| Assessment of musculoskeletal physical examination skills and attitudes of orthopaedic residents. | |
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MedLine Citation:
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PMID: 22438009 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Although the musculoskeletal physical examination is an essential part of patient encounters, we believe that it is underemphasized in residency education and that residents' physical examination skills may be lacking. We sought to assess attitudes regarding teaching of the physical examination in orthopaedic residencies, to assess physical examination knowledge and skills among residents, and to develop a method to track the skill level of residents in order to improve our physical examination curriculum. METHODS: We created a thirty-question multiple-choice musculoskeletal physical examination test and administered it to our residents. We created a five-question survey assessing attitudes toward physical examination teaching in orthopaedic residencies and distributed it to U.S. orthopaedic department chairs We developed an Objective Structured Clinical Examination (OSCE), in which standardized patients enact four clinical scenarios, to observe and assess physical examination skills. RESULTS: The mean score on the multiple-choice physical examination test was 76% despite the fact that our residents consistently scored above 90% on the Orthopaedic In-Training Examination. Department chairs and residents agreed that, although learning to perform the physical examination is important, there is not enough time in the clinical setting to observe and critique a resident's patient examination. The overall score of our residents on the OSCE was 66%. CONCLUSIONS: We have exposed a deficiency in the physical examination knowledge and skills of our residents. Although the musculoskeletal physical examination is a vital practice component, our data indicate that it is likely underemphasized in training. Clinic time alone is likely insufficient for the teaching and learning of the musculoskeletal physical examination. |
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Authors:
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Matthew C Beran; Hisham Awan; David Rowley; Julie Balch Samora; Michael J Griesser; Julie Y Bishop |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 94 ISSN: 1535-1386 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-03-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: United States |
Other Details:
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Languages: eng Pagination: e361-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics, The Ohio State University, 2050 Kenny Road, Suite 3100, Columbus, OH 43221. E-mail address for J.Y. Bishop: Julie.Bishop@osumc.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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