Teaching is fundamental to the mission of every physician. In fact, the very word “doctor” comes from the Latin word for “teacher”. Furthermore, clinician educators are essential for the continued training of future physicians. The importance of residents as educators has long been acknowledged but rarely formally supported. Neurology residents are expected by ACGME to be involved in the teaching of medical students however these expectations are informal and consequently their fulfillment is variable.
It is widely recognized that education‐specific training is essential in the creation of successful teachers in any domain. Yet despite the critical role of teaching in medicine, very little formal training in education exists for physicians. The neurology educator track seeks to address this disparity through an innovative approach to training clinician educators that will also result in numerous byproducts benefitting the medical school, neurology department and even the community at large.
Increasingly, a role for education‐focused academic physicians is being recognized as an important strategy for ensuring a more robust educational experience for both residents and medical students. Faculty “clinical educator” positions are being created at many institutions across the country, including our own. This paradigm shift has yet to trickle down to the resident level, however.
Our country is already faced with a shortage of neurologists, a problem that is only expected to increase as our population ages. Despite this imbalance and the imperative need for more neurologists, US medical schools are not producing them in adequate numbers. Our own medical school fares no better than the national average of students matching into neurology, a mere 1.6% in the last 10 years, and the trends remain stagnant.
Why are medical students not choosing neurology as a specialty? There are likely many factors, but one cannot ignore the fact that the educational experiences students receive in different specialties during medical school plays a significant role in shaping their career decisions. Quality education of medical students in neurology is therefore critical for creating an adequate workforce of neurologists to meet the needs of our patients. Yet, neurology is one of the most feared and disliked subjects amongst medical students, including our own, who suffer from what Ralph Jozefowicz famously coined as “neurophobia”. So the question becomes, how do we make neurology appealing to medical students? How do we turn neurophobia into neurophilia?
The teaching track provides an innovative approach to recruiting future neurologists and repairing the perception of neurology amongst medical students by enhancing the role of residents in medical education, who are positioned uniquely to bridge the knowledge gap between student and specialist. It also creates avenues for fostering enhanced understanding and appreciation of neurology in the broader healthcare community through interdisciplinary and interprofessional educational efforts.
The Basics:
Number of enrolled residents: 2 per class
Application requirement:
Statement of purpose
Plans to pursue a career as an academic clinician-educator
In good standing in terms of clinical performance
Program start: End of PGY-1 year (during Bootcamp)
Requirements for Completion:
1. Curriculum Development Project.
‐ Develop and implement a curriculum initiative and/or education scholarship project.‐ Disseminate (via journal publication or poster presentation).‐ This fulfills the research requirement for residents.2. Create and maintain a professional teaching portfolio.
3. Mentorship.
‐ Meet at least twice yearly with faculty clinician‐educator mentor.‐ Residents’ progress is reviewed twice/year by the NET Committee, who will provide feedbackand guidance to support NET residents’ successful completion of their goals and programrequirements.‐ NET Committee: Jamie Starks, Sam Maiser, Ezgi Tiryaki.4. Complete required curriculum.
‐ Annual teaching workshop: Occurs during Bootcamp. Some curriculum is for all PGY‐1s. NETresidents will participate in additional education‐related curriculum.‐ Didactics: At least 4 didactic sessions will be held each year on Fridays at noon (NET residentsare excused from Grand Rounds on these days). Didactics are held at the Campus Club withlunch provided. Didactics will cover topics in the following areas:I. Teaching skills.II. Curriculum development.III. Leadership & administration.IV. Career development and scholarship.5. Complete mandatory teaching practicum. There are mandatory and optional teaching
experiences. Rotation scheduling for NET participant takes teaching obligations into account
(i.e. elective time will be scheduled to allow participation in the experiences outlined below).Teaching Practicum:
PGY‐2s:
‐ Facilitate at least one Foundations of Clinical Thinking session for MS1s (as part of the NET FCTgroup).‐ TA at least one MS1 neuroanatomy lab and deliver “clinical correlation” talk.‐ Participate in ECM neurology exam workshop for MS1s.‐ Organize and facilitate PGY‐1 Bootcamp.‐ Start brainstorming ideas for curriculum development project.PGY‐3s:
‐ Facilitate 2‐3 FCT sessions as part of the shared NET FCT group of MS1s.‐ Participate in ECM neurology exam workshop for MS1s.‐ Facilitate at least one small group session for the HHD5 neurology course for MS2s.‐ Simulation‐based education:‐ Complete HCMC Sim Center’s Sim Facilitator Course‐ Write one new neurology simulation case.‐ Co‐direct annual neurology simulation.‐ Debrief sim cases at the simulation session.‐ Curriculum development project: Complete needs assessment, develop goals/objectives, anddetermine teaching methods for curriculum initiative.PGY‐4s:
‐ Facilitate 2‐3 FCT sessions as part of the shared NET FCT group of MS2s.‐ Co‐teach the HHD5 course (2nd year medical student neurology pathophysiology course):‐ Review/revise curriculum in conjunction with faculty course directors.‐ Give neurology lectures to the medical students (divided between NET residents).‐ Facilitate small group sessions.‐ Help write exam questions for the course.‐ Lead the core education/leadership skills workshop during Bootcamp.‐ Lead at least one educational session for non‐neurology residents/physicians (e.g. IM boardreview, IM morning report, EM stroke sims).‐ Lead at least one educational session for non‐physician healthcare providers or students.‐ Curriculum development project: Implement curriculum, evaluate curriculum, anddisseminate results (e.g. poster presentation, journal publication, MedEd Portal publication).