Improving Musculoskeletal Procedural Training
Study Overview
Physicians often lack proper instruction in musculoskeletal (MSK) procedures, leading to inaccurate diagnostic and therapeutic injections. This study aimed to compare the accuracy and technique of trainees practicing subacromial injections (SAI) on cadavers versus those receiving visual-aided instruction.
Study Methods
In Spring 2022, 24 Internal Medicine and Family Medicine residents were divided into control and intervention groups. Both groups received SAI instruction, but the intervention group practiced on cadavers under guidance. Participants then performed injections on cadavers, and their technique and accuracy were evaluated.
Key Findings
Results showed that the intervention group had significantly higher accuracy in placing injections within the subacromial space compared to the control group. Additionally, the intervention group demonstrated higher self-confidence in their injection technique.
Implications
This study highlights the importance of early integrated instruction and simulation in improving accuracy and confidence in MSK procedures for primary care physicians. Enhancing accuracy in MSK procedures can lead to cost savings, reduced unnecessary referrals, and better patient outcomes.
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