The goal of this research study is to learn if a new, game-based way of teaching neurology grand rounds (called "gamified teaching") works better than the traditional lecture-based format for neurology residents. It will also test whether using wristbands that measure stress and attention can help teachers adjust their pace in real time, and whether earning digital achievement badges motivates residents to keep learning. The main questions it aims to answer are: Does gamified teaching help residents remember key information longer (up to 3 months) compared to traditional teaching? Does it improve how efficiently residents make clinical decisions (for example, ordering the right tests without unnecessary extras)? Do teachers who receive real-time feedback from the wristbands deliver sessions that feel less tiring and more engaging to residents? Do residents find the digital badges useful, and do they encourage more self-study? Researchers will compare the gamified teaching method to the traditional lecture method. Each resident will experience both formats at different times (a "crossover" design). An additional small group will only receive the traditional format to help rule out other factors. Participants will: Take part in eight neurology grand rounds sessions over two 4-week periods (four sessions per period) Wear a research wristband during each session to measure their physiological responses (skin activity and heart rate) Complete short quizzes right after each session and again three months later Fill out brief questionnaires about their learning experience and motivation Use a custom interactive platform during the gamified sessions to work in teams, make clinical decisions, and earn digital badges All information collected will be kept confidential, and participants may leave the study at any time without any impact on their residency evaluations.
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Immediate Knowledge Acquisition (Post-Session Test Score)
Timeframe: Within 30 minutes after each grand rounds session (8 total sessions per participant; measured across both study periods, Weeks 1-2 and Weeks 7-8)
3-Month Knowledge Retention (Delayed Retention Test Score and Retention Rate)
Timeframe: 3 months (± 2 weeks) after completion of Period 2 intervention (Week 8)