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UPJ INSIGHT The NYS EMPIRE Collaborative: A Multi-Institutional, Simulation-Based Boot Camp for Junior Residents

By: Justin Lee, MD, Columbia University Irving Medical Center, New York, New York; Nikit Venishetty, BA, Paul L. Foster School of Medicine, Texas Tech Health Sciences Center, El Paso; Miyad Movassaghi, MD, Columbia University Irving Medical Center, New York, New York; Evan Kovac, MD, Rutgers New Jersey Medical School, Newark; Andrew Winer, MD, SUNY Downstate Medical Center, Brooklyn; Christopher B. Anderson, MD, MPH, Columbia University Irving Medical Center, New York, New York; Alexander C. Small, MD, Montefiore Medical Center, Bronx, New York; Gina M. Badalato, MD, Columbia University Irving Medical Center, New York, New York for the EMPIRE Boot Camp Collaborative | Posted on: 17 Jul 2024

Lee J, Venishetty N, Movassaghi M, et al. The New York Section EMPIRE collaborative: piloting a multi-institutional, simulation-based surgical skills boot camp for junior urology residents. Urol Pract. 2024;11(4):761-768. doi:10. 1097/UPJ.0000000000000587

Study Need and Importance

In the past few years, urology residency programs have been mandated to integrate intern year into urology residencies. This has created the need for better educational programs to help transition graduating medical students into interns in urology residency programs.

What We Found

We conducted a program called the 2023 New York Section of the AUA EMPIRE (Educational Multi-Institutional Program for Instructing Residents) Boot Camp. This was a free, simulation-based, 1-day program for junior residents, led by faculty and resident instructors from all 10 programs of the New York Section of the AUA. Forty trainees attended the session in total. Residents reported significant improvement in comfort with basic urologic technical skills for 13 out of 14 domains (93%) immediately after the course, compared to pre–boot camp scores (Figure). Residents continued to report statistically higher levels of comfort with 13 of 14 (93%) procedural components at the 6-month mark, suggesting durable efficacy. Residents reported higher levels of comfort managing acute urologic emergencies like obstructive pyelonephritis and postoperative complications after the boot camp.

Image

Figure. Six-month post–boot camp results of residents rating the effectiveness of the Educational Multi-Institutional Program for Instructing Residents. *Indicates a didactic session.

Limitations

Our findings represent a single section, which has not been validated in other sections. Additionally, there are likely additional factors that may affect the durability of effect in our 6-month follow-up data. Finally, this program was feasible in a large metropolitan area, with trainees and faculty able to easily commute to a single site, which may not be so easily applicable to less densely populated areas.

Interpretation for
Patient Care

Training of urology residents in a safe and effective manner is paramount to building the next generation of urologists. Our study showed that it is feasible to have collaborative training boot camps for incoming residents to help them integrate prior to caring for patients in the hospital.

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