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A Pediatric Cardiology Fellowship Boot Camp improves trainee confidence*

  • Catherine K. Allan (a1), Paul Tannous (a1), Elizabeth DeWitt (a1), Michael Farias (a1), Laura Mansfield (a1), Christina Ronai (a2), David Schidlow (a3), Stephen P. Sanders (a1), James E. Lock (a1), Jane W. Newburger (a1) and David W. Brown (a1)...
Abstract Introduction

New paediatric cardiology trainees are required to rapidly assimilate knowledge and gain clinical skills to which they have limited or no exposure during residency. The Pediatric Cardiology Fellowship Boot Camp (PCBC) at Boston Children’s Hospital was designed to provide incoming fellows with an intensive exposure to congenital cardiac pathology and a broad overview of major areas of paediatric cardiology practice.


The PCBC curriculum was designed by core faculty in cardiac pathology, echocardiography, electrophysiology, interventional cardiology, exercise physiology, and cardiac intensive care. Individual faculty contributed learning objectives, which were refined by fellowship directors and used to build a programme of didactics, hands-on/simulation-based activities, and self-guided learning opportunities.


A total of 16 incoming fellows participated in the 4-week boot camp, with no concurrent clinical responsibilities, over 2 years. On the basis of pre- and post-PCBC surveys, 80% of trainees strongly agreed that they felt more prepared for clinical responsibilities, and a similar percentage felt that PCBC should be offered to future incoming fellows. Fellows showed significant increase in their confidence in all specific knowledge and skills related to the learning objectives. Fellows rated hands-on learning experiences and simulation-based exercises most highly.


We describe a novel 4-week-long boot camp designed to expose incoming paediatric cardiology fellows to the broad spectrum of knowledge and skills required for the practice of paediatric cardiology. The experience increased trainee confidence and sense of preparedness to begin fellowship-related responsibilities. Given that highly interactive activities were rated most highly, boot camps in paediatric cardiology should strongly emphasise these elements.

Corresponding author
Correspondence to: Dr C. K. Allan, Department of Cardiology, Harvard Medical School, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, United States of America. Tel: +1 617 355 7866; Fax: +1 617 713 3808; E-mail:
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Presented at the Johns Hopkins All Children’s Heart Institute Andrews/Daicoff Cardiovascular Program International Symposium on Postgraduate Education in Pediatric and Congenital Cardiac Care, Saint Petersburg, Florida, United States of America, Thursday, 11 February, 2016 and Friday, 12 February, 2016.

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1. Nishisaki A, Hales R, Biagas K, et al. A multi-institutional high-fidelity simulation “boot camp” orientation and training program for first year pediatric critical care fellows. Pediatr Crit Care Med 2009; 10: 157162.
2. Singh P, Aggarwal R, Pucher PH, Darzi A. Development, Organisation and Implementation of a Surgical Skills “Boot Camp”: SIMweek. World J Surg 2015; 39: 16491660.
3. Sonnadara RR, Van Vliet A, Safir O, et al. Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course. Surgery 2011; 149: 745749.
4. American Board of Surgery, American College of Surgeons, Association of Program Directors in Surgery, Association for Surgical Education. Statement on surgical pre-residency preparatory courses. World J Surg 2014; 38: 27432745.
5. Fann JI, Feins RH, Hicks GL Jr, et al. Evaluation of simulation training in cardiothoracic surgery: the Senior Tour perspective. J Thorac Cardiovasc Surg 2012; 143: 264272.
6. Hicks GL Jr, Gangemi J, Angona RE Jr, Ramphal PS, Feins RH, Fann JI. Cardiopulmonary bypass simulation at the Boot Camp. J Thorac Cardiovasc Surg 2011; 141: 284292.
7. Blackmore C, Austin J, Lopushinsky SR, Donnon T. Effects of postgraduate medical education “boot camps” on clinical skills, knowledge, and confidence: a meta-analysis. J Grad Med Educ 2014; 6: 643652.
8. Cohen ER, Barsuk JH, Moazed F, et al. Making July safer: simulation-based mastery learning during intern boot camp. Acad Med 2013; 88: 233239.
9. Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. “July effect”: impact of the academic year-end changeover on patient outcomes: a systematic review. Ann Intern Med 2011; 155: 309315.
10. Kolb DA. Experience as the Source of Learning and Development. Prentice Hall, Englewood Cliffs, NJ, 1984.
11. Armstrong E, Parsa-Parsi R. How can physicians’ learning styles drive educational planning? Acad Med 2005; 80: 680684.
12. Maskatia SA, Altman CA, Morris SA, Cabrera AG. The echocardiography “boot camp”: a novel approach in pediatric cardiovascular imaging education. J Am Soc Echocardiogr 2013; 26: 11871192.
13. Ceresnak SR, Axelrod DM, Motonaga KS, Johnson ER, Krawczeski CD. Pediatric cardiology boot camp: description and evaluation of a novel intensive training program for pediatric cardiology trainees. Pediatr Cardiol 2016; 37: 834844.
14. Bismuth J, Duran C, Donovan M, Davies MG, Lumsden AB. The Cardiovascular Fellows Bootcamp. J Vasc Surg 2012; 56: 11551161; e1.
15. Krajewski A, Filippa D, Staff I, Singh R, Kirton OC. Implementation of an intern boot camp curriculum to address clinical competencies under the new Accreditation Council for Graduate Medical Education supervision requirements and duty hour restrictions. JAMA Surg 2013; 148: 727732.
16. Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med 2009; 169: 14201423.
17. Barsuk JH, McGaghie WC, Cohen ER, O’Leary KJ, Wayne DB. Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med 2009; 37: 26972701.
18. Draycott T, Sibanda T, Owen L, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG. 2006; 113: 177182.
19. Draycott TJ, Crofts JF, Ash JP, et al. Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 2008; 112: 1420.
20. Fann JI, Sullivan ME, Skeff KM, et al. Teaching behaviors in the cardiac surgery simulation environment. J Thorac Cardiovasc Surg 2013; 145: 4553.
21. Knowles MS. Andragogy in Action. Jossey-Bass, San Francisco, CA, 1984.
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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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