Can training in musculoskeletal examination skills be effectively delivered by undergraduate students as part of the standard curriculum?

Perry, M.E., Burke, J.M., Friel, L. and Field, M. (2010) Can training in musculoskeletal examination skills be effectively delivered by undergraduate students as part of the standard curriculum? Rheumatology, 49(9), pp. 1756-1761. (doi: 10.1093/rheumatology/keq166)

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Publisher's URL: http://dx.doi.org/10.1093/rheumatology/keq166

Abstract

Methods. Fifty final-year students (trainers) were trained using GALS for MSS examination while attending a standard clinical medical attachment at Glasgow Royal Infirmary. These students delivered GALS training to a further 159 students (trainees). Pre/post-confidence questionnaire (100-mm visual analogue scale) and written feedback were obtained. Final Objective Structured Clinical Examination (OSCE) scores from an MSS station were compared with a control group of 229 students randomized to other hospitals for the standard MSS training. Results. Analysis of completed trainer questionnaires (30/50) showed increased confidence in all parts of GALS after training [< 47 (19) cf. > 88 (12); P < 0.005]. Similarly, confidence in trainees (136/159) who answered the questionnaire increased [< 43 (19) cf. > 85 (15); P < 0.005]. Written comments highlighted that students would recommend PAL. OSCE results showed 84% (192/229) of students in the control group passed the MSS station, with 87% (139/159) of trainees (P = 0.3) and 100% (50/50) of trainers (P < 0.01). Conclusions. MSS examination skills are improved by integrating PAL into the undergraduate medical curriculum, with student confidence being increased, and higher OSCE scores.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Field, Dr Max and Perry, Mr Martin and Burke, Dr Joanne
Authors: Perry, M.E., Burke, J.M., Friel, L., and Field, M.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
Journal Name:Rheumatology
Publisher:Oxford University Press
ISSN:1462-0324
ISSN (Online):1462-0332

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