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A Pediatric Preintern Boot Camp: Program Development and Evaluation Informed by a Conceptual Framework.

Erin Pete Devon1, Rebecca Tenney-Soeiro1, Jeanine Ronan1

  • 1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania; The Children's Hospital of Philadelphia, Philadelphia, Pa.

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Summary

Pediatric boot camps enhance medical students' confidence and self-efficacy during their transition to internship. This program evaluation suggests a self-efficacy framework can guide other preparatory courses.

Keywords:
boot campfourth-year curriculumintern preparatory courseprogram evaluationself-efficacy

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Area of Science:

  • Medical Education
  • Pediatrics
  • Self-Efficacy Theory

Background:

  • Medical schools increasingly use boot camps to ease the transition from student to intern.
  • A conceptual understanding of how these boot camps facilitate this transition is limited.

Purpose of the Study:

  • To evaluate a pediatric boot camp's effectiveness in enhancing medical students' transition to internship.
  • To explore the role of self-efficacy in this transition process.

Main Methods:

  • A 1-week pediatric boot camp was developed and evaluated using a self-efficacy framework.
  • Process evaluation included observations and course evaluations.
  • Outcomes evaluation used learner assessments at immediate post-boot camp and 6-month follow-up.

Main Results:

  • Medical students preferred "hands-on" sessions, leading to curriculum revisions with interactive activities.
  • Course evaluations indicated increased perceived self-efficacy.
  • Learner assessments demonstrated a medium to large effect size for confidence in specific skills and a positive, though attenuated, effect on self-efficacy at 6 months.

Conclusions:

  • Program evaluation of the pediatric boot camp, guided by self-efficacy principles, illuminated its role in facilitating the medical student to intern transition.
  • The self-efficacy framework may be applicable to other trainee preparatory courses.