title: A primary care musculoskeletal clinic for residents: success and sustainability.
abstract: Musculoskeletal complaints are common, but are often underemphasized in residency training. We evaluated the experience of residents (12) in 4 sessions of an innovative concentrated ambulatory, community-based musculoskeletal (MS) clinic precepted by general internists with additional training in teaching MS medicine. Compared with the year long longitudinal house staff (HS) clinic experience, the mean number of musculoskeletal diagnoses per resident seen in MS clinic was higher (13.9 [standard deviation 4.0] vs 5.4 [standard deviation 4.0]; P <.01). Common diagnoses in MS clinic included shoulder, hip, and knee tendonitis/bursitis, and the majority of diagnoses in HS clinic were nonspecific arthralgia (66%). Fifty-two injections were performed in MS clinic over the year, compared with one in HS clinic.
authors.affiliation: Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA. tkhouston@uabmc.edu
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Houston
authors.forename: Robert L
authors.initials: RL
authors.lastname: Connors
authors.forename: Naomi
authors.initials: N
authors.lastname: Cutler
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Nidiry
mesh_terms: D000553:Ambulatory Care; D018771:Arthralgia / Q000175:diagnosis / Q000628:therapy; D003479:Curriculum; D004526:Efficiency; D005180:Faculty, Medical; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007397:Internship, Nonmedical / Q000379:methods*; D008505:Medical Staff, Hospital; D009140:Musculoskeletal Diseases / Q000175:diagnosis* / Q000628:therapy*; D011231:Preceptorship; D011320:Primary Health Care