- Date:
- 2021-04-22
- Main contributors:
- Shanks, Anthony, Darwish, Audrey, Sharifi, Mitra, Rouse, Caroline
- Summary:
- Introduction/ Background: Bootcamps serve to prepare graduating medical (MS4) students with specialty-specific skills for residency. The knowledge and confidence to perform common tasks can ease the transition from student to intern. In the specialty of Obstetrics and Gynecology, there are recommended ultrasound (US) milestones for Level 1 to Level 4 residents. A goal of a preparatory bootcamp is to provide skills and confidence to perform at Level 1 on Day 1 of residency. Traditionally bootcamps have occurred in person, however the COVID pandemic forced a pivot from in-person US training to online interactive didactic sessions. It is unclear if the online didactics are as effective as in-person simulation in developing confidence in US training for future OBGYNs. Study Objective: Our objective was to determine if our interactive, online US bootcamp was as effective as in person training in developing confidence in graduating medical students entering into OBGYN residency. Our hypothesis is that in-person training will be more effective in developing confidence in these tasks. Methods: A two hour lecture provided by Maternal-Fetal Medicine faculty was developed based on US Milestones in the Residency Training Program Consensus Report (Abuhamad 2018). The lecture utilized Nearpod, an interactive online software, and was delivered via Zoom. Thirteen MS4 students completed an anonymous survey on their ability to obtain images based on US Milestones following completion of the lecture. Self-reported confidence on a Likert scale (1-10: 1-3 if unable to obtain to images, 4-6 acquisition with assistance and 7-10 able to obtain and interpret) was reported. Mean scores were calculated for MS4 students for each US milestone. MS4 confidence was compared to PGY1 resident confidence 6 months into their intern year. PGY1 residents all underwent in person simulation training and didactic training from the same MFM faculty that provided the bootcamp. PGY1 residents underwent the same survey as MS4 and descriptive analysis and independent t test were performed with SPSS 27. Results: 13 MS4 students took part in the curriculum and all completed the post course survey. 5 MS4 students had taken an US elective prior to the bootcamp. Confidence was highest for fetal presentation (mean 7.6) and amniotic fluid (5.8). Confidence was moderate for the components of a growth US (biparietal diameter 6.1, abdominal circumference 5.7, femur length 5.7). There was no overall difference in confidence between MS4 students who completed an additional US elective compared to those who did not. Eight PGY1 interns completed the confidence survey. MS4 students who completed the online bootcamp had a slightly higher mean confidence level (5.1) as compared to PGY1 at the 6 month mark of their training (4.5, p 0.049). Conclusions: An interactive, online didactic US curriculum was associated with increased confidence in MS4 students as compared to PGY1 residents. Our findings provide reassurance that an interactive, online resource can be an efficacious way to provide instruction on traditionally hands-on skills. Future directions will include a blend of interactive, online didactics with US-simulation to improve bootcamp training.
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