NYU Langone Health PGY3 and PGY4 residents completed two weeks of supervised outpatient general neurology for patients with new presentations (less than 3 months of symptoms, not previously seen by a neurologist). Residents were then surveyed to assess the impact of the initiative on general neurology exposure, and preparedness to practice as a generalist. Participants ranked the contribution of the rotation to their outpatient experience on a 5-item Likert scale: “1”-detracted from the experience to “5”-significantly enhanced their experience.

Between September 2017 and August 2018, 506 patients were seen. Frequent diagnoses included concussion, headache syndrome, neuropathy, vertigo and radiculopathy. Twenty-one of thirty-one residents completed a voluntary, anonymous survey assessing the impact of the rotation. Of the 14 residents who had completed the urgent care rotation at time of survey, all responded positively, with nearly 80% ranking it a “5” on a Likert scale of 1-5, indicating significant enhancement of their outpatient experience. Additionally, residents highlighted various strengths of the rotation: having 60 minutes per patient, seeing a variety of attending clinical styles and serving a distinct patient population.