To evaluate the effectiveness of traditional code stroke orientation versus with addition of e-learning videos in reducing anxiety among non-neurology residents.

Seventy-six participants submitted the initial survey, with 84.21% completing both surveys (34 control vs. 30 intervention). Forty-six participants (60.53%) were in their first year of training. Baseline sociodemographic characteristics, clinical experience, and mean STAI-6 score were similar between groups.STAI-6 scores decreased post-orientation in both groups (control: mean difference 2.23, 95% CI 1.18-3.28; intervention: mean difference 3.63, 95% CI 2.48-4.77). The intervention group showed a trend towards a greater score reduction, however this difference was not statistically significant (beta coefficient -1.47, 95% CI -3.59 to 0.63).

Non-neurology residents reported elevated anxiety in anticipation of managing code strokes, which was improved by traditional pre-rotation orientation. The addition of e-learning videos exhibited a trend towards lower post-orientation anxiety, although not statistically significant. These findings warrant further investigation into the use of technology-enhanced orientation to mitigate anxiety for off-service residents.