Examining Barriers and Facilitators to Curriculum Awareness and Utilization in Residency Training: An Evaluation and Intervention Study

The Accreditation Council for Graduate Medical Education (ACGME) recommends competency-based residency curricula, but adherence varies. We piloted a standardized curriculum template for a pediatric anesthesiology rotation, separating didactic and skill-based goals, using checkboxes for progress monitoring, and organizing content by training level. Residents completed pre- and postintervention surveys and participated in a focus group. They reported low utilization of the curriculum due to limited awareness and unclear accountability. Interventions included formal introductions, improved access, and a checklist collection. Postintervention, residents reported increased curriculum awareness, use, and engagement. Findings support structured curricula paired with intentional implementation to enhance participation and learning.