TY - JOUR
T1 - Assessment of an Orthopedic Surgery Rotation on Musculoskeletal Competency in Emergency Medicine Residency Training
AU - Schmitz, Gillian
AU - Cohen, Jared
AU - Aden, James
AU - Lawson, Michael
AU - Kucera, John
AU - Kampfer, Craig
AU - Gebrael, Meera
AU - Schmitz, Matthew R.
AU - Osborn, Patrick
N1 - Funding Information:
We would like to acknowledge and thank Dr. Abdul Mohamed for his contributions in recruiting participants and all emergency medicine residents who volunteered their time to take the BCE pre- and post-test examination. Funding: There was no funding provided for this study. Disclaimers: The opinions and assertions expressed herein are those of the author(s) and do not necessarily reflect the official policy or position of the Uniformed Services University or the Department of Defense. Neither I nor my family members have a financial interest in any commercial product, service, or organization providing financial support for this research. The views expressed in the submitted article are also that of the additional authors and not an official position of the University of Texas Health San Antonio or Brooke Army Medical Center. PO conceived and designed the trial. GS, MG, CK supervised the conduct of the trial and data collection. GS, PO, and MS served as independent panel reviewers to score the data and ML and JK served as independent blinded reviewers. JA performed statistical analysis. GS and JC drafted the manuscript, and all authors contributed substantially to its revision. GS takes responsibility for the paper as a whole.
Publisher Copyright:
© 2020
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Objective: To determine baseline knowledge of emergency medicine (EM) residents at 2 different residency training programs and assess if a 4-week orthopedic surgery rotation would improve musculoskeletal (MSK) knowledge as assessed by the basic competency exam (BCE). This study also sought to compare variations of the BCE to determine how emergency physicians would perform on the full 25-question assessment vs a modified 18-question test. Design: Residents from 2 different EM residency training programs were given the BCE to determine baseline MSK knowledge prior to their orthopedic surgery rotations. A postrotation BCE was given to the residents from both EM training programs upon completion of their orthopedic surgery rotation. Both prerotation and postrotation tests were reviewed and scored independently by a panel of experts and later assessed by 2 independent reviewers. Setting: San Antonio Military Medical Center, SA Tx Level I Trauma, Tertiary Care Center University of Texas Health, SA, Tx, Level 1 Trauma, Tertiary Care Center. Participants: A total of 54 EM residents completed both the prerotation test and pos-rotation test. Results: EM residents at both programs had significantly improved test scores after an orthopedic surgery rotation. Baselines scores of PGY-2 residents were higher than PGY-1 residents. Conclusions: EM residents can improve their competency in MSK education with a 4-week rotation in orthopedic surgery. Further studies are needed to determine knowledge retention and to identify components of an optimal orthopedic rotation.
AB - Objective: To determine baseline knowledge of emergency medicine (EM) residents at 2 different residency training programs and assess if a 4-week orthopedic surgery rotation would improve musculoskeletal (MSK) knowledge as assessed by the basic competency exam (BCE). This study also sought to compare variations of the BCE to determine how emergency physicians would perform on the full 25-question assessment vs a modified 18-question test. Design: Residents from 2 different EM residency training programs were given the BCE to determine baseline MSK knowledge prior to their orthopedic surgery rotations. A postrotation BCE was given to the residents from both EM training programs upon completion of their orthopedic surgery rotation. Both prerotation and postrotation tests were reviewed and scored independently by a panel of experts and later assessed by 2 independent reviewers. Setting: San Antonio Military Medical Center, SA Tx Level I Trauma, Tertiary Care Center University of Texas Health, SA, Tx, Level 1 Trauma, Tertiary Care Center. Participants: A total of 54 EM residents completed both the prerotation test and pos-rotation test. Results: EM residents at both programs had significantly improved test scores after an orthopedic surgery rotation. Baselines scores of PGY-2 residents were higher than PGY-1 residents. Conclusions: EM residents can improve their competency in MSK education with a 4-week rotation in orthopedic surgery. Further studies are needed to determine knowledge retention and to identify components of an optimal orthopedic rotation.
KW - basic competency exam
KW - graduate medical education
KW - musculoskeletal education
KW - orthopedic training
UR - http://www.scopus.com/inward/record.url?scp=85086746735&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086746735&partnerID=8YFLogxK
U2 - 10.1016/j.jsurg.2020.02.016
DO - 10.1016/j.jsurg.2020.02.016
M3 - Article
C2 - 32217126
AN - SCOPUS:85086746735
VL - 77
SP - 986
EP - 990
JO - Journal of Surgical Education
JF - Journal of Surgical Education
SN - 1931-7204
IS - 4
ER -