Department of Physical Medicine, Rehabilitation & Sports Medicine.
Biomedical Sciences Program.
P R Health Sci J. 2021 Jun;40(2):68-74.
Assess the potential value of an emergency room (ER) for the teaching of musculoskeletal (MSK) medicine to medical students and residents in training.
Data from all encounters to the ER of a teaching hospital for calendar years 2016-2019 were extracted from an electronic database. Encounters with ICD-10-CM M codes (MSK system) and S codes (injury) were selected (MSK encounters). Frequency distributions were calculated by year, sex, and age group for all encounters and MSK encounters. Annual distributions of encounters involving the shoulder, hip, knee, and ankle joints were assessed.
The number of unique patients seen during the four-year period was 84,094, and the number of encounters was 187,829 (Median: 1 encounter; interquartile range: 1-2). The mean number of encounters per year was 46,957 (range: 45,311- 48,382). There was no seasonal variation. Most patients were women (45,868; 54.6%) and young (20 29 yr.) adults (15,012; 17.8%), and these groups generated the largest numbers of encounters (women: 108,799; 57.9%; young adults: 35,969; 19.1%). A total of 41,353 encounters (22.0% of all encounters) involved the MSK system. The shoulder, hip, knee, and ankle were involved in 2,768 (1.5%), 1,592 (0.8%), 3,082 (1.6%), and 1,718 (0.9%) encounters, respectively. The most common conditions for each joint were shoulder pain, femoral fracture, knee contusion, and ankle sprain.
Our findings suggest that ER physicians should have broad knowledge of MSK conditions and injuries. An ER is an excellent location for the teaching of MSK medicine to medical students and residents of other training programs.
评估急诊室（ER）在向医学生和住院医师培训中教授肌肉骨骼（MSK）医学方面的潜在价值。
从教学医院的电子数据库中提取 2016 年至 2019 年所有急诊就诊的 ER 数据。选择 ICD-10-CM M 码（MSK 系统）和 S 码（损伤）的就诊记录（MSK 就诊记录）。计算了每年、性别和年龄组的所有就诊记录和 MSK 就诊记录的频率分布。评估了涉及肩部、臀部、膝盖和踝关节的年度就诊记录分布。
在四年期间，就诊的患者数量为 84094 人，就诊记录为 187829 人（中位数：1 次就诊；四分位距：1-2 次）。每年的就诊记录数平均为 46957 次（范围：45311-48382 次）。就诊记录无季节性变化。大多数患者为女性（45868 人；54.6%）和年轻（20-29 岁）成年人（15012 人；17.8%），这两个群体产生的就诊记录最多（女性：108799 次；57.9%；年轻成年人：35969 次；19.1%）。共 41353 次就诊记录（所有就诊记录的 22.0%）涉及 MSK 系统。肩部、臀部、膝盖和踝关节分别涉及 2768 次（1.5%）、1592 次（0.8%）、3082 次（1.6%）和 1718 次（0.9%）就诊记录。每个关节的最常见疾病是肩部疼痛、股骨骨折、膝盖挫伤和踝关节扭伤。
我们的研究结果表明，急诊医师应该对 MSK 疾病和损伤有广泛的了解。急诊室是向医学生和其他培训项目的住院医师教授 MSK 医学的绝佳场所。
