn more about the unique needs of veterans and how to conduct research that is relevant to their care.

Reading list

We've selected eight books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Service Transformed: Lessons in U.S. Veteran Centered Care.
Provides a comprehensive overview of the unique health care needs of veterans, including physical, mental, and emotional health issues. It valuable reference for any health care provider who works with veterans.
Provides a comprehensive overview of the psychological and cognitive injuries that veterans may experience. It valuable resource for any health care provider who works with veterans.
Provides a practical guide to delivering trauma-informed care to veterans. It valuable resource for any health care provider who works with veterans who have experienced trauma.
Provides a comprehensive overview of the psychological research on military personnel. It valuable resource for anyone who wants to learn more about the mental health of veterans.
Provides a detailed overview of the military behavioral health system. It valuable resource for anyone who wants to learn more about how mental health services are delivered to military personnel.
Provides a comprehensive overview of the role of social work in the military. It valuable resource for anyone who wants to learn more about the social work profession in the military.

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