Simulation-based Boot-camp Improves the Self-efficacy of Newly Inducted Hospital Residents and Interns 

Abstract

IntroductionExpectation of competence from interns and residents from outset stresses the need for bridging the gap between undergraduate and post-graduate worlds, in terms of clinical skills. Worldwide, simulation-based boot camps ease this transition and equip novice trainees with essential foundation knowledge, technical skills, and effective communication. This study describes the introduction, change management process, and analyzes effectiveness of first-ever boot camp in Pakistan aimed at improving self-efficacy of PGME interns and residents. A boot camp of 4 days duration was conducted in December 2018 at The Aga Khan University Hospital (AKUH) for newly inducted PGME interns and residents. 40 residents and 68 interns completed a self-administered self-efficacy questionnaire after boot camp.ResultsThere was a significant overall improvement in self-efficacy of trainees across all skills. Self-efficacy improved most in CVC insertion, hospital management software) and communication, while, least gain was seen in infection control post-boot camp. Boot camp approach has proven to be an efficient, safe, forgiving, experiential learning environment for healthcare professionals and prepares them to thrive in a new hospital setting. Analysis supports effectiveness of boot camp in improving the self-efficacy of new trainees and provides direction for future planning of boot camps.