title: ORL emergencies boot camp: using simulation to onboard residents.
abstract: OBJECTIVE
  Incoming otolaryngology residents are expected to triage and manage airway, bleeding, and other emergencies with little prior experience. Simulation-based education has become increasingly important as it provides tools to develop psychomotor skills and judgment early in residency, using realistic experiences while eliminating patient risk. We hypothesize that a Boot Camp course emphasizing basic otolaryngology management will increase participants' confidence and be perceived as useful in developing their knowledge, technical skills, self-confidence, and improving clinical performance, both immediately and 6 months following the course.
  
  
  METHODS
  Survey.
  
  
  METHODS
  A 1-day Boot Camp was developed consisting of six technical skills stations (mask ventilation, intubation, flexible laryngoscopy, microlaryngoscopy/bronchoscopy, epistaxis control, and cricothyroidotomy); a session involving telephone inquiry triage, and two complex airway scenarios addressing medical management and emphasizing team leadership. Residents completed questionnaires before, immediately, and 6 months following course completion.
  
  
  RESULTS
  Thirty residents enrolled, 27 participated in the course, and 24 completed all three surveys. Previous experiences and confidence levels were variable; 26 of 30 (87%) identified emergency airway management as a concern before attending the course. A Fisher's exact test demonstrated improved confidence (P < .05) for every skill. An overwhelming majority of participants agreed or strongly agreed the intervention was useful in developing their knowledge, technical skills, self-confidence, and improving clinical performance.
  
  
  CONCLUSIONS
  An intensive, simulation-based Boot Camp addressing airway, bleeding, and other otolaryngology emergencies was successful in improving junior otolaryngology residents' confidence and was perceived as useful in developing knowledge, technical skills, self-confidence, and improving clinical performance.
authors: Department of Otolaryngology-Head and Neck Surgery, Georgetown University Medical Center, Washington, DC 20007, USA. malekzas@gunet.georgetown.edu
authors: Sonya
authors: S
authors: Malekzadeh
authors: Kelly M
authors: KM
authors: Malloy
authors: Eugenia E
authors: EE
authors: Chu
authors: Jared
authors: J
authors: Tompkins
authors: Alexis
authors: A
authors: Battista
authors: Ellen S
authors: ES
authors: Deutsch
mesh_terms: D058109:Airway Management; D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D004630:Emergencies; D004844:Epistaxis / Q000628:therapy; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007828:Laryngoscopy / Q000193:education; D008297:Male; D008348:Manikins; D010036:Otolaryngology / Q000193:education*; D012151:Resuscitation / Q000193:education; D014481:United States