A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018

Christopher Blackmore; Pramod S. Puligandla; Sherif Emil; Rodrigo Romao; Steven R. Lopushinsky

doi:10.1016/j.jpedsurg.2019.01.047

A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018

Christopher Blackmore, Pramod S. Puligandla, Sherif Emil, Rodrigo Romao, Steven R. Lopushinsky

Medicine

Medicine

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

10 Citas (Scopus)

Resumen

Introduction: Boot camps seek to impart knowledge and skills for individuals entering new roles. We sought to evaluate knowledge, skills, and confidence of in-coming pediatric surgery trainees with a 2.5-day pediatric surgery boot camp. Methods: A curriculum included key aspects of pediatric surgery delivered during interactive lectures, small group discussions, and simulation. With REB approval, participant demographics were collected. Pre- and posttests assessed knowledge and trainee confidence. Comparative statistics and multivariate analysis of variance (MANOVA)were performed. Results: Between 2017 and 2018, 16 individuals from North American pediatric surgery training programs participated in two boot camps. Ten had North American general surgery training, and eleven had no pediatric surgery exposure ≥ 1 year prior. All participants expressed increased confidence with course material after boot camp [F(18,11)= 3.137;p < 0.05]. Performance improved significantly (pre- vs. posttests, 47.0% vs. 62.4%; p < 0.05). MANOVA between faculty and trainees demonstrated agreement on the value of individual sessions [F(15,3)= 0.642;p = 0.76]. Neonatal bowel obstruction, gastrostomy tube complications, esophageal atresia, pain management, and informed consent were rated most useful. Conclusion: Trainees and teaching faculty considered the boot camp valuable. Trainees demonstrated significant improvements in core knowledge and confidence. The initial pediatric surgery boot camp experience shows promise in facilitating the transition to discipline for new trainees. Study type: Prospective treatment study. Level of evidence: IV.

Idioma original	English
Páginas (desde-hasta)	1024-1028
Número de páginas	5
Publicación	Journal of Pediatric Surgery
Volumen	54
N.º	5
DOI	https://doi.org/10.1016/j.jpedsurg.2019.01.047
Estado	Published - may. 2019

Nota bibliográfica

Funding Information:
We wish to express our gratitude to the Canadian Association of Pediatric Surgeons and the Canadian Association of Pediatric Surgery Training Program Directors for supporting the development of the boot camp. We would also like to thank the University of Calgary Section of Pediatric Surgery partnering with the EQUIS (Efficiency, Quality, Innovation & Safety)Research platform (funded by the Brian and Brenda MacNeill Chair in Pediatric Surgery)as well as the McGill University Department of Pediatric Surgery and The Shriners Hospital of Children Canada for their financial support of the educational sessions. We are also grateful to Olympus (2017–2018), Fuji Canada (2017), Kodak (2017), and Applied Medical Technology (2018)for their unconditional educational grants and in-kind equipment support. We would like to thank the following individuals for their assistance with course deliverables, instruction and human resource support: Dr. Sharifa Himidan (Toronto), Dr. Paul Beaudry (Calgary), Dr. Andrea Lo (Calgary), Dr. Mary Brindle (Calgary), Dr. Jaime Blackwood (Calgary), Mr. Steve Menzies CPC (Calgary), Ms. Tanya Spence RN (Calgary), Dr. Frankie Fraulin (Calgary), Mr. Lyall and Danielle Marshall (Calgary), Ms. Georgina Bird (Calgary), Dr. Melanie Morris (Winnipeg), Dr. Georges Azzie (Toronto), Dr. Barbara Gaines (Pittsburgh), Dr. Mark Walton (Hamilton), Dr. Lisa VanHouwelingen (Hamilton), Dr. Nelson Piché (Montreal), Dr. BJ Hancock (Winnipeg), Mr. Christos Calaritis CPC (Monteral), Dr.Robin Petroze (Montreal), Dr. Robert Baird (Vancouver), Dr. Kenneth Shaw (Montreal), Dr. Ellen Tsai (CMPA), staff of The Sheldon Kennedy Child Advocacy Centre (Dr. Jennifer MacPherson, Ms. Carrie Sanders, & Ms. Sara Austin). We are indebted to the wonderful staff at the Shriner's Hospital for Children Canada (Ms. Sharon Delisle, Ms. Linda Crelinstin, Ms. Louise Turpin, and Mr. Omar Arfa)and simulation staff in Calgary (KidSim: Dr. Vincent Grant, Ms. Sherry MacGillivray, Ms. Ashley Holloway, Ms. Amy Cripps, Ms.Kerianne Craig; Animal Care Centre: Ms. Trish Lindsey)without whom these courses would never have taken place. Lastly, but certainly not least, we would like to thank the trainee participants of these courses for their enthusiasm, devotion to learning, and commitment to pediatric surgical care.

Funding Information:
We wish to express our gratitude to the Canadian Association of Pediatric Surgeons and the Canadian Association of Pediatric Surgery Training Program Directors for supporting the development of the boot camp. We would also like to thank the University of Calgary Section of Pediatric Surgery partnering with the EQUIS (Efficiency, Quality, Innovation & Safety) Research platform (funded by the Brian and Brenda MacNeill Chair in Pediatric Surgery) as well as the McGill University Department of Pediatric Surgery and The Shriners Hospital of Children Canada for their financial support of the educational sessions. We are also grateful to Olympus (2017–2018), Fuji Canada (2017), Kodak (2017), and Applied Medical Technology (2018) for their unconditional educational grants and in-kind equipment support.

Publisher Copyright:
© 2019 Elsevier Inc.

ASJC Scopus Subject Areas

Pediatrics, Perinatology, and Child Health
Surgery

PubMed: MeSH publication types

Evaluation Study
Journal Article

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title = "A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018",

abstract = "Introduction: Boot camps seek to impart knowledge and skills for individuals entering new roles. We sought to evaluate knowledge, skills, and confidence of in-coming pediatric surgery trainees with a 2.5-day pediatric surgery boot camp. Methods: A curriculum included key aspects of pediatric surgery delivered during interactive lectures, small group discussions, and simulation. With REB approval, participant demographics were collected. Pre- and posttests assessed knowledge and trainee confidence. Comparative statistics and multivariate analysis of variance (MANOVA)were performed. Results: Between 2017 and 2018, 16 individuals from North American pediatric surgery training programs participated in two boot camps. Ten had North American general surgery training, and eleven had no pediatric surgery exposure ≥ 1 year prior. All participants expressed increased confidence with course material after boot camp [F(18,11)= 3.137;p < 0.05]. Performance improved significantly (pre- vs. posttests, 47.0% vs. 62.4%; p < 0.05). MANOVA between faculty and trainees demonstrated agreement on the value of individual sessions [F(15,3)= 0.642;p = 0.76]. Neonatal bowel obstruction, gastrostomy tube complications, esophageal atresia, pain management, and informed consent were rated most useful. Conclusion: Trainees and teaching faculty considered the boot camp valuable. Trainees demonstrated significant improvements in core knowledge and confidence. The initial pediatric surgery boot camp experience shows promise in facilitating the transition to discipline for new trainees. Study type: Prospective treatment study. Level of evidence: IV.",

author = "Christopher Blackmore and Puligandla, {Pramod S.} and Sherif Emil and Rodrigo Romao and Lopushinsky, {Steven R.}",

