Abstract Details

Between 2018 and 2021, optional questionnaires were administered to neurology residents at our institution before and after two primary educational interventions: (1) Academic Half Day (AHD) redesign and (2) survival guide (SG) handbook creation. AHD questionnaires obtained 100% response rate (n=9 in 2019; n=11 in 2020). SG questionnaires obtained 55% response (n=5 in 2018; n=6 in 2021). Kruskal-Wallis ranks sum test was used for comparisons pre- and post-educational interventions. Multiple interventional strategies were utilized to address primary areas identified on gap analysis.

A 85-page SG handbook was developed to address inpatient general neurology, outpatient, night float, and stroke neurology topics. Comparison between pre-education and post-intervention showed significant improvement in trainee comfort when seeing a new general neurology consult in the emergency department (mean 2.80 vs 4.7, p=0.035), morning patient pre-rounding (3.40 vs 5.00, p=0.003), outpatient workflow (3.4 vs 4.5, p=0.020), and acute inpatient stroke alert workflow (2.2 vs 4.5, p=0.020) between 2018 and 2021. The comprehensive AHD reform led to positive outcomes. Comparison between pre-education and post-education showed significant improvement in several subspecialty topics. Additionally, residency educational resources and schedules were difficult to navigate and access. We developed solutions by creating a centralized resource leveraging cloud-based applications and created a novel web/mobile application allowing for easy access to pertinent topics and patient logging use.

This work taught us the importance of trainee-led educational initiatives to improve longitudinal outcomes of resident knowledge, confidence, and satisfaction through thoughtful, structured educational content design and delivery.