Curriculum for Rotation in Musculoskeletal Medicine

Overview:

The musculoskeletal medicine rotation is a multidisciplinary preceptorial rotation. The rotation occurs in a variety of settings which include Memorial Hospital, Memorial Sports Medicine Institute, the orthopedic office, and in other locations included in the preceptor's usual practice. During this rotation, the resident will also work with a variety of health care professionals caring for musculoskeletal injuries including physical therapists and occupational therapists.

Goals:

1) At the completion of this rotation, the resident will have an understanding of the diagnosis and treatment of musculoskeletal conditions commonly presenting in the family medicine office.

2) At the completion of this rotation, the resident will have knowledge and skills to perform procedures related to the treatment of musculoskeletal conditions in the family medicine setting.

Objectives:

At the completion of this rotation, the resident will have demonstrated to the satisfaction of the preceptor:

--medical knowledge in musculoskeletal medicine pertinent to the practice of family medicine, including the appropriate evaluation and treatment of (MK): joint pain, muscle strains and tears, ligament sprains and tears, tendon injuries, overuse injuries, back pain, osteoarthritis, and fractures commonly managed in the outpatient setting.

--the ability to perform an appropriate history and physical examination musculoskeletal system and to present these findings to another physician in an appropriate manner(PC).

--the ability to interpret appropriate data related to the musculoskeletal system and arrive at reasonable diagnostic and management decisions, weighing alternatives, benefits, and risks of diagnostic and therapeutic options(PC).

--the ability to make appropriate decisions to assure high-quality care in a cost-effective manner( SBP ).

--communication and interpersonal skills which facilitate positive and therapeutic relationships(ICS).

--the ability to work cooperatively with other health professionals as part of a health care team (ICS).

--compassion, respect, and integrity; responsiveness to the needs of patients and society that supercedes self-interest; accountability to patients, society, and the profession; a commitment to excellence and on-going professional development(P).

--a commitment to ethical principles pertaining to the provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices(P).

--sensitivity and responsiveness to a patient's culture, age, gender, and disabilities(P).

There are no specific procedural requirements for this rotation. However, there is a separate Procedures Curriculum and residents may gain experience meeting these requirements during this rotation. Procedures typically performed by residents on this rotation include: joint and bursa aspiration and injection, dislocation and fracture reduction, casting, splinting, and pre-participation examinations.

Implementation:

This is a preceptorial rotation, so the resident is assigned to a particular preceptor who coordinates the residents experiences. The preceptor is a physician with a practice focusing on musculoskeletal medicine in the outpatient setting. The resident will accompany the preceptor during his/her professional activities in preceptor's office, the Memorial Sports Medicine Institute and in other locations involved in the preceptor's usual practice. Additionally, the resident may gain experiential training with other health care professionals involved in the provision of musculoskeletal treatment as directed by the preceptor. In the course of seeing patients, the preceptor will provide experiential learning, role-modeling, and one-on-one teaching to the resident. At the discretion of the preceptor, the resident may be assigned to research specific topics in musculoskeletal medicine.

The resident is responsible for contacting the preceptor prior to the start of the rotation to arrange a schedule for the rotation. The resident must continue to meet usual residency obligations to his/her Family Medicine Center population including attending scheduled clinics, caring for continuity patients admitted to Memorial Hospital, and rounding in the nursing home. The resident is expected to attend noon conferences and abide by duty hour restrictions in keeping with usual program policies. Upon completion of the rotation, the resident must complete and return the evaluation form provided by the program.

Evaluation:

The musculoskeletal preceptor will complete an evaluation form at the end of the rotation assessing the resident's success in meeting the rotation objectives as outlined in this curriculum.

Rev. 12AUG2008