Woolf Anthony D, Akesson Kristina
Department of Rheumatology, Royal Cornwall Hospital, Truro, UK.
Nat Clin Pract Rheumatol. 2008 Jan;4(1):26-33. doi: 10.1038/ncprheum0673.
Musculoskeletal problems are very common, and clinical assessment is central to their appropriate management; however, many clinicians are not sufficiently competent to carry out this assessment. A standardized approach to the clinical assessment of a musculoskeletal problem is, therefore, necessary, whether the patient is presenting to primary care, rheumatology or orthopedics. Such a standardized approach gives a benchmark for this competency and can also be used as a teaching aid. As doctors become increasingly competent in clinical assessment and reach into training programs within musculoskeletal specialities, more detailed information will be required from the medical history of the patient, in addition to the use of special tests on clinical examination. These clinical skills need to be taught and also assessed.
肌肉骨骼问题非常常见，临床评估对于其恰当管理至关重要；然而，许多临床医生并不具备足够能力进行此项评估。因此，无论患者是在基层医疗、风湿病科还是骨科就诊，采用标准化方法进行肌肉骨骼问题的临床评估都是必要的。这种标准化方法为该能力提供了一个基准，还可作为教学辅助工具。随着医生在临床评估方面的能力不断提高，并深入参与肌肉骨骼专科的培训项目，除了在临床检查中使用特殊检查外，还将需要从患者病史中获取更详细的信息。这些临床技能需要传授，也需要进行评估。
