Table 4

Systemic Analysis of Study Findings and Changes Instituted to Our Residency Program

Salient study findingsResidency program changes
The number of patients evaluated by each resident over the course of residency was low and perhaps inadequate to prepare for independent practiceTwo subspecialty clinic rotations (1-month long) added each year to the curriculum from PGY-2 to PGY-4 to increase outpatient clinical exposure and supplement continuity clinic experience (implemented)
Lack of exposure to primarily outpatient-based subspecialties such as neuro-oncology, sleep neurology, and neuro-ophthalmologyResidents scheduled to work in these subspecialty clinics during their newly added subspecialty clinic rotation (see above) (implemented)
Differences among residents of the same class in clinical exposure to various neurologic disorders in the outpatient settingSubspecialty clinic rotation schedule made by the program director to ensure relative parity among trainees; incorporate resident interest in particular subspecialties (implemented)
Differences among residents of the same class in their use of ICD codesEducate PGY-2 residents about the appropriate use of ICD codes prior to beginning clinic rotations (ongoing)
Inability to compare resident experience during training with Independent practice of general neurologyObtain data from neurology practices in the community setting affiliated with our department to compare and contrast the 2 (ongoing)
Lack of outpatient data by year of training (PGY-2 to PGY-4) to assess trends over the course of trainingData gathering in prospective manner (ongoing)
  • Abbreviations: ICD = International Classification of Disease; PGY = postgraduate year.