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Inadequacies of musculoskeletal medicine curriculum for undergraduate medical students: a cross-sectional study
Martins, Delio Eulalio; Roncati, Ana Cristina Kuhn Pletsch; Rocha, Robson Oliveira; Freire, Marcos Paulo.
Afiliação
  • Martins, Delio Eulalio; Universidade Anhembi Morumbi. São Paulo. BR
  • Roncati, Ana Cristina Kuhn Pletsch; Universidade Anhembi Morumbi. School of Health Sciences. São Paulo. BR
  • Rocha, Robson Oliveira; Universidade Anhembi Morumbi. Medical Course. São Paulo. BR
  • Freire, Marcos Paulo; Universidade Anhembi Morumbi. School of Health Sciences. São Paulo. BR
São Paulo med. j ; São Paulo med. j;138(3): 229-234, May-June 2020. tab, graf
Article em En | LILACS, SES-SP | ID: biblio-1139692
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

BACKGROUND:

Musculoskeletal disorders account for up to one in four of general-practice consultations and almost one third of complaints in primary-care clinical practice. However, an insufficient amount of time and importance is given to their teaching in most medical schools.

OBJECTIVE:

To evaluate the acquisition of musculoskeletal competences in our institution, in order to identify flaws and propose changes to correct and improve the musculoskeletal curriculum. DESIGN AND

SETTING:

Cross-sectional study conducted in São Paulo, Brazil.

METHODS:

First to fifth-year medical students were enrolled in a survey using the Freedman and Bernstein musculoskeletal examination, in order to evaluate the acquisition of musculoskeletal competencies. Categorical data were analyzed using the chi-square test. Continuous data were analyzed using one-way analysis of variance (ANOVA). The level of significance was set as P < 0.05.

RESULTS:

A total of 545 students completed the questionnaire from year 2, 115/167 (29.6%); from year 3, 118/138 (30.4%); from year 4, 98/130 (25.3%); and from year 5, 57/110 (14.7%). None of the students achieved the pass mark (established as 70%). The level of confidence in performing musculoskeletal examination was very low (3.7 ± 2.2; n = 386) and bore no relationship to the percentage of correct answers in the questionnaire (r = 0.331; 95% confidence interval, CI 0.239-0.417; P < 0.001).

CONCLUSION:

Undergraduate teaching is the only exposure most general practitioners have to orthopedic problems. Universities are concerned about the adequacy of the musculoskeletal programs taught in their institutions. Student scores were found to be unsatisfactory in all the topics evaluated.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS / SES-SP Assunto principal: Estudantes de Medicina / Educação de Graduação em Medicina Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / MEDICINA / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS / SES-SP Assunto principal: Estudantes de Medicina / Educação de Graduação em Medicina Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / MEDICINA / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil