An Innovative Otolaryngology Resident Boot Camp

Abstract

Simulation provides the opportunity for residency programs to introduce core skills and principles to residents in a low risk environment. We designed a four-week "boot camp" for junior otolaryngology residents aimed at providing the foundation necessary for effective management of commonly encountered clinical scenarios. Sessions emphasized learning through adult and pediatric simulation exercises, technical skills training and didactics. Feedback on resident performance was provided at the completion of simulation exercises.

The Otolaryngology boot camp: A scoping review evaluating commonalities and appraisal for curriculum design and delivery

“… Participants in the simulation group rated training as “highly thought of,” and were more likely to recommend the teaching to a colleague versus those in the standard group A hybrid of lectures and simulation more effective for teaching OHNS emergency management than traditional lecture-based training Scott et al (2016)[ 90 ] Western University, CAN Cross-sectional study, one-day camp Realism and utility a novel high-fidelity PTA simulator Nearly 95% of participants were in strong agreement that objectives were met, and faculty members were effective for teaching 81% of participants agreed that the models were realistic and high quality 95% of OHNS faculty agreed the novel PTA simulator was representative of real life Chin et al (2016)[ 16 ] Western University, CAN Cross-sectional study, one-day camp “How to guide.” Confidence performing routine OHNS emergency procedures, communication, teamwork, and stress handling skills before and after camp Before camp participants had the most experience and confidence in intubation and bag mask ventilation and were least confident in managing retro-orbital hematomas After camp, there was a statistically significant increase in trainee confidence in 6 of the 10 procedures and confidence for triaging OHNS calls Smith et al (2016)[ 92 ] University of Cambridge, UK Cross-sectional study, one-day camp Focused lectures, practical skills training, emergency scenario simulation, and small group sessions Feasibility of course for junior OHNS residents Knowledge of OHNS emergencies and perception of educational experience before and after camp Statistically significant improvement on MCQ exam post-course 100% of trainees scored the boot camp as “highly thought of”. 84% of trainees would strongly recommend course 100% of trainees reported improvement in confidence performing OHNS exams and dealing with OHNS emergencies Kiffel et al (2017)[ 89 ] Albert Einstein College of Medicine, New York, USA Prospective cohort study, four-week curriculum 24 sessions divided into three categories: simulation, technical skills development, and didactic teaching No outcomes were assessed No results or conclusions were reported Swords et al (2017)[ 93 ] Addenbrooke's Hospital, UK Cross-sectional study, one-day camp Prospective, single-blinded design ...…”

Impact of a postgraduate year one (PGY-1) otolaryngology bootcamp on procedural skill development

“…The bootcamp has since been redesigned into weekly sessions held on Friday mornings during the first two months of the year. The entire curriculum of bootcamp is beyond the scope of this paper and has been previously described by our group 8 . Here we focus on the assessment of procedural skill acquisition and retention as evaluated with three task trainer modules: flexible laryngoscopy, suture ligature, and rigid bronchoscopy set-up.…”