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Pediatric Cardiology

, Volume 37, Issue 5, pp 834–844 | Cite as

Pediatric Cardiology Boot Camp: Description and Evaluation of a Novel Intensive Training Program for Pediatric Cardiology Trainees

  • Scott R. Ceresnak
  • David M. Axelrod
  • Kara S. Motonaga
  • Emily R. Johnson
  • Catherine D. Krawczeski
Original Article

Abstract

The transition from residency to subspecialty fellowship in a procedurally driven field such as pediatric cardiology is challenging for trainees. We describe and assess the educational value of a pediatric cardiology “boot camp” educational tool designed to help prepare trainees for cardiology fellowship. A two-day intensive training program was provided for pediatric cardiology fellows in July 2015 at a large fellowship training program. Hands-on experiences and simulations were provided in: anatomy, auscultation, echocardiography, catheterization, cardiovascular intensive care (CVICU), electrophysiology (EP), heart failure, and cardiac surgery. Knowledge-based exams as well as surveys were completed by each participant pre-training and post-training. Pre- and post-exam results were compared via paired t tests, and survey results were compared via Wilcoxon rank sum. A total of eight participants were included. After boot camp, there was a significant improvement between pre- and post-exam scores (PRE 54 ± 9 % vs. POST 85 ± 8 %; p ≤ 0.001). On pre-training survey, the most common concerns about starting fellowship included: CVICU emergencies, technical aspects of the catheterization/EP labs, using temporary and permanent pacemakers/implantable cardiac defibrillators (ICDs), and ECG interpretation. Comparing pre- and post-surveys, there was a statistically significant improvement in the participants comfort level in 33 of 36 (92 %) areas of assessment. All participants (8/8, 100 %) strongly agreed that the boot camp was a valuable learning experience and helped to alleviate anxieties about the start of fellowship. A pediatric cardiology boot camp experience at the start of cardiology fellowship can provide a strong foundation and serve as an educational springboard for pediatric cardiology fellows.

Keywords

Pediatrics Pediatric cardiology Fellowship training Education 

Abbreviations

CVICU

Cardio-vascular intensive care unit

ECMO

Extracorporeal membrane oxygenation

ICD

Implantable cardioverter–defibrillator

SVT

Supraventricular tachycardia

VAD

Ventricular assist device

Notes

Acknowledgments

The authors would like to thank the faculty instructors and other contributors from Stanford including: Sandra J. Feaster, Michelle N. Otis, Teresa A. Roman-Micek, Alexandra Buchanan, Lan N. Doan, Steve Roth, Jeffrey Feinstein, Anne Dubin, Sharon Chen, Chris Almond, Seth Hollander, Krista Jett, Christina Litzner, Dave Peng, Theresa Tacy, Alisa Arunamata, Doff McEhinney, Inger Olson, Alaina Kipps, Dan Murphy, Norman Silverman, Sushma Reddy, Mithras Maurille, George Yang, Jessica Haley, Renee Rodriguez, Louis Halamek, James Fann, and Frank Hanley. The authors would also like to thank the following individuals and corporations for their input and assistance including: Terumo Interventional Systems (Rigo Perea and Stephanie Mitcham), ZOLL Medical Corporation (Liz Niccum, Cherlynne Rogers, Susan O’Neal), Medtronic, Inc (Jason Daum, Dan Faria, Elodie Pouderoux), Philips Healthcare (Mark Beguhl), St. Jude Medical, Inc (Bryan Coin, Harlie Ferguson, Christine Feller).

Funding

Funding for this endeavor was provided by the generous support of the Division of Pediatric Cardiology at Lucile Packard Children’s Hospital-Stanford University, the Stanford Center for Immersive and Simulation-based Learning (CISL) at the Goodman Immersive Learning Center, and the Endowment for the Center for Advanced Pediatric and Perinatal Education (CAPE) at Stanford University.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to disclose.

Financial disclosure

The authors have no financial relationships relevant to this article to disclose.

