746 - Priming Primary Care: Accelerating Outpatient General Pediatrics Training for Incoming Pediatric Interns through a Novel Outpatient Foundations Bootcamp

Publication Number: 3722.746

Kathleen Kelly, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States; Catherine Michelson, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States; Nina L. Alfieri, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States

Background: Interns entering pediatric residency start with a variety of prior outpatient experiences. The ACGME/RRC changes have shifted pediatric residency training toward ambulatory time, including a larger focus on primary care and continuity clinic (CC). Rapidly uptraining new interns to be able to practice in CC has been an area of challenge in the past. To address this, we developed an intensive primary care bootcamp delivered in a weeklong session alongside advocacy training.

Objective: 1. Create a “just in time” curriculum for pediatric interns to start as an outpatient general pediatricians in CC.
2. Identify resident feedback on the most helpful aspects of and opportunities for improvement within the bootcamp.

Design/Methods: A five-day “Primary Care and Advocacy Bootcamp” for new interns was created with input from current residents, primary care faculty and using ABP core content areas. These included navigating well child checks, vaccine hesitancy/counseling, mental health, infant feeding, common newborn questions, sports exam, asthma, dermatology and otoscopy. The bootcamp was delivered twice (during the first week of each Y block) with iterative improvements based on feedback collected. Importantly, primary care content was intertwined with advocacy content including introducing interns to their new community and understanding and addressing social influencers of health using local resources. As part of our “resident as teacher” curriculum, we paired PL2 and PL3 residents with faculty to help teach sessions.

Results: Forty-one interns completed the bootcamp; 32 completed the survey (78%). All found the bootcamp extremely helpful (24/32, 75%) or helpful (8/32, 25%). Sessions deemed most helpful included the well child workshop, mental health workshop, feeding fishbowl and newborn session. Feedback noted the mixed modality and interactive nature of sessions as a strength. Opportunities for improvement included more practice with procedures and exam maneuvers.

Conclusion(s): To ensure all incoming interns begin CC with fundamental primary care knowledge and skills, we successfully created and delivered a bootcamp model that can be modified and used at other programs interested in "just in time” ambulatory skills teaching. With the increase in ambulatory requirements with new ACGME/RRC guidelines, ensuring that interns have positive interactions with primary care pediatrics from the start can provide optimal experiences longitudinally. Future directions include identifying whether short-term impacts of intern preparedness translate to improvements in resident primary care delivery in CC.

Table 1. Content delivered during primary care sessions of bootcamp.
PAS PC bootcamp_table1.pdfThe table outlines sessions held, the format of the sessions, and specific content delivered during the educational sessions.