对脊椎按摩疗法实习生肌肉骨骼认知能力的一项检查。

An examination of musculoskeletal cognitive competency in chiropractic interns.

作者信息

Humphreys B Kim, Sulkowski Andrew, McIntyre Kevin, Kasiban Mark, Patrick A Neil

机构信息

Graduate Education and Research Programs, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.

出版信息

J Manipulative Physiol Ther. 2007 Jan;30(1):44-9. doi: 10.1016/j.jmpt.2006.11.006.

DOI:10.1016/j.jmpt.2006.11.006

PMID:17224355

Abstract

OBJECTIVE

This study investigates the cognitive competency of final-year chiropractic students in musculoskeletal medicine.

METHODS

The face, content, and criterion validity of the Basic Clinical Examination (BCE) for musculoskeletal medicine were tested for use in chiropractic education. After validity testing, the BCE was administered in a cross-sectional design to all fourth year students (154) attending the Canadian Memorial Chiropractic College.

RESULTS

Twenty percent (5 questions) of the BCE was deemed not relevant or outside of the scope of practice by criterion experts. One hundred twenty-three (80%) fourth year chiropractic interns participated in the cross-sectional study. Interns achieved a 51.2% passing rate (mean score, 73.2%; 95% confidence interval, 82%-71.8%) for the 25-item BCE, whereas the criterion experts achieved a 100% passing rate. For the modified 20-item BCE, the interns' mean score was 80.8%, whereas the criterion experts' mean score rose to 92.8%.

CONCLUSIONS

Most final-year chiropractic interns at this college were [corrected] found to be competent in musculoskeletal medicine as assessed by the Basic Competency Examination. This is in contradiction to previous work with medical students, recent medical graduates, nonorthopedic staff physicians, osteopathic students, and physical therapy students. Chiropractic clinicians with postgraduate training showed considerably better results than chiropractic interns. Problems pertaining to the content validity (relevance and scope of practice for chiropractors) of the BCE need to be addressed.

摘要

目的

本研究调查整脊医学专业最后一年学生在肌肉骨骼医学方面的认知能力。

方法

对用于整脊医学教育的肌肉骨骼医学基础临床考试（BCE）的表面效度、内容效度和标准效度进行测试。效度测试后，采用横断面设计对加拿大纪念整脊学院的所有四年级学生（154名）进行BCE测试。

结果

标准专家认为BCE中有20%（5道题）不相关或超出实践范围。123名（80%）四年级整脊实习医生参与了横断面研究。在25道题的BCE中，实习医生的通过率为51.2%（平均分数为73.2%；95%置信区间为82%-71.8%），而标准专家的通过率为100%。对于修改后的20道题的BCE，实习医生的平均分数为80.8%，而标准专家的平均分数升至92.8%。

结论

通过基础能力考试评估发现，该学院大多数最后一年的整脊实习医生在肌肉骨骼医学方面具备能力。这与之前对医学生、近期医学毕业生、非骨科 staff physicians（此处疑有误，可能是“staff physicians”，即 staff 医生）、整骨疗法学生和物理治疗学生的研究结果相矛盾。接受过研究生培训的整脊临床医生的成绩明显优于整脊实习医生。需要解决与BCE的内容效度（整脊师的相关性和实践范围）相关的问题。