Introducing a novel hybrid educational boot camp to augment medical student training in neurosurgery

India Shelley Sidney Kimmel Medical College, and

Search for other papers by India Shelley in
Current site
Google Scholar
PubMed
Close
 BA
,
Debanjan Haldar Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Debanjan Haldar in
Current site
Google Scholar
PubMed
Close
 MD
,
Keenan Piper Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Keenan Piper in
Current site
Google Scholar
PubMed
Close
 MD
,
Michael Baldassarri Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Michael Baldassarri in
Current site
Google Scholar
PubMed
Close
 MD
,
Adam Leibold Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Adam Leibold in
Current site
Google Scholar
PubMed
Close
 MD
,
Kevin Hines Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Kevin Hines in
Current site
Google Scholar
PubMed
Close
 MD
,
Maikerly Reyes Sidney Kimmel Medical College, and

Search for other papers by Maikerly Reyes in
Current site
Google Scholar
PubMed
Close
 BS
,
Justin Williams Sidney Kimmel Medical College, and

Search for other papers by Justin Williams in
Current site
Google Scholar
PubMed
Close
 BS
,
Christopher Farrell Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Christopher Farrell in
Current site
Google Scholar
PubMed
Close
 MD
, and
Aria Mahtabfar Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Search for other papers by Aria Mahtabfar in
Current site
Google Scholar
PubMed
Close
 MD
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $536.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $636.00
USD  $45.00
USD  $536.00
USD  $636.00
Print or Print + Online Sign in

OBJECTIVE

Neurosurgery subinternships are a critical portion of the medical student application to neurosurgery residency programs, allowing programs to assess the student’s clinical knowledge, interpersonal skills, work ethic, and character. Despite how critical these auditions are, many students have a poor understanding of expectations prior to beginning these subinternships. Thomas Jefferson University hosted a combined in-person and virtual boot camp session open to all medical students interested in neurosurgery. The authors sought to determine the effectiveness of this inaugural course.

METHODS

A total of 304 registered participants were sent a survey assessing their attitudes toward neurosurgery subinternships, beliefs about their abilities, and their comfort with various neurosurgical skills. All participants were sent a postsession survey composed of the same questions. The mean scores for responses to pre- and postsession survey questions were recorded based on graduating year and by medical school type (US allopathic [US MD], US osteopathic [US DO], or foreign degree/international medical graduate [IMG]). Differences in means between pre- and postsession survey responses were analyzed using the Student t-test, and statistical significance was set at p < 0.05.

RESULTS

A total of 112 presession surveys and 64 postsession surveys were completed, yielding a presession survey response rate of 36.8% and a postsession survey response rate of 21.1%. Seventy-five percent of the postsession survey respondents attended virtually, and 25% were in-person. US MD, US DO, and IMG attendees demonstrated a significantly increased understanding of the expectations of a neurosurgery subintern (p < 0.001). All students had significantly increased confidence in their ability to succeed as subinterns (US MD students and IMGs p < 0.001, US DO students p < 0.05). Regarding procedural confidence, US MD students had increased confidence in craniotomies and cranial plating (p < 0.001). When comparing responses by graduation year, students in the classes of 2024 and 2025 (rising 4th-year and rising 3rd-year medical students, respectively) demonstrated significantly increased understanding of expectations and confidence in their ability to succeed (< 0.001). Seventy-five percent of our postsession survey respondents attended virtually, and 25% were in-person. The in-person cohort had greater improvements in comfort with procedures such as craniotomies, cranial plating, and extraventricular drain placement (in-person vs Zoom mean differences: craniotomies and cranial plating, −2.29, extraventricular drain placement, −2.31) (p < 0.05).

CONCLUSIONS

The boot camp successfully delineated the expectations of neurosurgery subinterns and enhanced the attendees’ confidence in their abilities. The authors concluded that a hybrid virtual and in-person format is beneficial and feasible in increasing accessibility to information about neurosurgery subinternships.

ABBREVIATIONS

EVD = extraventricular drain; IMG = international medical graduate; MS = medical student; OR = operating room; US DO = US osteopathic; US MD = US allopathic.
  • Collapse
  • Expand
  • 1

    Yaeger KA, Schupper AJ, Gilligan JT, Germano IM. Making a match: trends in the application, interview, and ranking process for the neurological surgery residency programs. J Neurosurg. 2021;135(6):18821888.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Antar A, Feghali J, Wicks EE, et al. Which medical schools produce the most neurosurgery residents? An analysis of the 2014-2020 cohort. J Neurosurg. 2021;137(1):283295.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Antar A, Feghali J, Yang W, et al. Home program matching in neurosurgical residency programs: a 7-year study. World Neurosurg. 2022;164:e772e783.

  • 4

    Esterl RM Jr, Henzi DL, Cohn SM. Senior medical student "Boot Camp": can result in increased self-confidence before starting surgery internships. Curr Surg. 2006;63(4):264268.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Neylan CJ, Nelson EF, Dumon KR, et al. Medical school surgical boot camps: a systematic review. J Surg Educ. 2017;74(3):384389.

  • 6

    Okusanya OT, Kornfield ZN, Reinke CE, et al. The effect and durability of a pregraduation boot camp on the confidence of senior medical student entering surgical residencies. J Surg Educ. 2012;69(4):536543.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Parent RJ, Plerhoples TA, Long EE, et al. Early, intermediate, and late effects of a surgical skills "boot camp" on an objective structured assessment of technical skills: a randomized controlled study. J Am Coll Surg. 2010;210(6):984989.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Selden NR, Anderson VC, McCartney S, Origitano TC, Burchiel KJ, Barbaro NM. Society of Neurological Surgeons boot camp courses: knowledge retention and relevance of hands-on learning after 6 months of postgraduate year 1 training. J Neurosurg. 2013;119(3):796802.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Radwanski RE, Winston G, Younus I, et al. Neurosurgery training camp for sub-internship preparation: lessons from the inaugural course. World Neurosurg. 2019;127:e707e716.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Yearley AG, Ng PR, Gupta S, Cosgrove GR, Mooney MA. Utility of a pilot neurosurgical operative skills boot camp in medical student training. World Neurosurg. 2022;166:e551e560.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Kortz MW, Shlobin NA, Radwanski RE, Mureb M, DiGiorgio AM. Virtual neurosurgery education for medical students without home residency programs: a survey of 2020 virtual neurosurgery training camp attendees. World Neurosurg. 2022;157:e148e155.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Hulse K, Durfy S, Lassiter E, Ravanpay AC. Neurosurgery clerkships in United States medical schools: a survey of doctor of medicine-granting and doctor of osteopathic medicine-granting schools. World Neurosurg. 2024;181:e978e982.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Active physicians with a DO degree by specialty, 2021. Association of American Medical Colleges; 2021. Accessed February 28, 2024. https://www.aamc.org/data-reports/workforce/data/active-physicians-do-degree-specialty-2021

    • PubMed
    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 666 666 666
Full Text Views 40 40 40
PDF Downloads 44 44 44
EPUB Downloads 0 0 0