title: Orthopaedic GP Fellowship: does it work?
abstract: BACKGROUND
  General practitioners (GPs) see a significant number of musculoskeletal problems in their daily caseload. However, orthopaedic training often forms a relatively small part of their undergraduate and postgraduate training.
  
  
  METHODS
  A training fellowship for GPs was set up in Warrington to improve management of patients with common orthopaedic complaints in the primary care setting, and to facilitate more appropriate referrals to orthopaedic surgeons. Following the fellowship, GP referral patterns were examined.
  
  
  RESULTS
  It was found that the GP fellows were managing many conditions more appropriately, either conservatively, or with skills learnt during the fellowship. There was an increase in the number of referred cases being listed for surgery indicating a more appropriate referral pattern to hospital.
  
  
  CONCLUSIONS
  The Orthopaedic GP Fellowship has improved patient management in primary care and helped GPS better identify those patients who need to be referred for a specialist orthopaedic opinion.
authors.affiliation: Department of Trauma and Orthopaedics, Warrington Hospital NHS Trust, Warrington, Cheshire, UK.
authors.forename: Stephen
authors.initials: S
authors.lastname: Duckett
authors.forename: Harry
authors.initials: H
authors.lastname: Casserly
mesh_terms: D000553:Ambulatory Care; D002983:Clinical Competence / Q000592:standards; D004502:Education, Medical, Continuing; D004739:England; D005194:Family Practice / Q000193:education*; D005257:Fellowships and Scholarships; D006801:Humans; D009140:Musculoskeletal Diseases / Q000628:therapy*; D009985:Orthopedics / Q000193:education*; D026741:Physical Therapy Modalities; D012017:Referral and Consultation / Q000592:standards; D014194:Traumatology / Q000193:education