Wang Yuding, Hoogenes Jen, Clark Roderick, Wong Nathan C, Blankstein Udi, Randhawa Harkanwal, Lovatt Catherine, Kim Kevin, Stern Noah, Law Jeffrey, Sami Samir, Uy Michael, Moore Courtney, Shayegan Bobby, Kapoor Anil, Lambe Shahid, Davies Timothy, Dave Sumit, Sener Alp, Matsumoto Edward D
Department of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Department of Surgery, Division of Urology, Western University, London, ON, Canada.
Can Urol Assoc J. 2021 Apr;15(4):98-105. doi: 10.5489/cuaj.6679.
The Royal College of Physicians and Surgeons of Canada's Competence by Design (CBD) initiative presents curricula challenges to ensure residents gain proficiency while progressing through training. To prepare first-year urology residents (R1s), we developed, implemented, and evaluated a didactic and simulation-focused boot camp to implement the CBD curriculum. We report our experiences and findings of the first three years.
Urology residents from two Canadian universities participated in the two-day boot camp at the beginning of residency. Eleven didactic and six simulation sessions allowed for instruction and deliberate practice with feedback. Pre-and post-course multiple-choice questionnaires (MCQs) and an objective structured clinical exam (OSCE) evaluated knowledge and skills uptake. For initial program evaluation, three R2s served as historical controls in year 1.
Nineteen residents completed boot camp. The mean age was 26.4 (±2.8) and 13 were male. Participants markedly improved on the pre- and post-MCQs (year 1: 62% and 91%; year 2: 55% and 89%; year 3: 58% and 86%, respectively). Participants scored marginally higher than the controls on four of the six OSCE stations. OSCE scores remained >88% over the three cohorts. All participants reported higher confidence levels post-boot camp and felt it was excellent preparation for residency.
During its first three years, our urology boot camp has demonstrated high feasibility and utility. Knowledge and technical skills uptake were established via MCQ and OSCE results, with participants' scores near or above those of R2 controls. This boot camp will remain in our CBD curriculum and can provide a framework for other urology residency programs.
加拿大皇家内科医师与外科医师学院的“以设计促能力提升”（CBD）计划对课程设置提出了挑战，以确保住院医师在培训过程中能够熟练掌握相关技能。为了帮助一年级泌尿外科住院医师（R1）做好准备，我们开发、实施并评估了一个以理论教学和模拟训练为重点的集训营，以实施CBD课程。我们报告了前三年的经验和发现。
来自加拿大两所大学的泌尿外科住院医师在住院医师培训开始时参加了为期两天的集训营。11次理论教学和6次模拟训练课程提供了指导，并通过反馈进行了刻意练习。课程前后的多项选择题问卷（MCQ）和客观结构化临床考试（OSCE）评估了知识和技能的掌握情况。在项目初始评估中，3名R2住院医师在第1年作为历史对照。
19名住院医师完成了集训营。平均年龄为26.4岁（±2.8），其中13名男性。参与者在MCQ前后的成绩有显著提高（第1年：62%和91%；第2年：55%和89%；第3年：58%和86%）。在6个OSCE站点中的4个站点上，参与者的得分略高于对照组。在三个队列中，OSCE得分均保持>88%。所有参与者在集训营后都报告说信心水平更高，并认为这是住院医师培训的良好准备。
在最初的三年里，我们的泌尿外科集训营已证明具有很高的可行性和实用性。通过MCQ和OSCE结果确定了知识和技术技能的掌握情况，参与者的得分接近或高于R2对照组。这个集训营将保留在我们的CBD课程中，并可为其他泌尿外科住院医师培训项目提供一个框架。
