Abstract
Purpose
Our aim was to assess the basic musculoskeletal competency of pre-internship graduates from Nigerian medical schools.
Methods
We administered the Freedman and Bernstein basic musculoskeletal competency examination to 113 pre-internship graduates from seven Nigerian medical schools over a three year period from 2008 to 2010 at the University of Uyo Teaching Hospital. Five specialist residents took the examination to test criteria relevance.
Results
All graduates failed this test, obtaining scores ranging from 7% to 67%. The duration of the orthopaedic posting, and observation of operative fracture fixation, were not significant determinants of the score. The two final-year specialist residents each had a marginal pass in the examination.
Conclusion
Basic musculoskeletal competency among pre-internship Nigerian medical-school graduates is inadequate.
Similar content being viewed by others
References
Cherry DK, Woodwell DA, Rechtsteiner EA (2007) National ambulatory medical care survey: 2005 summary. Adv Data 29(387):1–39
Pinney SJ, Regan WD (2001) Educating medical students about musculoskeletal problems. are community needs reflected in the curricula of canadian medical schools? J Bone Jt Surg Am 83-A(9):1317–1320
Freedman KB, Bernstein J (1998) The adequacy of medical school education in musculoskeletal medicine. J Bone Jt Surg Am 80(10):1421–1427
Labinjo M, Juillard C, Kobusingye OC, Hyder AA (2009) The burden of road traffic injuries in nigeria: Results of a population-based survey. Inj Prev 15(3):157–162
Reznick RK, Brewer ML, Wesley RM, Stauffer ES (1987) Orthopaedic teaching: The practicing family doctor’s perspective. Orthop Rev 16(8):529–535
Omololu B, Ogunlade SO, Alonge TO (2002) The complications seen from the treatment by traditional bonesetters. West Afr J Med 21(4):335–337
Menon J, Patro DK (2009) Undergraduate orthopedic education: Is it adequate? Indian J Orthop 43(1):82–86
Arraez-Aybar LA, Sanchez-Montesinos I, Mirapeix RM, Mompeo-Corredera B, Sanudo-Tejero JR (2010) Relevance of human anatomy in daily clinical practice. Ann Anat 20;192(6):341–348
Day CS, Ahn CS (2010) Commentary: The importance of musculoskeletal medicine and anatomy in medical education. Acad Med 85(3):401–402
Alonge TO, Ogunlade SO, Omololu AB, Obajimi M (2003) Infective lumbar discitis in a sickler–an occult ‘typhoid’ spine? West Afr J. Med 22(3):267–268
Day CS, Yeh AC, Franko O, Ramirez M, Krupat E (2007) Musculoskeletal medicine: An assessment of the attitudes and knowledge of medical students at harvard medical school. Acad Med 82(5):452–457
Jones JK (2001) An evaluation of medical school education in musculoskeletal medicine at the university of the west indies, barbados. West Indian Med J 50(1):66–68
Matzkin E, Smith EL, Freccero D, Richardson AB (2005) Adequacy of education in musculoskeletal medicine. J Bone Jt Surg Am 87(2):310–314
Mayer RS, Baima J, Bloch R, Braza D, Newcomer K, Sherman A et al (2009) Musculoskeletal education for medical students. Am J Phys Med Rehabil 88(10):791–797
Queally JM, Kiely PD, Shelly MJ, O’Daly BJ, O’Byrne JM, Masterson EL (2008) Deficiencies in the education of musculoskeletal medicine in ireland. Ir J Med Sci 177(2):99–105
Yeh AC, Franko O, Day CS (2008) Impact of clinical electives and residency interest on medical students’ education in musculoskeletal medicine. J Bone Jt Surg Am 90(2):307–315
Queally JM, Cummins F, Brennan SA, Shelly MJ, O’Byrne JM (2011) Assessment of a new undergraduate module in musculoskeletal medicine. J Bone Jt Surg Am 93(3):e9.
Yinusa W, Ugbeye ME (2003) Problems of amputation surgery in a developing country. Int Orthop 27(2):121–124
Williams JR (2000) The teaching of trauma and orthopaedic surgery to the undergraduate in the united kingdom. J Bone Jt Surg Br 82(5):627–628
Day CS, Yeh AC (2008) Evidence of educational inadequacies in region-specific musculoskeletal medicine. Clin Orthop Relat Res 466(10):2542–2547
Bilderback K, Eggerstedt J, Sadasivan KK, Seelig L, Wolf R, Barton S et al (2008) Design and implementation of a system-based course in musculoskeletal medicine for medical students. J Bone Jt Surg Am 90(10):2292–2300
Conflict of interest
The authors declare they have no conflict of interest
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nottidge, T.E., Ekrikpo, U., Ifesanya, A.O. et al. Pre-internship Nigerian medical graduates lack basic musculoskeletal competency. International Orthopaedics (SICOT) 36, 853–856 (2012). https://doi.org/10.1007/s00264-012-1485-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-012-1485-x