Design, implementation and prospective evaluation of a new interactive musculoskeletal module for medical students in Ireland

Vioreanu, M. H., O'Daly, B. J., Shelly, M. J., Devitt, B. M. and O'Byrne, J. M. (2013) Design, implementation and prospective evaluation of a new interactive musculoskeletal module for medical students in Ireland. Irish Journal of Medical Science, 182 (2). pp. 191-199. ISSN 00211265 (ISSN)

Abstract

Background: We designed, implemented and assessed an interactive musculoskeletal teaching module for fourth-year medical students. Over a 2-week period, students followed a programme of alternating lectures, interactive tutorials, case discussions, clinical examination and 'how to do' sessions using patients and clinical models. Methods: Over a 4-month period, 140 fourth-year medical students rotated for 2 weeks through a new interactive musculoskeletal teaching module in an elective orthopaedic hospital. To assess the impact of our module, a basic-competency examination in musculoskeletal medicine was developed and validated. Each student completed the examination on the first and last days of the module. We also assessed musculoskeletal basic knowledge in students from a different medical school, receiving a classic lecturing programme. Results: In the pre-course assessment, only 20 % of students achieved an overall pass rate. The pass rate increased to 85 % in post-course examination. Students found particularly beneficial the interactive tutorial approach, with 48 % finding this to be the single most effective teaching method. When compared with students who completed a classic lecturing programme, students attending our interactive module scored higher in all aspects of musculoskeletal knowledge. Significance: This study highlights the benefits and need for more interactive teaching of musculoskeletal medicine in medical schools. © 2012 Royal Academy of Medicine in Ireland.

