Department of Family Medicine, East Carolina University Brody School of Medicine, Greenville, NC.
Fam Med. 2022 Jun;54(6):452-455. doi: 10.22454/FamMed.2022.626280.
Primary care physicians (PCPs) are front line providers of musculoskeletal (MSK) care and MSK injections. Little is known about the volume of common MSK injections performed by FM residents (FMRs) and those residents participating in a longitudinal clinical sports medicine (SM) track. This study outlines an SM track and demonstrates the MSK procedural experience of SM track residents (SMRs) and traditional FMRs (non-SMRs).
We utilized a retrospective study design. We compared billing codes and provider information for common MSK injections for the second (PGY-2) and third (PGY-3) postgraduate years for non-SMRs (n=39) and SMRs (n=7) graduating between 2018-2021. We used the average number of patient encounters for each comparison group (non-SMRs vs SMRs) to determine the percentage of patients receiving an MSK injection in each cohort by PGY status.
Of patients receiving MSK injections across both groups, the most common was the landmark-guided large joint injection (64.23%), and the most frequent site was the knee (47.00%). SMRs performed significantly more MSK injections per patient evaluated compared to non-SMRs while in the SM clinic (PGY-2: 2.706% vs 0.913%, P<.001; PGY-3: 4.276% vs 0.862%, P<.001). No significant differences existed between PGY-2 groups when the influence of the SM clinic was removed, but PGY-3 SMRs performed significantly more injections than PGY-3 non-SMRs (1.225% vs 0.862%, P<.011).
An SM track in the FM residency is associated with an increased volume of MSK injections among SMRs compared to their graduate year-matched non-SMRs.
初级保健医生（PCP）是肌肉骨骼（MSK）护理和 MSK 注射的一线提供者。对于家庭医学住院医师（FMR）和参加纵向临床运动医学（SM）轨道的住院医师完成的常见 MSK 注射量知之甚少。本研究概述了一个 SM 轨道，并展示了 SM 轨道住院医师（SMR）和传统 FMR（非 SMR）的 MSK 程序经验。
我们使用回顾性研究设计。我们比较了非 SMR（n=39）和 SMR（n=7）在 2018-2021 年毕业的第二（PGY-2）和第三（PGY-3）毕业后年的常见 MSK 注射的计费代码和提供者信息。我们使用每个比较组（非 SMR 与 SMR）的平均患者就诊次数来确定每个队列中按 PGY 状态接受 MSK 注射的患者比例。
在接受 MSK 注射的两组患者中，最常见的是地标引导的大关节注射（64.23%），最常见的部位是膝盖（47.00%）。与非 SMR 相比，SM 诊所中 SMR 每接受评估的患者进行的 MSK 注射明显更多（PGY-2：2.706%对 0.913%，P<.001；PGY-3：4.276%对 0.862%，P<.001）。当去除 SM 诊所的影响时，PGY-2 组之间没有显着差异，但 PGY-3 SMR 进行的注射明显多于 PGY-3 非 SMR（1.225%对 0.862%，P<.011）。
家庭医学住院医师的 SM 轨道与 SMR 相比，其与毕业年份匹配的非 SMR 相比，MSK 注射量增加。
