Nishime Nicole, Seibel Mary, Lindskog Dieter, Wiznia Daniel
Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Rd, North Haven, CT, 06473, USA.
Department of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, 2nd Floor, New Haven, CT, 06510, USA.
BMC Med Educ. 2025 Jan 29;25(1):141. doi: 10.1186/s12909-025-06673-2.
Given the importance of musculoskeletal knowledge but the limited orthopaedic instruction offered in medical school, our Orthopaedic Surgery Department developed a three-week clerkship for interested students. This study assesses the clerkship's impact on medical student musculoskeletal knowledge through administration of the Freedman and Bernstein Basic Cognitive Musculoskeletal Examination.
Medical students enrolled in the orthopaedic surgery clerkship between February 2019 and May 2024 were asked to participate in pre- and post-clerkship surveys using the Freedman and Bernstein Basic Cognitive Musculoskeletal Examination. Raw and weighted scores were computed according to the guidelines provided by Freedman and Bernstein. Averaged scores were used to compute mean pre- and post-test scores.
There were 64 responses to the pre-test and 33 responses to the post-test. The mean pre-test weighted score was 54% with 12 students (18.8%) passing. The mean post-test score was 70% with 17 students (51.5%) passing. Raw scores showed that musculoskeletal knowledge improved from pre-test (M = 55.13, SD = 19.90) to post-test (M = 70.22, SD = 14.70; p < .001). The results comparing weighted scores showed that the participants' musculoskeletal knowledge also improved from pre-test (M = 52.86, SD = 21.12) to post-test (M = 67.11, SD = 19.02; p < .001).
While students demonstrated improved musculoskeletal knowledge after completing our institution's orthopaedic surgery clerkship, almost half of the students did not pass the post-test. Most of the students who did not pass the post-test expressed definite or possible interest in pursuing an orthopaedic surgery residency.
鉴于肌肉骨骼知识的重要性，但医学院提供的骨科教学有限，我们的骨科手术部为感兴趣的学生开发了为期三周的临床实习。本研究通过实施弗里德曼和伯恩斯坦基本认知肌肉骨骼检查，评估该临床实习对医学生肌肉骨骼知识的影响。
要求2019年2月至2024年5月期间参加骨科手术临床实习的医学生使用弗里德曼和伯恩斯坦基本认知肌肉骨骼检查参加实习前和实习后的调查。根据弗里德曼和伯恩斯坦提供的指南计算原始分数和加权分数。平均分数用于计算测试前和测试后的平均分数。
测试前有64份回复，测试后有33份回复。测试前的平均加权分数为54%，12名学生（18.8%）通过。测试后的平均分数为70%，17名学生（51.5%）通过。原始分数显示，肌肉骨骼知识从测试前（M = 55.13，标准差 = 19.90）提高到测试后（M = 70.22，标准差 = 14.70；p <.001）。比较加权分数的结果显示，参与者的肌肉骨骼知识也从测试前（M = 52.86，标准差 = 21.12）提高到测试后（M = 67.11，标准差 = 19.02；p <.001）。
虽然学生在完成我们机构的骨科手术临床实习后肌肉骨骼知识有所提高，但几乎一半的学生在测试后未通过。大多数未通过测试后的学生表示对追求骨科手术住院医师职位有明确或可能的兴趣。
