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参与纵向运动医学临床培训的家庭医学住院医师在培训考试中的肌肉骨骼知识有所提高。

Musculoskeletal Knowledge on the in-Training Examination Improves in Family Medicine Residents Participating in a Longitudinal Sports Medicine Clinical Track.

作者信息

Furr Micah, Tumin Dmitry, Ferderber Megan L

机构信息

Brody School of Medicine, East Carolina University, Greenville, NC, USA.

Lehigh Valley Health Network, Hazleton, PA, USA.

出版信息

J Med Educ Curric Dev. 2024 May 2;11:23821205241250145. doi: 10.1177/23821205241250145. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVES

The study aims to assess the impacts of a sports medicine (SM) track on musculoskeletal (MSK) knowledge of family medicine (FM) residents. In-training examination (ITE) results were used to compare the MSK knowledge of FM residents with and without SM track participation.

METHODS

A single-center, retrospective study was completed on 85 FM residents from the 2018 to 2024 graduating classes who completed the ITE from 2017 to 2021. Residents were categorized by participation in the SM track, where half a day of FM continuity clinic per week is replaced with an SM clinic, supervised by a fellowship-trained SM physician. ITE scores throughout training were compared between the 2 groups using mixed-effects regression.

RESULTS

The ITE MSK scores increased among both SM track participants (+77 points/year,  = .001) and nonparticipants (+39 points/year,  = .001) throughout their training. By postgraduate year 3, SM track participants performed significantly better on the MSK portion of the ITE (+87 points compared to non-participants,  = .045). No significant difference in total ITE scores was seen between groups.

CONCLUSIONS

Our data demonstrates that participation in an SM track is associated with an increase in MSK knowledge of ITE, suggesting that an SM track may provide FM residents with a better understanding of MSK conditions.

摘要

目的

本研究旨在评估运动医学(SM)课程对家庭医学(FM)住院医师肌肉骨骼(MSK)知识的影响。使用培训期间考试(ITE)结果比较参与和未参与SM课程的FM住院医师的MSK知识。

方法

对2018年至2024年毕业班级中在2017年至2021年完成ITE的85名FM住院医师进行了单中心回顾性研究。住院医师按是否参与SM课程进行分类,其中每周半天的FM连续性门诊被SM门诊取代,由接受过专科培训的SM医生监督。使用混合效应回归比较两组在整个培训期间的ITE分数。

结果

在整个培训期间,参与SM课程的学员(+77分/年,P = 0.001)和未参与者(+39分/年,P = 0.001)的ITE MSK分数均有所提高。到研究生三年级时,参与SM课程的学员在ITE的MSK部分表现明显更好(比未参与者高87分,P = 0.045)。两组之间的ITE总分没有显著差异。

结论

我们的数据表明,参与SM课程与ITE的MSK知识增加有关,这表明SM课程可能会让FM住院医师更好地了解MSK疾病。

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