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A Pediatric Cardiology Fellowship Boot Camp improves trainee confidence*

Published online by Cambridge University Press:  02 February 2017

Catherine K. Allan ,
Paul Tannous ,
Elizabeth DeWitt ,
Michael Farias ,
Laura Mansfield ,
Christina Ronai ,
David Schidlow ,
Stephen P. Sanders ,
James E. Lock  and
Jane W. Newburger
...Show all authors
Catherine K. Allan*
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Paul Tannous
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Elizabeth DeWitt
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Michael Farias
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Laura Mansfield
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Christina Ronai
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Oregon Health Sciences University, Portland, Oregon, USA
David Schidlow
Affiliation:
Heart Center, Children’s National Medical Center, George Washington University, Washington, DC, USA
Stephen P. Sanders
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
James E. Lock
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Jane W. Newburger
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
David W. Brown
Affiliation:
Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, Boston, Massachusetts, United States of America
*
Correspondence to: Dr C. K. Allan, Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, United States of America. Tel: +1 617 355 7866; Fax: +1 617 713 3808; E-mail: [email protected]
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Abstract

Introduction

New paediatric cardiology trainees are required to rapidly assimilate knowledge and gain clinical skills to which they have limited or no exposure during residency. The Pediatric Cardiology Fellowship Boot Camp (PCBC) at Boston Children’s Hospital was designed to provide incoming fellows with an intensive exposure to congenital cardiac pathology and a broad overview of major areas of paediatric cardiology practice.

Methods

The PCBC curriculum was designed by core faculty in cardiac pathology, echocardiography, electrophysiology, interventional cardiology, exercise physiology, and cardiac intensive care. Individual faculty contributed learning objectives, which were refined by fellowship directors and used to build a programme of didactics, hands-on/simulation-based activities, and self-guided learning opportunities.

Results

A total of 16 incoming fellows participated in the 4-week boot camp, with no concurrent clinical responsibilities, over 2 years. On the basis of pre- and post-PCBC surveys, 80% of trainees strongly agreed that they felt more prepared for clinical responsibilities, and a similar percentage felt that PCBC should be offered to future incoming fellows. Fellows showed significant increase in their confidence in all specific knowledge and skills related to the learning objectives. Fellows rated hands-on learning experiences and simulation-based exercises most highly.

Conclusions

We describe a novel 4-week-long boot camp designed to expose incoming paediatric cardiology fellows to the broad spectrum of knowledge and skills required for the practice of paediatric cardiology. The experience increased trainee confidence and sense of preparedness to begin fellowship-related responsibilities. Given that highly interactive activities were rated most highly, boot camps in paediatric cardiology should strongly emphasise these elements.

Keywords

Fellowship trainingboot campmedical educationsimulationpaediatric cardiology
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Special Issue 8: HeartWeek 2016 , December 2016 , pp. 1514 - 1521
Copyright
© Cambridge University Press 2017 

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Footnotes

*

Presented at the Johns Hopkins All Children’s Heart Institute Andrews/Daicoff Cardiovascular Program International Symposium on Postgraduate Education in Pediatric and Congenital Cardiac Care, Saint Petersburg, Florida, United States of America, Thursday, 11 February, 2016 and Friday, 12 February, 2016.

