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. 2006 May;21(5):521-3.
doi: 10.1111/j.1525-1497.2006.00442.x.

Musculoskeletal exam and joint injection training for internal medicine residents

Affiliations

Musculoskeletal exam and joint injection training for internal medicine residents

Tracie Wilcox et al. J Gen Intern Med. 2006 May.

Abstract

We developed a musculoskeletal education intervention for internal medicine residents consisting of lectures, anatomic models, and a joint injection clinic. Written tests, observed musculoskeletal exams, and self-confidence scales were administered to 27 internal medicine residents before and after the intervention. Improvement was found in observed physical exam and self-reported confidence levels in performing knee injections. Confidence in shoulder injection skills improved, but remained low. Improved scores on written examination, though statistically significant, were not educationally significant. This single-institution pilot study demonstrates that a simple educational program results in improved knee and shoulder examination skills and confidence in performing knee injections.

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Figures

Figure 1
Figure 1
Resident performance on observed musculoskeletal exams significantly improved after the educational intervention.
Figure 2
Figure 2
Residents' confidence in performing musculoskeletal exams, joint injections, and using steroids significantly improved after the educational intervention.

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