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URI:
https://eprints.teachingandlearning.ie/id/eprint/3807
Title:
Design, implementation and prospective evaluation of a new interactive musculoskeletal module for medical students in Ireland
Authors:
Vioreanu, M. H., O'Daly, B. J., Shelly, M. J., Devitt, B. M. and O'Byrne, J. M.
Official URL:
http://www.scopus.com/inward/record.url?eid=2-s2.0...
Date:
2013
Additional Information:
Cited By :1; Export Date: 23 February 2015; CODEN: IJMSA; Correspondence Address: Vioreanu, M.H.; Professorial Unit, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland; email: mihai.vioreanu@gmail.com; References: Yelin, E., Herrndorf, A., Trupin, L., Sonneborn, D., A national study of medical care expenditures for musculoskeletal conditions: The impact of health insurance and managed care (2001) Arthritis Rheum, 44, pp. 1160-1169. , 11352250 10.1002/1529-0131(200105)44:5<1160: AID-ANR199>3.0.CO;2-Y 1:STN:280:DC%2BD3M3lsVWluw%3D%3D; Carr, A.J., Harnden, A., (1997) Orthopaedics in Primary Care, , Butterworth-Heinemann Oxford; De Lorenzo, R.A., Mayer, D., Geehr, E.C., Analyzing clinical case distributions to improve an emergency medicine clerkship (1990) Ann Emerg Med, 19, pp. 746-751. , 2389857 10.1016/S0196-0644(05)81697-X; Freedman, K.B., Bernstein, J., The adequacy of medical school education in musculoskeletal medicine (1998) J Bone Joint Surg Am, 80, pp. 1421-1427; Kahl, L.E., Musculoskeletal problems in the family practice setting: Guidelines for curriculum design (1987) J Rheumatol, 14, pp. 811-814. , 3668987 1:STN:280:DyaL1c%2FjsFyqsg%3D%3D; Marsland, D.W., Wood, M., Mayo, F., Content of family practice. Part I. Rank order of diagnoses by frequency. Part II. Diagnoses by disease category and age/sex distribution (1976) J Fam Pract, 3, pp. 37-68. , 1249538 1:STN:280:DyaE287itFOksg%3D%3D; Mulhall, K.J., Masterson, E., Relating undergraduate musculoskeletal medicine curricula to the needs of modern practice (2005) Ir J Med Sci, 174, pp. 46-51. , 16094913 10.1007/BF03169129 1:STN:280:DC%2BD2MvivVyitQ%3D%3D; Pinney, S.J., Regan, W.D., Educating medical students about musculoskeletal problems. Are community needs reflected in the curricula of Canadian medical schools? (2001) J Bone Joint Surg Am, 83, pp. 1317-1320. , 11568192 1:STN:280:DC%2BD3MritV2ktg%3D%3D; 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. , 10963154 10.1302/0301-620X.82B5.11332 1:STN:280:DC%2BD3cvjsleitg%3D%3D; Bernstein, J., Alonso, D.R., Dicaprio, M., Curricular reform in musculoskeletal medicine: Needs, opportunities, and solutions (2003) Clin Orthop Relat Res, 415, pp. 302-308. , 14612660 10.1097/01.blo.0000093922.26658.3c; Dicaprio, M.R., Covey, A., Bernstein, J., Curricular requirements for musculoskeletal medicine in American medical schools (2003) J Bone Joint Surg Am, 85, pp. 565-567. , 12637447; Craton, N., Matheson, G.O., Training and clinical competency in musculoskeletal medicine. Identifying the problem (1993) Sports Med, 15, pp. 328-337. , 8321946 10.2165/00007256-199315050-00004 1:STN:280:DyaK3szhtVekug%3D%3D; Booth, A., Wise, D.I., General practice training in musculoskeletal disorders (1990) Br J Gen Pract, 40, p. 390. , 2265011 1:STN:280:DyaK3M%2FptV2lsQ%3D%3D; Reznick, R.K., Brewer, M.L., Wesley, R.M., Stauffer, E.S., Orthopaedic teaching: The practicing family doctor's perspective (1987) Orthop Rev, 16, pp. 529-535. , 3453985 1:STN:280:DyaL1c3ovFWnug%3D%3D; Editorial, G., The Bone and Joint Decade 2000-2010 (1998) Acta Orthop Scand, 69, pp. 219-220. , 10.3109/17453679809000917; Reznick, R.K., Macrae, H., Teaching surgical skills - Changes in the wind (2006) N Engl J Med, 355, pp. 2664-2669. , 17182991 10.1056/NEJMra054785 1:CAS:528:DC%2BD28XhtlGhtLvE; Hill, D., Stalley, P., Pennington, D., Competency-based learning in traumatology (1997) Am J Surg, 173, pp. 136-140. , 9074381 10.1016/S0002-9610(96)00412-6 1:STN:280:DyaK2s3ivVejsQ%3D%3D; 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 (10), pp. 2292-2300. , 18829928 10.2106/JBJS.G.01676; Day, C.S., Yu, Y.R., Yeh, A.C., Newman, L.R., Arky, R., Roberts, D.H., Musculoskeletal preclinical medical school education: Meeting an underserved need (2009) J Bone Joint Surg Am, 91 (3), pp. 733-739. , 19255239 10.2106/JBJS.H.01305; Freedman, K.B., Bernstein, J., Educational deficiencies in musculoskeletal medicine (2002) J Bone Joint Surg Am, 84, pp. 604-608. , 11940622; 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. , 15687152 10.2106/JBJS.D.01779; Stockard, A.R., Allen, T.W., Competence levels in musculoskeletal medicine: Comparison of osteopathic and allopathic medical graduates (2006) J Am Osteopath Assoc, 106, pp. 350-355. , 16790542
Uncontrolled Keywords:
Interactive programme; Musculoskeletal teaching; Undergraduate; anamnesis; article; clinical examination; examination; human; interactive musculoskeletal teaching module; Ireland; knowledge; medical education; medical student; teaching; clinical competence; education; evaluation; medical school; methodology; musculoskeletal disease; musculoskeletal system; orthopedics; prospective study; questionnaire; Education, Medical, Undergraduate; Educational Measurement; Humans; Musculoskeletal Diseases; Prospective Studies; Questionnaires; Schools, Medical; Students, Medical
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Item Type:
Article
Depositing User:
National Forum
Date Deposited:
06 Dec 2015 20:41
Revision:
5
Last Modified:
12 Dec 2015 17:34
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