Document Type : Original Article
Authors
1 Specialist in Orthopedic Surgeon, Assistant Professor, Department of Orthopedics, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
2 General Practitioner, Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
3 M.Sc. in Epidemiology, Deputy of Research., Research Center for Modeling in Health, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Background & Objective: Evaluating students ability in diagnosing and treating patients after graduation has been recognized as a priority for medical education The aim of this study is to evaluate students ability after graduation from Kerman University of Medical Sciences Iran in diagnosing and treating orthopedic problems Methods: This is a retrospective cross sectional study carried out on 115 graduated general practitioners of 20012006 academic year In this study to evaluate the competency of general practitioners graduated from KUMS in musculoskeletal medicine participants were asked to complete a standard questionnaire with 36 questions in 9 domains Results: The total competency of the studied people was 65% The highest competency level was related to the domains of treatment of fractures and dislocation the initial treatment of open fractures and diagnosis of fracture and dislocation (80% 77% and 73% respectively) The lowest competency level was related to the domains of congenital deformity of feet musculoskeletal system tumors and congenital dislocation of the hip (47% 50% and 52% respectively) No difference was observed between men and women in the mentioned domains Conclusion: The results of our study revealed that in general the competency of graduated physicians was average Accordingly it is recommended that universities recognize weaknesses of graduated general practitioners according to a compiled program Moreover annual education programs can prevent more problems from occurring in the work setting and higher levels of education of these general practitioners
Keywords
- Naghavi M, Abolhassani F, Pourmalek F, etal. The burden of disease and injury in Iran 2003. Population Health Metrics 2009; 7(9):1-21. [In Persian]
- Pinney SJ, Regan WD. Educating medical students about musculoskeletal problems: are community needs reflected in the curricula of Canadian medical schools? The Journal of Bone & Joint Surgery 2001; 83:1317–20.
- De-Lorenzo RA, Mayer D, Geehr EC. Analyzing clinical case distributions to improve an emergency medicine clerkship. Annals of Emergency Medicine 1990;19(7):746-51.
- De-Innocencio J. Epidemiology of musculoskeletal pain in primary care. Archives of Disease in Childhood. 2004; 89:431-4.
- Lidgren L. The bone and joint decade 2000– 2010. Bull World Health Organ 2003; 81(9): 629.
- Association of American Medical Colleges. Contemporary Issues in Medicine: Musculoskeletal Medicine Education. Washington, DC: Association of American Medical Colleges; 2005. Available From: https://members.aamc.org/eweb/upload/Conte mporary%20Issues%20in%20Med%20Muscu loskeletal%20Med%20Report%20VII%20.pd f
- Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003; 81(9): 646–56.
- Day CS, Yeh AC. Evidence of educational inadequacies in region-specific musculoskeletal medicine. Clinical Orthopaedics and Related Research 2008; 466(10):2542–47.
- Woolf AD. Global core recommendations for a musculoskeletal undergraduate curriculum. Ann Rheum Dis 2004; 63(5): 517–24.
- Coady DA, Walker DJ, Kay LJ. Teaching medical students musculoskeletal examination skills: identifying barriers to learning and ways of overcoming them. Scandinavian Journal of Rheumatology 2004;33(1):47–51.
- Jones JK. An evaluation of medical school education in musculoskeletal medicine at the University of the West Indies, Barbados. West Indian Medical Journal. 2001; 50(1):668.
- Schmale GA. More evidence of educational inadequacies in musculoskeletal medicine. Clinical Orthopaedics & Related Research 2005;437: 251–9.
- Bernstein J, Alonso DR, DiCaprio M, et al. Curricular reform in musculoskeletal medicine: needs, opportunities, and solutions. Clinical Orthopaedics & Related Research 2003;415: 302–8.
- Freedman KB, Bernstein J. Educational deficiencies in musculoskeletal medicine. The Journal of Bone Joint Surgery 2002;84(4):604–8.
- Matzkin E, Smith EL, Freccero D, Richardson AB. Adequacy of education in musculoskeletal medicine. The Journal of Bone Joint Surgery 2005; 87(2):310–4.
- Glazier RH, Dalby DM, Badley EM, et al. Determinants of physician confidence in the primary care management of musculoskeletal disorders. Journal of Rheumatology 1996;23(2):351–6.
- Day CS, Yeh AC, Franko O, Ramirez M, Krupat E. musculoskeletal medicine: an assessment of the attitudes and knowledge of medical students at Harvard medical school. Academic Medicine 2007; 82(5):452–7.
- Dehghani MR, Kamyabi A. Career status of medical graduates between 2001 and 2007 from Kerman University of medical sciences. Strides in Development of Medical Education 2008; 4(2):67-76. [In Persian]
- Woolf AD, Akesson K. Primer: history and examination in the assessment of musculoskeletal problems. nature clinical practice rheumatology 2008 Jan; 4(1):26-33.
- Woolf AD. Global core recommendations for a musculoskeletal undergraduate curriculum. Ann Rheum Dis 2004; 63(5): 517–24.
- Mashov R, Tabenkin H. How family physicians estimate their knowledge and skills in musculoskeletal problems? Harefuah 2011; 150(3):242-5.
- Akesson K, Dreinhofer KE, Woolf AD. Improved education in musculoskeletal conditions is necessary for all doctors. Bull world health organ 2003;81(9):677-83.
- Seabrook MA. Medical teachers’ concerns about the clinical teaching context. Medical Education 2003;37(3):213-21.
- Sneiderman C. Orthopedic practice and training of family physicians: a survey of 302 North Carolina practitioners. J Fam Pract 1977;4(2):267-50.
- Lynch JR, Schmale GA, Schaad DC, Leopold SS. Important demographic variables impact the musculoskeletal knowledge and confidence of academic primary care physicians. The Journal of Bone & Joint Surgery 2006;88(7):1589–95.
- Queally JM, Kiely PD, Shelly MJ, et al. Deficiencies in the education of musculoskeletal medicine in Ireland. Irish Journal of Medical Science 2008;177(2):99105.
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