title: Paediatric musculoskeletal learning needs for general practice trainees: achieving an expert consensus.
abstract: BACKGROUND
  Paediatric musculoskeletal (pMSK) disorders are common in clinical practice, but training in their recognition and management is suboptimal at both undergraduate and postgraduate level. Exposure to pMSK conditions is variable in GP training, and there is no standardised curriculum for what GPs should know about pMSK medicine.
  
  
  OBJECTIVE
  To attain expert agreement on the gold standard of pMSK skills and knowledge required at completion of GP training.
  
  
  METHODS
  Modified Delphi process followed by consensus group meeting and focus groups.
  
  
  METHODS
  Two iterative rounds of Delphi process conducted by email, followed by a face-to-face meeting of stakeholders. Items with >80% agreement included in final curriculum statement. Member checking by GPs conducted through focus group meetings.
  
  
  RESULTS
  A curriculum covered by 12 overarching statements was developed, with positive feedback from GP educators on the feasibility of delivering the curriculum and usefulness of the items.
  
  
  CONCLUSIONS
  The introduction of expert-derived learning needs to the GP curriculum on pMSK medicine should help with improving the recognition and management of children with MSK disorders.
authors.affiliation: Department of Rheumatology, Newcastle Upon Tyne Hospitals NHS Trust, UK; Musculoskeletal Research Group, Institute of Cellular Medicine, North Tyneside Hospital, North Shields NE29 8NH, UK. iain.goff@ncl.ac.uk.
authors.forename: Iain
authors.initials: I
authors.lastname: Goff
authors.affiliation: Sunderland Teaching Primary Care Trust, Sunderland, UK.
authors.forename: Donna Jane
authors.initials: DJ
authors.lastname: Boyd
authors.affiliation: Washington Primary Care Centre, Washington, Tyne and Wear, UK; Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, UK.
authors.forename: Elspeth Mary
authors.initials: EM
authors.lastname: Wise
authors.affiliation: Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, UK; Department of Paediatric Rheumatology, Great North Children's Hospital, Newcastle Upon Tyne Hospitals, Newcastle upon Tyne, UK.
authors.forename: Sharmila
authors.initials: S
authors.lastname: Jandial
authors.affiliation: Musculoskeletal Research Group, Institute of Cellular Medicine, Newcastle University, UK; Department of Paediatric Rheumatology, Great North Children's Hospital, Newcastle Upon Tyne Hospitals, Newcastle upon Tyne, UK.
authors.forename: Helen Elisabeth
authors.initials: HE
authors.lastname: Foster
mesh_terms: D002648:Child; D002983:Clinical Competence; D032921:Consensus; D003479:Curriculum; D003697:Delphi Technique; D004501:Education, Medical / Q000592:standards*; D058006:General Practice / Q000193:education*; D006801:Humans; D009140:Musculoskeletal Diseases / Q000175:diagnosis; D009141:Musculoskeletal System; D010372:Pediatrics / Q000193:education*; D006113:United Kingdom