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5 results

  • 16 - The US Marine Corps, 1973–2017

  • from Part III - Maritime Forces
  • Edited by Peter R. Mansoor, Ohio State University, Williamson Murray, Ohio State University
  • Book:
    The Culture of Military Organizations
    Published online:
    05 October 2019
    Print publication:
    17 October 2019, pp 378-400

  • Summary

    The Marine Corps is a complex, tribal organization. Although Marines pride themselves on “every Marine a rifleman,” subcultures, in particular that of fixed-wing aviation, present a challenge to the organization. Another issue that influences Corps organizational behavior is its partnership with the US Navy in amphibious operations. Gender and ethnicity changes have challenged “Old Corps” cultural norms. The first challenge was racial integration, which began in the 1950s and continues today. Another complication is gender integration, given the masculine dominance values in varied ethnic communities. There is also a potential cultural clash between part of the officer Corps and junior enlisted personnel. A more important potential issue is a cultural clash among Marines at the cutting edge of the Corps’s technological transformation, as well as cultural differences between millennials and older generations. Boot camp is designed to overcome these cultural differences and make every recruit a Marine. The Marine Corps uses its heroic, manufactured past to instill in its personnel a unique identity, that of spartan warrior dedicated to fighting and destroying the nation’s enemies. The Marine Corps must blend two cultures, both important to its political existence and self-image – that of its public warrior image and that of its growing technological reality.

  • MP24: The University of Ottawa's Department of Emergency Medicine pre-internship boot camp: a descriptive review

  • S. Patrick, G. Mastoras, A. Krywenky
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 21 / Issue S1 / May 2019
    Published online by Cambridge University Press:
    02 May 2019, pp. S50-S51
    Print publication:
    May 2019
    • Article
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  • Innovation Concept: Emergency Medicine (EM) residency programs in Canada have transitioned to competency based medical education and the first stage of the curriculum focuses on standardizing learner competency. Pre-internship boot camps provide a focused opportunity to assist with this standardization prior to residency training. The objective of this descriptive review was to describe our institution's EM pre-internship boot camp in the context of current literature and to summarize the state of EM boot camp curricula across all reported EM residency programs. Methods: The description of our two-day boot camp included its curriculum design, required preparation and resources, and a detailed timeline of each day's events. To compare our boot camp to current literature, a comprehensive search of both primary and gray literature was performed. Curriculum, Tool or Material: Our institution's boot camp is two days of teaching focused on clinical knowledge and procedural competency, with a large component centered on simulation. Day one consisted of an introduction to the boot camp, a review of crisis resource management principles and advanced cardiac life support (ACLS) algorithms, ACLS simulation sessions, and small group skill sessions on common emergency department procedures. Day two contained a point of care ultra sound lecture, an ultrasound guided central venous catheterization session, pigtail and chest tube insertion sessions, and high-fidelity simulation cases. In comparison to the other pre-internship boot camps that were identified in the literature, our boot camp offers a unique focus and format. Conclusion: This review is the first to report on an EM-specific boot camp at a non-American institution, and it provides a framework for the development and refinement of pre-internship EM boot camps at other universities.

  • A Pediatric Cardiology Fellowship Boot Camp improves trainee confidence*

  • Catherine K. Allan, Paul Tannous, Elizabeth DeWitt, Michael Farias, Laura Mansfield, Christina Ronai, David Schidlow, Stephen P. Sanders, James E. Lock, Jane W. Newburger, David W. Brown
  • Journal:
    Cardiology in the Young / Volume 26 / Issue 8 / December 2016
    Published online by Cambridge University Press:
    02 February 2017, pp. 1514-1521
  • Introduction

    New paediatric cardiology trainees are required to rapidly assimilate knowledge and gain clinical skills to which they have limited or no exposure during residency. The Pediatric Cardiology Fellowship Boot Camp (PCBC) at Boston Children’s Hospital was designed to provide incoming fellows with an intensive exposure to congenital cardiac pathology and a broad overview of major areas of paediatric cardiology practice.

    Methods

    The PCBC curriculum was designed by core faculty in cardiac pathology, echocardiography, electrophysiology, interventional cardiology, exercise physiology, and cardiac intensive care. Individual faculty contributed learning objectives, which were refined by fellowship directors and used to build a programme of didactics, hands-on/simulation-based activities, and self-guided learning opportunities.

    Results

    A total of 16 incoming fellows participated in the 4-week boot camp, with no concurrent clinical responsibilities, over 2 years. On the basis of pre- and post-PCBC surveys, 80% of trainees strongly agreed that they felt more prepared for clinical responsibilities, and a similar percentage felt that PCBC should be offered to future incoming fellows. Fellows showed significant increase in their confidence in all specific knowledge and skills related to the learning objectives. Fellows rated hands-on learning experiences and simulation-based exercises most highly.

    Conclusions

    We describe a novel 4-week-long boot camp designed to expose incoming paediatric cardiology fellows to the broad spectrum of knowledge and skills required for the practice of paediatric cardiology. The experience increased trainee confidence and sense of preparedness to begin fellowship-related responsibilities. Given that highly interactive activities were rated most highly, boot camps in paediatric cardiology should strongly emphasise these elements.

  • 17 - Community alternatives to incarceration

    • By Christopher R. Thomas, Professor of Psychiatry and Behavioral Sciences, University of Texas 301 University Boulevard Galveston, TX 77555 USA
  • Edited by Carol L. Kessler, Columbia University, New York, Louis James Kraus, Rush University, Chicago
  • Book:
    The Mental Health Needs of Young Offenders
    Published online:
    11 August 2009
    Print publication:
    06 September 2007, pp 368-384

  • Summary

    Effective community based interventions offer several advantages over residential programs. The most obvious is the cost savings, with funds devoted to treatment services rather than the additional burden of facilities. More important is the ability to treat the youth within the context of home and community. The treatment team can directly assess the family and neighborhood factors that contribute to continued delinquency and determine what resources are available for change. If the safety and containment of adjudicated youth permit, community based interventions are preferable. Meta-analytic studies have provided more detailed overview of community based delinquency programs. It is also instructive to consider delinquency programs that have failed to produce the desired results. Two examples that have received a great deal of popular attention are "wilderness challenge" and "boot camp". In order to better address the multifaceted nature of delinquent behavior, more programs are emphasizing a systems approach in treatment.