Training of Orthopedic Residents in OP Treatment

Study Overview
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Brief Summary
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Objective: To assess whether residents (R1, R2 or R3 according to the year of residency) of an orthopedic tertiary service, investigate, treat and / or refer the patient with an osteoporotic fracture to treat osteoporosis (OP) and whether this learning is improved over the years of residence. Methods: Residents answered diagnostic and therapeutic questions related to a clinical case of osteoporotic fracture (OF) in 4 scenarios, which were the initial care in the emergency room, at the time of discharge from hospital, during their outpatient return in 3 and 6 months. Answers were compared between years of residence.

Official Title
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Evaluation of the Management of Patients With Osteoporotic Fractures by Orthopedics Residents: an Observational Cross-sectional Study

Conditions
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Osteoporotic Fractures

Intervention / Treatment
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* Other: Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Physicians enrolled in the medical residency program in orthopedics and traumatology at IOT-HC-FMUSP. Exclusion Criteria: Abandonment of the medical residency program in orthopedics and traumatology at IOT-HC-FMUSP. Withdrawal from the medical residency program in orthopedics and traumatology at the IOT-HC-FMUSP for a period of more than 120 days. Expulsion from the medical residency program in orthopedics and traumatology at IOT-HC-FMUSP. Transfer of the medical residency program in orthopedics and traumatology from IOT-HC-FMUSP to another institution.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| R1<br>Resident of the first year of orthopedics and traumatology at IOT-HC-FMUSP. | Other: Questionnaire<br>* After signing the informed consent form agreeing to participate in the study, the participants answered the questionnaire about diagnostic and therapeutic questions related to a clinical case of osteoporotic fracture in 4 scenarios: the initial care in the emergency room, at the time of discharge from hospital, during their outpatient return in 3 and 6 months.<br>|
| R2<br>Resident of the second year of orthopedics and traumatology at IOT-HC-FMUSP. | Other: Questionnaire<br>* After signing the informed consent form agreeing to participate in the study, the participants answered the questionnaire about diagnostic and therapeutic questions related to a clinical case of osteoporotic fracture in 4 scenarios: the initial care in the emergency room, at the time of discharge from hospital, during their outpatient return in 3 and 6 months.<br>|
| R3<br>Resident of the third year of orthopedics and traumatology at IOT-HC-FMUSP. | Other: Questionnaire<br>* After signing the informed consent form agreeing to participate in the study, the participants answered the questionnaire about diagnostic and therapeutic questions related to a clinical case of osteoporotic fracture in 4 scenarios: the initial care in the emergency room, at the time of discharge from hospital, during their outpatient return in 3 and 6 months.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Secondary prevention of osteoporotic fracture | Number of residents investigating and treating osteoporosis in an appropriate manner | through study completion, an average of 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient referral to secondary prevention of osteoporotic fracture | Number of residents that does not start osteoporosis treatment but refer the patient to another professional to conduct the case. | through study completion, an average of 1 month | 
| Change the proficiency of secondary prevention with increasing graduation in the residency program | Increase the number of residents who adequately treat osteoporosis categorized by year of graduation | through study completion, an average of 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osteoporotic fractures, Secondary prevention, Brazil, Orthopedics, Medical professionals, Knowledge Gap, Osteoporosis treatment