ArticleBMC medical education2016
Sustained impact of a short small group course with systematic feedback in addition to regular clinical clerkship activities on musculoskeletal examination skills--a controlled study.
Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A call for improving of musculoskeletal education on physical medicine and rehabilitation studies: a systematic review with meta-analysis.BMC medical education · 2024Pooled it
- Musculoskeletal education in undergraduate medical curricula-A systematic review.International journal of rheumatic diseases · 2023Pooled it
- Orthopedic Injections: A Longitudinal Musculoskeletal Curriculum in a Family Medicine Residency.Family medicine · 2024Article
- Evaluating Medical Students' Perceptions of Patient-Led Transplant Surgery Education 1-2 Years Later.The Journal of surgical research · 2024Article
- A structured multimodal teaching approach enhancing musculoskeletal physical examination skills among undergraduate medical students.Medical education online · 2022Article
- Using peer role-playing to improve students' clinical skills for musculoskeletal physical examinations.BMC medical education · 2021Article
- A Multifaceted Resident-Led Physical Exam Course.MedEdPublish (2016) · 2021Article
- A global perspective on the challenges and opportunities in learning about rheumatic and musculoskeletal diseases in undergraduate medical education : White paper by the World Forum on Rheumatic and Musculoskeletal Diseases (WFRMD).Clinical rheumatology · 2020Review
- The Sustained Impact of a Medical School-Based Physical Activity Module on Interns' Perceived Competence in Advising Older Adults about Exercise.The Journal of frailty & aging · 2020Article
- Impact of a Hands-on Knee Exam Workshop on Medical Student Clinical Examination Scores.PRiMER (Leawood, Kan.) · 2019Article
- Clinical examinations: a medical student's perspective.Advances in medical education and practice · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe discrepancy between the extensive impact of musculoskeletal complaints and the common deficiencies in musculoskeletal examination skills lead to increased emphasis on structured teaching and assessment. However, studies of single interventions are scarce and little is known about the time-dependent effect of assisted learning in addition to a standard curriculum. We therefore evaluated the immediate and long-term impact of a small group course on musculoskeletal examination skills.
methodsAll 48 Year 4 medical students of a 6 year curriculum, attending their 8 week clerkship of internal medicine at one University department in Berne, participated in this controlled study. Twenty-seven students were assigned to the intervention of a 6×1 h practical course (4-7 students, interactive hands-on examination of real patients; systematic, detailed feedback to each student by teacher, peers and patients). Twenty-one students took part in the regular clerkship activities only and served as controls. In all students clinical skills (CS, 9 items) were assessed in an Objective Structured Clinical Examination (OSCE) station, including specific musculoskeletal examination skills (MSES, 7 items) and interpersonal skills (IPS, 2 items). Two raters assessed the skills on a 4-point Likert scale at the beginning (T0), the end (T1) and 4-12 months after (T2) the clerkship. Statistical analyses included Friedman test, Wilcoxon rank sum test and Mann-Whitney U test.
resultsAt T0 there were no significant differences between the intervention and control group. At T1 and T2 the control group showed no significant changes of CS, MSES and IPS compared to T0. In contrast, the intervention group significantly improved CS, MSES and IPS at T1 (p < 0.001). This enhancement was sustained for CS and MSES (p < 0.05), but not for IPS at T2.
conclusionsYear 4 medical students were incapable of improving their musculoskeletal examination skills during regular clinical clerkship activities. However, an additional small group, interactive clinical skills course with feedback from various sources, improved these essential examination skills immediately after the teaching and several months later. We conclude that supplementary specific teaching activities are needed. Even a single, short-lasting targeted module can have a long lasting effect and is worth the additional effort.
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