{"id":8604,"date":"2022-10-17T08:12:04","date_gmt":"2022-10-17T12:12:04","guid":{"rendered":"https:\/\/www.med.unc.edu\/neurosurgery\/?p=8604"},"modified":"2024-01-08T00:04:43","modified_gmt":"2024-01-08T05:04:43","slug":"military-neurosurgeon-provides-patient-care-resident-education-and-research-at-unc-health","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/neurosurgery\/military-neurosurgeon-provides-patient-care-resident-education-and-research-at-unc-health\/","title":{"rendered":"Military Neurosurgeon Provides Patient Care, Resident Education, and Research at ºÚÁÏÍø Medical Center"},"content":{"rendered":"
\"US
Military neurosurgeon Dr. Brian Sindelar with Dr. Nelson Oyesiku, Chair of ºÚÁÏÍø Health’s Department of Neurosurgery<\/figcaption><\/figure>\n

The US Army\u2019s partnership with ºÚÁÏÍø Medical Center ensures readiness of the Army\u2019s medical force by allowing military medical personnel to be on staff at ºÚÁÏÍø Medical Center. ºÚÁÏÍø Medical Center is the seventh Level I trauma center to partner with the AMEDD Medical Skills Sustainment Program and only the second hospital in the country to receive a military neurosurgeon.<\/p>\n

This unique partnership was designed with the goal of sustaining the medical skills of physicians, nurses, and medical technicians. When military providers return state side from deployment, they are stationed at military treatment facilities with low trauma volume partnered with a healthy, active patient population. The big question was then, how can military providers maintain the skills required to save lives on the battlefield? The type of skills required to deliver combat casualty care requires ongoing repetition in order to maintain expertise.<\/p>\n

“The military\u2019s partnership with high volume, high acuity civilian trauma centers, such as ºÚÁÏÍø, keep military neurosurgeons\u2019 skills sharp for deployment especially when between conflicts.\u201d<\/p><\/blockquote>\n

\"MilitaryMilitary-civilian partnerships allow military doctors to increase their surgical capacity by taking on more complex cases in a high acuity, high volume academic center. At ºÚÁÏÍø Medical Center’s level 1 trauma center, patients with traumatic brain injuries (TBI) are frequently seen and treated. Dr. Brian Sindelar is a board-certified neurosurgeon currently serving on active duty under the established military-civilian partnership between the US Army and ºÚÁÏÍø Medical Center. At the medical center, Dr. Sindelar\u2019s clinical expertise and research interests in TBI are supported. \u201cSurgery is a technical skill that is developed over years of training but then further cultivated with continuous exposure to complex cases in a surgeon\u2019s everyday practice,\u201d said Dr. Sindelar. \u201cDue to various factors at military treatment facilities, civilian centers experience higher volumes of neurotrauma. For this reason, the military\u2019s partnership with high volume, high acuity civilian trauma centers, such as ºÚÁÏÍø, keep military neurosurgeons\u2019 skills sharp for deployment especially when between conflicts.\u201d<\/p>\n

ºÚÁÏÍø Medical Center also benefits greatly from the established partnership with the US Army. Dr. Daryhl Johnson, Adult Trauma Medical Director, and Director of the ºÚÁÏÍø Medical Center\/US Army Military-Civilian Partnership, explains that this partnership is mutually beneficial for both the US Army and ºÚÁÏÍø. \u201cFrom an academic standpoint, this type of partnership is a two-way street,\u201d Said Dr. Johnson. \u201cWe aren\u2019t just using Dr. Sindelar for his neurosurgical skill. He is our trauma neurosurgery liaison. For everything neurosurgery trauma related, I\u2019m leaning on his opinion.\u201d<\/p>\n

