Abstract
The objective of this study was to assess the effectiveness of undergraduate training in knee aspiration and to determine the impact this had on subsequent postgraduate clinical practice. This paper is a cohort study of undergraduate training with a cross-sectional questionnaire study of postgraduate practice. The study was held at the University of Cambridge and NHS hospitals in the Eastern Region Postgraduate Deanery (England). The main outcome measures are the undergraduate competence in practical skills in a simulated setting and the differences in postgraduate practice with or without prior undergraduate training in knee aspiration. Implementing an undergraduate training programme in knee aspiration resulted in student competence in this skill. Undergraduate teaching of knee aspiration also improved postgraduate clinical practice, significantly increasing trainee doctor confidence and also increasing the frequency with which knee aspiration was undertaken. Postgraduate reinforcement of learning was identified as an additional requirement. Undergraduate teaching of knee aspiration not only results in competent performance in end of course assessments but also improves postgraduate confidence that potentially translates into improved clinical practice.
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References
DTB (2003) The management of septic arthritis. Drug Ther Bull 41:65–68
McInnes I, Sturrock R (1994) Rheumatological emergencies. Practitioner 238:220–224
Gupta MN, Sturrock RD, Field M (2001) A prospective 2-year study of 75 patients with adult-onset septic arthritis. Rheumatology 40:24–30
Li SF, Henderson J, Dickman E, Darzynkiewicz R (2004) Laboratory tests in adults with monoarticular arthritis: can they rule out a septic joint? Acad Emerg Med 11:276–280
Swan A, Amer H, Dieppe P (2002) The value of synovial fluid assays in the diagnosis of joint disease: a literature survey. Ann Rheum Dis 61:493–498
Coakley G, Mathews C, Field M, Jones A, Kingsley G, Walker D (2006) BSR, BHPR, BOA, RCGP and BSAC guidelines for management of the hot swollen joint in adults. Rheumatology 8:1039–1041, 45
Jolly M, Hill A, Mataria M, Agarwal S (2007) Influence of an interactive joint model injection workshop on physicians' musculoskeletal procedural skills. J Rheumatol 34:1576–1579
Junger J, Schafer S, Roth C, Schellberg D, Friedman Ben-David M, Nikendei C (2005) Effects of basic clinical skills training on objective structured clinical examination performance. Med Educ 39:1015–1020
General Medical Council (2003) Tomorrow’s doctors. General Medical Council, London
Vogelgesang SA, Karplus TM, Kreiter CD (2002) An instructional program to facilitate teaching joint/soft tissue injection and aspiration. J Gen Intern Med 17:441–445
Asch DA, Jedrziewski MK, Christakis NA (1997) Response rates to mail surveys published in medical journals. J Clin Epidemiol 50:1129–1136
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Funding
Not applicable.
Conflicts of interests
Dr. Pippa Watson: none; Dr. Louise Hamilton: none; Ms. Nicola Riley: none; Ms. Klaudine Simpson: worked for Philip Harris medical 1999–2000 (previously a distributor for Limbs and Things); Dr. Mark Lillicrap: none.
Ethical approval
The study was approved by the Addenbrooke’s Hospital Local Research Ethics Committee.
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Watson, P., Hamilton, L., Simpson, K. et al. Teaching knee joint aspiration to medical students—an effective training with long-term benefits. Clin Rheumatol 29, 921–925 (2010). https://doi.org/10.1007/s10067-010-1433-3
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DOI: https://doi.org/10.1007/s10067-010-1433-3