{"id":1096,"date":"2015-07-24T08:03:27","date_gmt":"2015-07-24T08:03:27","guid":{"rendered":"http:\/\/www.dailyrounds.org\/blog\/?p=1096"},"modified":"2015-07-24T08:28:22","modified_gmt":"2015-07-24T08:28:22","slug":"this-doctor-was-doing-per-rectal-examination-of-his-students-in-the-class-for-years-us-military-medical-school-teacher-with-weird-teaching-methods-sacked","status":"publish","type":"post","link":"https:\/\/www.dailyrounds.org\/blog\/this-doctor-was-doing-per-rectal-examination-of-his-students-in-the-class-for-years-us-military-medical-school-teacher-with-weird-teaching-methods-sacked\/","title":{"rendered":"This Doctor was doing Per rectal examination of his students in the class for years! US Military Medical School teacher with weird teaching methods sacked!"},"content":{"rendered":"<p><strong>U.S Military Doctor using \u2018bizarre\u2019 teaching methods found guilty<\/strong><\/p>\n<p><strong>Dr. John Henry Hagmann, <\/strong>a former Army doctor teaching at Uniformed Services University campus in Maryland is being prosecuted after investigation revealed that he was- was\u00a0injecting\u00a0students with\u00a0hypnotic drugs, inducing shock\u00a0by withdrawing their blood, and performing\u00a0rectal exams in class. Hagmann\u00a0was\u00a0escorted off the campus even as the college quickly offered students\u00a0blood tests\u00a0to determine if they had been exposed to any diseases, school President Charles Rice said.<\/p>\n<p>The college also launched an internal\u00a0investigation into Hagmann\u2019s conduct, and it forwarded\u00a0information to law enforcement authorities and the Virginia Board of Medicine, which revoked Hagmann\u2019s license last month.<\/p>\n<p>But\u00a0records reviewed by Reuters, including the university\u2019s own investigation,\u00a0show that school officials had known of\u00a0Hagmann\u2019s teaching methods for\u00a0more than 20 years. The records also show that three faculty members sat in on Hagmann\u2019s course in 2012 but did not alert their superiors, despite witnessing practices that the school has since banned. One former dean even pushed to have Hagmann court-martialed in 1993 over similar allegations.<\/p>\n<p>The Virginia medical board concluded in June that Hagmann (59), exploited students he trained in 2012 and 2013 at sessions in Virginia, North Carolina, Colorado and Great Britain. Some of those students testified that Hagmann performed penile nerve blocks and instructed them to insert catheters into one another\u2019s genitals.<\/p>\n<div id=\"attachment_1107\" style=\"width: 536px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagmann-4.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1107\" class=\"  wp-image-1107\" src=\"http:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagmann-4-300x150.jpg\" alt=\"hagmann-4\" width=\"526\" height=\"263\" srcset=\"https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagmann-4-300x150.jpg 300w, https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagmann-4-1024x512.jpg 1024w, https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagmann-4-500x250.jpg 500w\" sizes=\"auto, (max-width: 526px) 100vw, 526px\" \/><\/a><p id=\"caption-attachment-1107\" class=\"wp-caption-text\">Army Col. Neil Page (L) and medical students who were identified as patient C, patient A and individual 2 (L to R) prepare to testify before the Virginia Board of Medicine regarding the medical practices of Dr John Henry Hagmann, in Richmond, Virginia June 19, 2015.<\/p><\/div>\n<p>Hagmann&#8217;s courses in treating battlefield wounds were popular with the U.S. government, however. Since 2007, his company, Deployment Medicine International, has received at least $10.5 million in federal contracts from government agencies, including the FBI and U.S. Special Forces.<\/p>\n<div id=\"attachment_1099\" style=\"width: 460px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-2.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1099\" class=\"size-full wp-image-1099\" src=\"http:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-2.jpg\" alt=\"U.S. Army Medical Corps retired Lt. Colonel John Hagmann (L) is seen being presented the William P. Clements, Jr. Outstanding Uniformed Educator Award by Dr. Sam Nixon (R) during the U.S. Military's Uniformed Services University of the Health Sciences 1989 Commencement Exercises in this USUHS handout file photo taken in Washington May 20, 1989.\" width=\"450\" height=\"225\" srcset=\"https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-2.jpg 450w, https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-2-300x150.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/a><p id=\"caption-attachment-1099\" class=\"wp-caption-text\">U.S. Army Medical Corps retired Lt. Colonel John Hagmann (L) is seen being presented the William P. Clements, Jr. Outstanding Uniformed Educator Award by Dr. Sam Nixon (R) during the U.S. Military&#8217;s Uniformed Services University of the Health Sciences 1989 Commencement Exercises in this USUHS handout file photo taken in Washington May 20, 1989.