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Helping Hands Workshop: Teaching a Focused Rheumatologic Hand Examination With Assessment of Small Joint Swelling in
Ibtissam Gad1, Christopher Podgorski2, Lisa Zickuhr3
1Assistant Professor, Department of Medicine, University of Michigan.
Summary
Internal medicine residents improved their hand musculoskeletal examination skills and confidence through a 30-minute interactive workshop. This training utilized a low-cost 3D hand model and objective structured clinical exams for effective learning.
Area of Science:
- Medical Education
- Rheumatology
- Musculoskeletal Examination
Background:
- Accurate identification of inflammatory arthritis is crucial for reducing patient morbidity and healthcare costs.
- Internal medicine residents often lack sufficient training in performing effective hand musculoskeletal examinations.
- A gap exists in practical, hands-on training for assessing inflammatory arthritis of the hand.
Purpose of the Study:
- To develop and evaluate a short, interactive workshop to train internal medicine residents in the hand musculoskeletal examination.
- To assess the impact of the workshop on residents' confidence and proficiency in performing the hand exam and identifying small joint swelling.
- To introduce a low-cost, 3D-printed hand model for simulating inflammatory arthritis in an educational setting.
Main Methods:
- A 30-minute simulation-based workshop was designed for internal medicine residents during a rheumatology elective.
- The workshop incorporated a video, demonstration, hands-on practice with a 3D hand model, and a 3-station objective structured clinical exam (OSCE).
- Participant confidence and OSCE performance were assessed using surveys and a standardized rating scale by experienced rheumatologists.
Main Results:
- Thirty-six residents participated, achieving a mean OSCE performance score of 4.67/5, indicating proficient hand exam skills.
- Post-workshop surveys showed a statistically significant increase in residents' confidence in performing the hand exam and assessing small joint swelling (P < .001).
- All participants reported a high likelihood of applying the learned skills in clinical practice.
Conclusions:
- A simulation-based workshop utilizing hands-on practice and OSCEs is effective in enhancing residents' confidence and skills in performing the hand musculoskeletal examination.
- The use of a low-cost 3D hand model provides a valuable tool for teaching inflammatory arthritis assessment.
- This educational intervention shows promise for improving the quality of care for patients with inflammatory arthritis by better equipping future physicians.
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