Dagher Tanios, Balach Tessa, Strelzow Jason
University of Chicago, Pritzker School of Medicine, Chicago, Illinois.
University of Chicago, Department of Orthopaedic Surgery and Rehabilitation Medicine, Chicago, Illinois.
J Surg Educ. 2025 Mar;82(3):103406. doi: 10.1016/j.jsurg.2024.103406. Epub 2025 Jan 9.
Orthopedic residents are tasked with rapidly acquiring clinical and surgical skills, especially during their PGY-1 year. However, resource constraints and other factors frequently cause skills training to fall short of established guidelines. We aimed to design and evaluate a cross-institutional, month-long curriculum aimed at pooling resources to optimize training.
The O.R.I.F. (Orthopaedic Resident Intern Foundations) Boot Camp was created to teach foundational residency skills and knowledge through daily didactic and simulation-based training covering 6 domains: orthopedic knowledge, orthopedic skills, nonorthopedic clinical knowledge (e.g. radiology), day-to-day hospital tasks, academic research, and social aspects of medicine. Content was based on ACGME milestones and core competencies. The program ran 8 hours each weekday throughout November 2022 and 2023. Before and after the curriculum, participants were administered a 65-question orthopedic knowledge assessment and self-reported competency surveys. Additionally, graduates from the O.R.I.F. 2022 class and a cohort of peer residents from nonparticipating institutions were administered a follow-up survey 1 year after Boot Camp. Comparative testing was performed using Wilcoxon signed-rank analysis (α = 0.05).
The curriculum was hosted at a Level 1 urban trauma center.
Over the study period 40 residents from the Chicagoland institutions participated in Bootcamp: 25 PGY-1 residents from 5 programs in 2022 and15 residents from 3 programs in 2023.
Orthopedic assessment scores increased from 45.7 (SD = 8.3) precurriculum to 60.1 (SD = 7.6) postcurriculum (p < 0.001). Additionally, self-rated competence increased in 5/6 domains-all except the social aspects of medicine. One year after O.R.I.F. 2022, a higher proportion of graduates reporting that skills training provided good or very good preparation for intern year and allowed them to network with peers at other institutions compared to non-Boot Camp residents.
The O.R.I.F. Boot Camp improves PGY-1 clinical knowledge and skills in a resource-efficient model while also providing an environment that cultivates cross-institutional camaraderie.
骨科住院医师肩负着快速掌握临床和手术技能的任务，尤其是在他们的住院医师第一年（PGY - 1）。然而，资源限制和其他因素常常导致技能培训未达既定指南要求。我们旨在设计并评估一项跨机构的、为期一个月的课程，旨在集中资源以优化培训。
创建了骨科住院医师实习基础（O.R.I.F.）训练营，通过每日的理论教学和基于模拟的培训来教授住院医师基础技能和知识，涵盖6个领域：骨科知识、骨科技能、非骨科临床知识（如放射学）、日常医院工作、学术研究以及医学的社会层面。内容基于美国研究生医学教育认证委员会（ACGME）的里程碑和核心能力要求。该项目在2022年和2023年11月的每个工作日运行8小时。在课程前后，对参与者进行了一次65道题的骨科知识评估以及自我报告的能力调查。此外，对O.R.I.F. 2022届毕业生以及来自未参与机构的一组同届住院医师在训练营结束1年后进行了随访调查。使用威尔科克森符号秩分析（α = 0.05）进行对比测试。
该课程在一家一级城市创伤中心举办。
在研究期间，来自芝加哥地区机构的40名住院医师参加了训练营：2022年来自5个项目的25名PGY - 1住院医师以及2023年来自3个项目的15名住院医师。
骨科评估分数从课程前的45.7（标准差 = 8.3）提高到课程后的60.1（标准差 = 7.6）（p < 0.001）。此外，自我评估的能力在6个领域中的5个有所提高——除了医学的社会层面。在O.R.I.F. 2022结束1年后，与未参加训练营的住院医师相比，更高比例的毕业生报告称技能培训为实习年提供了良好或非常好的准备，并使他们能够与其他机构的同行建立联系。
O.R.I.F.训练营以资源高效的模式提高了PGY - 1的临床知识和技能，同时还提供了一个培养跨机构情谊的环境。
