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

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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

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