Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Current Urology Reports
Published in: Current Urology Reports 12/2023

26-09-2023

The Boot Camp Model in Urology: Preparing PGY1 Urology Interns for Practice

Authors: Melinda Z. Fu, Raeesa Islam, Joseph DeMarzo, Benjamin Lichtbroun, Alexandra L. Tabakin, Ji Hae Park, Sammy E. Elsamra

Published in: Current Urology Reports | Issue 12/2023

Login to get access

Abstract

Purpose of Review

The purpose of this review is to highlight literature regarding resident boot camps published across surgical specialties with a focus on urology. Herein, we discuss different boot camp iterations, their results, and the integration of simulation into their curriculum. We review program elements such as curriculum, course length, and efficacy as well as areas for continued investigation.

Recent Findings

The field of urology has grown in both the breadth of knowledge and the complexity of procedures. With urology now being an integrated surgical subspecialty, interns often start on the urology service despite limited experience navigating this unique specialty. The boot camp model is one method by which interns and junior residents participate in consolidated training programs to best prepare them for a patient-facing role and the day-to-day demands of residency. Urology programs, both in the USA and abroad, have begun integrating boot camps into their training programs with positive results.

Summary

Urology boot camps can be a valuable part of training programs for interns to quickly establish medical knowledge, skills, and efficiency. Boot camps should be easily accessible, have sufficient support from institutions, and provide effective training through various methods such as didactics and simulation.
Literature
1.
Zhou AY, et al. Factors associated with burnout and stress in trainee physicians: a systematic review and meta-analysis. JAMA Netw Open. 2020;3(8):e2013761.CrossRefPubMedPubMedCentral
2.
Hannan E, et al. Burnout and stress amongst interns in Irish hospitals: contributing factors and potential solutions. Ir J Med Sci. 2018;187(2):301–7.CrossRefPubMed
3.
4.
Liu RQ, et al. Impostorism and anxiety contribute to burnout among resident physicians. Med Teach. 2022;44(7):758–64.CrossRefPubMed
5.
Bhama AR, et al. Imposter syndrome in surgical trainees: Clance Imposter Phenomenon Scale assessment in general surgery residents. J Am Coll Surg. 2021;233(5):633–8.CrossRefPubMed
6.
Amin-Hanjani S, Haglund MM. Editorial. “Sometimes wrong, never in doubt” or “fake it till you make it”? Neurosurg Focus. 2022;53(2):E10.
7.
Please H, Biyani CS. How to implement a simulation-based education programme: lessons from the UK Urology Simulation Boot Camp. Indian J Surg. 2022;84(Suppl 1):18–26.CrossRefPubMed
8.
Sundelin MO, et al. Urology simulation boot camp: a perspective from non-UK delegates. Actas Urol Esp (Engl Ed). 2021;45(1):49–56.CrossRefPubMed
9.
Yaeger KA, Munich SA, Byrne RW, Germano IM. Trends in United States neurosurgery residency education and training over the last decade (2009–2019). Neurosurg Focus. 2020;48(3):E6.CrossRefPubMed
10.
Selden NR, et al. Society of Neurological Surgeons boot camp courses: knowledge retention and relevance of hands-on learning after 6 months of postgraduate year 1 training. J Neurosurg. 2013;119(3):796–802.CrossRefPubMed
11.
Dean KM, et al. Otolaryngology boot camps: current landscape and future directions. Laryngoscope. 2019;129(12):2707–12.CrossRefPubMed
12.
Nakazato T, et al. A 1-day simulation-based boot camp for incoming general surgery residents improves confidence and technical skills. Surgery. 2019;166(4):572–9.CrossRefPubMed
13.
Theodore S, et al. Boot camp in a box: initial experience with pretraining skills preparation for new interns. J Surg Educ. 2019;76(6):e225–31.CrossRefPubMed
14.
Bamford R, et al. Core trainee boot camp, a method for improving technical and non-technical skills of novice surgical trainees. A before and after study. Int J Surg. 2018;57:60–65.
15.
Kenny L, et al. Training cardiothoracic surgeons of the future: The UK experience. J Thorac Cardiovasc Surg. 2018;155(6):2526–2538 e2.
16.
Wang W, et al. The impact of surgical boot camp and subsequent repetitive practice on the surgical skills and confidence of residents. World J Surg. 2020;44(11):3607–15.CrossRefPubMedPubMedCentral
17.
Dversdal RK, et al. A 5-day intensive curriculum for interns utilizing simulation and active-learning techniques: addressing domains important across internal medicine practice. BMC Res Notes. 2018;11(1):916.CrossRefPubMedPubMedCentral
18.
Smith NE, Collins R, Hall J. Surgical pathology “boot camp”: a military experience. Arch Pathol Lab Med. 2019;143(9):1144–8.CrossRefPubMed
19.
Kerrigan D, et al. An anaesthesiology and emergency medicine multidisciplinary simulation-based bootcamp. Ir Med J. 2022;115(4):584.PubMed
20.
Weis JJ, et al. A proficiency-based surgical boot camp may not provide trainees with a durable foundation in fundamental surgical skills. Am J Surg. 2019;217(2):244–9.CrossRefPubMed
21.
Kassam AF, et al. Acquisition and retention of surgical skills taught during intern surgical boot camp. Am J Surg. 2021;221(5):987–92.CrossRefPubMed
22.
