69. A MILESTONE-BASED PEDIATRIC INTERN BOOT CAMP: AN EDUCATIONAL INTERVENTION TO MINIMIZE THE JULY EFFECT

• Published in: Academic pediatrics 2019-08, Vol.19 (6), p.e32-e32
• Main Authors: Novosel, Ann, van de Ridder, Monica, Smith-King, Candace, McLeod, Michael, Triemstra, Justin
• Format: Article
• Language: English
• ISSN: 1876-2859; 1876-2867
• DOI: 10.1016/j.acap.2019.05.083

The transition from student to intern is difficult and highlighted by performance missteps often referred to as the July Effect. Some pediatric institutions have implemented intern boot camps (IBC) to better prepare interns at the start of residency. Such pediatric boot camps described in the literature have not specifically targeted the ACGME/ABP Pediatric Milestones. We implemented an IBC that utilized these milestones to improve the interns’ confidence, knowledge, and skills. 19 new interns participated in the IBC at the HDVCH/MSU Pediatric Residency Program. We used Kerns Six-Step Approach as a conceptual framework and targeted 3 levels of Kirkpatrick's level of evaluation (reaction, learning, and behavior). A needs assessment from residents and faculty was used to identify specific milestones. We designed our IBC to include lectures, workshops and clinical experiences to target these milestones. A questionnaire containing 15-confidence (Likert Scale 1-5) and 10 knowledge-based questions was given before and after the IBC. The paired t-test was used to assess total confidence scores and pre/post knowledge measures. The sign test was used to compare individual confidence questions. Block 1 milestone evaluations were analyzed for pre-IBC (2016, 2017) and post-IBC interns (2018). Significance was assessed at p