Assessing a Longitudinal, Multi-Institutional, 3-Year Simulation-Based Boot Camp Curriculum for Neonatology Fellows: A Program Evaluation

Abstract

Objective

We describe and evaluate an innovative, longitudinal 3-year simulation-based boot camp curriculum designed to enhance neonatology fellows' cognitive, technical, and communication skills throughout their training.

Study Design

The Midwest Neonatal Simulation Boot Camp (MNSBC) was developed by a multi-institutional executive committee composed of stakeholders from various Chicago-area neonatology programs. The curriculum was introduced in phases, starting with a first-year boot camp in 2019, followed by second- and third-year boot camps in subsequent years. Utilizing Kern's approach to curriculum development, the content and structure of each boot camp were designed to meet the learners' needs as they progressed through fellowship training. The evaluation of this curriculum consisted of pre- and postprogram surveys completed by participants.

Results

Since its inception, the MNSBC curriculum has trained 152 first-, 88 second-, and 57 third-year fellows from 12 programs across five Midwestern states. Participants demonstrated statistically significant improvements in self-assessed proficiency following each boot camp. Anonymous evaluations collected from fellow participants consistently highlighted enhanced clinical skills, knowledge, and confidence in managing low-frequency, high-stakes procedures and clinical scenarios.

Conclusion

The MNSBC demonstrates that a longitudinal, multi-institutional, 3-year simulation-based curriculum is both feasible and effective in improving neonatology fellows' self-perceived proficiency in cognitive, technical, and communication skills. As pediatric residency and subspecialty fellowship training requirements evolve, the MNSBC offers a sustainable model to address educational gaps throughout fellowship training.

Key Points

• Longitudinal multi-center simulation boot camp.

• Educational experience for Neonatology fellows.

• Bridging educational gaps during fellowship.

• Resource pooling and allocation.

Keywords

neonatology - simulation - fellow - boot camp

Publication History

Received: 17 July 2025

Accepted: 05 November 2025

Accepted Manuscript online:
07 November 2025

Article published online:
20 November 2025

• References

• 1 Garvey AA, Dempsey EM. Simulation in neonatal resuscitation. Front Pediatr 2020; 8: 59
• 2 Gray MM, Bruno C, French H. et al; Organization of Neonatal-Perinatal Medicine Training Program Directors. Changes, challenges, and variations in neonatal-perinatal medicine fellowship: a view from the program directors. Am J Perinatol 2024; 41 (S 01): e163-e173
• 3 Sawyer T, French H, Soghier L. et al. Educational perspectives: boot camps for neonatal-perinatal medicine fellows. Neoreviews 2014; 15: e46-e53
• 4 Dyess NF, Shah S. The relationship between pediatric medical training and neonatal care in the delivery room and beyond. Neoreviews 2024; 25 (09) e531-e536
• 5 Accredited Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Pediatrics. 2025
• 6 Blackmore C, Austin J, Lopushinsky SR, Donnon T. Effects of postgraduate medical education “boot camps” on clinical skills, knowledge, and confidence: a meta-analysis. J Grad Med Educ 2014; 6 (04) 643-652
• 7 Ceresnak SR, Axelrod DM, Motonaga KS, Johnson ER, Krawczeski CD. Pediatric cardiology boot camp: description and evaluation of a novel intensive training program for pediatric cardiology trainees. Pediatr Cardiol 2016; 37 (05) 834-844
• 8 Nishisaki A, Hales R, Biagas K. et al. A multi-institutional high-fidelity simulation “boot camp” orientation and training program for first year pediatric critical care fellows. Pediatr Crit Care Med 2009; 10 (02) 157-162
• 9 Johnson L, Mu T, Sawyer T. Use of medical simulation in neonatal-perinatal fellowship training programs. J Neonatal Perinatal Med 2012; 5: 339-345
• 10 Yang K, Hu H, Ades A. The Hidden Impact of Neonatology Boot Camp. Society for Simulation Healthcare 2022;256–263
• 11 Sawyer T, French H, Ades A, Johnston L. Neonatal-perinatal medicine fellow procedural experience and competency determination: results of a national survey. J Perinatol 2016; 36 (07) 570-574
• 12 Kumar D, Vachharajani AJ, Wertheimer F. et al; Organization of Neonatal Training Program Directors Task Force on Simulation. Boot camps in neonatal-perinatal medicine fellowship programs: a national survey. J Neonatal Perinatal Med 2019; 12 (02) 231-237
• 13 Schwarz B, Enciso J, Gray M. et al; ONTPD Fellowship Directors Writing Group. Essentials of neonatal-perinatal medicine fellowship: innovations in medical education. J Perinatol 2022; 42 (05) 677-682
• 14 Kern DE, Thomas PA, Hughes MT. Curriculum Development for Medical Education: A Six-Step Approach. Johns Hopkins University Press; Maryland: 2009
• 15 Backes CH, Bonachea EM, Rivera BK. et al. Preparedness of pediatric residents for fellowship: a survey of US neonatal-perinatal fellowship program directors. J Perinatol 2016; 36 (12) 1132-1137
• 16 Surcouf JW, Mumphrey CG, Barkemeyer BM. et al. Neonatal intensive care unit boot camp: a preparatory curriculum for pediatric residents. MedEdPORTAL 2018; 14: 10720
• 17 Jeffers JM, Poling S. The development and implementation of a 12-month simulation-based learning curriculum for pediatric emergency medicine fellows utilizing debriefing with good judgment and rapid cycle deliberate practice. BMC Med Educ 2019; 19 (01) 22
• 18 Lescinskas E, Stewart D, Shah C. Improving handoffs: implementing a training program for incoming internal medicine residents. J Grad Med Educ 2018; 10 (06) 698-701