title: Teaching medical students musculoskeletal examination skills: identifying barriers to learning and ways of overcoming them.
abstract: OBJECTIVE
  To elicit the barriers to the effective teaching of musculoskeletal examination skills amongst medical students.
  
  
  METHODS
  This was a qualitative study including six focus groups with specialities most often involved in delivering musculoskeletal clinical teaching: rheumatology, orthopaedics, general practice, and geriatrics.
  
  
  RESULTS
  The main barriers to the delivery of effective clinical teaching included the lack of agreement on what to teach, lack of confidence in teaching amongst non-musculoskeletal specialities, and poor communication between specialities.
  
  
  CONCLUSIONS
  There is a need to overcome the identified barriers if musculoskeletal clinical teaching to medical students is to be improved. In particular, there is a need to agree which examination skills medical students should learn.
authors.affiliation: Department of Rheumatology, Freeman Hospital, Newcastle-upon-Tyne, UK. d.a.coady@ncl.ac.uk
authors.forename: D A
authors.initials: DA
authors.lastname: Coady
authors.forename: D J
authors.initials: DJ
authors.lastname: Walker
authors.forename: L J
authors.initials: LJ
authors.lastname: Kay
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005194:Family Practice / Q000193:education; D005260:Female; D017144:Focus Groups; D005853:Geriatrics / Q000193:education; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000175:diagnosis*; D009141:Musculoskeletal System / Q000503:physiopathology; D009985:Orthopedics / Q000193:education; D010808:Physical Examination / Q000379:methods*; D012219:Rheumatology / Q000193:education; D013337:Students, Medical; D013663:Teaching / Q000379:methods*; D006113:United Kingdom