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Abstract Details

Neurology is Humbling: Lessons and Reflections on Training Shared by Residents and Attending Physicians
好色先生, Research, and Methodology
P4 - Poster Session 4 (8:00 AM-9:00 AM)
15-019

Outline the shared experience of the PGY-2 year by describing (1) common challenges, (2) effective learning strategies, (3) resilient tools, and (4) lessons on clinical practice.

The first year of neurology training (PGY-2) is often challenging due to demanding curricula, academic responsibilities, and clinical duties. Residents may believe these challenges are unique to their own experience, a mindset that can contribute to burnout. However, these struggles are common across cohorts and reflects a shared experience. Insights from colleagues who successfully navigated the transition year can support trainees’ introspection, challenge management, and professional growth.
Attending physicians, as well as third (PGY-3) and fourth (PGY-4) year residents completed semi-structured interviews. Eight questions evaluated four domains of their PGY-2 experience: challenges, approach to learning, tools for resiliency, and lessons on clinical practice that included sharing meaningful patient interactions and reflecting on the phrase “neurology is humbling”. Interviews took place until theme saturation. Common themes were identified through qualitative analysis.
Ten residents (PGY-3/PGY-4) and 12 attending physicians were interviewed. The themes in challenges included limited time for reading, burnout, and feeling inadequate in neurology after thriving as internal medicine residents. For learning strategies, common approaches were structured reading and case-based learning. Tools of resiliency included spending time with loved ones, sharing difficulties with coresident, and finding meaning in helping patients. Themes in clinical interactions highlighted cases that proved trainee’s impact on patient recovery. Final reflections described “neurology is humbling” as a reminder that the field fosters curiosity, lifelong learning, and the awareness that its vastness exceeds any one person’s expertise.           
Residents face challenges in their first year of neurology training. This study identified common themes that are consistent in time and across different levels of training. Discussing this shared experience with early trainees (i.e. PGY2) may benefit them in promoting well-being and professional growth.
Authors/Disclosures
Daniella Iglesias Hernández, MD (NYU Langone Brooklyn)
PRESENTER 		Dr. Iglesias Hernández has nothing to disclose.
Lindsay Tetreault, MD, PhD Dr. Tetreault has nothing to disclose.
Elina Zakin, MD, FAAN (NYU Grossman School of Medicine) The institution of Dr. Zakin has received research support from American Board of Psychiatry and Neurology.