Deconstructing the Joint Examination: A Novel Approach to Teaching Introductory Musculoskeletal Physical Examination Skills for Medical Students.
Clinical Skills Assessment
Clinical/Procedural Skills
Confidence
Examination
Musculoskeletal
OSCEs
Orthopedic Surgery
Physical
Physical Examination
Physical Medicine & Rehabilitation
Physiology
Preclerkship
Program Evaluation
Quantitative Research
Rheumatology
Sports Medicine
Journal
MedEdPORTAL : the journal of teaching and learning resources
ISSN: 2374-8265
Titre abrégé: MedEdPORTAL
Pays: United States
ID NLM: 101714390
Informations de publication
Date de publication:
04 09 2020
04 09 2020
Historique:
entrez:
10
9
2020
pubmed:
11
9
2020
medline:
25
6
2021
Statut:
epublish
Résumé
Musculoskeletal (MSK) disorders are very common, but suboptimal teaching of MSK medicine occurs and expert clinicians agree that MSK physical examination (PE) skills can be confusing and complicated for medical students. An innovative approach in introductory teaching of MSK PE skills was developed using constructivist theory for second-year medical students. We implemented the MSK PE curriculum innovation in the second year of a four-year MD program, utilizing a standard framework with spaced practice and clinician coaching. We evaluated this curriculum by comparing the innovation group ( The mean self-assessed confidence of the historical group was significantly lower for the MSK PE than all other PEs ( We successfully used a framework of deconstruction, repetition, and spaced practice to develop fundamental MSK PE skills in preclerkship medical students. This curriculum structure provides an effective example for teaching introductory MSK PE skills to early medical learners.
Identifiants
pubmed: 32908950
doi: 10.15766/mep_2374-8265.10945
pii: 10945
pmc: PMC7473186
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
10945Informations de copyright
© 2020 Yu et al.
Références
Ann Rheum Dis. 2006 Dec;65(12):1626-30
pubmed: 16707537
J Rheumatol Suppl. 1999 Feb;55:52-5
pubmed: 9972948
Am J Orthop (Belle Mead NJ). 2000 Dec;29(12):945-52
pubmed: 11140349
Int J Med Educ. 2016 Jun 25;7:200-5
pubmed: 27344115
Arthritis Care Res. 1999 Feb;12(1):61-9
pubmed: 10513492
Clin Rheumatol. 2007 Jan;26(1):131-3
pubmed: 16586046
Arthritis Care Res. 1998 Oct;11(5):315-25
pubmed: 9830876
Med Educ. 2007 Apr;41(4):411-8
pubmed: 17430287
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
Med Teach. 2012;34(2):93-102
pubmed: 22288986
J Contin Educ Nurs. 2016 Jun 1;47(6):278-82
pubmed: 27232227
Ann Rheum Dis. 2000 Feb;59(2):81-2
pubmed: 10666159
Med Teach. 2011;33(5):e227-35
pubmed: 21517674
Int J Rheum Dis. 2017 Apr;20(4):451-459
pubmed: 28464548
Med Teach. 2007 Sep;29(6):577-82
pubmed: 17978969
Rheumatology (Oxford). 2004 May;43(5):633-9
pubmed: 15054154
Adv Health Sci Educ Theory Pract. 2009 Oct;14(4):547-56
pubmed: 18941918
J Rheumatol. 2008 Dec;35(12):2419-26
pubmed: 18925682
J Rheumatol. 2000 Jun;27(6):1531-2
pubmed: 10852284
Rheumatology (Oxford). 2008 May;47(5):652-5
pubmed: 18346975
PM R. 2014 Oct;6(10):920-5
pubmed: 24534099
J Allied Health. 2013 Winter;42(4):214-22
pubmed: 24326918
Scand J Rheumatol. 2004;33(1):47-51
pubmed: 15124943
Arthritis Care Res. 1996 Aug;9(4):302-8
pubmed: 8997919
Curr Rev Musculoskelet Med. 2011 Sep;4(3):91-8
pubmed: 21710142
J Surg Educ. 2017 May - Jun;74(3):513-518
pubmed: 28017288
Arthritis Care Res (Hoboken). 2010 Feb;62(2):161-9
pubmed: 20191514
Best Pract Res Clin Rheumatol. 2003 Jun;17(3):381-402
pubmed: 12787508
PM R. 2017 Mar;9(3):251-257
pubmed: 27292435
Rheumatology (Oxford). 2006 Nov;45(11):1404-8
pubmed: 16613915
Acad Med. 2007 May;82(5):452-7
pubmed: 17457065
Arthritis Rheum. 2007 Jun 15;57(5):869-76
pubmed: 17530689
Aust N Z J Med. 1991 Jun;21(3):303-6
pubmed: 1953507
Teach Learn Med. 2004 Spring;16(2):175-80
pubmed: 15276895
J Pediatr. 2009 Feb;154(2):267-71
pubmed: 18823907
Clin Orthop Relat Res. 2016 Apr;474(4):901-7
pubmed: 26282389
South Med J. 2017 Dec;110(12):761-764
pubmed: 29197309
BMC Med Educ. 2017 Jan 13;17(1):13
pubmed: 28086879
Arthritis Rheum. 2005 Oct 15;53(5):764-71
pubmed: 16208642
Rheumatology (Oxford). 2010 Sep;49(9):1756-61
pubmed: 20525742
J Rheumatol. 2002 Apr;29(4):813-7
pubmed: 11950026
BMC Med Educ. 2011 Sep 23;11:65
pubmed: 21939562
Am J Phys Med Rehabil. 2014 Jan;93(1):82-9
pubmed: 24088781
Arthritis Care Res. 1998 Feb;11(1):32-8
pubmed: 9534491
J Surg Educ. 2014 Sep-Oct;71(5):734-7
pubmed: 24776870
Rheumatology (Oxford). 2003 Nov;42(11):1420-1; authors' reply 1421-2
pubmed: 14578439
J Rheumatol. 1994 Mar;21(3):505-14
pubmed: 8006895
Med Educ. 2007 Apr;41(4):402-10
pubmed: 17430286
Spine J. 2017 Dec;17(12):1830-1836
pubmed: 28627415
J Rheumatol. 2000 Jun;27(6):1533-7
pubmed: 10852285
Med Teach. 2003 Nov;25(6):617-20
pubmed: 15369909
Med J Aust. 2008 Aug 4;189(3):162-5
pubmed: 18673105
Am J Phys Med Rehabil. 2007 Nov;86(11):926-34
pubmed: 18049139
Med Educ. 1999 Sep;33(9):674-7
pubmed: 10476018
BMC Med Educ. 2016 Oct 14;16(1):268
pubmed: 27741946
J Am Osteopath Assoc. 2006 Jun;106(6):350-5
pubmed: 16790542