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Teaching Resident Rotation

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Teaching Resident Rotation and Responsibilities:

The objective of the Teaching Resident (TR) rotation is to cultivate teaching skills, academic interest and leadership skills through self-directed learning and resident-focused education. All residents will serve as teaching residents for a period of 4-6 weeks during their PGY-4 year. During this rotation they will play major roles as coaches and educators for small groups of students rotating at the different neurology sites of the residency program. They will also orient and initiate interns and non-neurology trained residents rotating through neurology services. During the rotation there will be dedicated time to prepare for all the noon-conference after-session clinical vignettes and multiple-choice questions, where they will also be moderators of the discussion under supervision of a faculty member. The teaching resident will contribute to the sustainability of this teaching model by archiving educational material presented during their teaching block duration in an electronically accessible format. In addition, the teaching resident will be expected to coordinate the weekly PGY-4 after-hours board review session.

Towards neurology residents

  1. Prepare and conduct daily after-sessions for noon conferences (PGY-4 only).

  2. Prepare and conduct weekly board review sessions (PGY-4 only).

  3. Present Senior Resident Report once a year (PGY-4 only).

Towards non-neurology rotators

  1. Deliver a series of 3-5 talks for orientation (all sites).

  2. Topics covered should include: basic skills and duties of the intern at the beginning of the year + basics of the neurology exam + management of stroke + management of seizures + basic synopsis of common neurology complaints (e.g. vertigo, AMS, headache).

  3. Delivery of talks to other services upon request (e.g. the VA medicine residents series: traditionally lectures about basic neuro exam, acute stroke and management of seizures – which occurs on THURSDAYS at 2PM!).

  4. TR is expected to reach out to the rotators prior to their rotation start date and coordinate teaching times that do not conflict with service obligations.

Towards students

  1. Discussing red card topics in small groups (all sites).

  2. Perform observed neurology exams towards the end of their rotations – please notice that student rotations are not in sync with our rotations (all sites).

  3. Whenever available, conduct small group simulation sessions for performance of lumbar puncture (PGY-4 only).

  4. TR is expected to reach out to the students prior to their rotation start date and coordinate teaching times (all sites).

Noon Conference After-sessions

After-sessions are short 20-minute discussions that follow most noon-conference lectures. TR is responsible for preparing a set of clinical vignettes, typically 5-10 that address the topic of the lecture. Here are some guidelines for preparation of materials for after-sessions:

• Use lots of images and pictures.and resources from previous RITE exams, the Mayo Clinic Board review and the online question bank available to us.

• Keep the conversation flowing; feel free to be eclectic and create a comfortable, non-confrontational environment for the residents to answer.

• If attendees are reluctant to engage, try involving by class before naming people: e.g. any of the junior want to take a guess?

• Try escalating level of seniority; starting with juniors, seniors, fellows and attendings.

• The lecturer will be available to comment and give wisdom, but you’re pretty much running the show!

• Check the online or posted calendars regularly to find out which sessions have an after-session (will be marked as 40/20).  

Sustainability of teaching resources

Mount Sinai TR has a responsibility to maintain sustainability of educational resources.

  1. Collect all after-session materials in the dedicated sub-folder in the shared neurology folder.

    • At the beginning of every noon-conference, start the web-conference, and click “start recording” when the lecturer is ready to present.

    • At the end of every noon conference, hit “stop recording”.

    • The video file will be automatically saved in the folder under My Documents>Noon Conference Videos.

      • Make a copy on a flash drive and transfer it to the dedicated Shared Neurology Folder.

  2. Collect all relevant educational materials: articles, powerpoint presentations and lectures given by TR or other lecturers in the shared folder and upload them to google drive website.