• Nathan R Selden, Thomas C Origitano, Kim J Burchiel, Christopher C Getch, Valerie C Anderson, Shirley McCartney, Saleem I Abdulrauf, Daniel L Barrow, Bruce L Ehni, M Sean Grady, Costas G Hadjipanayis, Carl B Heilman, A John Popp, Raymond Sawaya, James M Schuster, Julian K Wu, and Nicholas M Barbaro.
• Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon 97239, USA. seldenn@ohsu.edu
• Neurosurgery. 2012 Apr 1;70(4):971-81; discussion 981.

BackgroundIn July 2009, the Accreditation Council for Graduate Medical Education (ACGME) incorporated postgraduate year 1 (PGY1 intern) level training into all U.S. neurosurgery residency programs.ObjectiveTo provide a fundamentals curriculum for all incoming neurosurgery PGY1 residents in ACGME-accredited programs, including skills, knowledge, and attitudes that promote quality, patient safety, and professionalism.MethodsThe Society of Neurological Surgeons organized 6 regional "boot camp" courses for incoming neurosurgery PGY1 residents in July 2010 that consisted of 9 lectures on clinical and nonclinical competencies plus 10 procedural and 6 surgical skills stations. Resident and faculty participants were surveyed to assess knowledge and course effectiveness.ResultsA total of 186 of 197 U.S. neurosurgical PGY1 residents (94%) and 75 neurosurgical faculty from 36 of 99 programs (36%) participated in the inaugural boot camp courses. All residents and 83% of faculty participants completed course surveys. All resident and faculty respondents thought that the boot camp courses fulfilled their purpose and objectives and imparted skills and knowledge that would improve patient care. PGY1 residents' knowledge of information taught in the courses improved significantly in postcourse testing (P < .0001). Residents and faculty particularly valued simulated and other hands-on skills training.ConclusionRegional organization facilitated an unprecedented degree of participation in a national fundamental skills program for entering neurosurgery residents. One hundred percent of resident and faculty respondents positively reviewed the courses. The boot camp courses may provide a model for enhanced learning, professionalism, and safety at the inception of training in other procedural specialties.

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