Division of Rheumatology, Department of Medicine, CHU de Québec - Université Laval, 2705 boulevard Laurier, Québec, QC, G1V 4G2, Canada.
Department of Mathematics and Statistics, Université Laval, Québec, Canada.
Clin Rheumatol. 2020 Aug;39(8):2409-2415. doi: 10.1007/s10067-020-05018-2. Epub 2020 Mar 10.
In Canadian medicine faculties, an average of 2.3% of the medical curriculum is dedicated to musculoskeletal problems with a focus on orthopedic conditions. The goal of this descriptive study was to assess the educational preferences in rheumatology of family medicine residents and to identify their preferred methods of learning.
From September 2017 to December 2017, two hundred and thirty-six first- and second-year family medicine residents from Université Laval were asked to complete an electronic anonymous survey assessing their confidence in doing different rheumatology tasks. They were also consulted on their favorite methods of learning and their preferred periods throughout their medical cursus to learn the different skills related to rheumatology.
Eighty-five family medicine residents completed the survey. The residents were rather confident when evaluating mono-arthritis but less confident for oligo/polyarthritis and even less confident with connective tissue diseases. The family medicine residents mentioned preferring traditional lecture classes and clinical cases. They wanted to learn the majority of rheumatology education during medical school training. As residents, they wanted only small capsules, seminars, or memory aids. Interestingly, men preferred learning rheumatology skills during the residency, whereas women preferred learning it in medical school.
The lack of confidence of family medicine residents when evaluating systemic inflammatory diseases compared to mechanical musculoskeletal problems highlights the importance of rheumatology teaching through general medical training and through family medicine residency. Key Points • Family medicine residents are less confident when evaluating systemic inflammatory diseases than musculoskeletal disorders. • Family medicine residents prefer traditional lecture classes and clinical cases. • Family medicine residents prefer learning rheumatology during medical school training.
在加拿大医学系，平均有 2.3%的医学课程专门用于肌肉骨骼问题，重点是骨科疾病。本描述性研究的目的是评估家庭医学住院医师对风湿病学的教育偏好，并确定他们首选的学习方法。
2017 年 9 月至 12 月，来自拉瓦尔大学的 236 名第一和第二年的家庭医学住院医师被要求完成一项电子匿名调查，评估他们在不同风湿病学任务中的信心。他们还被咨询了他们最喜欢的学习方法以及他们在整个医学课程中学习与风湿病学相关的不同技能的首选时间段。
85 名家庭医学住院医师完成了调查。住院医师在评估单关节炎时相当有信心，但在评估少关节炎/多关节炎时信心较低，在评估结缔组织疾病时信心更低。家庭医学住院医师提到更喜欢传统的讲座和临床病例。他们希望在医学院培训期间学习大部分风湿病学教育。作为住院医师，他们只希望学习小胶囊、研讨会或记忆辅助。有趣的是，男性更喜欢在住院期间学习风湿病学技能，而女性则更喜欢在医学院学习。
家庭医学住院医师在评估系统性炎症性疾病方面的信心不如评估机械性肌肉骨骼问题，这突显了通过普通医学培训和家庭医学住院医师培训进行风湿病学教学的重要性。要点•家庭医学住院医师在评估系统性炎症性疾病时不如评估肌肉骨骼疾病有信心。•家庭医学住院医师更喜欢传统的讲座和临床病例。•家庭医学住院医师更喜欢在医学院培训期间学习风湿病学。
