Research Day

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Introduction/Purpose: Musculoskeletal problems comprise some of the most common reasons for ambulatory care encounters in the United States, accounting for 8.3% of the 1.2 billion visits per year according to the CDC. Musculoskeletal Ultrasound use has become more common in primary care for diagnosis and therapeutics. In Family Medicine Residency (FMR) Programs there is a deficiency of a structured, competency-based musculoskeletal ultrasound (MSK US) training despite its growing popularity. Currently, there is no formalized requirement for Ultrasound education as in other residency programs in spite of its benefit. Methods: We received a positive response on our needs analysis survey for incorporating MSKUS in FMR. 96%(24/25 residents surveyed) reporting they would be interested in receiving MSK US education. Following this, Family Medicine residents and medical students currently rotating in Family Medicine were recruited. A Sports Medicine attending with expertise in MSKUS supervised curriculum-design, exam question assessment and post lecture competency assessment. A structured curriculum was developed for 2 lectures starting with “Introduction to MSKUS”, followed by a focused lecture on “MSKUS of the Shoulder”. This included educational material, reserved practice time, a pre- and post-test for each lecture, and a practical following the second lecture. Results: Twelve residents and eight medical students completed the course series and evaluation. Using SAS Enterprise Guide 7.1 for analysis, we found sufficient evidence of a significant positive change in self-reported MSKUS knowledge from pre to post for both medical students (p=.03125) and residents (p=.0039). We also found a significant positive change in self-reported MSKUS of the Shoulder knowledge from pre to post in both medical students (p=.0156) and residents (p=.0010) as well as a significant increase in MSK US comfort level from pre-curriculum to post-curriculum (p



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