SHM Converge Scientific Abstract ePoster Gallery-Sharing Pearls, Shaping Leaders: A Novel Peer Education and Resident Leadership (Pearl) Rotation for Internal Medicine Pgy-3 Residents on Inpatient Wards

Sharing Pearls, Shaping Leaders: A Novel Peer Education and Resident Leadership (Pearl) Rotation for Internal Medicine Pgy-3 Residents on Inpatient Wards

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The PEARL (Peer Education and Resident Leadership) rotation was designed to strengthen teaching and leadership skills in PGY-3 internal medicine residents while improving the transition into supervisory roles for PGY-2 residents and supporting PGY-1 residents during internship. The program addressed a common challenge in residency training: senior residents are expected to teach and lead, but heavy clinical demands often leave little time for structured development.<br /><br />In this rotation, an additional non-clinical PGY-3 “teaching senior” was embedded on traditional ward teams. These residents provided near-peer teaching during rounds, led structured chalk talks, mentored PGY-2 residents, observed interns, and offered feedback on clinical skills. They also participated in simulated attending-level decision-making with support from weekly clinician-educator-led teaching sessions.<br /><br />The program was evaluated using pre- and post-rotation surveys. PGY-3 residents reported increased confidence in teaching, rising from 3.7 to 4.6 on a 5-point scale, and improved confidence in observing and giving feedback on clinical skills, rising from 3.7 to 4.4. PGY-2 residents reported improved learning experiences (4.4/5) and a smoother transition into senior roles (4.4/5), without feeling a loss of leadership autonomy (4.2/5). PGY-1 residents reported enhanced learning experiences with the added PGY-3 teaching senior (4.8/5).<br /><br />Overall, the PEARL rotation improved education and professional development across all postgraduate years. It gave PGY-3 residents protected time to build teaching and leadership skills, helped PGY-2 residents gain confidence in supervisory roles, and provided PGY-1 residents with better educational and logistical support. The authors conclude that PEARL is a sustainable and replicable model for residency programs.

Asset Subtitle

Robert Goodman

Meta Tag

Author List Amanda Ewing, Robert Goodman, Stanley Yuan

Category Innovations

Concept PEARL Rotation

Concept Near-Peer Education

Concept Internal Medicine Residency

Concept Teaching Skill

Concept Feedback Skills

Distinguished Non-Finalist

Presenter Organization Cedars-Sinai Medical Center

Presenting Author Robert Goodman

Track Education

Keywords

PEARL rotation

peer education

resident leadership

PGY-3 residents

teaching senior

internal medicine residency

near-peer teaching

clinical feedback

supervisory roles

medical education

PEARL Rotation

Near-Peer Education

Internal Medicine Residency

Teaching Skill

Feedback Skills