One Week with the Experts: A Short Course Improves Musculoskeletal Undergraduate Medical Education

Kelly, Martina; Bennett, Deirdre; Bruce-Brand, Robert; O’Flynn, Siún; Fleming, P.

doi:10.2106/jbjs.m.00325

Cited by 14 publications

(17 citation statements)

References 19 publications

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“…In orthopedics, dedicated exposure to MSK instruction can improve competence, even in undergraduates. 21 Within OSSMIG, those members surveyed demonstrated a positive attitude toward OSSMIG in a number of areas. The year-end query of students’ subjective competency increased in both MSK anatomy (“Neutral” to “Agree”, p =0.007) and basic trauma care (“Disagree” to “Agree”, p =0.006) after involvement in the group’s events ( Figures 1 and 2 ).…”

Section: Discussionmentioning

confidence: 99%

Increasing medical student exposure to musculoskeletal medicine: the initial impact of the Orthopaedic Surgery and Sports Medicine Interest Group

Mickelson¹,

Louie²,

Gundle³

et al. 2017

AMEP

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PurposeTo investigate the impact of the Orthopaedic Surgery and Sports Medicine Interest Group (OSSMIG) on medical student interest and confidence in core musculoskeletal (MSK) concepts through supplemental education and experiences at a single tertiary, academic institution.MethodsMedical student OSSMIG members at various levels of training were anonymously surveyed at the beginning and end of the 2014–2015 academic year.ResultsEighteen (N=18) medical student interest group members completed the survey. Significant improvement in their level of training was observed with regard to respondents’ self-assessed competence and confidence in MSK medicine (p<0.05). Additionally, respondents’ attitudes toward exposure and support from the interest group were significantly higher than those provided by the institution (p<0.05). Members believed OSSMIG increased interest in MSK medicine, improved confidence in their ability to perform orthopedics-related physical exams, strengthened mentorship with residents and attendings, and developed a connection with the Department of Orthopedic Surgery and its residents (median “Strongly Agree”, interquartile range one and two scale items).ConclusionSince its inception 8 years ago, OSSMIG has been well received and has positively impacted University of Washington School of Medicine students through various interventions. Surgical interest groups should target both the students interested in primary care and surgery. Medical schools can provide additional exposure to MSK medicine by leveraging interest groups that provide early clinical experiences and supplementary instruction.

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Section: Discussionmentioning

confidence: 99%

Increasing medical student exposure to musculoskeletal medicine: the initial impact of the Orthopaedic Surgery and Sports Medicine Interest Group

Mickelson¹,

Louie²,

Gundle³

et al. 2017

AMEP

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show abstract

“…Similar programs have also been put into effect elsewhere with good effect 29,30 and could be used to satisfactorily train medical students in the United Kingdom. Courses as short as one week have been shown to produce significant improvements in confidence and competence in musculoskeletal medicine at the undergraduate level 31 .…”

Section: Discussionmentioning

confidence: 99%

The Inadequacy of Musculoskeletal Knowledge in Graduating Medical Students in the United Kingdom

Al-Nammari

Pengas

Asopa

et al. 2015

The Journal of Bone and Joint Surgery

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Our findings suggest that medical schools may be currently failing to ensure that medical students have a basic competence in musculoskeletal medicine. Further investigation is warranted to fully assess the current training provided by U.K. medical schools in musculoskeletal medicine, and appropriate steps must be taken to improve the quantity and quality of training in musculoskeletal medicine in the United Kingdom.

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“…Low confidence in treating musculoskeletal problems and performing basic treatments for these complaints was seen in surveys of many primary care physicians [ 14 – 17 ]. Reported changes to medical school pre-clinical curricula in musculoskeletal medicine to address these deficiencies have included introducing basic introductory courses where none previously existed [ 18 , 19 ], designing courses that mixed small groups with large-group lecture instruction, including instruction in physical exam [ 13 , 18 , 20 ], using interactive seminars where small group instructors were few in number in place of or to supplement didactic lecture sessions [ 21 – 23 ], and providing instruction in clinical history-taking and physical examination to a degree allowing for student evaluation using Objective Structured Clinical Examinations to encourage and evaluate student progress [ 24 – 26 ].…”

Section: Introductionmentioning

confidence: 99%

Early musculoskeletal classroom education confers little advantage to medical student knowledge and competency in the absence of clinical experiences: a retrospective comparison study

Khorsand

Khwaja

2018

BMC Med Educ

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BackgroundDeficiencies in medical student knowledge in musculoskeletal medicine have been well documented. To address these deficiencies, numerous curricular changes at our institution were instituted. The objective of this study was to determine whether medical students in their preclinical years benefit from early exposure to musculoskeletal medicine when compared to students exposed to musculoskeletal medicine just prior to completion of their preclinical curriculum.MethodsUnited States Medical Licensing Examination (USMLE) Step 1 and 2 scores were compared for periods of time before and after institution of the new curriculum. Scores on the previously validated 24-question short answer survey from Freedman and Bernstein were also compared over these same periods of time between these two groups and to established standards for competency, using a student’s two-tailed unpaired t-test for significance. Entering Medical College Admission Test (MCAT) scores were used to compare baseline preparation of students.ResultsOverall USMLE scores as well as scores on the USMLE subtest on Musculoskeletal, Skin and Connective Tissue Disease showed no improvement when scores were compared between the two groups of students. There was a statistically significant lower performance on the Freedman and Bernstein knowledge assessment exam for students in the new pre-clinical curriculum as compared to those introduced under the old model, considering both musculoskeletal knowledge (p < 0.001) and proficiency (p < 0.01), though the response rate on the recent survey was low (112/986 or 11%). Spine remained the least understood sub-topic, while a dedicated course in rheumatology likely contributed to increased student knowledge in that area. Additional exposure to musculoskeletal topics during the clinical years increased student knowledge. There was no difference between groups when comparing entering MCAT scores.ConclusionsClassroom curricular changes, including moving the introductory musculoskeletal course to the first year, intended to optimize musculoskeletal medicine education in the pre-clinical years of medical school did not appear to improve student musculoskeletal knowledge at any year of training. Further efforts to improve the education of medical students in musculoskeletal medicine should be directed towards providing more clinical experiences with patients having musculoskeletal concerns. This was a retrospective comparative study, level III evidence.

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One Week with the Experts: A Short Course Improves Musculoskeletal Undergraduate Medical Education

Abstract: We report a favorable evaluation of a short, intense course on musculoskeletal medicine and suggest that the introduction of basic concepts of musculoskeletal medicine is feasible within established curricula.

Cited by 14 publications

References 19 publications

Increasing medical student exposure to musculoskeletal medicine: the initial impact of the Orthopaedic Surgery and Sports Medicine Interest Group

Increasing medical student exposure to musculoskeletal medicine: the initial impact of the Orthopaedic Surgery and Sports Medicine Interest Group

The Inadequacy of Musculoskeletal Knowledge in Graduating Medical Students in the United Kingdom

Early musculoskeletal classroom education confers little advantage to medical student knowledge and competency in the absence of clinical experiences: a retrospective comparison study

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