Objective: To assess the strengths and weaknesses of neurology resident education using survey methodology.Methods: A 27-question survey was sent to all neurology residents completing residency training in the United States in 2011.Results: Of eligible respondents, 49.8% of residents returned the survey. Most residents believed previously instituted duty hour restrictions had a positive impact on resident quality of life without impacting patient care. Most residents rated their faculty and clinical didactics favorably. However, many residents reported suboptimal preparation in basic neuroscience and practice management issues. Most residents (71%) noted that the Residency In-service Training Examination (RITE) assisted in self-study. A minority of residents (14%) reported that the RITE scores were used for reasons other than self-study. The vast majority (86%) of residents will enter fellowship training following residency and were satisfied with the fellowship offers they received.
Conclusions:Graduating residents had largely favorable neurology training experiences. Several common deficiencies include education in basic neuroscience and clinical practice management. Importantly, prior changes to duty hours did not negatively affect the resident perception of neurology residency training. Neurology There have been dramatic changes in neurology residency training.1 The Accreditation Council for Graduate Medical Education (ACGME) instituted duty hours, restricting residents to 80 hours/week in 2003 with at least 1 day off per week and 12 hours in between shifts.2 These duty hours were further refined in 2011 with the restriction of postgraduate year-1 shift lengths to less than 16 hours and graduated supervision of middle and senior residents.3 Residents are also challenged by increased clinical productivity demands. Despite the restricted timeline for training, residents must develop the necessary skills to become proficient in neurology.The Graduate Education Subcommittee (GES) has been charged by the Workforce Task Force of the American Academy of Neurology (AAN) to evaluate the training residents receive by using a survey every 3 years. 4 This process allows the AAN to receive feedback regarding the quality of the training process and identify deficiencies. The 2008 AAN Resident Survey represented one of the largest efforts to date to assess neurology resident education. 5 Residents assessed the impact of duty hour restrictions, faculty and curriculum quality, and attitudes regarding fellowship training and made specific recommendations based on those data. The current survey assesses the effect of those recommendations and the quality of neurology resident education as perceived by trainees.