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Dynamic training schedules introduce novel challenges to medical specialty training programs that require manual dexterity.
To examine the effect of a 3-day, intensive pediatric echocardiography course (Boot Camp) on self-efficacy in performing an echocardiogram and in the acquisition and short-term retention of basic echocardiogram knowledge and skills for first-year pediatric cardiology fellows (CF).
The Boot Camp consisted of hands-on structured practice guided by sonographers and cardiology faculty, didactic lecture and reading. Pre-boot camp experience was assessed via an experience score (EXP). Outcome measures included written pre- and post-Camp exams, a performance based test (PBT), pre- and post-Camp self-efficacy assessments, and number of echocardiograms performed in the first 3 months of fellowship.
Six CFs completed the Boot Camp. Two of the six CFs reported EXP of 2/10, whereas the remainder reported EXP of 0/10. PBT scores ranged from 68-99/147. All six CFs reported pre-Camp self-efficacy scores of 21/147 (minimum score), compared to median post-Camp scores of 82/147 (49-94/147) (p=0.01). Scores on the written exam improved from median of 16/29 (11-18) to 23.5/29 (22-28/29) (p=0.01) There was no difference in outcome measures between those with EXP>0 and those with EXP=0. CFs who completed the Boot Camp completed 28 independent echocardiograms (median 4 per CF) during the first 3 months of fellowship, increased from 5 independent echocardiograms (median 1 per CF) by CFs the year prior to institution of the Boot Camp (p=0.030)
The echocardiography Boot Camp improves self-efficacy in performing an echocardiogram and the acquisition and short-term retention of skills and knowledge required to perform a pediatric echocardiogram. Further areas of study include the effects of the Boot Camp on echocardiography quality and on diagnostic accuracy.
Poster Sessions, Expo North
Sunday, March 10, 2013, 3:45 p.m.-4:30 p.m.
Session Title: Congenital Cardiology Solutions: Pot Pourri
Abstract Category: 13. Congenital Cardiology Solutions: Pediatric
Presentation Number: 1248-130
- 2013 American College of Cardiology Foundation