title: Musculoskeletal exam and joint injection training for internal medicine residents.
abstract: We developed a musculoskeletal education intervention for internal medicine residents consisting of lectures, anatomic models, and a joint injection clinic. Written tests, observed musculoskeletal exams, and self-confidence scales were administered to 27 internal medicine residents before and after the intervention. Improvement was found in observed physical exam and self-reported confidence levels in performing knee injections. Confidence in shoulder injection skills improved, but remained low. Improved scores on written examination, though statistically significant, were not educationally significant. This single-institution pilot study demonstrates that a simple educational program results in improved knee and shoulder examination skills and confidence in performing knee injections.
authors.affiliation: Department of Internal Medicine, University of Chicago, Chicago, IL, USA. twilcox@medicine.bsd.uchicago.edu
authors.forename: Tracie
authors.initials: T
authors.lastname: Wilcox
authors.forename: Julie
authors.initials: J
authors.lastname: Oyler
authors.forename: Caroline
authors.initials: C
authors.lastname: Harada
authors.forename: Tammy
authors.initials: T
authors.lastname: Utset
mesh_terms: D000553:Ambulatory Care; D002641:Chicago; D002983:Clinical Competence; D004521:Educational Measurement; D006785:Hospitals, University; D006801:Humans; D007267:Injections / Q000379:methods*; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D007592:Joint Diseases / Q000628:therapy; D007719:Knee Joint; D008953:Models, Anatomic; D010808:Physical Examination / Q000379:methods*; D015397:Program Evaluation; D012785:Shoulder Joint