The Impact of Surgical Boot Camp and Subsequent Repetitive Practice on the Surgical Skills and Confidence of Residents
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ORIGINAL SCIENTIFIC REPORT
The Impact of Surgical Boot Camp and Subsequent Repetitive Practice on the Surgical Skills and Confidence of Residents Wei Wang1 • Hucheng Ma1 • Haozhen Ren1 • Zhongxia Wang1 • Liang Mao1 Ningning He1
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Ó The Author(s) 2020
Abstract Background Boot camp can enable residents to acquire surgical skills and confidence, but they can lose these skills over time if they do not use them. The purpose of this study was to explore whether boot camp and subsequent repetitive practice could strengthen residents’ clinical skills and self-confidence. Methods This is a comparative study of surgical residents who were enrolled in our institution from 2016 to 2017. The residents in the experimental group (enrolled in 2017) received boot camp training and a year of repetitive practice. The control group (enrolled in 2016) only received routine residency training. The rotation assessment pass rates of the two groups during the first year of the residency training were compared. A survey was conducted at different points in time to investigate the influence of boot camp and repetitive practice on the confidence of the residents. Results The assessment pass rate of the experimental group was significantly higher than that of the control group (p \ 0.05). The residents’ confidence in themselves improved significantly after the boot camp, and it was comparable to that of the residents in the control group after their first year of residency. The level of self-confidence of the experimental group was further improved after repetitive practice. Finally, residents in the experimental group received better evaluations by their colleagues than the control group received. Conclusions This study showed that boot camp can improve the surgical skills and confidence of residents and that repetitive practice can further strengthen them. Residents in the experimental group developed their self-confidence in boot camp, and it increased after repetitive practice.
Introduction The National Health Commission of the People’s Republic of China issued guidelines in 2014 on the establishment of a standardized training system for residents, marking the beginning of residency training in China [1]. Although
& Ningning He [email protected] 1
Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu, People’s Republic of China
medical graduates must pass standardized examinations before becoming residents, there is some variability in their knowledge and skills. Not everyone who starts a residency training program has the appropriate technical or nontechnical skills to take advantage immediately of learning opportunities at work or has the confidence in their skills to be assertive within the team. As a result, the cumulative effect of these factors may adversely affect the self-confidence of these recruits and even their patients’ safety [2]. An alternative strategy to solve this problem is to deliver an intensive c
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