TY - JOUR
T1 - Education research
T2 - Resident education through adult learning in neurology: Implementation and impact
AU - Shoirah, Hazem
AU - Ntranos, Achilles
AU - Brandstadter, Rachel
AU - Liu, Yangbo
AU - Medina, Elisha
AU - Kwan, Jamie
AU - Krieger, Stephen
N1 - Publisher Copyright:
© 2018 American Academy of Neurology.
PY - 2018
Y1 - 2018
N2 - Objective: To enhance residency education by implementing the 6 principles of adult learning theory (ALT) in a large academic neurology residency program. Methods: We implemented a set of curricular interventions aimed at Resident Education through Adult Learning in Neurology (REAL Neurology), in a large, academic neurology residency program. Interventions included didactic reform, increasing resident-as-teacher activities, and enhancing residents' interaction. The primary outcome was the change in mean Residency In-service Training Examination (RITE) percentile between the preintervention and postintervention cohorts, adjusting for US Medical Licensing Examination step 1 and 2 score. Other analysis included evaluating the effect of the duration of intervention exposure on outcome and evaluating the intervention effect on the proportion of advanced performers. Results: A total of 134 RITE score reports were evaluated (87 preintervention and 47 postintervention). The mean RITE score percentile postintervention was 11.7 points higher than preintervention (adjusted, longitudinal analysis: fit linear mixed model, p < 0.0001). Postgraduate year 3 learners who had 1 and 2 years of exposure scored 13.4 and 18.9 points higher than those with no exposure at all, respectively (analysis of covariance, p = 0.04). The adjusted odds of better performance with REAL Neurology was 5.77 (ordinal logistic regression, 95% confidence interval 2.37-14.07, p < 0.05). Conclusion: This study evaluated the efficacy and feasibility of an ALT-based curricular program in neurology education. The results show robust and sustainable benefit for residents in training without imposing a financial or logistical burden on programs. REAL Neurology could serve as a model for curricular reform in other programs across subspecialties.
AB - Objective: To enhance residency education by implementing the 6 principles of adult learning theory (ALT) in a large academic neurology residency program. Methods: We implemented a set of curricular interventions aimed at Resident Education through Adult Learning in Neurology (REAL Neurology), in a large, academic neurology residency program. Interventions included didactic reform, increasing resident-as-teacher activities, and enhancing residents' interaction. The primary outcome was the change in mean Residency In-service Training Examination (RITE) percentile between the preintervention and postintervention cohorts, adjusting for US Medical Licensing Examination step 1 and 2 score. Other analysis included evaluating the effect of the duration of intervention exposure on outcome and evaluating the intervention effect on the proportion of advanced performers. Results: A total of 134 RITE score reports were evaluated (87 preintervention and 47 postintervention). The mean RITE score percentile postintervention was 11.7 points higher than preintervention (adjusted, longitudinal analysis: fit linear mixed model, p < 0.0001). Postgraduate year 3 learners who had 1 and 2 years of exposure scored 13.4 and 18.9 points higher than those with no exposure at all, respectively (analysis of covariance, p = 0.04). The adjusted odds of better performance with REAL Neurology was 5.77 (ordinal logistic regression, 95% confidence interval 2.37-14.07, p < 0.05). Conclusion: This study evaluated the efficacy and feasibility of an ALT-based curricular program in neurology education. The results show robust and sustainable benefit for residents in training without imposing a financial or logistical burden on programs. REAL Neurology could serve as a model for curricular reform in other programs across subspecialties.
UR - http://www.scopus.com/inward/record.url?scp=85056523535&partnerID=8YFLogxK
U2 - 10.1212/WNL.0000000000005914
DO - 10.1212/WNL.0000000000005914
M3 - Article
C2 - 30061341
AN - SCOPUS:85056523535
SN - 0028-3878
VL - 91
SP - 234
EP - 238
JO - Neurology
JF - Neurology
IS - 5
ER -