Sonnleitner Mikayla L, Snyder Eli M, Johnson Franchesca A, Lee Ho Hyun, Kokame Kelli A, Wong Jennifer M, Yu Jaime C, Kasuya Richard T, Lee Damon, Lew Henry L
University of Hawai'i John A. Burns School of Medicine.
Division of Physical Medicine and Rehabilitation, University of Alberta.
Hawaii J Health Soc Welf. 2025 Aug;84(8):148-153. doi: 10.62547/MLTR2588.
In response to feedback from previous medical students, the office of medical education at a state-funded medical school (University of Hawaii) conducted an IRB-approved survey study to formally evaluate the experience of current medical students regarding their confidence with MSK examination skills, and solicited suggestions for improvement. We collected data from students who were transitioning from second to third year regarding the following: (1) confidence in various physical exams, (2) perceived preparedness for clerkships, (3) usefulness of existing MSK clinical activities, and (4) suggestions for improvement. A majority of students expressed lack of confidence in the MSK physical exam, which was notably lower than other organ system exams. Recommendations for curriculum improvement included early integration of MSK examination teaching with corresponding anatomy laboratory sessions, inclusion of physiatry teaching, and increased small-group learning sessions. This study revealed the need for (1) synchronizing MSK clinical skills training with anatomy curriculum during the first year, and (2) inclusion of physiatry teaching in the MSK curriculum. Ideally, this study will serve as a starting point for further innovations and improvements in MSK medical education.
为回应往届医学生的反馈，一所州立医学院（夏威夷大学）的医学教育办公室开展了一项经机构审查委员会批准的调查研究，以正式评估当前医学生在肌肉骨骼系统（MSK）检查技能方面的自信程度，并征求改进建议。我们收集了从二年级升入三年级的学生在以下方面的数据：（1）对各种体格检查的信心；（2）对见习的准备情况；（3）现有MSK临床活动的实用性；（4）改进建议。大多数学生表示对MSK体格检查缺乏信心，这明显低于其他器官系统检查。课程改进建议包括将MSK检查教学与相应的解剖学实验课程尽早整合、纳入物理医学教学以及增加小组学习课程。本研究表明需要（1）在第一年将MSK临床技能培训与解剖学课程同步进行，以及（2）在MSK课程中纳入物理医学教学。理想情况下，本研究将成为MSK医学教育进一步创新和改进的起点。
