Lam Kenrick, Barker Blake, Sepdham Dan
Resident, Department of Orthopedics, University of Texas Southwestern Medical Center.
Assistant Professor, Department of Internal Medicine, University of Texas Southwestern Medical Center.
MedEdPORTAL. 2016 Sep 23;12:10463. doi: 10.15766/mep_2374-8265.10463.
Medical students receive insufficient training in musculoskeletal diagnosis and management. To address this deficiency, a senior medical student at our institution designed and moderated small-group interactive discussions with third-year medical students on acute fracture management during their family medicine clerkship.
In these sessions, students learned how to diagnose and comprehensively work up a case of a suspected fracture, how to effectively communicate findings from physical exam and X-ray, and when to appropriately consult a surgeon for treatment.
This module was piloted with a total of 14 students in two separate small groups. One hundred percent of students regarded the module as very useful, and there was a 50% improvement in pre- versus posteducational assessment.
Our experience suggests that students can quickly improve clinical skills for fracture management in a focused smallgroup interactive session. In addition, these sessions can be effectively designed and implemented by senior medical students. This module may be used with either clinical or preclinical students, but we believe that this information would be best received by clinical students on family medicine, emergency medicine, or orthopedic rotations.
医学生在肌肉骨骼疾病的诊断和管理方面接受的培训不足。为了弥补这一缺陷，我校一名高年级医学生在三年级医学生家庭医学实习期间，设计并主持了关于急性骨折管理的小组互动讨论。
在这些课程中，学生们学习了如何诊断和全面检查疑似骨折病例，如何有效地传达体格检查和X光检查的结果，以及何时适当地咨询外科医生进行治疗。
该模块在两个独立的小组中对总共14名学生进行了试点。100%的学生认为该模块非常有用，教育前后的评估有50%的提高。
我们的经验表明，学生可以在集中的小组互动课程中迅速提高骨折管理的临床技能。此外，这些课程可以由高年级医学生有效地设计和实施。该模块可用于临床或临床前学生，但我们认为，家庭医学、急诊医学或骨科轮转的临床学生会最受益于这些信息。
