Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon 97239, USA.
Neurosurgery. 2012 Apr;70(4):971-81; discussion 981. doi: 10.1227/NEU.0b013e31823d7a45.
In July 2009, the Accreditation Council for Graduate Medical Education (ACGME) incorporated postgraduate year 1 (PGY1 intern) level training into all U.S. neurosurgery residency programs.
To provide a fundamentals curriculum for all incoming neurosurgery PGY1 residents in ACGME-accredited programs, including skills, knowledge, and attitudes that promote quality, patient safety, and professionalism.
The Society of Neurological Surgeons organized 6 regional "boot camp" courses for incoming neurosurgery PGY1 residents in July 2010 that consisted of 9 lectures on clinical and nonclinical competencies plus 10 procedural and 6 surgical skills stations. Resident and faculty participants were surveyed to assess knowledge and course effectiveness.
A total of 186 of 197 U.S. neurosurgical PGY1 residents (94%) and 75 neurosurgical faculty from 36 of 99 programs (36%) participated in the inaugural boot camp courses. All residents and 83% of faculty participants completed course surveys. All resident and faculty respondents thought that the boot camp courses fulfilled their purpose and objectives and imparted skills and knowledge that would improve patient care. PGY1 residents' knowledge of information taught in the courses improved significantly in postcourse testing (P < .0001). Residents and faculty particularly valued simulated and other hands-on skills training.
Regional organization facilitated an unprecedented degree of participation in a national fundamental skills program for entering neurosurgery residents. One hundred percent of resident and faculty respondents positively reviewed the courses. The boot camp courses may provide a model for enhanced learning, professionalism, and safety at the inception of training in other procedural specialties.
2009 年 7 月，研究生医学教育认证委员会（ACGME）将住院医师规范化培训第 1 年（PGY1 实习生）纳入所有美国神经外科住院医师培训计划。
为所有参加 ACGME 认证计划的神经外科住院医师规范化培训第 1 年（PGY1）住院医师提供基础知识课程，包括促进质量、患者安全和专业精神的技能、知识和态度。
神经外科医师协会于 2010 年 7 月为即将入职的神经外科住院医师举办了 6 次区域“训练营”课程，其中包括 9 次关于临床和非临床能力的讲座，以及 10 个程序和 6 个手术技能站。对住院医师和教师参与者进行了调查，以评估知识和课程效果。
共有 197 名美国神经外科住院医师规范化培训第 1 年（PGY1）住院医师中的 186 名（94%）和 99 个项目中的 36 个（36%）的 75 名神经外科教师参加了首次训练营课程。所有住院医师和 83%的教师参与者完成了课程调查。所有住院医师和教师受访者都认为训练营课程达到了目的和目标，并传授了提高患者护理的技能和知识。住院医师在课程后测试中对所教授知识的了解显著提高（P<0.0001）。住院医师和教师特别重视模拟和其他实践技能培训。
区域组织为参加神经外科住院医师的全国基础技能培训计划提供了前所未有的参与程度。100%的住院医师和教师受访者对课程给予了积极评价。训练营课程可能为其他程序专业培训开始时提高学习、专业精神和安全性提供了模式。
