Assessment of an Orthopedic Surgery Rotation on Musculoskeletal Competency in Emergency Medicine Residency Training

Study Overview
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Brief Summary
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Patient commonly present with orthopedic injuries in the emergency department. Musculoskeletal education has not historically been emphasized in American medical schools, and the effectiveness of an orthopedic surgery rotation has not been well studied in emergency medicine (EM) training. Competency in musculoskeletal education has been tested previously with a validated instrument, the basic competency exam (BCE), to assess baseline knowledge in primary care and emergency physicians. Residents from 2 different EM residency training programs will be given the BCE to determine baseline musculoskeletal knowledge prior to their orthopedic surgery rotations. A post-test BCE will be given to the residents from both EM training programs upon completion of their orthopedic surgery rotation and compared.

Official Title
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Assessment of an Orthopedic Surgery Rotation on Musculoskeletal Competency in Emergency Medicine Residency Training

Conditions
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Educational Problems, Orthopedic Disorder, Emergencies

Intervention / Treatment
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* Other: Education Curriculum


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Emergency Medicine Residents at either San Antonio Military Medical Center or University Hospital Exclusion Criteria: Not emergency medicine residents at the inclusion sites.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| SAMMC Emergency Medicine Residents<br>Emergency Medicine Residents from San Antonio Military Medical Center in San Antonio, Texas. | Other: Education Curriculum<br>* Different educational curriculums were applied to each cohort<br>|
| University Hospital Emergency Medicine Residents<br>Emergency Medicine Residents from University Hospital in San Antonio, Texas. | Other: Education Curriculum<br>* Different educational curriculums were applied to each cohort<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in performance on the orthopedic basic competency exam | The orthopedic basic competency exam is a validated scoring system meant to assess the learner's ability to evaluate both emergent and common orthopedic pathology. It is a 25 question test, and the test-taker will receive a score between 0 and 25. | Assessed initially by taking the exam before completing a one month orthopedic rotation. The same exam is taken at the completion of the orthopedic rotation. The two test results are compared to each other between each individual and residency program. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Emergency Department Education