This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by FREEDMAN, K. B.
Right arrow Articles by BERNSTEIN, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by FREEDMAN, K. B.
Right arrow Articles by BERNSTEIN, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
The Journal of Bone and Joint Surgery 80:1421-7 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

The Adequacy of Medical School Education in Musculoskeletal Medicine*{dagger}

KEVIN B. FREEDMAN, M.D.{ddagger} and JOSEPH BERNSTEIN, M.D., M.S.{ddagger}, PHILADELPHIA, PENNSYLVANIA

Investigation performed at the University of Pennsylvania School of Medicine, Philadelphia

A basic familiarity with musculoskeletal disorders is essential for all medical school graduates. The purpose of the current study was to test a group of recent medical school graduates on basic topics in musculoskeletal medicine in order to assess the adequacy of their preparation in this area. A basic-competency examination in musculoskeletal medicine was developed and validated. The examination was sent to all 157 chairpersons of orthopaedic residency programs in the United States, who were asked to rate each question for importance and to suggest a passing score. To assess the criterion validity, the examination was administered to eight chief residents in orthopaedic surgery. The study population comprised all eighty-five residents who were in their first postgraduate year at our institution; the examination was administered on their first day of residency. One hundred and twenty-four (81 per cent) of the 154 orthopaedic residency-program chairpersons who received the survey responded to it. The chairpersons rated twenty-four of the twenty-five questions as at least important. The mean passing score (and standard deviation) that they recommended for the assessment of basic competency was 73.1 ± 6.8 per cent. The mean score for the eight orthopaedic chief residents was 98.5 ± 1.07 per cent, and that for the eighty-five residents in their first postgraduate year was 59.6 ± 12 per cent. Seventy (82 per cent) of the eighty-five residents failed to demonstrate basic competency on the examination according to the chairpersons' criterion. The residents who had taken an elective course in orthopaedic surgery in medical school scored higher on the examination (mean score, 68.4 per cent) than did those who had taken only a required course in orthopaedic surgery (mean score, 57.9 per cent) and those who had taken no rotation in orthopaedic surgery (mean score, 55.9 per cent) (p = 0.005 and p = 0.001, respectively). In summary, seventy (82 per cent) of eighty-five medical school graduates failed a valid musculoskeletal competency examination. We therefore believe that medical school preparation in musculoskeletal medicine is inadequate.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
A. A. Marino, K. Bilderback, J. Eggerstedt, and R. McCall
Design and Implementation of a System-Based Course in Musculoskeletal Medicine for Medical Students
J. Bone Joint Surg. Am., May 1, 2009; 91(5): 1277 - 1277.
[Full Text] [PDF]

Home page
 JBJSHome page
K. Bilderback, J. Eggerstedt, K. K. Sadasivan, L. Seelig, R. Wolf, S. Barton, R. McCall, A. L. Chesson Jr., and A. A. Marino
Design and Implementation of a System-Based Course in Musculoskeletal Medicine for Medical Students
J. Bone Joint Surg. Am., October 1, 2008; 90(10): 2292 - 2300.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. Bernstein, T. King, and G. V. Lawry
Musculoskeletal Medicine Educational Reform in the Bone and Joint Decade
J. Bone Joint Surg. Am., October 1, 2007; 89(10): 2308 - 2311.
[Full Text] [PDF]

Home page
 JAOA: Journal of the American Osteopathic AssociationHome page
J. J. Ruane
Competence Levels in Musculoskeletal Medicine: A Call to Action
J Am Osteopath Assoc, May 1, 2007; 107(5): 197 - 198.
[Full Text] [PDF]

Home page
 JBJSHome page
J. R. Lynch, G. A. Schmale, D. C. Schaad, and S. S. Leopold
J.R. Lynch, G.A. Schmale, D.C. Schaad, and S.S. Leopold reply:
J. Bone Joint Surg. Am., February 1, 2007; 89(2): 451 - 451.
[Full Text] [PDF]

Home page
 ptjournalHome page
D. U Jette, K. Ardleigh, K. Chandler, and L. McShea
Decision-Making Ability of Physical Therapists: Physical Therapy Intervention or Medical Referral
Physical Therapy, December 1, 2006; 86(12): 1619 - 1629.
[Abstract] [Full Text] [PDF]

Home page
 Ann Rheum DisHome page
M Bideau, P-A Guerne, M-P Bianchi, and P Huber
Benefits of a programme taking advantage of patient-instructors to teach and assess musculoskeletal skills in medical students
Ann Rheum Dis, December 1, 2006; 65(12): 1626 - 1630.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. R. Lynch, G. A. Schmale, D. C. Schaad, and S. S. Leopold
Important Demographic Variables Impact the Musculoskeletal Knowledge and Confidence of Academic Primary Care Physicians
J. Bone Joint Surg. Am., July 1, 2006; 88(7): 1589 - 1595.
[Abstract] [Full Text] [PDF]

