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F1-taught orthopaedic teaching programme for students (FOTS).
Prakrit Raj Kumar1, Yousuf Hashmi1, William Beedham1
1University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Postgraduate Medical Journal
|April 17, 2023
Summary
Foundation Year 1 doctors taught medical students clinical orthopaedic examinations online. This program improved student knowledge and confidence, while enhancing F1 doctors' teaching skills, despite pandemic-related de-skilling.
Area of Science:
- Medical Education
- Orthopaedic Surgery
- Online Learning
Background:
- COVID-19 pandemic caused significant student de-skilling in clinical practice.
- Foundation Year 1 (F1) doctors require teaching experience but lack formal preparation.
- A national orthopaedic teaching program was developed to address these challenges.
Purpose of the Study:
- To enhance medical students' clinical orthopaedic examination skills.
- To provide F1 doctors with opportunities to develop teaching abilities.
- To assess the effectiveness of an online teaching program.
Main Methods:
- Six weekly online sessions on joint examinations delivered via Zoom.
- Presession and postsession multiple-choice questions (MCQs) assessed knowledge gain.
- Anonymous feedback collected from students and F1 tutors.
Main Results:
- 87.1% of 341 students provided feedback; 86.2% reported de-skilling due to a mean 15-week placement gap.
- Significant improvements observed in student confidence (p<0.001) and MCQ scores (p<0.001).
- 91.6% and 95.3% of students found online teaching increased attendance and preparedness; all F1 tutors reported improved confidence and skills.
Conclusions:
- Online delivery of clinical orthopaedic examinations is effective for enhancing student knowledge and confidence.
- The program successfully provided F1 doctors with valuable teaching experience.
- Findings support the adoption of similar online programs across specialties to benefit all stakeholders.