References

1. Nishisaki, A, Hales, R, Biagas, K, et al. A multi-institutional high-fidelity simulation “boot camp” orientation and training program for first year pediatric critical care fellows. Pediatr Crit Care Med 2009; 10: 157–162.CrossRefGoogle ScholarPubMed
2. Singh, P, Aggarwal, R, Pucher, PH, Darzi, A. Development, Organisation and Implementation of a Surgical Skills “Boot Camp”: SIMweek. World J Surg 2015; 39: 1649–1660.CrossRefGoogle Scholar
3. Sonnadara, RR, Van Vliet, A, Safir, O, et al. Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course. Surgery 2011; 149: 745–749.CrossRefGoogle ScholarPubMed
4. American Board of Surgery, American College of Surgeons, Association of Program Directors in Surgery, Association for Surgical Education. Statement on surgical pre-residency preparatory courses. World J Surg 2014; 38: 2743–2745.CrossRefGoogle Scholar
5. Fann, JI, Feins, RH, Hicks, GL Jr, et al. Evaluation of simulation training in cardiothoracic surgery: the Senior Tour perspective. J Thorac Cardiovasc Surg 2012; 143: 264–272.Google Scholar
6. Hicks, GL Jr, Gangemi, J, Angona, RE Jr, Ramphal, PS, Feins, RH, Fann, JI. Cardiopulmonary bypass simulation at the Boot Camp. J Thorac Cardiovasc Surg 2011; 141: 284–292.CrossRefGoogle ScholarPubMed
7. Blackmore, C, Austin, J, Lopushinsky, SR, Donnon, T. Effects of postgraduate medical education “boot camps” on clinical skills, knowledge, and confidence: a meta-analysis. J Grad Med Educ 2014; 6: 643–652.CrossRefGoogle ScholarPubMed
8. Cohen, ER, Barsuk, JH, Moazed, F, et al. Making July safer: simulation-based mastery learning during intern boot camp. Acad Med 2013; 88: 233–239.Google Scholar
9. Young, JQ, Ranji, SR, Wachter, RM, Lee, CM, Niehaus, B, Auerbach, AD. “July effect”: impact of the academic year-end changeover on patient outcomes: a systematic review. Ann Intern Med 2011; 155: 309–315.Google Scholar
10. Kolb, DA. Experience as the Source of Learning and Development. Prentice Hall, Englewood Cliffs, NJ, 1984.Google Scholar
11. Armstrong, E, Parsa-Parsi, R. How can physicians’ learning styles drive educational planning? Acad Med 2005; 80: 680–684.CrossRefGoogle ScholarPubMed
12. Maskatia, SA, Altman, CA, Morris, SA, Cabrera, AG. The echocardiography “boot camp”: a novel approach in pediatric cardiovascular imaging education. J Am Soc Echocardiogr 2013; 26: 1187–1192.Google Scholar
13. Ceresnak, SR, Axelrod, DM, Motonaga, KS, Johnson, ER, Krawczeski, CD. Pediatric cardiology boot camp: description and evaluation of a novel intensive training program for pediatric cardiology trainees. Pediatr Cardiol 2016; 37: 834–844.Google Scholar
14. Bismuth, J, Duran, C, Donovan, M, Davies, MG, Lumsden, AB. The Cardiovascular Fellows Bootcamp. J Vasc Surg 2012; 56: 1155–1161; e1.CrossRefGoogle ScholarPubMed
15. Krajewski, A, Filippa, D, Staff, I, Singh, R, Kirton, OC. Implementation of an intern boot camp curriculum to address clinical competencies under the new Accreditation Council for Graduate Medical Education supervision requirements and duty hour restrictions. JAMA Surg 2013; 148: 727–732.Google Scholar
16. Barsuk, JH, Cohen, ER, Feinglass, J, McGaghie, WC, Wayne, DB. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med 2009; 169: 1420–1423.CrossRefGoogle ScholarPubMed
17. Barsuk, JH, McGaghie, WC, Cohen, ER, O’Leary, KJ, Wayne, DB. Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med 2009; 37: 2697–2701.Google Scholar
18. Draycott, T, Sibanda, T, Owen, L, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG. 2006; 113: 177–182.CrossRefGoogle ScholarPubMed
19. Draycott, TJ, Crofts, JF, Ash, JP, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 2008; 112: 14–20.Google Scholar
20. Fann, JI, Sullivan, ME, Skeff, KM, et al. Teaching behaviors in the cardiac surgery simulation environment. J Thorac Cardiovasc Surg 2013; 145: 45–53.Google Scholar
21. Knowles, MS. Andragogy in Action. Jossey-Bass, San Francisco, CA, 1984.Google Scholar