Home page
 JAOA: Journal of the American Osteopathic AssociationHome page
A. R. Stockard and T. W. Allen
Competence Levels in Musculoskeletal Medicine: Comparison of Osteopathic and Allopathic Medical Graduates
J Am Osteopath Assoc, June 1, 2006; 106(6): 350 - 355.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
E. Matzkin, M. E. L. Smith, C. D. Freccero, and A. B. Richardson
Adequacy of Education in Musculoskeletal Medicine
J. Bone Joint Surg. Am., February 1, 2005; 87(2): 310 - 314.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. A. Demorest, D. T. Bernhardt, T. M. Best, and G. L. Landry
Pediatric Residency Education: Is Sports Medicine Getting Its Fair Share?
Pediatrics, January 1, 2005; 115(1): 28 - 33.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
L. Goh, A. Samanta, S. Cavendish, and D. Heney
Rheumatology curriculum: passport to the future successful handling of the musculoskeletal burden?
Rheumatology, December 1, 2004; 43(12): 1468 - 1472.
[Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
S. Basu, C. Roberts, D. I. Newble, and M. L. Snaith
Comparing and contrasting undergraduate competence in musculoskeletal medicine with cardiovascular medicine and neurology
Rheumatology, November 1, 2004; 43(11): 1398 - 1401.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. Bernstein, M. R. DiCaprio, and S. Mehta
The Relationship Between Required Medical School Instruction in Musculoskeletal Medicine and Application Rates to Orthopaedic Surgery Residency Programs
J. Bone Joint Surg. Am., October 1, 2004; 86(10): 2335 - 2338.
[Abstract] [Full Text] [PDF]

Home page
 Ann Rheum DisHome page
A D Woolf, N E Walsh, and K Akesson
Global core recommendations for a musculoskeletal undergraduate curriculum
Ann Rheum Dis, May 1, 2004; 63(5): 517 - 524.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
B. M. Reeder, E. D. Lyne, D. R. Patel, and D. R. Cucos
Referral Patterns to a Pediatric Orthopedic Clinic: Implications for Education and Practice
Pediatrics, March 1, 2004; 113(3): e163 - 167.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. M. Spengler
Great to Greater: Opportunities and Challenges for the American Orthopaedic Association in the Early Twenty-first Century. Challenges in Our Academic Mission
J. Bone Joint Surg. Am., December 1, 2003; 85(12): 2471 - 2476.
[Full Text] [PDF]

Home page
 JBJSHome page
M. R. DiCaprio, A. Covey, and J. Bernstein
Curricular Requirements for Musculoskeletal Medicine in American Medical Schools
J. Bone Joint Surg. Am., March 11, 2003; 85(3): 565 - 567.
[Full Text] [PDF]

Home page
 JBJSHome page
P. J. Stern, L. H. Riley III, D. L. Johnson, and M. I. Boyer
Educational Opportunities for Medical Students and Young Orthopaedic Surgeons
J. Bone Joint Surg. Am., March 11, 2003; 85(3): 573 - 575.
[Full Text] [PDF]

Home page
 AJPHHome page
M. Smith and L. Carber
Chiropractic Health Care in Health Professional Shortage Areas in the United States
Am J Public Health, December 1, 2002; 92(12): 2001 - 2009.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
D. J. Walker and L. J. Kay
Musculoskeletal examination for medical students: the need to agree what we teach
Rheumatology, November 1, 2002; 41(11): 1221 - 1223.
[Full Text] [PDF]

Home page
 JBJSHome page
K. B. Freedman and J. Bernstein
Educational Deficiencies in Musculoskeletal Medicine
J. Bone Joint Surg. Am., April 1, 2002; 84(4): 604 - 608.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
V. F.X. Deeney, C. T. Mehlman, W. M. Strub, D. R. Roy, E. J. Wall, and A. H. Crawford
Time to Treatment: The Question of Beneficial Surgical Delays
J. Bone Joint Surg. Am., November 1, 2001; 83(11): 1756 - 1757.
[Full Text] [PDF]

Home page
 JBJSHome page
S. J. Pinney and W. D. Regan
Educating Medical Students About Musculoskeletal Problems : Are Community Needs Reflected in the Curricula of Canadian Medical Schools?
J. Bone Joint Surg. Am., September 1, 2001; 83(9): 1317 - 1320.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. A. Scherl, N. Lively, and M. A. Simon
Initial Review of Electronic Residency Application Service Charts by Orthopaedic Residency Faculty Members : Does Applicant Gender Matter?
J. Bone Joint Surg. Am., January 1, 2001; 83(1): 65 - 65.
[Abstract] [Full Text]

Home page
 JBJSHome page
S. L. WEINSTEIN
2000-2010: The Bone and Joint Decade
J. Bone Joint Surg. Am., January 1, 2000; 82(1): 1 - 3.
[Full Text]