Approximately 130 medical specialists with Appalachian Care 2019 operated at the fairgrounds of Wise County, Virginia, providing dental, optometry, veterinary and general medical care for anyone. Appalachian Care 2019 is a unique U.S. military training mission sponsored by the Innovative Readiness Training (IRT) program, which falls under the Department of Defense’s Office of the Deputy Assistant Secretary for Reserve Integration.
Started in 1994, the IRT unites service members from multiple service branches to test deployment readiness in a hands-on setting with the serendipitous byproduct of no-cost health care for U.S. publics in need.
The dentists and technicians in Appalachian Care 2019 represent the U.S. Air National Guard, Air Force, Navy Reserve and Army Reserve. As reservists, many of the providers also bring professional experience from their civilian practices.
“I’ve done IRT missions before, and it’s pretty typical to throw everybody together like this,” said Air National Guard Lt. Col. Adam Kuipers, 110th Medical Group dentist, Battle Creek Air National Guard Base, Michigan. “Some of us have a lot of experience and some don’t, but that’s what we’re here for: to give our people exposure in areas they don’t normally get to work in and to reinforce our readiness training.”
For these providers, the challenge of leaving their normal clinics and practices to literally set up shop in a fairgrounds barnyard is an experience that stretches, confounds and ultimately grows them into more skilled and well-rounded clinicians. They’re rising to the occasion with visible results including high-quality care for an average of 75 patients a day.
“Obviously, there are challenges when we’re operating in a location other than our clinic back home, but it’s great to get together with five or six dentists I’ve never met before and just chat about how we do our extractions and fillings,” said U.S. Navy Reserve Lt. Cdr. Derrick Call, Operational Health Support Unit San Diego dentist. “There’s an oral surgeon here who just yesterday gave us a tip saying, ‘if you don’t have electrical power to use your drill, there’s another way you can sometimes do what you need to do with a set of forceps.’ I tried it on a patient yesterday and it was fantastic; it just makes you a better clinician having these additional pieces of knowledge – things you can do to be successful.”
As a dental technician with the 88th Medical Group, Wright-Patterson Air Force Base, Ohio, U.S Air Force Staff Sgt. Stephen Clark says Appalachian Care has given him a greater appreciation for conserving and making the most of available resources, even in an area where he felt his skills were already very strong. Responsible for the cleaning and processing of all dental instruments for the mission, upon arrival in Wise, Clark assessed that a sufficient facility was not available to sterilize dental instruments up to standard.
“I was able to work with services and at the fairgrounds pavilion we created our own, indoor instrument processing facility inside a couple of Conex boxes, and it’s working great,” Clark said. “Looking for ways to make the best with what we’ve got, utilizing the resources available and then turning the instruments around as fast as possible so we can maximize our care has been huge. After all, you can only see as many patients as you have instruments for.”
Other participants say Appalachian Care’s joint operations has sparked a greater sense of interoperability with colleagues from other branches of the Armed Forces.
“It’s really interesting to see how different the branches are, yet at the same time, we’re still all medical, and we have that in common,” said U.S. Army Reserve Spc. Brandi Schafer, 301st Field Hospital dental technician, St. Petersburg, Florida. “It’s really interesting finding out the differences between each one, becoming more diverse in our thinking and more open-minded to other ways of doing things.”
Source: US Air Force