Skip to main content

Advertisement

Log in

Educational impact of a clinical anatomy workshop on 1st-year orthopedic and rheumatology fellows in Mexico City

  • Original Article
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Abstract

We aim to study the educational impact of a clinical anatomy workshop in 1st-year orthopedic and rheumatology fellows. First-year rheumatology fellows (N = 17) and a convenience sample of 1st-year orthopedic fellows (N = 14) from Mexico City in the 9th month of training participated in the study. The pre- and the post- workshop tests included the same 20 questions that had to be answered by identification or demonstration of relevant anatomical items. The questions, arranged by anatomical regions, were asked in five dynamic stations. Overall, the 31 participants showed an increase of correct answers, from a median of 6 (range 1 to 12) in the pre-workshop test, to a median of 14 (range 7 to 19) in the post-workshop test. In the pre-workshop test, the correct median answers were 7 (range 2 to 12) in the orthopedic fellows and 5 (range 1 to 10) in the rheumatology fellows (p = 0.297). Corresponding scores in the post-workshop were 15 (range 10 to 19) and 12 (range 7 to 18) (p = 0.026) showing a significant difference favoring the orthopedic group. Our clinical anatomy workshop was efficacious, in the short term, as a teaching instrument for 1st-year orthopedic and rheumatology fellows. The post-workshop scores, although significantly improved in both groups, particularly in the orthopedic fellows, were still suboptimal. Further refinements of our workshop might yield better results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Moore KL, Dalley AF, Agur AMR (2010) Clinically oriented anatomy, 6th edn. Wolters Kluger, Lippincott, Williams & Wilkins, Philadelphia, p vii

    Google Scholar 

  2. Kalish RA, Canoso JJ (2007) Clinical anatomy: an unmet agenda in rheumatology training. J Rheumatol 34:1208–1211

    PubMed  Google Scholar 

  3. Swamy M, Venkatachalam S, McLachlan J (2014) A Delphi consensus study to identify current clinically most valuable orthopaedic anatomy components for teaching medical students. BMC Med Educ 14:230

    Article  PubMed  PubMed Central  Google Scholar 

  4. Freedman KB, Bernstein J (1998) The adequacy of medical school education in musculoskeletal medicine. J Bone Joint Surg Am 80:1421–1427

    CAS  PubMed  Google Scholar 

  5. Matzkin E, Smith EL, Freccero D, Richardson AB (2005) Adequacy of education in musculoskeletal medicine. J Bone Joint Surg Am 87:310–314

    Article  PubMed  Google Scholar 

  6. Bandinelli F, Bijlsma JW, Ramiro MS, Pia E, Goekoop-Ruiterman YP, Sivera F et al (2011) Rheumatology education in Europe: results of a survey of young rheumatologists. Clin Exp Rheumatol 29:843–845

    PubMed  Google Scholar 

  7. Navarro-Zarza JE, Hernandez-Díaz C, Saavedra MA, Alvarez-Nemegyei J, Kalish RA, Canoso JJ, Villaseñor-Ovies P (2012) Pre-workshop knowledge of musculoskeletal anatomy of rheumatology fellows and rheumatologists of seven North, Central and South American countries. Arthritis Care Res 66:270–276

    Article  Google Scholar 

  8. Saavedra MA, Navarro-Zarza JE, Alvarez-Nemegyei J, Canoso JJ, Kalish RA, Villaseñor-Ovies P, Hernández-Díaz C (2015) Self-perceived efficacy of a workshop on musculoskeletal clinical anatomy. Reumatol Clin 11:224–226

    Article  PubMed  Google Scholar 

  9. Kalish RA, Canoso JJ (2012) A clinical musculoskeletal anatomy seminar: development of the method. Reumatol Clin 8(Suppl 2):10–12

    Article  PubMed  Google Scholar 

  10. Vargas A, Chiapas-Gasca K, Hernández-Díaz C, Canoso JJ, Saavedra MA, Navarro-Zarza JE, Villaseñor-Ovies P, Kalish RA (2012) Clinical anatomy of the hand. Reumatol Clin 8(Suppl 2):25–32

    Article  PubMed  Google Scholar 

  11. Villaseñor-Ovies P, Vargas A, Chiapas-Gasca K, Canoso JJ, Hernández-Díaz C, Saavedra MA, Navarro-Zarza JE, Kalish RA (2012) Clinical anatomy of the elbow and shoulder. Reumatol Clin 8(Suppl 2):13–24