note = "Funding Information: We wish to express our gratitude to the Canadian Association of Pediatric Surgeons and the Canadian Association of Pediatric Surgery Training Program Directors for supporting the development of the boot camp. We would also like to thank the University of Calgary Section of Pediatric Surgery partnering with the EQUIS (Efficiency, Quality, Innovation & Safety)Research platform (funded by the Brian and Brenda MacNeill Chair in Pediatric Surgery)as well as the McGill University Department of Pediatric Surgery and The Shriners Hospital of Children Canada for their financial support of the educational sessions. We are also grateful to Olympus (2017–2018), Fuji Canada (2017), Kodak (2017), and Applied Medical Technology (2018)for their unconditional educational grants and in-kind equipment support. We would like to thank the following individuals for their assistance with course deliverables, instruction and human resource support: Dr. Sharifa Himidan (Toronto), Dr. Paul Beaudry (Calgary), Dr. Andrea Lo (Calgary), Dr. Mary Brindle (Calgary), Dr. Jaime Blackwood (Calgary), Mr. Steve Menzies CPC (Calgary), Ms. Tanya Spence RN (Calgary), Dr. Frankie Fraulin (Calgary), Mr. Lyall and Danielle Marshall (Calgary), Ms. Georgina Bird (Calgary), Dr. Melanie Morris (Winnipeg), Dr. Georges Azzie (Toronto), Dr. Barbara Gaines (Pittsburgh), Dr. Mark Walton (Hamilton), Dr. Lisa VanHouwelingen (Hamilton), Dr. Nelson Pich{\'e} (Montreal), Dr. BJ Hancock (Winnipeg), Mr. Christos Calaritis CPC (Monteral), Dr.Robin Petroze (Montreal), Dr. Robert Baird (Vancouver), Dr. Kenneth Shaw (Montreal), Dr. Ellen Tsai (CMPA), staff of The Sheldon Kennedy Child Advocacy Centre (Dr. Jennifer MacPherson, Ms. Carrie Sanders, & Ms. Sara Austin). We are indebted to the wonderful staff at the Shriner's Hospital for Children Canada (Ms. Sharon Delisle, Ms. Linda Crelinstin, Ms. Louise Turpin, and Mr. Omar Arfa)and simulation staff in Calgary (KidSim: Dr. Vincent Grant, Ms. Sherry MacGillivray, Ms. Ashley Holloway, Ms. Amy Cripps, Ms.Kerianne Craig; Animal Care Centre: Ms. Trish Lindsey)without whom these courses would never have taken place. Lastly, but certainly not least, we would like to thank the trainee participants of these courses for their enthusiasm, devotion to learning, and commitment to pediatric surgical care. Funding Information: We wish to express our gratitude to the Canadian Association of Pediatric Surgeons and the Canadian Association of Pediatric Surgery Training Program Directors for supporting the development of the boot camp. We would also like to thank the University of Calgary Section of Pediatric Surgery partnering with the EQUIS (Efficiency, Quality, Innovation & Safety) Research platform (funded by the Brian and Brenda MacNeill Chair in Pediatric Surgery) as well as the McGill University Department of Pediatric Surgery and The Shriners Hospital of Children Canada for their financial support of the educational sessions. We are also grateful to Olympus (2017–2018), Fuji Canada (2017), Kodak (2017), and Applied Medical Technology (2018) for their unconditional educational grants and in-kind equipment support. Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",

year = "2019",

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doi = "10.1016/j.jpedsurg.2019.01.047",

language = "English",

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T1 - A transition to discipline curriculum for pediatric surgery trainees

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AU - Emil, Sherif

AU - Romao, Rodrigo

AU - Lopushinsky, Steven R.