References

  1. 1.
    Amin HJ, Aziz K, Halamek LP, Beran TN (2013) Simulation-based learning combined with debriefing: trainers satisfaction with a new approach to training the trainers to teach neonatal resuscitation. BMC Res Notes 6:251CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Cohen ER, Barsuk JH, Moazed F et al (2013) Making July safer: simulation-based mastery learning during intern boot camp. Acad Med 88(2):233–239CrossRefPubMedGoogle Scholar
  3. 3.
    Dehmer JJ, Stafford RE, Marshall HP, Koruda MJ, Meyer AA (2011) Boot camp: a method of introducing the competency of professionalism to surgical residents. Am Surg 77(7):960–961PubMedGoogle Scholar
  4. 4.
    Fann JI, Calhoon JH, Carpenter AJ et al (2010) Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: the Boot Camp experience. J Thorac Cardiovasc Surg 139(5):1275–1281CrossRefPubMedGoogle Scholar
  5. 5.
    Fann JI, Sullivan ME, Skeff KM et al (2013) Teaching behaviors in the cardiac surgery simulation environment. J Thorac Cardiovasc Surg 145(1):45–53CrossRefPubMedGoogle Scholar
  6. 6.
    Fonseca AL, Evans LV, Gusberg RJ (2013) Open surgical simulation in residency training: a review of its status and a case for its incorporation. J Surg Educ. 70(1):129–137CrossRefPubMedGoogle Scholar
  7. 7.
    Halamek LP, Kaegi DM, Gaba DM et al (2000) Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics 106(4):E45CrossRefPubMedGoogle Scholar
  8. 8.
    Hicks GL Jr, Gangemi J, Angona RE Jr, Ramphal PS, Feins RH, Fann JI (2011) Cardiopulmonary bypass simulation at the Boot Camp. J Thorac Cardiovasc Surg 141(1):284–292CrossRefPubMedGoogle Scholar
  9. 9.
    Jambhekar K, Meek ME, Major V, Coker DJ, Deloney LA (2014) Radiology boot camp: facilitating the transition of interns into residents. J Am Coll Radiol 11(3):329–331CrossRefPubMedGoogle Scholar
  10. 10.
    Krajewski A, Filippa D, Staff I, Singh R, Kirton OC (2013) 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 148(8):727–732CrossRefPubMedGoogle Scholar
  11. 11.
    Macfie RC, Webel AD, Nesbitt JC, Fann JI, Hicks GL, Feins RH (2014) “Boot camp” simulator training in open hilar dissection in early cardiothoracic surgical residency. Ann Thorac Surg 97(1):161–166CrossRefPubMedGoogle Scholar
  12. 12.
    Malekzadeh S, Malloy KM, Chu EE, Tompkins J, Battista A, Deutsch ES (2011) ORL emergencies boot camp: using simulation to onboard residents. Laryngoscope 121(10):2114–2121CrossRefPubMedGoogle Scholar
  13. 13.
    Maskatia SA, Altman CA, Morris SA, Cabrera AG (2013) The echocardiography “boot camp”: a novel approach in pediatric cardiovascular imaging education. J Am Soc Echocardiogr 26(10):1187–1192CrossRefPubMedGoogle Scholar
  14. 14.
    Naritoku WY, Vasovic L, Steinberg JJ, Prystowsky MB, Powell SZ (2014) Anatomic and clinical pathology boot camps: filling pathology-specific gaps in undergraduate medical education. Arch Pathol Lab Med 138(3):316–321CrossRefPubMedGoogle Scholar
  15. 15.
    Nishisaki A, Hales R, Biagas K et al (2009) A multi-institutional high-fidelity simulation “boot camp” orientation and training program for first year pediatric critical care fellows. Pediatr Crit Care Med 10(2):157–162CrossRefPubMedGoogle Scholar
  16. 16.
    Parent RJ, Plerhoples TA, Long EE et al (2010) Early, intermediate, and late effects of a surgical skills “boot camp” on an objective structured assessment of technical skills: a randomized controlled study. J Am Coll Surg 210(6):984–989CrossRefPubMedGoogle Scholar
  17. 17.
    Pliego JF, Wehbe-Janek H, Rajab MH, Browning JL, Fothergill RE (2008) OB/GYN boot camp using high-fidelity human simulators: enhancing residents’ perceived competency, confidence in taking a leadership role, and stress hardiness. Simulation 3(2):82–89CrossRefGoogle Scholar
  18. 18.
    Selden NR, Origitano TC, Burchiel KJ et al (2012) A national fundamentals curriculum for neurosurgery PGY1 residents: the 2010 Society of Neurological Surgeons boot camp courses. Neurosurgery 70(4):971–981 Discussion 81 CrossRefPubMedGoogle Scholar
  19. 19.
    Selden NR, Anderson VC, McCartney S, Origitano TC, Burchiel KJ, Barbaro NM (2013) Society of neurological surgeons boot camp courses: knowledge retention and relevance of hands-on learning after 6 months of postgraduate year 1 training. J Neurosurg 119(3):796–802CrossRefPubMedGoogle Scholar
  20. 20.
    Sonnadara RR, Garbedian S, Safir O et al (2012) Orthopaedic Boot Camp II: examining the retention rates of an intensive surgical skills course. Surgery 151(6):803–807CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Scott R. Ceresnak
    • 1
  • David M. Axelrod
    • 1
  • Kara S. Motonaga
    • 1
  • Emily R. Johnson
    • 1
  • Catherine D. Krawczeski
    • 1
  1. 1.Division of Pediatric Cardiology – Department of PediatricsStanford University – Lucile Packard Children’s HospitalPalo AltoUSA

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