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Assessing Medical Student Preparedness for Orthopaedic Clinical Rotations: Insights from a Cross-Sectional Survey
Mitchel Hawley1,2, Anne Boeckmann1,2, Emma Roccaforte3
1Burnett School of Medicine at TCU, Fort Worth, Texas.
JB & JS Open Access
|October 10, 2025
Summary
Medical students feel unprepared for orthopedic surgery, especially in interpreting musculoskeletal x-rays. Enhanced anatomy and radiology training are crucial for improving confidence and residency match success.
Area of Science:
- Medical Education
- Orthopedic Surgery
- Radiology
Background:
- Orthopedic surgery is a competitive specialty demanding strong clinical and academic performance.
- Medical students often report low confidence in musculoskeletal (MSK) knowledge and radiographic interpretation despite exam requirements.
Purpose of the Study:
- To assess medical student perceptions of preparedness and exposure to MSK anatomy and radiology during preclinical training.
- To identify gaps in current medical education regarding essential orthopedic knowledge.
Main Methods:
- A cross-sectional survey was administered to 41 medical students at an orthopedic research conference.
- The survey utilized a 1-5 Likert scale to evaluate self-reported preparedness in MSK anatomy and radiography.
- Participants had completed preclinical training but not yet begun orthopedic rotations.
Main Results:
- While 67.6% felt prepared in MSK anatomy, only 23.5% felt prepared to interpret MSK radiography.
- A significant majority (76.5%) struggled to find quality resources, and 41.2% felt unconfident interpreting x-rays.
- All surveyed students agreed that formal MSK x-ray instruction would be beneficial, with 91% endorsing a dedicated anatomy course.
Conclusions:
- Medical students perceive significant deficits in their preclinical training concerning MSK anatomy and radiology.
- There is a strong demand for improved educational resources and formal instruction in MSK radiology and anatomy.
- Enhancing this training is vital for improving student confidence, clinical performance, and orthopedic residency match success.
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