Maturation of medical student musculoskeletal medicine knowledge and clinical confidence

dc.creator	Benedict F. DiGiovanni
dc.creator	Jennifer Y. Chu
dc.creator	Christopher J. Mooney
dc.creator	David R. Lambert
dc.date	2012-07-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:19:32Z
dc.date.available	2015-07-20T22:19:32Z
dc.identifier	10.3402/meo.v17i0.17092
dc.identifier	1087-2981
dc.identifier	https://doaj.org/article/be274dfa56644b13b45e19ac3b10e1bb
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/19761
dc.description	Purpose: Despite the prevalence of musculoskeletal (MSK) disorders, the degree to which medical schools are providing students the knowledge and confidence to treat these problems is unclear. This study evaluated MSK knowledge in second and fourth year medical students using a newly developed written assessment tool and examined the maturation of clinical confidence in treating core MSK disorders. Methods: Over a 3-year period, the National Board of Medical Examiners (NBME) MSK subject examination consisting of 75 items was administered to 568 second and fourth year students at a single institution. Students were also asked to rate their confidence in treating a selection of medicine/pediatric and MSK clinical scenarios on a 5-point Likert scale. Results: Participation rate was 98%. The NBME MSK assessment score was 59.2±10.6 for all second year medical students and 69.7±9.6 for all fourth year medical students. There was a significant increase in NBME scores between the second and fourth years (p<0.0001). Students were more confident in treating internal medicine/pediatric conditions than MSK medicine conditions (p=0.001). Confidence in treating MSK medicine conditions did not improve between the second and fourth years (p=0.41). Conclusions: To our knowledge, this is the first study to report increased MSK medicine knowledge as measured by a standardized examination after completing medical school core clinical rotations. Despite increased MSK knowledge, low levels of MSK clinical confidence among graduating students were noted. Further research is needed to determine the factors that influence MSK knowledge and clinical confidence in medical students.
dc.language	English
dc.publisher	Co-Action
dc.relation	http://med-ed-online.net/index.php/meo/article/view/17092/pdf_1
dc.relation	https://doaj.org/toc/1087-2981
dc.rights	CC BY
dc.source	Medical Education Online, Vol 17, Iss 0, Pp 1-6 (2012)
dc.subject	NBME musculoskeletal subject exam
dc.subject	musculoskeletal clinical scenarios
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.title	Maturation of medical student musculoskeletal medicine knowledge and clinical confidence
dc.type	article