Conversation with Alexander Neuwirth, M.D., Associate Program Director of the Orthopaedic Surgery Residency and Associate Program Director, Frank E. Stinchfield Adult Reconstruction Fellowship, and Assistant Professor of Orthopaedic Surgery in the Division of Adult Hip and Knee Reconstruction at Columbia University Medical Center and New York-Presbyterian Hospital. We discuss teaching millennials, active learning, flipped classrooms, and didactic curricula for orthopaedic residencies.