Comer Garet C, Liang Emily, Bishop Julius A
Department of Orthopaedic Surgery, Stanford University School of Medicine, Palo Alto, CA.
J Orthop Trauma. 2014 Apr;28(4):e85-7. doi: 10.1097/BOT.0b013e3182a66829.
Emergency medicine (EM) physicians are frequently responsible for evaluating and treating patients with urgent or emergent musculoskeletal conditions, so it is critical that they achieve a basic level of proficiency in musculoskeletal medicine. However, inadequacies in musculoskeletal education have previously been documented among medical students, residents, and attending physicians in a number of specialties. The goal of this study was to assess the proficiency with musculoskeletal medicine among EM physicians in particular.
A validated musculoskeletal medicine competency examination was administered to the EM residents and faculty at a university-affiliated level 1 trauma center. Demographic data and satisfaction with musculoskeletal education were also surveyed.
Twenty-three EM residents and 21 attending physicians completed the survey. Thirty-five percent of residents and 43% of attending physicians failed to demonstrate proficiency on the examination. Pass rates were not significantly different among junior residents, senior residents, or attending physicians. Twenty-three percent of respondents indicated that they were dissatisfied with their musculoskeletal education.
Significant deficiencies in musculoskeletal education exist among EM physicians in training and attending staff. Given the frequency with which these physicians evaluate and treat acute musculoskeletal conditions, additional resources should be committed to their training.
急诊医学（EM）医生经常负责评估和治疗患有紧急或突发肌肉骨骼疾病的患者，因此他们达到肌肉骨骼医学的基本熟练水平至关重要。然而，先前已有文献记载，许多专业的医学生、住院医师和主治医生在肌肉骨骼教育方面存在不足。本研究的目的是特别评估急诊医学医生在肌肉骨骼医学方面的熟练程度。
在一所大学附属的一级创伤中心，对急诊医学住院医师和教员进行了一项经过验证的肌肉骨骼医学能力考试。还调查了人口统计学数据以及对肌肉骨骼教育的满意度。
23名急诊医学住院医师和21名主治医生完成了调查。35%的住院医师和43%的主治医生在考试中未表现出熟练程度。初级住院医师、高级住院医师或主治医生的及格率没有显著差异。23%的受访者表示对他们的肌肉骨骼教育不满意。
正在接受培训的急诊医学医生和在职人员在肌肉骨骼教育方面存在显著不足。鉴于这些医生评估和治疗急性肌肉骨骼疾病的频率，应投入更多资源用于他们的培训。
