ISS3 2012

Reservist Magazine is the award-winning official publication of the United States Coast Guard Reserve. Quarterly issues include news and feature articles about the men and women who comprise America's premier national maritime safety and security

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evaluation, and academic administrative support within the avyǯs fϐice of Neurotrauma (ONT). Doria also trained ϐive civilian technicians, as well as corpsmen and military physicians, which comprised an effective training team. He ensured accurate, up-to-date content by instructing and organizing an interdisciplinary team of education specialists and subject matter experts. Lt. Doria recognized the importance of both synchronizing efforts with other DoD services, and the ability for military units to teach the programs independently. The model that he created allowed the MACE training program to be an effective tool at the local level because of knowledgeable medical personnel who teach the course. Recognizing his achievements with the TBI initiatives, the Army and Air Force utilized his expertise during their own application of MACE programs, creating uniformity and continuity across military units of different services. Navy Capt. David A. Tarantino, MD who oversees all TBI programs for the U.S. Marine Corps, worked closely with Lt. Doria while developing the programs. He said that developing a uniform procedure for screening TBI across all of the services was "critically important because of the need for standardization on the battleϐieldǡ especially because is the leading combat injury occurring in Afghanistan and Iraq. Equally important was the training put in place to conduct evaluations." These MACE Training Programs have proven so effective that oriaǯs ϐindings were presented to the ustralian efense Department and to the North Atlantic Treaty Organization (NATO) Forces in Italy. He also co-presented two presentations on the process and program development at the 5th Annual Defense and Veterans Brain Injury Center National Summit in August 2011. The program's success came about despite several obstacles faced by Lt. Doria and his team. The nature of the mission required extensive travelǡ more than 7ͺ locations around the worldǤ astǦ minute schedule changes within units and operational logistics also challenged the team. "Setting up the program was a huge undertaking," said Capt. Tarantino, "For the Marine Corps, we had personnel on both coasts, and units deploying from Okinawa, making just-in-time trainings critical before deployments." tǤ oria also created the ϐirst for utilization by the Coast Guard. "I couldn't have done it without the support of the Navy, Marine Corps, and Coast Guard," noted Doria. The program received full support of each Service Surgeon Generals. "Everyone knew about MACE Training Program and rograms being considered Rear Adm. Maura Dollymore, USPHS, and Capt. David Tarantino, USN present Lt. Michael Doria, USCGR, with the Coast Guard Meritorious Public Service Award during a ceremony at Coast Guard Headquarters for his contributions while assigned to the Department of Defense's Automated Neuropsychological Assessment Metrics program. was requesting the training." A MACE website was even created to allow materials and information to be accessed easily by trainers and educators. The goal of the standardized MACE Training Programs was to incorporate this crucial education into pre-deployment preparation, ensuring that all deployed military personnel are appropriately trained, familiar, and capable of administering the MACE when the need arises. Doria's contributions will be prove beneϐicial to the Ǥ Ǥ military and deployed personnel in the years to come. "Lt. Doria is very dedicated and played a huge role in both training and supervising the programs," Capt. Tarantino noted. "He was an instrumental asset to the program, as he is a remarkable professional and invaluable to our efforts. His tenacity, initiative, and amiable personality were vital to the success of these ground- breaking programs, and he has allowed for direct contributions to the health and safety of our military combat troops." Capt. Jack W. Tsao, MD, DPhil, director of TBI Programs for the US Navy Bureau of Medicine and Surgery also had praise for Doria. "He came in and immediately had a positive impact on our program. He worked tirelessly to update and expand the trainings. Our frontline military personnel now have a better understanding of how to care for service members with concussion due directly to his efforts." Lt. Doria has tentative plans to remain with the Coast Guard in a neuropsychologist role. Capt. Salvon-Harman added, "Lt. Doria has provided a very clear proposal of activities and costs. The leadership is supporting the initiative and is working through logistical hurdles to bring him onto active duty." ᕇ *TTVF t ᕇ RESERVIST 31 Photo by Caroline Acton

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