Program aims to make the most of military medics’ field experience

Published 12:00 am Thursday, January 21, 2016

Veteran Dave Manning served two combat deployments in Iraq and was the sole medical provider for more than 100 people on a Navy ship. But as he contemplated his post-military job prospects, he struggled.

“Nothing I’ve done really translates over (to civilian jobs) beyond basic EMT,” said Manning, who served 15 years in the Navy and five more in the Army. “Trying to find something in the medical field without any credentials, without any licensure is tough.”

Manning is in the inaugural class of a physician assistant training program launched this month by the University of North Carolina at Chapel Hill and geared at recruiting nontraditional students — specifically, veterans, as the country seeks to improve health care by expanding the number of primary care providers. UNC staff worked with Army officials at Fort Bragg to figure out how to translate troops’ medical experience into jobs.

Manning’s story is becoming more common as the U.S. winds down wars in Iraq and Afghanistan, and it’s especially important for North Carolina, which is home to eight military bases, including some of the country’s largest installations.

“The medics and the corpsmen are often very skilled in acute medical care of younger people,” said Dr. Paul Chelminski, the director of UNC’s new Physician Assistant Program. “They’re extremely skilled in trauma care if they’ve been deployed.”

But Chelminski said there are some gaps in the veterans’ ability to diagnose and manage chronic illness, which is a large part of civilian health care. UNC’s program will fill in those gaps. The program will also accept some field experience in lieu of other, more standard, training.

Insurance company Blue Cross and Blue Shield of North Carolina is donating $1.2 million to help launch the training program and provide scholarships. North Carolina Blue Cross CEO Brad Wilson said the program will also help with a growing need for primary care providers in the state as more people get insurance through the Affordable Care Act.

“The customers who are accessing the health care system through the ACA are using more services than any other groups,” he said. “Many are in need of primary care, and the physician assistant plays a key role in delivering high quality, high value health care.”

UNC research shows many troops with medical training are more interested in becoming a physician assistant than a doctor, and Manning, who is 43.

“As I was coming out of the military in my early 40s, I didn’t want to spend a decade training and being in school,” he said. “I just wanted to get in and get out, and physician assistant is perfect for that.”

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