While Dr. Sindelar is able to gain valuable skill sustainment working at ºÚÁÏÍø Medical Center, the partnership allows ºÚÁÏÍø Neurosurgery to further improve patient care. Both Dr. Sindelar\u2019s military training and expertise in neurotrauma makes him, and other military surgeons, valuable assets to ºÚÁÏÍø Medical Center. \u201cThings roll out faster on the Army side, so research is implemented right away,\u201d said Dr. Johnson. \u201cWe can then use that to better our practices.\u201d ºÚÁÏÍø Medical Center is also able to rely on Dr. Sindelar and other military doctors at the medical center for resident education.<\/p>\n

Dr. Sindelar\u2019s research focuses on TBI. His current research findings, if significant, will guide TBI management at institutions across the United States and world-wide. His research will also reduce unnecessary procedures and imaging, therefore reducing patient morbidity and improving patient outcomes.<\/p>\n

TBI is a leading cause of mortality, morbidity, and long-term disability effecting millions of people worldwide. \u201cºÚÁÏÍø is a pioneer in traumatic brain\"Dr. injury research, and I am thankful to be part of such a dedicated group,\u201d said Dr. Sindelar. \u201cThere are numerous projects underway at this hospital, but specifically I am interested in the use of blood biomarkers for traumatic brain injury to guide clinical management and the use of technical imaging modalities that previously where only available in a hospital setting, but adapted to to be implemented downrange bringing surgical care closer to the frontlines. The information gained from this research can be applied to combat situations to allow early surgical intervention, better triage MEDEVAC, and improve access to the limited but vital resource, the military neurosurgeon.\u201d<\/p>\n

ºÚÁÏÍø Neurosurgery was the perfect match for Dr. Sindelar, since he was already familiar with the campus. After his neurosurgery residency training, Dr. Sindelar completed an open and endoscopic skullbase surgery fellowship at ºÚÁÏÍø Medical Center.<\/p>\n

\u201cThere are not that many active-duty military neurosurgeons in the Army. We are fortunate to have one at ºÚÁÏÍø Medical Center.\u201d<\/p><\/blockquote>\n

\"Dr.ºÚÁÏÍø Neurosurgery along with Dr. Sindelar, hopes to continue the military-civilian partnership with the US Army, setting the precedent for other military neurosurgeons in the AMEDD Medical Skills Sustainment Program. \u201cThese partnerships should continue because bidirectional flow of knowledge gained on the battlefield and in civilian trauma centers is vital to improving the care of neurotrauma patients across both realms and improving the outcomes for our patients,\u201d said Dr. Sindelar. ºÚÁÏÍø Medical Center also greatly benefits from having one of only a few active-duty neurosurgeons at its facility. \u201cThere are not that many active-duty military neurosurgeons in the Army,\u201d explained Dr. Johnson. \u201cWe are fortunate to have one at ºÚÁÏÍø Medical Center.\u201d<\/p>\n

Dr. Brian Sindelar<\/a> is currently serving on active duty under the established military-civilian partnership between the US Army and ºÚÁÏÍø Medical Center. This partnership was announced in November of 2020. Dr. Sindelar is a board-certified neurosurgeon with an appointment as Clinical Associate Professor in the Department of Neurosurgery at the University of North Carolina at Chapel Hill. His academic interests include cranial\/spine neurotrauma along with pathologies of the skull base.<\/p>\n

 <\/p>\n

Written by Makenzie Hardy, Marketing Coordinator, ºÚÁÏÍø Health Department of Neurosurgery<\/p>\n","protected":false},"excerpt":{"rendered":"

The US Army\u2019s partnership with ºÚÁÏÍø Medical Center ensures readiness of the Army\u2019s medical force by allowing military medical personnel to be on staff at ºÚÁÏÍø Medical Center. ºÚÁÏÍø Medical Center is the seventh Level I trauma center to partner with the AMEDD Medical Skills Sustainment Program and only the second hospital in the country … Read more<\/a><\/p>\n","protected":false},"author":44955,"featured_media":8605,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[9],"tags":[],"class_list":["post-8604","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","odd"],"acf":[],"yoast_head":"\nMilitary Neurosurgeon Provides Patient Care, Resident Education, and Research at ºÚÁÏÍø Medical Center | Department of 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