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A Pediatric Hand Surgery Boot Camp for Plastic Surgery Residents
Kim Bjorklund, MD Nationwide Children's Hospital, Columbus, OH, USA

Background: The ability to diagnose and manage acute pediatric hand injuries on call is an essential component of plastic surgery residency. The purpose of this study is to describe a pediatric hand boot camp for plastic surgery residents designed to improve the knowledge and skills required to safely diagnose and manage acute pediatric hand injuries.

Methods: 13 plastic surgery residents PGY years 1-8 (integrated and independent) participated in a half-day boot camp consisting of didactic lectures and case based scenarios. A modified Delphi approach by 5 fellowship trained hand surgeons was employed to establish topics for the boot camp. Residents were surveyed to determine the perceived importance of the topics. Knowledge and confidence in was assessed using pre and post-tests immediately before and after the boot camp, as well as 3 months after the boot camp.

Results: Median scores on a 10-question knowledge test administered prior to the boot camp was 5 out of a possible 10. This value rose to 8 when the same test was administered immediately following the boot camp. A median score of 8 persisted 3 months after the boot camp when the test was re-administered a 3rd and final time although individual scores decreased somewhat on several items. Wilcoxon signed-rank tests indicate that although knowledge test scores increased immediately after the boot camp, they did not achieve statistical significance (p=.061). Confidence scores pre-bootcamp are attached in table.

Conclusion: This study proposes an innovative and feasible boot camp to improve hand surgery education for plastic surgery residents and ensure optimal care for pediatric patients. Findings from our study will be used to design an adult and pediatric hand call curriculum and potentially implement it across other plastic surgery programs or integrate it into the ACAPS curriculum in the future.

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