Curriculum Innovation: A Resident-Created Multiple-Choice Question of the Week to Augment Case-Based Learning.

Area of Science:

• Medical Education
• Neurology Training

Background:

• Morning report (MR) is a cornerstone of neurology residency education.
• Enhancing long-term retention and test-enhanced learning from MR cases requires supplementary educational strategies.

Purpose of the Study:

• To implement and assess a neurology certification board-style multiple-choice question (MCQ) initiative based on MR cases.
• To enhance case-based learning and resident engagement in neurology programs.

Main Methods:

• Chief residents created weekly MCQs using National Board of Medical Examiners guidelines, incorporating clinical vignettes and images.
• MCQs were distributed via a weekly departmental newsletter as a "question of the week" (QOW) using Qualtrics.
• Response rates were tracked, and a post-study survey assessed perceived educational value.

Main Results:

• Forty MCQs were developed and distributed weekly.
• Resident participation increased significantly after QOW visibility was enhanced (median response rate increased from 24% to 55%).
• 90% of respondents found the resident-created MCQs valuable and board-style relevant.

Conclusions:

• A chief resident-led QOW initiative is a feasible method to supplement case-based learning in neurology residency.
• This test-enhanced learning approach fosters academic engagement and improves knowledge retention.
• Increased visibility of educational content is crucial for maximizing resident participation.