N1 - Funding Information: We wish to express our gratitude to the Canadian Association of Pediatric Surgeons and the Canadian Association of Pediatric Surgery Training Program Directors for supporting the development of the boot camp. We would also like to thank the University of Calgary Section of Pediatric Surgery partnering with the EQUIS (Efficiency, Quality, Innovation & Safety)Research platform (funded by the Brian and Brenda MacNeill Chair in Pediatric Surgery)as well as the McGill University Department of Pediatric Surgery and The Shriners Hospital of Children Canada for their financial support of the educational sessions. We are also grateful to Olympus (2017–2018), Fuji Canada (2017), Kodak (2017), and Applied Medical Technology (2018)for their unconditional educational grants and in-kind equipment support. We would like to thank the following individuals for their assistance with course deliverables, instruction and human resource support: Dr. Sharifa Himidan (Toronto), Dr. Paul Beaudry (Calgary), Dr. Andrea Lo (Calgary), Dr. Mary Brindle (Calgary), Dr. Jaime Blackwood (Calgary), Mr. Steve Menzies CPC (Calgary), Ms. Tanya Spence RN (Calgary), Dr. Frankie Fraulin (Calgary), Mr. Lyall and Danielle Marshall (Calgary), Ms. Georgina Bird (Calgary), Dr. Melanie Morris (Winnipeg), Dr. Georges Azzie (Toronto), Dr. Barbara Gaines (Pittsburgh), Dr. Mark Walton (Hamilton), Dr. Lisa VanHouwelingen (Hamilton), Dr. Nelson Piché (Montreal), Dr. BJ Hancock (Winnipeg), Mr. Christos Calaritis CPC (Monteral), Dr.Robin Petroze (Montreal), Dr. Robert Baird (Vancouver), Dr. Kenneth Shaw (Montreal), Dr. Ellen Tsai (CMPA), staff of The Sheldon Kennedy Child Advocacy Centre (Dr. Jennifer MacPherson, Ms. Carrie Sanders, & Ms. Sara Austin). We are indebted to the wonderful staff at the Shriner's Hospital for Children Canada (Ms. Sharon Delisle, Ms. Linda Crelinstin, Ms. Louise Turpin, and Mr. Omar Arfa)and simulation staff in Calgary (KidSim: Dr. Vincent Grant, Ms. Sherry MacGillivray, Ms. Ashley Holloway, Ms. Amy Cripps, Ms.Kerianne Craig; Animal Care Centre: Ms. Trish Lindsey)without whom these courses would never have taken place. Lastly, but certainly not least, we would like to thank the trainee participants of these courses for their enthusiasm, devotion to learning, and commitment to pediatric surgical care. Funding Information: We wish to express our gratitude to the Canadian Association of Pediatric Surgeons and the Canadian Association of Pediatric Surgery Training Program Directors for supporting the development of the boot camp. We would also like to thank the University of Calgary Section of Pediatric Surgery partnering with the EQUIS (Efficiency, Quality, Innovation & Safety) Research platform (funded by the Brian and Brenda MacNeill Chair in Pediatric Surgery) as well as the McGill University Department of Pediatric Surgery and The Shriners Hospital of Children Canada for their financial support of the educational sessions. We are also grateful to Olympus (2017–2018), Fuji Canada (2017), Kodak (2017), and Applied Medical Technology (2018) for their unconditional educational grants and in-kind equipment support. Publisher Copyright: © 2019 Elsevier Inc.

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N2 - Introduction: Boot camps seek to impart knowledge and skills for individuals entering new roles. We sought to evaluate knowledge, skills, and confidence of in-coming pediatric surgery trainees with a 2.5-day pediatric surgery boot camp. Methods: A curriculum included key aspects of pediatric surgery delivered during interactive lectures, small group discussions, and simulation. With REB approval, participant demographics were collected. Pre- and posttests assessed knowledge and trainee confidence. Comparative statistics and multivariate analysis of variance (MANOVA)were performed. Results: Between 2017 and 2018, 16 individuals from North American pediatric surgery training programs participated in two boot camps. Ten had North American general surgery training, and eleven had no pediatric surgery exposure ≥ 1 year prior. All participants expressed increased confidence with course material after boot camp [F(18,11)= 3.137;p < 0.05]. Performance improved significantly (pre- vs. posttests, 47.0% vs. 62.4%; p < 0.05). MANOVA between faculty and trainees demonstrated agreement on the value of individual sessions [F(15,3)= 0.642;p = 0.76]. Neonatal bowel obstruction, gastrostomy tube complications, esophageal atresia, pain management, and informed consent were rated most useful. Conclusion: Trainees and teaching faculty considered the boot camp valuable. Trainees demonstrated significant improvements in core knowledge and confidence. The initial pediatric surgery boot camp experience shows promise in facilitating the transition to discipline for new trainees. Study type: Prospective treatment study. Level of evidence: IV.

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A transition to discipline curriculum for pediatric surgery trainees: Evaluation of a pediatric surgery boot camp from 2017 to 2018

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ASJC Scopus Subject Areas

PubMed: MeSH publication types

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