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Abstract Details

Evaluating Resident Experience in Weekly vs. X+Y Neurology Clinic Models
好色先生, Research, and Methodology
P7 - Poster Session 7 (8:00 AM-9:00 AM)
15-002
To compare neurology residents’ experiences between a traditional weekly continuity clinic model and a newly implemented X+Y clinic structure, focusing on education, feedback, wellness, and inpatient workload.
In 2023–2024, Temple Neurology transitioned from a weekly half-day continuity clinic to an X+Y format (one full outpatient week every six weeks). This change was intended to improve protected educational time and reduce conflict with inpatient responsibilities. We evaluated perceived impact on resident wellness and training quality.
A 25-item REDCap survey was distributed to all residents (N = 30); 21 responses were analyzed (response rate = 73.3%).
Respondents: PGY-2 = 5, PGY-3 = 6, PGY-4 = 6; 12 had only X+Y experience, 9 experienced both models.
Survey items used 5-point Likert and binary scales.
Paired comparisons employed Wilcoxon signed-rank and McNemar tests.
The X+Y model showed significant improvement in:
• Interruption from inpatient calls/texts (p = 0.008)
• Work-life balance (p = 0.012)
• Exhaustion (p = 0.012)
• Exposure to diverse teaching styles (p = 0.013)
McNemar analyses demonstrated greater time for pre-charting (p = 0.005), reflective decision-making (p = 0.014), subspecialty exposure (p = 0.008), and elective flexibility (p = 0.046).
No significant differences were found in attending feedback consistency (p = 0.773), evaluation quality (p = 0.346), or supervision (p = 0.072).
Residents exposed only to X+Y and those with both experiences rated the new model similarly positively.
The X+Y structure improved residents’ work-life balance, emotional well-being, and educational diversity without compromising mentorship or feedback.
Combined with a night-float schedule, this reform demonstrates that program-level scheduling innovations can enhance both trainee satisfaction and educational quality.
Authors/Disclosures
Darshil Shah, MBBS (Johns Hopkins)
PRESENTER 		Dr. Shah has nothing to disclose.
Jashank A. Parwani, MBBS (Temple University) Dr. Parwani has nothing to disclose.
Akbal S. Gill, DO (Temple University Hospital) Dr. Gill has nothing to disclose.
Alexander J. Morris, DO (Temple University Hospital) Dr. Morris has nothing to disclose.
Noah Levinson, MD (Temple University-Jeanes Campus) Dr. Levinson has nothing to disclose.
Lauren Koffman, DO, MS (Temple University Hospital) Dr. Koffman has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Law Firm. Dr. Koffman has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Walters Kluwer.
Xin Zhou, MD (Temple University Hospital) An immediate family member of Dr. Zhou has received personal compensation for serving as an employee of PTC Therapeutics . An immediate family member of Dr. Zhou has or had stock in PTC Therapeutics.