Objective:

This initiative aimed to demonstrate areas of need when enhancing a neurology bootcamp for new PGY-2 residents that aligns with the ACGME Neurology Milestones 2.0 and applies Universal Design for Learning (UDL) principles in the context of an experiential learning framework.

Background:

Prior work has demonstrated that the "bootcamp" model has potential to enhance residents' self-confidence and clinical competence. However, integrating learner feedback is necessary to strengthen revisions to future bootcamp iterations as neurology-specific evidence-based guidelines for such curricula are lacking.

Design/Methods:

The 2024 UCLA Neurology residency boot camp curriculum featured didactics, case-based discussions, and simulations focused on management of neurological emergencies. New this year were sessions on neuropalliative care, a status epilepticus simulation, and removal of the “day on service” based on learner feedback, the Neurology Milestones 2.0, and alignment with UDL principles. Pre- and post-boot camp surveys captured participants' perceived utility of the program. 

Results:

Similar to 2023 results, 100% of participants (n=8) expressed satisfaction with bootcamp and agreed that it reduced stress during the PGY-1 to PGY-2 transition. Residents most frequently noted improved comfort in handling acute emergencies, like stroke codes, and the availability of clinical supervision during patient care when asked about key concepts they learned. However, participants requested more focus on site-specific systems-based practice, like acquiring remote electronic medical record access and workflow information. 

Conclusions:

The 2024 neurology boot camp continued to enhance resident confidence during the transition from PGY-1 to PGY-2, with improvements in confidence in managing neurological emergencies. Opportunities for curriculum refinement, particularly in site-specific training, underscore the importance of systems-based practice, which could be addressed through asynchronous material and ‘breakout room’-style orientation sessions. Incorporating UDL principles and aligning with Neurology Milestones 2.0 ensures that this adaptable curriculum remains a valuable tool for neurology educators and residency programs.