Two of Forty-Six
BLUF – The article argues that military surgical readiness is a measurable clinical-volume problem: a recent study found only 2 of 46 active-duty neurosurgeons met the validated annual KSA readiness threshold, while GAO found the department still lacks a complete inventory and data system to assess whether civilian trauma partnerships are closing that gap. For military healthcare leaders, the most relevant takeaway is that readiness depends on systematically routing surgeons into high-volume trauma settings, measuring the clinical activity they perform there, and sustaining those skills continuously rather than relying mainly on just-in-time predeployment rotations.
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