Allan Catherine K, Tannous Paul, DeWitt Elizabeth, Farias Michael, Mansfield Laura, Ronai Christina, Schidlow David, Sanders Stephen P, Lock James E, Newburger Jane W, Brown David W
1Department of Cardiology,Harvard Medical School,Boston Children's Hospital,Boston,Massachusetts,United States of America.
2Department of Pediatrics,Division of Pediatric Cardiology,Oregon Health Sciences University,Portland,Oregon,USA.
Cardiol Young. 2016 Dec;26(8):1514-1521. doi: 10.1017/S1047951116002614.
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.
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.
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.
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.
引言 新入职的儿科心脏病学实习生需要迅速吸收知识并掌握临床技能,而这些知识和技能在住院医师培训期间他们接触有限或未曾接触过。波士顿儿童医院的儿科心脏病学进修速成班(PCBC)旨在让新入职的进修医生深入了解先天性心脏病理学,并对儿科心脏病学实践的主要领域有一个全面的概述。
PCBC课程由心脏病理学、超声心动图、电生理学、介入心脏病学、运动生理学和心脏重症监护领域的核心教员设计。每位教员都提供了学习目标,这些目标由进修项目主任进行完善,并用于构建一个包括教学、实践/模拟活动和自主学习机会的课程计划。
在两年时间里,共有16名新入职的进修医生参加了为期4周的速成班,期间没有同时承担临床工作。根据PCBC前后的调查,80%的学员强烈同意他们对临床工作更有准备,并且有类似比例的学员认为应该为未来新入职的进修医生提供PCBC。学员们在与学习目标相关的所有特定知识和技能方面的信心都有显著提高。学员们对实践学习体验和模拟练习评价最高。
我们描述了一个为期4周的新颖速成班,旨在让新入职的儿科心脏病学进修医生接触儿科心脏病学实践所需的广泛知识和技能。这次经历增强了学员的信心和开始承担与进修相关职责的准备感。鉴于高度互动的活动评价最高,儿科心脏病学的速成班应大力强调这些要素。