Levitt Eli B, Patch David A, Ponce Brent A, Razi Afshin E, Kates Stephen L, Patt Joshua C
University of Alabama at Birmingham, Birmingham, Alabama.
Hughston Clinic, Columbus, Georgia.
JB JS Open Access. 2021 Oct 8;6(4). doi: 10.2106/JBJS.OA.21.00026. eCollection 2021 Oct-Dec.
Osteoporosis is a critical public health issue with substantial morbidity and healthcare costs. Resident education on osteoporosis is not standardized. Little is known about the barriers to osteoporosis treatment and the usefulness of educational programming from the perspective of orthopaedic residency program directors (PDs).
This study aims to evaluate the current state and perception of bone health education from the perspective of orthopaedic residency PDs. Therefore, a self-designed 29-question online survey was sent to 129 PDs in the United States to assess bone health education. The information, collected from August to October 2020, included program characteristics, participation in the American Orthopaedic Association's Own the Bone (AOA/OTB) program or any fracture liaison service (FLS) program, availability of faculty, potential barriers, and educational resources. Data collection was performed anonymously with a 47% response rate.
The results were compared between programs that used the AOA/OTB program (30%) or any FLS program (28%) (58% OTB or any FLS) vs. programs that did not have any program (42%). Subsequent subanalysis was performed comparing AOA/OTB vs. any FLS vs. no program. Programs that did not have any FLS were least likely to have a formal education syllabus (p = 0.01). When comparing clinical education of residents on bone health, 64% of programs without any system did not provide any formal clinical exposure such as a bone health clinic vs. assessment in patients with fracture compared with 24% of OTB programs and 44% of programs with any FLS (p = 0.02). When asked about desired resources, 47% would find a bone health rotation useful. Among all PDs, 60% support the concept of a 5-year AOA Council of Orthopaedic Residency Directors (CORD)/OTB osteoporosis curriculum.
The key findings were that institutions including OTB or any FLS in their programs had better availability of specialty consultants, faculty, and a FLS coordinator.
骨质疏松症是一个严重的公共卫生问题，会导致较高的发病率和医疗费用。住院医师关于骨质疏松症的教育并不规范。从骨科住院医师培训项目主任（PDs）的角度来看，对于骨质疏松症治疗的障碍以及教育项目的实用性知之甚少。
本研究旨在从骨科住院医师培训项目主任的角度评估骨骼健康教育的现状和认知。因此，向美国129名项目主任发送了一份自行设计的包含29个问题的在线调查问卷，以评估骨骼健康教育。2020年8月至10月收集的信息包括项目特征、参与美国骨科协会的“拥有骨骼”（AOA/OTB）项目或任何骨折联络服务（FLS）项目的情况、教员的可用性、潜在障碍以及教育资源。数据收集以匿名方式进行，回复率为47%。
对使用AOA/OTB项目（30%）或任何FLS项目（28%）（58%使用OTB或任何FLS）的项目与未采用任何项目的项目（42%）的结果进行了比较。随后进行了亚分析，比较AOA/OTB与任何FLS与无项目的情况。没有任何FLS的项目最不可能有正式的教育大纲（p = 0.01）。在比较住院医师关于骨骼健康的临床教育时，64%没有任何系统的项目没有提供任何正式的临床接触，如骨骼健康诊所或骨折患者评估，而OTB项目为24%，有任何FLS的项目为44%（p = 0.02）。当被问及所需资源时，47%的人认为骨骼健康轮转会有用。在所有项目主任中，60%支持为期5年的美国骨科住院医师培训项目主任委员会（CORD）/OTB骨质疏松症课程的概念。
关键发现是，在其项目中纳入OTB或任何FLS的机构，专科顾问、教员和FLS协调员的可用性更好。
