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Gulati G, Alweis R, George D. Musculoskeletal ultrasound in internal medicine residency - a feasibility study. J Community Hosp Intern Med Perspect. 2015;5(3):27481doi: 10.3402/jchimp.v5.27481.
Gulati, G., Alweis, R., & George, D. (2015). Musculoskeletal ultrasound in internal medicine residency - a feasibility study. Journal of community hospital internal medicine perspectives, 5(3), 27481. https://doi.org/10.3402/jchimp.v5.27481
Gulati, Gaurav, et al. "Musculoskeletal ultrasound in internal medicine residency - a feasibility study." Journal of community hospital internal medicine perspectives vol. 5,3 (2015): 27481. doi: https://doi.org/10.3402/jchimp.v5.27481
Gulati G, Alweis R, George D. Musculoskeletal ultrasound in internal medicine residency - a feasibility study. J Community Hosp Intern Med Perspect. 2015 Jun 15;5(3):27481. doi: 10.3402/jchimp.v5.27481. eCollection 2015. PMID: 26091660; PMCID: PMC4475265.
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J Community Hosp Intern Med Perspect. 2015 Jun 15;5(3):27481. doi: 10.3402/jchimp.v5.27481. eCollection 2015.

Musculoskeletal ultrasound in internal medicine residency - a feasibility study.

Journal of community hospital internal medicine perspectives

Gaurav Gulati, Richard Alweis, David George

Affiliations

  1. Division of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH, USA; [email protected].
  2. Department of Medicine, Reading Health System, West Reading, PA, USA.

PMID: 26091660 PMCID: PMC4475265 DOI: 10.3402/jchimp.v5.27481

Abstract

INTRODUCTION: Ultrasound has become indispensable in medicine for diagnosis and therapeutics. In Internal Medicine Residency Training Program (IMRTP), there is a deficiency of a structured, competency-based musculoskeletal ultrasound (MSKUS) training despite its growing popularity.

METHODS: We conducted a feasibility study for incorporating MSKUS in IMRTP and competency assessment. We recruited internal medicine residents from all training levels. Rheumatology attending with expertise in MSKUS supervised curriculum-design and patient-based assessment. A structured curriculum was developed for knee MSKUS, including training material and a pre- and post-test. An Observed Structured Clinical Exam (OSCE) was used for competency assessment. Attending evaluations and participant feedbacks were collected.

RESULTS: Fifteen residents participated and 12 completed the OSCE. The pre-post tests showed a statistically significant increase (p<0.001) for all subcomponents (anatomy, pathology, and biophysics). The residents scored high on the OSCE [8.8±1.1 (range 7-10)]. Attending evaluations for cognitive and technical skills were rated 'Excellent' (66%) and 'Good' (87%), respectively. The training program was perceived very valuable with regard to time and resources spent by residents and faculty, although some felt a need for more patient assessments.

DISCUSSION: The competency assessed with our OSCE and highly positive feedback reflects this preliminary study's importance and sets the platform for future studies of formal ultrasound training in internal medicine.

Keywords: curriculum development; education; feasibility study; medicine residency; musculoskeletal ultrasound; rheumatology

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