U.S., Gabonese Medical Teams Unite during MEDACCORD 12
By Captain John Kimbrough
Mississippi Army National Guard
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LIBREVILLE, Gabon - Lieutenant Stephane Oliveira, a physician with the Gabonese Military Health Services, chats with 1st Lieutenant Naomie W. Gathua, a nurse with the 94th Combat Support Hospital, U.S. Army Reserve, during a break in lectures at Medical Accord Central 12, March 5-16, 2012. MEDACCORD is a U.S. Army Africa sponsored event that brings together Utah and Mississippi National Guard members, Army Reserve units from Texas and Arkansas, members of the Defense Medical Readiness Training Institute at Joint Base San Antonio, Gabon and regional African partners to promote security cooperation while conducting an exercise to enhance medical capacity. (Photo by Army Captain John Kimbrough, Mississippi Army National Guard)

LIBREVILLE, Gabon - Gabonese Medical Health Services Captain Fidele Miyabe examines a patient during the practical exercise portion of Medical Accord Central 12 in Libreville, Gabon, March 13, 2012. MEDACCORD is sponsored by U.S. Army Africa and provides members of the Mississippi and Utah National Guard, Army Reserve units from Arkansas and Texas, personnel from the Defense Medical Readiness Training Institute at Joint Base San Antonio, Gabon and regional African partners the opportunity to foster security cooperation while conducting an exercise to enhance medical capacity. (Photo by Army Captain Colleen Benton, 94th Combat Support Hospital.)
LIBREVILLE, Gabon, 
Mar 19, 2012 — While working together during U.S. Army Africa-hosted Medical Accord Central 12 exercise March 5 -16, 2012, U.S. and Gabonese military physicians took the opportunity to learn and grow together, and through this process realized just how much they have in common.

One significant common thread connecting the nurses and physicians of the U.S. Army Reserve 94th Combat Support Hospital (CAS) and members of the Gabonese Military Health Services is the understanding that although a career in medicine can be rewarding, to get there is a long and arduous journey.

"One thing I have noticed is the nurses of both groups have realized how many shared experiences they have, and physicians realize the commitment to the general practice of medicine is the same," said Colonel Paul Phillips III, an orthopedic surgeon with the 94th Combat Support Hospital of the U.S. Army Reserve.

Phillips said missions like this offer his team an opportunity to experience the challenges many of their counterparts face on a daily basis.

American doctors recognize the differences in resources between the two medical teams and assess, then adjust the training focused to increase the experiences and capacity of the Gabonese physicians.

Like physicians in the United States, Gabonese doctors spend many years in school and are committed to ongoing professional development.

"We go to school 21 years total, with eight years in medical school, but we are always learning," said Captain Fidele Miyabe, Gabonese Military Health Services doctor.

For the Gabonese, working alongside medical personnel from another country can be both rewarding and reassuring.

"We like working with other doctors. It is good to know we are familiar with many of their techniques, and it is also good to refresh and learn together," said Lieutenant Stephane Oliveira, a physician with the Gabonese Military Health Services.

While the first week consisted of lectures on topics including combat stress, burn injuries and the many types of trauma doctors must be prepared for, the second week gave the participants a chance to team up and navigate their way through a large-scale disaster response.

"The practical exercise was mutually beneficial; we were able to mix our plan with the Gabonese plan so it was a learning experience for both of us," said Major Billy W. Wooten, assistant chief nurse with the 94th Combat Support Hospital.
The exercise involved manning multiple points to facilitate receiving and treating patients, as well as simulating the hectic environment medical teams often find themselves thrust into during both man-made and natural disasters.
"Overall this exercise really helped all of us better understand their assets and capabilities highlighting what the Gabonese bring to the table," Wooten said.
Once the exercise is complete, a closing ceremony will end the event and all participants will leave with a better understanding and appreciation for the challenges their brothers and sisters in the military medical profession face.
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