Assessment of a new undergraduate module in musculoskeletal medicine

Queally, J. M. and Cummins, F. and Brennan, S. A. and Shelly, M. J. and O'Byrne, J. M. (2011) Assessment of a new undergraduate module in musculoskeletal medicine. Journal of Bone and Joint Surgery - Series A, 93 (3). e9.1-e9.6. ISSN 00219355 (ISSN)

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Background: Despite the high prevalence of musculoskeletal disorders seen by primary care physicians, numerous studies have demonstrated deficiencies in the adequacy of musculoskeletal education at multiple stages of medical education. The aim of this study was to assess a newly developed module in musculoskeletal medicine for use at European undergraduate level (i.e., the medical-school level). Methods: A two-week module in musculoskeletal medicine was designed to cover common musculoskeletal disorders that are typically seen in primary care. The module incorporated an integrated approach, including core lectures, bedside clinical examination, and demonstration of basic practical procedures. A previously validated examination in musculoskeletal medicine was used to assess the cognitive knowledge of ninety-two students on completion of the module. A historical control group (seventy-two students) from a prior course was used for comparison. Results: The new module group (2009) performed significantly better than the historical (2006) control group in terms of score (62.3% versus 54.3%, respectively; p < 0.001) and pass rate (38.4% versus 12.5%, respectively; p = 0.0002). In a subgroup analysis of the new module group, students who enrolled in the graduate entry program (an accelerated four-year curriculum consisting of students who have already completed an undergraduate university degree) were more likely to perform better in terms of average score (72.2% versus 57%, respectively; p < 0.001) and pass rates (70.9% versus 21.4%, respectively; p < 0.001) compared with students who had enrolled via the traditional undergraduate route. In terms of satisfaction rates, the new module group reported a significantly higher satisfaction rate than that reported by the historical control group (63% versus 15%, respectively; p < 0.001). Conclusions: In conclusion, the musculoskeletal module described in this paper represents an educational advance at undergraduate (i.e., medical-school) level as demonstrated by the improvement in scores in a validated examination. As pressure on medical curricula grows to accommodate advancing medical knowledge, it is important to continue to improve, assess, and consolidate the position of musculoskeletal medicine in contemporary medical education. Copyright © 2011 by The Journal of Bone and Joint Surgery, Incorporated.

Item Type: Article
Additional Information: Cited By :3; Export Date: 23 February 2015; CODEN: JBJSA; Correspondence Address: Queally, J. M.; Department of Trauma and Orthopaedic Surgery, Royal College of Surgeons in Ireland, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland; email:; References: Woolf, A.D., Akesson, K., Understanding the burden of musculoskeletal conditions. The burden is huge and not reflected in national health priorities (2001) BMJ, 322, pp. 1079-1080; Geyman, J.P., Gordon, M.J., Orthopedic problems in family practice: Incidence, distribution, and curricular implications (1979) J Fam Pract, 8, pp. 759-765; Kahl, L.E., Musculoskeletal problems in the family practice setting: Guidelines for curriculum design (1987) J Rheumatol, 14, pp. 811-814; Mulhall, K.J., Masterson, E., Relating undergraduate musculoskeletal medicine curricula to the needs of modern practice (2005) Irish Journal of Medical Science, 174 (2), pp. 46-51; Lynch, J.R., Schmale, G.A., Schaad, D.C., Leopold, S.S., Important demographic variables impact the musculoskeletal knowledge and confidence of academic primary care physicians (2006) J Bone Joint Surg Am, 88, pp. 1589-1595; Matzkin, E., Smith, E.L., Freccero, D., Richardson, A.B., Adequacy of education in musculoskeletal medicine (2005) J Bone Joint Surg Am, 87, pp. 310-314; Freedman, K.B., Bernstein, J., The adequacy of medical school education in musculoskeletal medicine (1998) Journal of Bone and Joint Surgery - Series A, 80 (10), pp. 1421-1427; Queally, J.M., Kiely, P.D., Shelly, M.J., O'Daly, B.J., O'Byrne, J.M., Masterson, E.L., Deficiencies in the education of musculoskeletal medicine in Ireland (2008) Ir J Med Sci, 177, pp. 99-105; Schmale, G.A., More evidence of educational inadequacies in musculoskeletal medicine (2005) Clin Orthop Relat Res, 437, pp. 251-259; Matheny, J.M., Brinker, M.R., Elliott, M.N., Blake, R., Rowane, M.P., Confidence of graduating family practice residents in their management of musculoskeletal conditions (2000) Am J Orthop, 29, pp. 945-952; Weinstein, S.L., 2000-2010: The bone and joint decade (2000) J Bone Joint Surg Am, 82, pp. 1-3; Queally, J.M., Kiely, P.D., O'Daly, B.J., O'Byrne, J.M., Design and implementation of a system-based course in musculoskeletal medicine for medical students (2009) J Bone Joint Surg Am, 91, pp. 1276-1277; Bilderback, K., Eggerstedt, J., Sadasivan, K.K., Seelig, L., Wolf, R., Barton, S., McCall, R., Marino, A.A., Design and implementation of a system-based course in musculoskeletal medicine for medical students (2008) J Bone Joint Surg Am, 90, pp. 2292-2300; Williams, S.C., Gulihar, A., Dias, J.J., Harper, W.M., A new musculoskeletal curriculum: Has it made a difference? (2010) J Bone Joint Surg Br, 92, pp. 7-11; DiCaprio, M.R., Covey, A., Bernstein, J., Curricular requirements for musculoskeletal medicine in American medical schools (2003) Journal of Bone and Joint Surgery - Series A, 85 (3), pp. 565-567; Williams, J.R., The teaching of trauma and orthopaedic surgery to the undergraduate in the United Kingdom (2000) J Bone Joint Surg Br, 82, pp. 627-628; Freedman, K.B., Bernstein, J., Educational deficiencies in musculoskeletal medicine (2002) J Bone Joint Surg Am, 84, pp. 604-608; Al-Nammari, S.S., James, B.K., Ramachandran, M., The inadequacy of musculoskeletal knowledge after foundation training in the United Kingdom (2009) J Bone Joint Surg Br, 91, pp. 1413-1418
Uncontrolled Keywords: article; clinical examination; curriculum; human; knowledge; medical education; musculoskeletal disease; musculoskeletal system; primary medical care; priority journal; student; Education, Medical, Undergraduate; Educational Measurement; Ireland; Musculoskeletal Diseases; Teaching
Depositing User: National Forum
Date Deposited: 06 Dec 2015 08:38
Last Modified: 10 Dec 2015 21:36

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