Kumar D, Vachharajani A J, Wertheimer F, Vergales B, Glass K, Dannaway D, Winter L, Delaney H, Ganster A, Arnold J, Urban A, Johnston L, Bruno C, Gray M M, Sawyer T
Department of Pediatrics, Division of Neonatology, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH, USA.
Department of Pediatrics, Division of Newborn Medicine, Washington University in St. Louis and St. Louis Children's Hospital, St. Louis, MO, USA.
J Neonatal Perinatal Med. 2019;12(2):231-237. doi: 10.3233/NPM-18117.
Simulation is widely used in graduate medical education. A prior survey showed that 80% of Neonatal-Perinatal Medicine (NPM) fellowship programs in the U.S. use simulation. There are multiple ways to provide simulation-based education. One such method is through intensive simulation-based education sessions held at the beginning of a training program, common called 'boot camps'. The aim of this study was to describe the use of simulation-based boot camps in NPM fellowship programs.
Survey study of Accreditation Council for Graduate Medical Education (ACGME) accredited NPM fellowships in the U.S.
Fifty-nine of 98 programs (60%) responded. Thirty six (61%) participated in 1st year fellow boot camps, which focused on procedural skills and newborn resuscitation. Nearly half of programs participated in regional boot camps. Most boot camps were one or two days long. Eleven programs (19%) held 2nd or 3rd year fellow boot camps, which focused on advanced resuscitation and communication. Barriers included lack of faculty protected time (57%), funding (39%), and lack of faculty experience (31%).
A majority of ACGME accredited NPM fellowships participate in 1st year fellows' boot camps. Many participate in regional boot camps. A few programs have 2nd or 3rd year fellow boot camps. Lack of time, funding, and faculty experience were common barriers.
模拟在毕业后医学教育中被广泛应用。先前的一项调查显示，美国80%的新生儿围产医学（NPM） fellowship项目使用模拟。提供基于模拟的教育有多种方式。其中一种方法是在培训项目开始时举办强化的基于模拟的教育课程，通常称为“新兵训练营”。本研究的目的是描述在NPM fellowship项目中基于模拟的新兵训练营的使用情况。
对美国研究生医学教育认证委员会（ACGME）认证的NPM fellowship项目进行调查研究。
98个项目中有59个（60%）做出回应。36个（61%）项目参加了第一年住院医师新兵训练营，其重点是操作技能和新生儿复苏。近一半的项目参加了地区性新兵训练营。大多数新兵训练营为期一天或两天。11个项目（19%）举办了第二年或第三年住院医师新兵训练营，其重点是高级复苏和沟通。障碍包括缺乏教员的保护时间（57%）、资金（39%）和教员经验不足（31%）。
大多数ACGME认证的NPM fellowship项目参加了第一年住院医师的新兵训练营。许多项目参加了地区性新兵训练营。少数项目有第二年或第三年住院医师新兵训练营。时间、资金和教员经验的缺乏是常见障碍。
