PDF(Pubmed)
Abstract：
BACKGROUND: General pediatricians often initially address children\'s musculoskeletal (MSK) issues and play a crucial role in triaging and managing patients\' rheumatologic conditions. This study assessed the effectiveness of a structured curriculum in enhancing pediatric residents\' knowledge, MSK examination skills, and confidence during a 4-week pediatric rheumatology rotation.
METHODS: Pediatric residents in their either second or third year who participated in the 4-week rheumatology rotation once across three academic years (July 2020-June 2023) were enrolled. Residents\' knowledge, MSK examination skills, and confidence were assessed at pre- and post-rotation by using 25 multiple-choice questions, the Thai pediatric Gait Arms Legs Spine examination, and a questionnaire, respectively. The curriculum comprised instruction on MSK examinations, interactive lectures, case-based discussion, topic reviews, MSK radiology conference, clinical experience in rheumatology clinic and consultations, with self-guided learning with educational resources.
RESULTS: Fifty-eight pediatric residents (48 females, 10 males) with a mean age of 28.9 ± 0.8 years participated. Significant improvements were noted postrotation. Knowledge scores rose from 63.0 ± 12.2 to 79.7 ± 9.1 (mean difference 16.7 ± 10.3, p < 0.001). Similarly, MSK examination scores increased from 67.5 ± 14.4 to 93.6 ± 8.7 (mean difference 26.1 ± 14.6, p < 0.001). Residents also reported a marked increase in confidence across all evaluated areas, including history taking, MSK examination, arthrocentesis, and diagnosing and treating rheumatologic conditions (p < 0.001).
CONCLUSIONS: The 4-week structured curriculum in the pediatric rheumatology rotation significantly enhanced pediatric residents\' knowledge, MSK examination skills, and confidence. These findings support the integration of pediatric rheumatology rotations into pediatric residency training programs.
METHODS: Pediatric residents in their either second or third year who participated in the 4-week rheumatology rotation once across three academic years (July 2020-June 2023) were enrolled. Residents\' knowledge, MSK examination skills, and confidence were assessed at pre- and post-rotation by using 25 multiple-choice questions, the Thai pediatric Gait Arms Legs Spine examination, and a questionnaire, respectively. The curriculum comprised instruction on MSK examinations, interactive lectures, case-based discussion, topic reviews, MSK radiology conference, clinical experience in rheumatology clinic and consultations, with self-guided learning with educational resources.
RESULTS: Fifty-eight pediatric residents (48 females, 10 males) with a mean age of 28.9 ± 0.8 years participated. Significant improvements were noted postrotation. Knowledge scores rose from 63.0 ± 12.2 to 79.7 ± 9.1 (mean difference 16.7 ± 10.3, p < 0.001). Similarly, MSK examination scores increased from 67.5 ± 14.4 to 93.6 ± 8.7 (mean difference 26.1 ± 14.6, p < 0.001). Residents also reported a marked increase in confidence across all evaluated areas, including history taking, MSK examination, arthrocentesis, and diagnosing and treating rheumatologic conditions (p < 0.001).
CONCLUSIONS: The 4-week structured curriculum in the pediatric rheumatology rotation significantly enhanced pediatric residents\' knowledge, MSK examination skills, and confidence. These findings support the integration of pediatric rheumatology rotations into pediatric residency training programs.
摘要：
背景：普通儿科医生通常最初解决儿童的肌肉骨骼（MSK）问题，并在患者风湿性疾病的分类和管理中发挥关键作用。这项研究评估了结构化课程在提高儿科住院医师知识方面的有效性，MSK考试技巧,和信心在4周的儿科风湿病轮换。
方法：参加为期4周的风湿病轮换的第二或第三年儿科居民在三个学年（2020年7月至2023年6月）参加了一次。居民知识，MSK考试技巧,在轮换前和轮换后，通过使用25个多项选择题来评估信心，泰国儿科步态手臂腿部脊柱检查，和一份问卷，分别。课程包括MSK考试的指导，互动讲座，基于案例的讨论，主题评论,MSK放射学会议，风湿病诊所和咨询的临床经验，通过教育资源进行自我指导学习。
结果：58名儿科居民（48名女性，10名男性），平均年龄为28.9±0.8岁。旋转后注意到显着改善。知识得分从63.0±12.2上升到79.7±9.1（平均差16.7±10.3，p<0.001）。同样，MSK检查分数从67.5±14.4增加到93.6±8.7（平均差26.1±14.6，p<0.001）。居民还报告说，所有评估地区的信心都显着增加，包括历史，MSK检查,关节穿刺术,诊断和治疗风湿病(p<0.001)。
结论：儿科风湿病轮换的4周结构课程显著提高了儿科居民的知识，MSK考试技巧,和信心。这些发现支持将儿科风湿病轮换纳入儿科住院医师培训计划。
方法：参加为期4周的风湿病轮换的第二或第三年儿科居民在三个学年（2020年7月至2023年6月）参加了一次。居民知识，MSK考试技巧,在轮换前和轮换后，通过使用25个多项选择题来评估信心，泰国儿科步态手臂腿部脊柱检查，和一份问卷，分别。课程包括MSK考试的指导，互动讲座，基于案例的讨论，主题评论,MSK放射学会议，风湿病诊所和咨询的临床经验，通过教育资源进行自我指导学习。
结果：58名儿科居民（48名女性，10名男性），平均年龄为28.9±0.8岁。旋转后注意到显着改善。知识得分从63.0±12.2上升到79.7±9.1（平均差16.7±10.3，p<0.001）。同样，MSK检查分数从67.5±14.4增加到93.6±8.7（平均差26.1±14.6，p<0.001）。居民还报告说，所有评估地区的信心都显着增加，包括历史，MSK检查,关节穿刺术,诊断和治疗风湿病(p<0.001)。
结论：儿科风湿病轮换的4周结构课程显著提高了儿科居民的知识，MSK考试技巧,和信心。这些发现支持将儿科风湿病轮换纳入儿科住院医师培训计划。
