Curriculum Innovation:

Introduction and Problem Statement: Establishing a foundation of outpatient knowledge is key for child neurology residents as they prepare for careers shaped by evolving diagnostics and treatments. Although national recommendations define core didactic content, strategies for implementation vary widely. To address this gap, educators developed the Objectives: On participation, learners will (1) develop competency in outpatient child neurology foundational principles and (2) cultivate self-directed learning behaviors through an asynchronous curriculum. Methods and Curriculum Description: Results and Assessment Data: Ten residents (100%) participated in the pilot. Overall completion rate was 97%, with individual rates ranging from 75% to 107%. Of 129 completed modules, 116 (89.9%) were passed on the first attempt. Mean assessment score was 4.4/5 (SD = 0.8), and median completion time was 43 minutes (IQR-17-470 minutes). Patient care was the most common motivator (41.9%). Postmodule survey ratings revealed 95.7% (mean = 4.5/5; SD = 0.6) of content as essential to practice and 94% (mean = 4.5/5; SD = 0.6) reporting likelihood to apply material. Ratings increased across training levels-PGY-3 = 4.0 (SD = 1.1), PGY-4 = 4.4 (SD = 0.8), and PGY-5 = 4.7 (SD = 0.6) ( Discussion and Lessons Learned: Early work at a single institution supports the feasibility and quality of an asynchronous, article-based curriculum for outpatient child neurology education. Key lessons from the pilot included prioritizing usability to support sustained engagement and aligning content with clinical responsibilities. Future work will evaluate scalability across multiple institutions and explore qualitative insights to optimize integration of asynchronous curricula.