Combating the "peacetime Effect" in Military Plastic Surgery: Implications for Mission Readiness

Justin P. Fox, Nickolay P. Markov, Kerry P. Latham

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Military treatment facility-Assigned surgeons face numerous challenges in maintaining critical wartime skills, including the "peacetime effect"and the "dual mission."Using the field of plastic surgery to illustrate these issues, we contrast plastic surgeons' contributions to combat casualty care with primary data describing plastic surgeons' clinical practice in many military hospitals. Then, we outline the current administrative mechanisms being promoted at the enterprise-level for surgeons to gain a more mission-focused, clinical practice, while also examining significant shortcomings in these policies. Finally, we conclude with a call to action for the military surgical community to accelerate change in the development of more robust clinical practices for our surgeons, or potentially lose our ability to field a ready surgical force.

Original languageEnglish
Pages (from-to)183-186
Number of pages4
JournalMilitary Medicine
Issue number7
StatePublished - 1 Jul 2021
Externally publishedYes


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