Department of Emergency Medicine, Albany Medical College, Albany, NY.
Department of Emergency Medicine, The University of Arizona, Tucson, AZ.
Curr Sports Med Rep. 2021 Jan 1;20(1):31-46. doi: 10.1249/JSR.0000000000000800.
Musculoskeletal and sports medicine conditions are common in the emergency department (ED). Emergency physicians may not be receiving adequate education to achieve clinical competency in musculoskeletal medicine during residency training. This article aims to provide a standardized musculoskeletal and sports medicine curriculum for emergency medicine training. Broad curriculum goals include proficiency in evaluating and managing patients presenting to the ED with acute and chronic musculoskeletal complaints and other medical conditions related to or affected by physical exertion, sports participation, or environmental exposure. Specific objectives focus on knowledge of these disorders, physical examination skills, procedural skills including musculoskeletal ultrasound, appropriate consultation and referral, and patient education for these conditions. Educational methods will consist of didactics; online self-directed learning modules; simulation; and supervised clinical experiences in the ED, primary care sports medicine clinics, and orthopedic clinics if available. Curriculum implementation is expected to vary across programs due to differences in residency program structure and resources.
肌肉骨骼和运动医学疾病在急诊科（ED）很常见。急诊医师在住院医师培训期间可能没有接受足够的教育，无法在肌肉骨骼医学方面达到临床能力。本文旨在为急诊医学培训提供标准化的肌肉骨骼和运动医学课程。广泛的课程目标包括熟练评估和管理因急性和慢性肌肉骨骼投诉以及其他与体力活动、运动参与或环境暴露相关或受其影响的医疗状况而到急诊科就诊的患者。具体目标侧重于这些疾病的知识、体格检查技能、程序技能，包括肌肉骨骼超声、适当的咨询和转诊，以及这些疾病的患者教育。教育方法将包括讲课、在线自学模块、模拟以及在急诊科、初级保健运动医学诊所和骨科诊所（如果有）的监督临床经验。由于住院医师培训计划结构和资源的差异，预计课程实施在不同的计划中会有所不同。