Singh P, Aggarwal R, Pucher PH, Darzi A. Development, organisation and implementation of a surgical skills “boot camp”: SIMweek. World J Surg. 2015;39(7):1649–60.CrossRefPubMed
23.
•• Young M, et al. The success and evolution of a urological “boot camp” for newly appointed UK Urology Registrars: incorporating simulation, nontechnical skills and assessment. J Surg Educ. 2019;76(5):1425–32. The United Kingdom’s Urology Simulation Boot Camp (USBC) was established in 2015 as a nation-wide boot camp for all new urology trainees. It implemented a standardized, simulation-based curricula for all new trainees. The UK model is one of the earliest examples of a urology boot camp and provides a model for other programs to follow. This paper provides an overview of the development of this course since its inception in 2015, the curriculum and delivery methods, and the subjective and objective results from cohorts in 2015, 2016, and 2017. Notably, over the first three years, the boot camp resulted in significant improvement in trainee skills and confidence and demonstrates the feasibility for other programs to adopt as well.CrossRefPubMed
24.
Khavari R, Donalisio da Silva R, Peters CA, Stratton K. Is a "urology intern boot camp"needed? Urol Pract. 2022;9(6):606–612.
25.
• Tabakin AL, et al. The feasibility and efficacy of a multi-institutional urology boot camp for incoming urology residents. Urology. 2021;153:69–74. This was one of the first publications to describe a boot camp specific for urology residents held in the United States. This paper describes the curriculum, participants, and results from a boot camp for junior urology residents from institutions across New Jersey. Immediately after the boot camp, a majority of the 11 participants would have recommended it to peers, felt more confident in their skills, and reported increased preparedness in the multitude of scenarios practiced. Six months later, the majority of participants felt the boot camp made them a better resident.CrossRefPubMed
26.
27.
28.
• Stout M, et al. Urology boot camp: a pilot medical student curriculum for common bedside urologic procedures. Urology. 2022;169:35–40. This publication described the results of a boot camp for fourth year medical students completing a urology subinternship, a unique perspective on the boot camp model applied to students prior to residency. The students that participated in the boot camp reported notable gains in both knowledge and confidence and performed better on simulations after the boot camp. This study demonstrated the potential to expand boot camps to medical students with positive results.CrossRefPubMed
29.
Stout M, et al. Advanced urology boot camp: a simulation-based curriculum to enhance fourth-year medical student procedural competency. Urol Pract. 2023;10(2):196–200.CrossRefPubMed
30.
Wang Y, et al. Development, implementation, and evaluation of a competency-based didactic and simulation-focused boot camp for incoming urology residents: Report of the first three years. Can Urol Assoc J. 2021;15(4):98–105.PubMed
31.
Kailavasan M, et al. A method to evaluate trainee progression during simulation training at the urology simulation boot camp (USBC) course. J Surg Educ. 2019;76(1):215–22.CrossRefPubMed
32.
Somasundram K, et al. Simulation in urology to train non-technical skills in ward rounds. BJU Int. 2018;122(4):705–12.CrossRefPubMed
33.
• Kozan AA, Chan LH, Biyani CS. Current status of simulation training in urology: a non-systematic review. Res Rep Urol. 2020;12:111–28. A non-systematic review that provides a comprehensive and contemporary review of the various simulation models currently used for open, laparoscopic, and robotic surgical methods in Urology.  This paper discusses the validity of various bench, cadaver, animal, and virtual reality models as well as a discussion about their relative benefits and limitations. While not an all-exhaustive systematic review, this paper provides a valuable review of simulators available for Urologists.PubMedPubMedCentral
34.
McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003–2009. Med Educ. 2010;44(1):50–63.CrossRefPubMed
35.
36.
Berridge CT, et al. A training model to teach early management of priapism. Actas Urol Esp (Engl Ed). 2021;45(3):220–4.CrossRefPubMed
Metadata
Title
The Boot Camp Model in Urology: Preparing PGY1 Urology Interns for Practice
Authors
Melinda Z. Fu
Raeesa Islam
Joseph DeMarzo
Benjamin Lichtbroun
Alexandra L. Tabakin
Ji Hae Park
Sammy E. Elsamra
Publication date
26-09-2023
Publisher
Springer US
Published in
Current Urology Reports / Issue 12/2023
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-023-01186-1

Other articles of this Issue 12/2023

Current Urology Reports 12/2023 Go to the issue

ReviewPaper

Management Strategy for Prostate Imaging Reporting and Data System Category 3 Lesions

ReviewPaper

Exploring the Enigma of 5-ARIs Resistance in Benign Prostatic Hyperplasia: Paving the Path for Personalized Medicine

ReviewPaper

Duplex Kidney in Adults: a Systematic Review of the Literature

ReviewPaper

Overview of Benchtop Models for Comparison of Surgical Treatments for Benign Prostatic Hyperplasia

ReviewPaper

Hydrometrocolpos: a Contemporary Review of the Last 5 Years