<\/p><\/div>\n<p><strong>Dr. Hagmann&#8217;s Defence<\/strong><\/p>\n<p>Hagmann has denied any wrongdoing and vowed to appeal the revocation of his license. In an email to Reuters this week, he wrote that, \u201cThe views of the civilian Board of Medicine and the academic institutions do not match the reality of law enforcement, other military, and special operations medical support training \u2013 or real missions.\u201d None of the \u201cover 1,000 physicians\u201d who he says have taken his courses \u201cfelt the training was dangerous or inappropriate \u2013 only one medical student who recruited other students to complain.\u201d<\/p>\n<p>In June, Hagmann told Reuters that university officials long condoned his teaching techniques, which he says saves lives on the battlefield. \u201cThe same institution that is now making a complaint originally supported and encouraged the programs,\u201d Hagmann said then.<\/p>\n<p>In some ways, the university\u2019s internal review reflects Hagmann\u2019s claim that the school tacitly supported his approach to teaching battlefield medicine. Rice, who became school president in 2006, acknowledged that \u201cthere were flaws and gaps\u201d in the university&#8217;s oversight. In 1986, during his second year as a professor at the university, Hagmann created a course to give students field experience treating combat wounds, the report says.<\/p>\n<p>By the early 1990s, documents show, his techniques were similar to those that cost him his license this year: Students in his class performed procedures on one another and were provided nitrous oxide (laughing gas), as well as a drug to treat insomnia and the antihistamine Benadryl.<\/p>\n<p>In sworn statements that are part of the report, unidentified colleagues offered varied descriptions of Hagmann: \u201can iconoclast and a cowboy,\u201d someone who had \u201can almost magical spell-like effect on people,\u201d and an officer \u201con a righteous mission &#8230; impatient with government rules.\u201d<\/p>\n<p>\u201cHe has a pied piper mentality,\u201d Rice said.<\/p>\n<div id=\"attachment_1103\" style=\"width: 610px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-3.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1103\" class=\"size-full wp-image-1103\" src=\"http:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-3.jpg\" alt=\"Dr. John Prescott with the Association of Medical Colleges testifies before the Virginia Board of Medicine regarding the medical practices of Dr. John Henry Hagmann in Richmond, Virginia June 19, 2015. \" width=\"600\" height=\"300\" srcset=\"https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-3.jpg 600w, https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-3-300x150.jpg 300w, https:\/\/www.dailyrounds.org\/blog\/wp-content\/uploads\/2015\/07\/hagman-3-500x250.jpg 500w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><p id=\"caption-attachment-1103\" class=\"wp-caption-text\">Dr. John Prescott with the Association of Medical Colleges testifies before the Virginia Board of Medicine regarding the medical practices of Dr. John Henry Hagmann in Richmond, Virginia June 19, 2015.<\/p><\/div>\n<p><strong>A Management Problem<\/strong><\/p>\n<p>Some at the school, including Hagmann\u2019s direct supervisor while he was on staff there, found him difficult. \u201cI had to ride herd over him,\u201d Colonel Craig Llewellyn told the school\u2019s investigator. \u201cHe kept toying with things, playing fast and loose&#8230;\u201d\u00a0In a brief interview, Llewellyn said Hagmann repeatedly violated administrative rules.<\/p>\n<p>In 1993, the report says, a dean at the school became so alarmed by Hagmann\u2019s methods that she told a commandant that Hagmann should be court-martialed. It does not name the dean, who has since died, but the report says an unidentified official at the school determined\u00a0that Hagmann\u2019s conduct was not a military matter but an academic one.<\/p>\n<p>The specific steps the university took in 1993 in response to the dean\u2019s complaints remain unclear. The school did investigate the concerns and interviewed Hagmann and his supervisors. But the 2013 report takes officials to task for failing to stop Hagmann then. \u201cDespite the dean\u2019s grave concerns, the course continued\u2026\u201d the report says. \u201cIn any other unit, a troubled course \u2026 would have been discontinued immediately.\u201d<\/p>\n<p>Seven years later, in 2000, Hagmann retired from the university after he received a \u201cless than favourable\u201d performance review, according to the report. Shortly thereafter, Hagmann started his private training company, and the business of training troops to treat battlefield trauma boomed as wars raged in Iraq and Afghanistan.<\/p>\n<p>Then, around 2007, Hagmann returned to the school \u201cunofficially,\u201d the report says. He began co-teaching a course, and by 2012, he was teaching a summer class on his own.<\/p>\n<p>The report contends that Hagmann used the university \u201cto subsidize his business.\u201d Students provided free labour to help support his consulting company. And because he waived course tuition \u2013 about $2,000 per student \u2013 the school allowed him to use its classrooms for his private clients, the report says. Hagmann, in an email to Reuters, disputed the characterization.