SBAs in Sport, Exercise, and Musculoskeletal Medicine

‘Multiple Choice Questions in Musculoskeletal, Sport & Exercise Medicine’ is a compilation of 400 multiple choice questions (MCQs), where the format is that of single best answer from a choice of five options. The book closely follows the curriculum of the ‘Membership of Faculty of Sport & Exercise Medicine’ (MFSEM) examination, with some questions being clinically oriented and others being knowledge based. This book is not intended to be a substitute for extensive clinical reading but instead to complement the learning process. Questions in this book have been carefully curated by 92 reputable subject matter experts across ten countries and are intended to provide a structured learning experience. The book is comprised of 46 chapters, where the first 23 ask questions and the next 23 provide answers. The answer to each question has a short explanation with a reference, which is intended to stimulate discussion, research and further learning. There is a total of 33 high quality images (MRI scans, plain radiographs, ECGs, ultrasound scans and photographs), 18 tables and 5 diagrams in the book.

Musculoskeletal Medicine

This chapter is comprised of 35 clinically based and also knowledge based questions, and answers. The corresponding answers to the questions can be found at the end of the chapter, each of which has a short explanation and at least one reference.

COVID-19 disruption to family medicine residency curriculum: results from a 2020 US programme directors survey

ObjectiveThis research project examined the effects of the COVID-19 pandemic on the required curriculum in graduate medical education for family medicine residencies.DesignOur questions were part of a larger omnibus survey conducted by the Council of Academic Family Medicine Educational Research Alliance. Data were collected from 23 September to 16 October 2020.SettingThis study was set in the USA.ParticipantsEmails were sent to 664 family medicine programme directors in the USA. Of the 312 surveys returned, 35 did not answer our questions and were excluded, a total of 277 responses (44%) were analysed.ResultsThe level of disruption varied by discipline and region. Geriatrics had the highest reported disruption (median=4 on a 5-point scale) and intensive care unit had the lowest (median=1 on a 5-point scale). There were no significant differences for disruption by type of programme or community size.ConclusionProgramme directors reported moderate disruption in family medicine resident education in geriatrics, gynaecology, surgery, musculoskeletal medicine, paediatrics and family medicine site during the pandemic. We are limited in generalisations about how region, type of programme, community size or number of residents influenced the level of disruption, as less than 50% of programme directors completed the survey.

Assessment of knowledge of junior doctors and non-specialists about musculoskeletal medicine

Objectives: To assess the knowledge and confidence of junior doctors and non-specialists in examining and making a diagnosis of patients with musculoskeletal (MSK) diseases. Methods: This was a Cross-sectional study of 121 doctors working in medical clinics at a tertiary hospital between October and December 2019. Data were collected using a questionnaire. Doctor’s awareness regarding different MSK examination methods including gait, arms, leg, spine (GALS), pediatric gait, arms, leg, spine (pGALS) and regional examination of musculoskeletal system (REMS) was noted. Undergraduate teaching of these methods and use in their daily practice was surveyed. Results: Majority of the doctors lacked awareness about different MSK examination techniques. Awareness about GALS, REMS and pGALS was 44.6%, 59.5% and 18.2% respectively. There was significant correlation of GALS/REMS awareness with the undergraduate teaching and doctor’s clinical experience (p-value <0.05). Confidence level of doctors in diagnosing patients with adult MSK pathologies was 55%. Only few doctors were satisfied with their musculoskeletal education (29%). Conclusion: The GALS examination is a useful screening tool for junior doctors and non-specialists in a direct access setting to rule out musculoskeletal problems. doi: https://doi.org/10.12669/pjms.37.1.3148 How to cite this:Saif S, Fida S, Mansoor H. Assessment of knowledge of junior doctors and non-specialists about musculoskeletal medicine. Pak J Med Sci. 2021;37(1):175-179. doi: https://doi.org/10.12669/pjms.37.1.3148 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.