1. Julianne Falleroni DO, MPH University of Wisconsin Fox Valley FMR
Women’s Health and OB Boot Camp: Helping Residents Be All That They Can Be
Kathryn Jacobe MD
Elizabeth Menzel MD
Julianne Falleroni DO, MPH
Heidi Vanyo MD
Amy Romandine Kratz MD
Joseph Schuman MD
University of Wisconsin Fox Valley FMR

2. Who are we? Jacobe – 1 minute
Include % of grads doing OB, stress our strength in procedure training
13 of 29 grads in the last 5 years (45%)

3. Disclosures
None
Jacobe 0 minutes

4. Objectives
Summarize our Women’s Health and OB Boot Camp teaching strategies
Hands-on experience with homemade procedure models
Explore materials to facilitate creation of similar programs for your learners
Jacobe 1 minute

5. Background Motivation for centralizing our OB training
13 hours of orientation time dedicated for OB and women’s health
Menzel, 2 minutes
Structure of OB rotations and # of deliveries, variability in preceptors including “evidence-basedness” of preceptors
Gyn rotatations are with varied preceptors, residents struggled to get gyn procedures on those rotations – part of this attributable to OB/Gyn docs having more of a surgical training model (more observation first, eventually hands on) whereas family medicine with the breadth of practice really needs to get to hands-on training more efficiently
3-week orientation starts mid-June. includes ALSO, too much EMR training within 3 health systems and we have dedicated 13 hours of orientation for Boot Camp. During last week, all residents get pulled “off service” so incoming R2s and R3s get training-level-specific re-orientation to some core women’s health procedures (e.g. endometrial biopsy, colposcopy, etc).

6. Goals of “Boot Camp”
Provide new residents with adequate confidence and knowledge prior to rotations
Improve procedure skills
Ensure hands-on skills are supported by mastery of evidence-based knowledge
Orient to women’s health procedures in our clinic
Orient to hospital labor and delivery
Jacobe – 2 minutes
Increased confidence = greater opportunities (our program does rely on self-directed learning to optimize experiences)

7. Details of our orientation process: schedules/agenda
Jacobe – 1 minute
Includes objectives, schedule/structure with lecture topics and workstations, supply lists for work stations

8. Teaching Principles Brief, targeted lectures
Interactive work time with hands-on models
Case-based learning to pull concepts together
Use repetition to encourage retention of key topics and experiences
Menzel – 1 minute
If you pay close attention, you’ll see we’re employing some of these concepts today

9. Brief Targeted Lectures
15-35 minutes, evidence-based
To convey key information without overwhelming
To provide reference for future use
To ensure all learners get the same core information
Menzel – 1 minute
Example included in handouts
Refer to schedule for examples

10. Time with hands-on models
Interactive, small group, experiential learning
Facilitator-led
Additional knowledge content provided with immediate application
To build muscle memory and expertise with real clinical instruments
To become familiar with order of steps of common procedures
Schumann - 1 minute
Refer to schedule – interspersed with applicable lectures preceding hands-on experiences

11. Case-based learning Uses dynamic scenarios as capstone
To incorporate learned concepts
To encourage critical thinking
To foreshadow management decisions
Vanyo – 1 minute
copies of SEH OB cases are in the handouts

12. Use of Repetition To encourage retention of key topics, skills
To increase hands-on exposure
To solidify learning using varied modalities
Kratz – 1 minute
Refer to schedule

13. Welcome to Boot Camp! Rotate through 3 stations, 10 minutes each
FSE and AROM
Endometrial biopsy and IUD
Cervical exam with models, finger measuring, post-test
35 minutes – ALL
FSE/AROM (Menzel, Schumann)
Endometrial biopsy and IUD (Jacobe, Vanyo)
Cervical exam with models, finger measuring, post-test (Kratz)

14. Follow up reflection/discussion
Did you notice which teaching concepts we used today?
Could something like this work in your program?
Benefits? Barriers?
Any best practices that could augment this system?
Animation – just one question up at a time?
8 minutes (overflow)