Erin . Pete Devon,University of Pennsylvania,Philadelphia,PA,Jeanine Ronan,University of Pennsylvania,Philadelphia,PA,Rebecca . Tenney-Soeiro,University of Pennsylvania,Philadelphia,PA
The transition from medical student to intern can be challenging. The fourth year medical school curriculum typically consists of electives,8 and may not provide students with patient care opportunities needed to become relatively independent providers.1,3 With the advent of the core entrustable professional activities for entering residency, it seems increasingly important that students enter residency prepared with a tool box of psychomotor, cognitive and affective clinical skills.6 Intern preparatory rotations, often referred to as boot camps or capstone courses, are popular venues for furthering the preparation of fourth-year medical students.1,7
To identify the current state of boot camps at medical institutions through a national survey of pediatric educators, specifically asking about the content of the pediatric boot camps for fourth year medical students.
For consistency, responses were narrowed to include only clerkship directors. Figure 1. Over half (53%) of the respondents have a boot camp. Almost 1/3 of boot camps (29.7%) are entirely pediatric specific, but of the general boot camps, 65% have an elective or required pediatric pathway. The boot camps ranged in duration from ½ day to 20 days, with a varied curriculum derived from national resources and needs assessments. A high priority is placed on clinical simulation and communication skills and moderate priority placed on medical knowledge and procedural skills. A quarter of the boot camps (25%) are measuring confidence and almost a third (32%) are measuring both confidence and competence. Assessments are self-evaluative surveys.Discussion:
The results of this survey demonstrate that intern preparatory courses are being implemented to help improve the transition from medical student to intern. Overwhelmingly, the data show that there are no standardized boot camp curriculums offered to medical students entering a pediatric-based residency. While the needs of medical students, universities, and residency programs are all different, a recommended national curriculum with standardized assessments could improve students’ transitions to internship and ultimately improve patient care.