Pediatric anesthesiology fellow education: is a simulation‐based boot camp feasible and valuable?

Abstract

A simulation-based BC for pediatric anesthesiology fellows was feasible, perceived to improve confidence, knowledge, technical skills, and clinical performance, and was not too basic.

An Advanced Boot Camp for Pediatric Anesthesiology Fellows

“…Faculty with prior training in facilitated debriefing or those familiar with reflective and learnercentered debriefing led the debriefing as described in our prior publication. 2…”

“…Most of the boot camps reported in the literature are used in orientation, occurring either at the onset of the new clinical role or prior to the start of internships or residencies. [1][2][3] Surveys from newly hired independent practitioners show that prior training and experiences give them medical knowledge and clinical skills. However, areas of deficiency identified by these newly independent medical doctors include conflict resolution, leadership, supervision, time management, and administrative and finance skills.…”

“…1 Medical schools, residencies, and fellowship programs have integrated the concept of boot camps as part of their curricula. [1][2][3] Most medical education boot camps employ a combination of low-and highfidelity simulation scenarios, skill stations, and standardized patient encounters with an emphasis on repetition followed by structured, formative feedback. By providing a safe, nonjudgmental, and realistic learning environment where trainees can partake in the act of deliberate practice, this type of educational format can be useful for trainees who are learning new clinical roles.…”

“…In a previous report, 2 we described the development of an introductory boot camp for pediatric anesthesiology fellows that was intended to teach skills such as pediatric difficult airway techniques, ultrasoundguided placement of vascular access, and management of simulated pediatric perioperative critical events. Pediatric anesthesiology fellows were encouraged to develop strategies to apply their knowledge and review decision-making during the simulated critical events.…”

“…Participants reported that the introductory boot camp improved their knowledge, self-confidence, technical skills, and clinical performance at the beginning of their fellowship training. 2 However, the role of the pediatric anesthesiologist is complex and requires unique skills in diverse areas such as the perioperative arena and the emergency department, as well as in diverse situations such as cardiac arrest and difficult airway occurrences. Thus managing pediatric patients for general anesthesia or sedation necessitates not only acquisition of unique skills during fellowship training but also the acquisition of confidence in its execution.…”