During a one-week inpatient rotation, 24 residents received a Bingo card listing 24 specific examination tasks spanning cranial, motor, sensory, and coordination systems. Each task required demonstration on an actual patient. Participants completed pre- and post-rotation surveys assessing confidence in performing a complete exam and motivation to learn new “exam pearls” (1–5 Likert scale). Post-rotation, participants also rated satisfaction. Wilcoxon signed-rank testscompared pre- and post-intervention median scores for confidence and motivation.

Eighteen residents completed pre-surveys, and 14 provided matched post-data (PGY2–PGY4). Median confidenceincreased from 3 (IQR 1) to 4 (IQR 1) (p = 0.002), and median motivation rose from 3 (IQR 1) to 4 (IQR 1) (p = 0.005). Mean gains were approximately +1 point for both domains. Improvements were most notable for rarely practiced signs such as internuclear ophthalmoplegia, skew deviation, pseudoathetosis, curtain sign, and localization of central versus peripheral deficits. 86% of participants reported being satisfied or highly satisfied with the intervention. Residents called the game a “fun checklist that made the exam feel purposeful” and said it “made me want to examine more patients,” with no reported downsides.

A simple, gamified Bingo tool meaningfully increased residents’ confidence and intrinsic motivation to perform bedside neurological examinations. This easily scalable model could help restore enthusiasm for hands-on neurology education across training programs.