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Rheumatology Advance Access originally published online on March 31, 2009
Rheumatology 2009 48(5):587-590; doi:10.1093/rheumatology/kep038
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Current teaching of paediatric musculoskeletal medicine within UK medical schools—a need for change

Sharmila Jandial1, Tim Rapley2 and Helen Foster1

1Musculoskeletal Research Group and 2Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Correspondence to: Helen Foster, Musculoskeletal Research Group, 4th Floor Catherine Cookson Building, Medical School, Framlington Place, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. E-mail: h.e.foster{at}ncl.ac.uk


  Abstract

Objectives. Doctors involved in the assessment of children have low confidence in their clinical skills within paediatric musculoskeletal (pMSK) medicine and demonstrate poor performance in clinical practice. Core paediatric clinical skills are taught within undergraduate child health teaching but the extent and content of pMSK clinical skills teaching within medical schools is currently unknown. The aim of this study was to describe current pMSK teaching content within child health teaching at UK medical schools.

Methods. Structured questionnaires were sent to child health leads at all medical schools within the UK delivering clinical teaching (n = 30).

Results. Child health teaching was delivered in all responding medical schools (n = 23/30) predominantly by paediatricians (consultants and senior trainees) and within secondary care. pMSK clinical skills teaching was included in 9/23, delivered predominantly within lectures and featured uncommonly in assessment (6/23, 26%). pMSK clinical skills were reported as being less well taught than other bodily systems, although the majority ranked pMSK to be of equal importance, with the exception of development.

Conclusions. pMSK clinical skills medicine is not part of core teaching within child health in the majority of UK medical schools. There is a need to understand the barriers to effective pMSK clinical skills teaching, to achieve consensus on what should be taught and develop resources to facilitate teaching at undergraduate level.

KEY WORDS: Medical education, Paediatrics, Musculoskeletal, Undergraduate teaching

Submitted 20 November 2008; revised version accepted 29 January 2009.
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