Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Martins,Delio Eulalio
Data de Publicação: 2020
Outros Autores: Roncati,Ana Cristina Kuhn Pletsch, Rocha,Robson Oliveira, Freire,Marcos Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000300229
Resumo: ABSTRACT BACKGROUND: Musculoskeletal disorders account for up to one in four of general-practice consultations and almost one third of complaints in primary-care clinical practice. However, an insufficient amount of time and importance is given to their teaching in most medical schools. OBJECTIVE: To evaluate the acquisition of musculoskeletal competences in our institution, in order to identify flaws and propose changes to correct and improve the musculoskeletal curriculum. DESIGN AND SETTING: Cross-sectional study conducted in São Paulo, Brazil. METHODS: First to fifth-year medical students were enrolled in a survey using the Freedman and Bernstein musculoskeletal examination, in order to evaluate the acquisition of musculoskeletal competencies. Categorical data were analyzed using the chi-square test. Continuous data were analyzed using one-way analysis of variance (ANOVA). The level of significance was set as P < 0.05. RESULTS: A total of 545 students completed the questionnaire: from year 2, 115/167 (29.6%); from year 3, 118/138 (30.4%); from year 4, 98/130 (25.3%); and from year 5, 57/110 (14.7%). None of the students achieved the pass mark (established as 70%). The level of confidence in performing musculoskeletal examination was very low (3.7 ± 2.2; n = 386) and bore no relationship to the percentage of correct answers in the questionnaire (r = 0.331; 95% confidence interval, CI: 0.239-0.417; P < 0.001). CONCLUSION: Undergraduate teaching is the only exposure most general practitioners have to orthopedic problems. Universities are concerned about the adequacy of the musculoskeletal programs taught in their institutions. Student scores were found to be unsatisfactory in all the topics evaluated.
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spelling Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional studyEducationLearningCurriculumTeaching methodsEducational modelsOrthopedic curriculumMusculoskeletal curriculumMedical curriculumCompetency-based curriculumABSTRACT BACKGROUND: Musculoskeletal disorders account for up to one in four of general-practice consultations and almost one third of complaints in primary-care clinical practice. However, an insufficient amount of time and importance is given to their teaching in most medical schools. OBJECTIVE: To evaluate the acquisition of musculoskeletal competences in our institution, in order to identify flaws and propose changes to correct and improve the musculoskeletal curriculum. DESIGN AND SETTING: Cross-sectional study conducted in São Paulo, Brazil. METHODS: First to fifth-year medical students were enrolled in a survey using the Freedman and Bernstein musculoskeletal examination, in order to evaluate the acquisition of musculoskeletal competencies. Categorical data were analyzed using the chi-square test. Continuous data were analyzed using one-way analysis of variance (ANOVA). The level of significance was set as P < 0.05. RESULTS: A total of 545 students completed the questionnaire: from year 2, 115/167 (29.6%); from year 3, 118/138 (30.4%); from year 4, 98/130 (25.3%); and from year 5, 57/110 (14.7%). None of the students achieved the pass mark (established as 70%). The level of confidence in performing musculoskeletal examination was very low (3.7 ± 2.2; n = 386) and bore no relationship to the percentage of correct answers in the questionnaire (r = 0.331; 95% confidence interval, CI: 0.239-0.417; P < 0.001). CONCLUSION: Undergraduate teaching is the only exposure most general practitioners have to orthopedic problems. Universities are concerned about the adequacy of the musculoskeletal programs taught in their institutions. Student scores were found to be unsatisfactory in all the topics evaluated.Associação Paulista de Medicina - APM2020-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000300229Sao Paulo Medical Journal v.138 n.3 2020reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2019.0526.r1.19022020info:eu-repo/semantics/openAccessMartins,Delio EulalioRoncati,Ana Cristina Kuhn PletschRocha,Robson OliveiraFreire,Marcos Pauloeng2020-07-14T00:00:00Zoai:scielo:S1516-31802020000300229Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2020-07-14T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
title Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
spellingShingle Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
Martins,Delio Eulalio
Education
Learning
Curriculum
Teaching methods
Educational models
Orthopedic curriculum
Musculoskeletal curriculum
Medical curriculum
Competency-based curriculum
title_short Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
title_full Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
title_fullStr Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
title_full_unstemmed Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
title_sort Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
author Martins,Delio Eulalio
author_facet Martins,Delio Eulalio
Roncati,Ana Cristina Kuhn Pletsch
Rocha,Robson Oliveira
Freire,Marcos Paulo
author_role author
author2 Roncati,Ana Cristina Kuhn Pletsch
Rocha,Robson Oliveira
Freire,Marcos Paulo
author2_role author
author
author
dc.contributor.author.fl_str_mv Martins,Delio Eulalio
Roncati,Ana Cristina Kuhn Pletsch
Rocha,Robson Oliveira
Freire,Marcos Paulo
dc.subject.por.fl_str_mv Education
Learning
Curriculum
Teaching methods
Educational models
Orthopedic curriculum
Musculoskeletal curriculum
Medical curriculum
Competency-based curriculum
topic Education
Learning
Curriculum
Teaching methods
Educational models
Orthopedic curriculum
Musculoskeletal curriculum
Medical curriculum
Competency-based curriculum
description ABSTRACT BACKGROUND: Musculoskeletal disorders account for up to one in four of general-practice consultations and almost one third of complaints in primary-care clinical practice. However, an insufficient amount of time and importance is given to their teaching in most medical schools. OBJECTIVE: To evaluate the acquisition of musculoskeletal competences in our institution, in order to identify flaws and propose changes to correct and improve the musculoskeletal curriculum. DESIGN AND SETTING: Cross-sectional study conducted in São Paulo, Brazil. METHODS: First to fifth-year medical students were enrolled in a survey using the Freedman and Bernstein musculoskeletal examination, in order to evaluate the acquisition of musculoskeletal competencies. Categorical data were analyzed using the chi-square test. Continuous data were analyzed using one-way analysis of variance (ANOVA). The level of significance was set as P < 0.05. RESULTS: A total of 545 students completed the questionnaire: from year 2, 115/167 (29.6%); from year 3, 118/138 (30.4%); from year 4, 98/130 (25.3%); and from year 5, 57/110 (14.7%). None of the students achieved the pass mark (established as 70%). The level of confidence in performing musculoskeletal examination was very low (3.7 ± 2.2; n = 386) and bore no relationship to the percentage of correct answers in the questionnaire (r = 0.331; 95% confidence interval, CI: 0.239-0.417; P < 0.001). CONCLUSION: Undergraduate teaching is the only exposure most general practitioners have to orthopedic problems. Universities are concerned about the adequacy of the musculoskeletal programs taught in their institutions. Student scores were found to be unsatisfactory in all the topics evaluated.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000300229
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1516-3180.2019.0526.r1.19022020
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.138 n.3 2020
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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