    Article  PubMed  Google Scholar 

  12. Navarro-Zarza JE, Villaseñor-Ovies P, Vargas A, Canoso JJ, Chiapas-Gasca K, Hernández-Díaz C, Saavedra MA, Kalish RA (2012) Clinical anatomy of the hip. Reumatol Clin 8(Suppl 2):33–83

    Article  PubMed  Google Scholar 

  13. Saavedra MA, Navarro-Zarza JE, Villaseñor-Ovies P, Canoso JJ, Vargas A, Chiapas-Gasca K, Hernández-Díaz C, Kalish RA (2012) Clinical anatomy of the knee. Reumatol Clin 8(Suppl 2):39–45

    Article  PubMed  Google Scholar 

  14. Hernández-Díaz C, Saavedra MA, Navarro-Zarza JE, Canoso JJ, Villaseñor-Ovies P, Vargas A, Kalish RA (2012) Clinical anatomy of the ankle and foot. Reumatol Clin 8(Suppl 2):46–52

    Article  PubMed  Google Scholar 

  15. Evangelisto AM, Nishio MJ, Higgs JB, Kissin EY, Kaeley GS (2014) Musculoskeletal ultrasound and anatomy: comment on the article by Navarro-Zarza et al. Arthritis Care Res 66:1432–1433

    Article  Google Scholar 

  16. Torralba KD, Villaseñor-Ovies P, Evelyn CM, Koolaee RM, Kalish RA (2015) Teaching of clinical anatomy in rheumatology: a review of methodologies. Clin Rheumatol 34:1157–1163

    Article  PubMed  Google Scholar 

  17. Alvarez-Nemegyei J, Peláez-Ballestas I, Sanin LH, Cardiel MH, Ramirez-Angulo A, Goycochea-Robles MV (2011) Prevalence of musculoskeletal pain and rheumatic diseases in the southeastern region of Mexico. A COPCORD-based community survey. J Rheumatol Suppl 86:21–25

    Google Scholar 

  18. Alarcón-Segovia D, Ramos-Niembro F, González-Amaro RF (1983) One thousand private rheumatology patients in Mexico City. Arthritis Rheum 26:688–689

    Article  PubMed  Google Scholar 

  19. Weiss K, Curry E, Matzkin E (2015) Assessment of medical school musculoskeletal education. Am J Orthop (Belle Mead NJ) 44:E64–67

    Google Scholar 

  20. Bernstein S (2015) 2014 ACR/ARHP Annual Meeting: Medical Education Trends. The Rheumatologist February 1. http://www.the-rheumatologist.org/article/2014-acrarhp-annual-meeting-medical-education-trends/. Accesed 6 Sept 2015

  21. Savvas S, Panush RS (2015) Should all rheumatologists study musculoskeletal anatomy? Clin Rheumatol 34:1153–1156

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We thank the Department of Orthopedics of the ABC Medical Center, Mexico City, Mexico, for the logistical support that allowed us to conduct this research.

We also wish to thank the following program directors of Orthopedics and Rheumatology, Mexico City, Mexico, for encouraging their trainees to participate in our study:

Orthopedics: Dr. Sergio Abush-Torton, Centro Médico ABC; Dr. Diego de La Torre, Hospital Juárez de México; Dra. Dra. Josefina Molina-Méndez, Hospital General de México; Dr. Cesáreo Trueba, Hospital Español

Rheumatology: Dra. Leonor Barile-Fabris, Centro Médico Nacional Siglo XXI del IMSS; Dr. Rolando Espinosa-Morales, Instituto Nacional de Rehabilitación; Dra. Fedra Irazoque-Palazuelos, Centro Médico Nacional 20 de Noviembre del ISSSTE; Dr. Gustavo Lugo, Hospital Juárez de México; Dr. Manuel Martínez-Lavín, Instituto Nacional de Cardiología Ignacio Chávez; and Dra. Marina Rull, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán.

Disclosures

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. A. Saavedra.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Saavedra, M.A., Villaseñor-Ovies, P., Harfush, L.A. et al. Educational impact of a clinical anatomy workshop on 1st-year orthopedic and rheumatology fellows in Mexico City. Clin Rheumatol 35, 1299–1306 (2016). https://doi.org/10.1007/s10067-015-3076-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10067-015-3076-x

Keywords

Navigation