(1092) Bootcamp Effectiveness in Preparing Transition Year Residents for Intensive Care Unit Rotations

Introduction: A bootcamp (BC) is an effective medical education tool shown to positively prepare categorical residents across multiple specialties for the intensive care unit (ICU). While critical care BCs have been successful in categorical programs, their use has not been described with transitional year (TY) programs. In this report, we describe early results from implementing a TY resident critical care BC.

Methods: Incoming TY residents were enrolled in the critical care BC, involving lectures and simulated cases. Residents received surveys and test questions assessing clinical confidence and knowledge, completing these before and after the BC. Incoming emergency medicine (EM) interns were used as a control group, completing the same survey and test questions before and after their BC. TY results were compared in a pre and post intervention analysis as well as to EM residents.

Results: TY residents represented four categorical programs and most had ICU experience from medical school, however, wide ranges existed in clinical exposure. TY residents (60% vs 75%, p=.127) had a greater knowledge improvement from baseline after BC completion than EM residents (65% vs 74%, p=.230), but neither were significant. The groups had similar post-BC knowledge assessments (75% vs 74%, p=.938). TY residents improved their clinical confidence across all topics with ACLS (p=.018) and ventilators (p=.043) being statistically significant. EM residents had statistically significant clinical confidence increases across all topics.

Conclusions: TY residents completing the critical care BC possessed similar post intervention knowledge as EM residents. The TY residents had a greater knowledge gain than the EM residents, but this did not achieve statistical significance. The EM resident critical care BC has been conducted for multiple years and based on resident response, positively impacts ICU preparation. Although EM residents had more topics with significant improvements in clinical confidence, the numerical increases were similar with TY residents. As the remaining TY cohort completes the BC, more topics may achieve significance with increasing sample size. Based on our preliminary results, a TY critical care BC is non-inferior to an established categorical BC and is feasible in TY programs to serve their unique needs.