Dataset Information

Musculoskeletal Basics: The Shoulder and the Knee Workshop for Primary Care Residents.

ABSTRACT:

Introduction

Although musculoskeletal (MSK) complaints are very common in ambulatory clinics, internal medicine residents report low confidence in performing MSK examinations and intra-articular steroid injections. Our goal is to strengthen residents' MSK competence by using visual, auditory, and kinesthetic educational modalities during an academic half-day session.

Methods

Our intervention was a workshop/academic half-day session that included multimodal educational materials on common shoulder and knee MSK complaints. The intervention featured a PowerPoint presentation highlighting three areas of MSK education: history taking, physical examination, and procedural skills. The curriculum contained a novel interactive charades game in which competitors demonstrated joint exams, an engaging anatomy quiz, and the performance of knee and subacromial bursae injections using interactive models and educational videos.

Results

The effectiveness of our session was measured using a pre- and postsurvey. In our 2017 resident survey to determine the level of comfort in performing knee and shoulder physical examination and intra-articular injections, the majority of respondents perceived themselves as inadequately trained. After the session, confidence in performing knee and shoulder examinations and in performing knee and subacromial bursae injections increased significantly. In addition, 100% of the residents who attended and evaluated the session either agreed or strongly agreed that the experience improved MSK knowledge and employed effective teaching strategies.

Discussion

The workshop/academic half-day session positively enhanced residents' perception of their knowledge of MSK medicine and their ability to perform joint injections.

SUBMITTER: Denizard-Thompson N

PROVIDER: S-EPMC6342436 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Publications

Musculoskeletal Basics: The Shoulder and the Knee Workshop for Primary Care Residents.

Denizard-Thompson Nancy N Feiereisel Kirsten B KB Pedley Carolyn F CF Burns Cynthia C Campos Claudia C

MedEdPORTAL : the journal of teaching and learning resources 20180915

<h4>Introduction</h4>Although musculoskeletal (MSK) complaints are very common in ambulatory clinics, internal medicine residents report low confidence in performing MSK examinations and intra-articular steroid injections. Our goal is to strengthen residents' MSK competence by using visual, auditory, and kinesthetic educational modalities during an academic half-day session.<h4>Methods</h4>Our intervention was a workshop/academic half-day session that included multimodal educational materials on ...[more]

PMID: 30800949

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Project description:BackgroundWorkforce projections indicate a potential shortage of up to 31,000 adult primary care providers by the year 2025. Approximately 80 % of internal medicine residents and nearly two-thirds of primary care internal medicine residents do not plan to have a career in primary care or general internal medicine.ObjectiveWe aimed to explore contextual and programmatic factors within primary care residency training environments that may influence career choices.DesignThis was a qualitative study based on semi-structured, in-person interviews.ParticipantsThree primary care internal medicine residency programs were purposefully selected to represent a diversity of training environments. Second and third year residents were interviewed.ApproachWe used a survey guide developed from pilot interviews and existing literature. Three members of the research team independently coded the transcripts and developed the code structure based on the constant comparative method. The research team identified emerging themes and refined codes. ATLAS.ti was used for the analysis.Key resultsWe completed 24 interviews (12 second-year residents, and 12 third-year residents). The age range was 27-39 years. Four recurrent themes characterized contextual and programmatic factors contributing to residents' decision-making: resident expectations of a career in primary care, navigation of the boundary between social needs and medical needs, mentorship and perceptions of primary care, and structural features of the training program.ConclusionsAddressing aspects of training that may discourage residents from careers in primary care such as lack of diversity in outpatient experiences and resident frustration with their inability to address social needs of patients, and strengthening aspects of training that may encourage interests in careers in primary care such as mentorship and protected time away from inpatient responsibilities during primary care rotations, may increase the proportion of residents enrolled in primary care training programs who pursue a career in primary care.

Project description:Purpose:Point-of-care ultrasound (POCUS) is a quick bedside tool that has the potential to improve emergency care in resource?-limited settings due to its relatively low cost and accessibility. Effort to disseminate the knowledge and skills about POCUS is inadequate in low and middle income countries like Nepal. We conducted a two-day ?interdisciplinary ?advanced ?emergency ultrasound workshop that targeted physicians working in ?emergency ?department and ?primary care, especially in rural Nepal. We explored the effectiveness of this training based on validated Kirkpatrick's 4 steps of evaluating training outcomes. Materials and Methods:We conducted a prospective quasi-experimental study with mixed research design. Multidisciplinary physicians working in emergency departments participated in the two-day workshop. We assessed and compared the pre- and post-workshop knowledge. We collected on-site and a follow-up feedback to explore pre- and post?-workshop confidence level, perceived usefulness and clinical use of ultrasound using a 5?-point Likert scale. The barriers to use POCUS were explored. Results:A total of 50 physicians from different parts of Nepal participated in the workshop. The academic level of the participants, duration of their clinical experience and the previous use of POCUS did not have a significant difference in their pre- and posttest knowledge scores. The difference between the median (IQR) pre- and posttest scores [14 (12.75-17.75) and 24.5 (22.25-25.5), respectively] was statistically significant (p<0.001). Perceived confidence level and usefulness of the POCUS increased significantly in all of its domains (p<0.001). Self-reported increase in its clinical use was significant (p<0.001) for all fields. Conclusion:The participation in this emergency ultrasound workshop increased the knowledge of participants in POCUS. Their confidence, perceived usefulness and clinical use of POCUS improved significantly. Objective longitudinal follow-up of participants' skill and demonstration of increased clinical use of POCUS in ?emergency ?department influencing the clinical outcome would be the focus of future research.

Dataset Information

Musculoskeletal Basics: The Shoulder and the Knee Workshop for Primary Care Residents.

Introduction

Methods

Results

Discussion

Publications

Musculoskeletal Basics: The Shoulder and the Knee Workshop for Primary Care Residents.

Similar Datasets

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