Department of Human Anatomy and Cell Science, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, 745 Bannatyne Ave, Winnipeg, MB, Canada.
Pan Am Clinic Foundation, Winnipeg, MB, Canada.
BMC Med Educ. 2024 Aug 6;24(1):845. doi: 10.1186/s12909-024-05849-6.
Musculoskeletal (MSK) injuries and diseases place a significant burden on the health care system. Despite this, research indicates that physician training in the area of MSK medicine has historically been inadequate, with a majority of medical students feeling that their training in MSK medicine is lacking. The goal of this investigation was to evaluate the efficacy of a new preclinical MSK curriculum that was implemented within a nationally accredited allopathic medical program.
Retrospective analysis was completed on five consecutive years (2017-2021) of preclinical MSK curricular data for 549 medical students, including mid and end-of-course examinations and end-of-course student satisfaction surveys. Both parametric and non-parametric methods of analysis were used to examine within and between class differences (P < 0.05).
The new MSK curriculum covered 15 of 16 "core or must know" topics in MSK medicine, and academic performance was consistently high over the 5-year period of analysis (final course marks ranged from 76.6 ± 7.1 to 81.4 ± 8.1; failures/year: range from 0 to 4), being equal or above levels of student performance observed for other courses delivered during preclinical studies. Likert data from end-of-course surveys demonstrated that feedback was overwhelmingly positive (overall course satisfaction ranged from a low of 3.07/4.00 to a high of 3.56/4.00) and indicated that students felt that the new preclinical MSK curriculum did effectively support medical student learning and knowledge retention.
Results are expected to help advance the current body of knowledge that is dedicated to improving physician learning and knowledge retention in the area of MSK medicine and provides a curricular model that could be used by other nationally accredited medical programs to help enhance MSK learning at the preclinical levels of physician training.
肌肉骨骼（MSK）损伤和疾病给医疗保健系统带来了巨大负担。尽管如此，研究表明，医学领域的医生在 MSK 医学方面的培训历来不足，大多数医学生认为他们在 MSK 医学方面的培训不足。本研究旨在评估一种新的临床前 MSK 课程在全国认可的医学课程中的实施效果。
对 549 名医学生连续 5 年（2017-2021 年）的临床前 MSK 课程数据进行回顾性分析，包括中期和期末课程考试以及期末学生满意度调查。使用参数和非参数分析方法检查班级内和班级间的差异（P<0.05）。
新的 MSK 课程涵盖了 16 项 MSK 医学“核心或必须知道”主题中的 15 项，在 5 年的分析期间，学术表现一直很高（期末课程成绩范围为 76.6±7.1 至 81.4±8.1；每年不及格人数：0 至 4），与临床前研究中教授的其他课程的学生表现水平相当或更高。期末调查的李克特数据表明反馈非常积极（整体课程满意度范围从 3.07/4.00 到 3.56/4.00），并表明学生认为新的临床前 MSK 课程确实有效地支持了医学生的学习和知识保留。
研究结果有望有助于推进当前致力于提高医生在 MSK 医学领域学习和知识保留的知识体系，并提供一种课程模式，其他全国认可的医学课程可以使用该模式来帮助提高医学生在临床前阶段的 MSK 学习。
