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Recommended Elements of a Musculoskeletal Course for Fourth-Year Medical Students: A Modified Delphi Consensus
Jordan Knox1, Stephen M Carek2, Rajalakshmi Cheerla3
1Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT.
Family Medicine
|January 8, 2025
Summary
This study prioritized key musculoskeletal (MSK) medicine elements for a new clinical rotation. Key components include repeated physical exam skills and focused anatomy, especially for the shoulder, knee, back, and hip.
Area of Science:
- Medical Education
- Musculoskeletal Medicine
Background:
- A significant gap exists in primary care physicians' musculoskeletal (MSK) training.
- Family medicine interns often lack foundational MSK physical examination skills.
- A proposal was made for a fourth-year preceptorship to enhance MSK education.
Purpose of the Study:
- To prioritize essential elements for a new clinical rotation focused on MSK medicine.
- To identify core competencies for improving MSK care in primary care settings.
Main Methods:
- A modified Delphi method involving three rounds was used to achieve expert consensus.
- Eleven panelists with expertise in MSK training and medical education participated.
- A list of 118 elements was generated and ranked by importance.
Main Results:
- Seventy-seven curricular elements achieved consensus for inclusion.
- Twenty-eight items were unanimously ranked as "very important."
- Physical examination of the shoulder, knee, back, and hip were identified as clinically significant.
Conclusions:
- Longitudinal repetition of physical exam skills is crucial for MSK education.
- Reinforcement of relevant anatomy and specific MSK care frameworks are important components.
- The findings will inform the curriculum development for the new MSK rotation.
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