Ament Jared D, Kim Timothy, Gold-Markel Judah, Germano Isabelle M, Dempsey Robert, Weaver John P, DiPatri Arthur J, Andrews Russell J, Sanchez Mary, Hinojosa Juan, Moser Richard P, Glick Roberta
University of California Davis Medical Center, Sacramento, California, USA.
Yale University, New Haven, Connecticut, USA.
World Neurosurg. 2017 Aug;104:407-410. doi: 10.1016/j.wneu.2017.05.046. Epub 2017 May 17.
The neurosurgical boot camp has been fully incorporated into U.S. postgraduate education. This is the first implementation of the neurosurgical boot in a developing country. To advance neurosurgical education, we developed a similar boot camp program, in collaboration with Bolivian neurosurgeons, to determine its feasibility and effectiveness in an international setting.
In a collective effort, the Bolivian Society for Neurosurgery, Foundation for International Education in Neurological Surgery, Solidarity Bridge, and University of Massachusetts organized and executed the first South American neurosurgical boot camp in Bolivia in 2015. Both U.S. and Bolivian faculty led didactic lectures followed by a practicum day using mannequins and simulators. South American residents and faculty were surveyed after the course to determine levels of enthusiasm and their perceived improvement in fund of knowledge and course effectiveness.
Twenty-four neurosurgery residents from 5 South American countries participated. Average survey scores ranged between 4.2 and 4.9 out of 5. Five Bolivian neurosurgeons completed the survey with average scores of 4.5-5. This event allowed for Bolivian leaders in the field to unify around education, resulting in the formation of an institute to continue similar initiatives. Total cost was estimated at $40 000 USD; however, significant faculty, industry, and donor support helped offset this amount.
The first South American neurosurgical boot camp had significant value and was well received in Bolivia. This humanitarian model provides a sustainable solution to education needs and should be expanded to other regions as a means for standardizing the core competencies in neurosurgery.
神经外科新兵训练营已全面纳入美国研究生教育。这是该训练营在一个发展中国家的首次实施。为推进神经外科教育，我们与玻利维亚神经外科医生合作，开发了一个类似的新兵训练营项目，以确定其在国际环境中的可行性和有效性。
玻利维亚神经外科学会、神经外科国际教育基金会、团结桥组织和马萨诸塞大学共同努力，于2015年在玻利维亚举办了首届南美神经外科新兵训练营。美国和玻利维亚的教员都进行了理论讲座，随后是使用人体模型和模拟器的实习日。课程结束后，对南美居民和教员进行了调查，以确定他们的热情程度以及他们在知识储备和课程效果方面的感知提升。
来自5个南美国家的24名神经外科住院医师参加了此次活动。调查平均得分在4.2至4.9分（满分5分）之间。5名玻利维亚神经外科医生完成了调查，平均得分在4.5至5分之间。这次活动使该领域的玻利维亚领导人围绕教育团结起来，促成了一个机构的成立，以继续开展类似的举措。总成本估计为4万美元；然而，教员、行业和捐赠者的大力支持有助于抵消这一费用。
首届南美神经外科新兵训练营具有重要价值，在玻利维亚受到好评。这种人道主义模式为教育需求提供了一个可持续的解决方案，应作为规范神经外科核心能力的一种手段扩展到其他地区。
