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A Novel Approach To High Yield Musculoskeletal Topics For Emergency Medicine Trainees
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Nicholas Governatori, MD, Shruti Chandra, MD, Nicole Piela, MD, Julie Goldrich, MD
Thomas Jefferson University Hospital - Philadelphia, PA
Background
Results
Station 2: Tap That!
Station 1: Splint This?
Developing a curriculum for musculoskeletal topics can be challenging, as it often involves both didactic components and procedural skills. We created a comprehensive skills workshop with 4 stations in order to highlight some of the most commonly seen complaints in the Emergency Department: splinting, knee arthrocentesis, shoulder anatomy, and nerve blocks.
Pre-Test (n=25)
Post-Test (n=23)
Mean
59.4
78.9*
Median 60 80
Standard Deviation
14.7
11.6
High Score 85 90
Low Score 30 45
Perform arthrocentesis
Analyze fluid
Interpret X-ray
Place splint
Best team wins!
*Unpaired Student T-Test, probability <0.001   
[T=5.09, sdev=13.3, deg of freedom=46]
Station 3: SHOulder OFF
Station 4: Nerve BLOCKED
Conclusion
Objectives
Identify upper extremity fractures on X-ray and apply appropriate splinting materials.
Perform knee athrocentesis followed by synovial fluid analysis.
Perform a focused shoulder exam and practice common methods of shoulder reduction.
Review principles of lower extremity nerve blocks.
Musculoskeletal topics are an essential part of residency education. Using interactive skills stations appeals to all different types of learners and can be used to increase both the procedural competency and medical knowledge of emergency medicine trainees.
Review technique
Find nerves
Anatomy
Exam
Reduction

2. A Novel Approach To High Yield Musculoskeletal Topics For Emergency Medicine Trainees
Nicholas Governatori, MD, Shruti Chandra, MD, Nicole Piela, MD, Julie Goldrich, MD