title: Emergency medicine residency boot Camp curriculum: a pilot study.
abstract: BACKGROUND
  Establishing a boot camp curriculum is pertinent for emergency medicine (EM) residents in order to develop proficiency in a large scope of procedures and leadership skills. In this article, we describe our program's EM boot camp curriculum as well as measure the confidence levels of resident physicians through a pre- and post-boot camp survey.
  
  
  METHODS
  We designed a one-month boot camp curriculum with the intention of improving the confidence, procedural performance, leadership, communication and resource management of EM interns. Our curriculum consisted of 12 hours of initial training and culminated in a two-day boot camp. The initial day consisted of clinical skill training and the second day included code drill scenarios followed by interprofessional debriefing.
  
  
  RESULTS
  Twelve EM interns entered residency with an overall confidence score of 3.2 (1-5 scale) across all surveyed skills. Interns reported the highest pre-survey confidence scores in suturing (4.3) and genitourinary exams (3.9). The lowest pre-survey confidence score was in thoracostomy (2.4). Following the capstone experience, overall confidence scores increased to 4.0. Confidence increased the most in defibrillation and thoracostomy. Additionally, all interns reported post-survey confidence scores of at least 3.0 in all skills, representing an internal anchor of "moderately confident/need guidance at times to perform procedure."
  
  
  CONCLUSIONS
  At the completion of the boot camp curriculum, EM interns had improvement in self-reported confidence across all surveyed skills and procedures. The described EM boot camp curriculum was effective, feasible and provided a foundation to our trainees during their first month of residency.
authors.affiliation: Northeast Ohio Medical University, Rootstown, Ohio.
authors.forename: Ramsey
authors.initials: R
authors.lastname: Ataya
authors.affiliation: Northeast Ohio Medical University, Rootstown, Ohio.
authors.forename: Rahul
authors.initials: R
authors.lastname: Dasgupta
authors.affiliation: Georgetown University, Washington, District of Columbia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Blanda
authors.affiliation: Northeast Ohio Medical University, Rootstown, Ohio.
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Moftakhar
authors.affiliation: Summa Akron City Hospital, Akron, Ohio.
authors.forename: Patrick G
authors.initials: PG
authors.lastname: Hughes
authors.affiliation: Summa Akron City Hospital, Akron, Ohio.
authors.forename: Rami
authors.initials: R
authors.lastname: Ahmed
mesh_terms: D003479:Curriculum; D004635:Emergency Medicine / Q000193:education*; D007396:Internship and Residency; D010865:Pilot Projects
references.citation: Mt Sinai J Med. 2009 Aug;76(4):330-43
references.pmid: 19642147
references.citation: Ann Emerg Med. 2007 Apr;49(4):495-504, 504.e1-11
references.pmid: 17161502
references.citation: Simul Healthc. 2006 Spring;1(1):49-55
references.pmid: 19088574
references.citation: Acad Emerg Med. 2008 Nov;15(11):1037-45
references.pmid: 18785938
references.citation: BMJ Open. 2013 Oct 21;3(10):e003525
references.pmid: 24148213
references.citation: BMC Health Serv Res. 2005;5:71
references.pmid: 16280077
references.citation: Laryngoscope. 2011 Oct;121(10):2114-21
references.pmid: 21898435
references.citation: Ann Intern Med. 2011 Sep 6;155(5):309-15
references.pmid: 21747093
references.citation: Simul Healthc. 2007 Summer;2(2):115-25
references.pmid: 19088616