The foundational principles of adult learning theory, which include self-directed learning, experiential learning, and situated learning, can be applied to resident teaching, allowing the residents to control their own learning experience. 1 The activity theory of learning expands learning from acquisition of knowledge to participation to assure a dynamic context for the learning environments. Acquiring knowledge, i.e., knowing, requires legitimate participation in the learning environment that is dynamic and continues over time. Elkind, 3 during the 2008 meeting of the American Academy of Neurology, addressed a challenge to academic neurologists to reinvigorate their commitment to teaching the next generation of neurologists and establish communities of educators taking seriously the teaching role they have the privilege to hold. The democratization of knowledge supports a recalibration of the educational hierarchy and how information flows in the educational environment. He concludes, "in the future, it is possible that each generation will offer complementary skills in educating the others to provide optimal care."The Accreditation Council for Graduate Medical Education resident survey (2011) reflected dissatisfaction among our residents with the educational component of their neurology training program. This resulted in educational demands from the chairman to revise the delivery of the didactic curriculum to residents, leading to the development of the pod system. This system was modeled after peer-assisted learning (PAL), defined as "people from similar social groupings who are not professional teachers helping each other to learn and learning themselves by teaching." The purpose of this study was to assess the redesign of the delivery of neurology educational content from faculty-based didactic lectures (passive learning) to an active learning approach resulting from resident-driven collaboration, curriculum development, and implementation.This prospective study evaluated resident and faculty satisfaction with the educational portion of the residency training program after the implementation of a collaborative active learning pedagogical style for all didactic sessions. The primary outcomes were satisfaction with resident didactics and perceived impact of teaching on resident fund of knowledge.METHODS Setting. The study was conducted at the Hofstra North Shore-LIJ Neurology Residency Program in New York.Participants. The subjects were all the neurology residents across all 3 years of training as well as 7 faculty advisors.Formation of pod groups. There were 7 pod groups created on a random basis each year, consisting of 3 residents, 1 from each postgraduate year, working under the supervision of an attending neurologist.Curriculum delivery. There were 3 hours of weekly protected educational time with one pod group leading an interactive large group discussion. Each group, led by a PGY4 resident, met for 1 hour twice per month with their faculty advisor to prepare for their discussions.Faculty participatio...