<\/p>\n<p>Whatever the case, his teaching methods remained controversial. In addition to inducing shock by withdrawing blood from students, Hagmann plied class members with alcohol and had students perform penile nerve blocks on one another and on him, the report says. Two students told the Virginia medical board they have scars on their chests from class demonstrations.<\/p>\n<p><strong>&#8216;Too far out&#8217;<\/strong><\/p>\n<p>One university professor, Patricia Deuster, was \u201cshocked and dumbfounded\u201d to learn Hagmann and his class had returned in 2012, the report says. Deuster, who declined to comment to Reuters, has taught at the school since 1984 and edited The Navy SEAL Physical Fitness Guide. \u201cHe was too far out on the edge,\u201d Deuster told the school\u2019s investigator.<\/p>\n<p>The three doctors who allegedly witnessed Hagmann\u2019s teaching but did not report the drug and shock demonstrations in 2012 no longer teach at the university, Rice said. He declined to identify them, and their names are redacted from the records.<\/p>\n<p>The official who handled the school\u2019s investigation, Colonel Neil Page, declined to comment. In his report, Page sharply criticizes the three former instructors, \u201cMedical doctors and educators should have prevented this kind of demonstration, or should have asked serious questions over the purpose and safety,\u201d he wrote.<\/p>\n<p>At the time, the medical school did not have a policy against instructors using students as test subjects. Rice said the school has since created one.<\/p>\n<p>Thus, among Hagmann\u2019s legacies, is an asterisk in the student handbook with this reminder: \u201cSchool of Medicine policy prohibits instructors or medical students from requesting medical students from serving as \u2018patients\u2019 for intrusive examinations or procedures, such as a rectal or genitourinary exam.\u201d<\/p>\n<p>Rice, who served as trauma surgeon to President George H.W. Bush, said the Hagmann matter is the most bizarre situation he has known in 40 years of government service.<\/p>\n<p>\u201cHe shouldn\u2019t be a physician,\u201d Rice said. \u201cHe lost his compass somewhere.\u201d<\/p>\n<p>In light of the above article, it suffices to say that teaching via memorable and as realistic as possible methods is good. A line has clearly been crossed in this regard by Hagmann and the fact that he hasn\u2019t been brought to task for over a decade is astounding and repulsive.<\/p>\n<p>One hopes that, a strong law comes in to place that branch across all educational institutions (regardless of subjects taught) that protects students from such heinous acts. Student reviews and opinions are not mere performance appraisal metrics but a serious way to measure if a faculty is sticking to the boundaries of using legal and ethical teaching tools or mechanisms.<\/p>\n<p><span style=\"text-decoration: underline;\">Content Courtesy:<\/span><\/p>\n<p><a href=\"http:\/\/www.businessinsider.com\/r-exclusive-military-school-knew-of-doctors-macabre-ways-for-decades-2015-7?IR=T\">Business Insider<\/a>\u00a0\u2013 23.7.15<\/p>\n<p><a href=\"http:\/\/www.reuters.com\/article\/2015\/07\/23\/us-usa-doctor-report-exclusive-idUSKCN0PX2L620150723\">Reuters<\/a>\u2013 23.7.15<\/p>\n<p><span style=\"text-decoration: underline;\">Image(s) Courtesy:\u00a0<\/span>Reuters &amp; Washington Post \u2013 23.7.15<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>U.S Military Doctor using \u2018bizarre\u2019 teaching methods found guilty Dr. John Henry Hagmann, a former Army doctor teaching at Uniformed Services University campus in Maryland is being prosecuted after investigation revealed that he was- was\u00a0injecting\u00a0students with\u00a0hypnotic drugs, inducing shock\u00a0by withdrawing their blood, and performing\u00a0rectal exams in class. Hagmann\u00a0was\u00a0escorted off the campus even as the college [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1104,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-1096","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>This Doctor was doing Per rectal examination of his students in the class for years! US Military Medical School teacher with weird teaching methods sacked! - DailyRounds<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dailyrounds.org\/blog\/this-doctor-was-doing-per-rectal-examination-of-his-students-in-the-class-for-years-us-military-medical-school-teacher-with-weird-teaching-methods-sacked\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"This Doctor was doing Per rectal examination of his students in the class for years! 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US Military Medical School teacher with weird teaching methods sacked! - DailyRounds","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.dailyrounds.org\/blog\/this-doctor-was-doing-per-rectal-examination-of-his-students-in-the-class-for-years-us-military-medical-school-teacher-with-weird-teaching-methods-sacked\/","og_locale":"en_US","og_type":"article","og_title":"This Doctor was doing Per rectal examination of his students in the class for years! 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