Results of a near-peer musculoskeletal medicine curriculum for senior medical students interested in orthopedic surgery Journal Article

Authors: Schiff, A; Salazar, D; Vetter, C.; Andre, J.; Pinzur, M
Article Title: Results of a near-peer musculoskeletal medicine curriculum for senior medical students interested in orthopedic surgery
Abstract: INTRODUCTION: It has been previously demonstrated that medical students do not achieve an adequate musculoskeletal knowledge base on graduation from American medical schools. Several curriculums have been developed to address this measured deficit. Students entering orthopedic surgery residencies have a better musculoskeletal knowledge foundation than their peers but still fail to achieve an acceptable level of proficiency on graduation from medical school. METHODS: Fourth-year medical students participating in senior elective rotations in orthopedic surgery over a 2-year period were given a series of lectures developed and presented by post graduate year 3 orthopedic surgery residents. Students completed a validated musculoskeletal competency examination and a survey following the conclusion of their experience, evaluating the effect of this curriculum. RESULTS: A total of 71 students over 2 years participated in the near-peer curriculum, with all students completing the validated test. The mean score for the students was 83.6%. Of the 71 students, 60 (84.5%) scored more than the previously published passing rate of 73.1%. There was no correlation identified with the mean test scores and the number of previous orthopedic surgery rotations. From the survey, 96% of the students rated the near-peer curriculum as appropriate for their level, whereas 75% noted that their own medical school's musculoskeletal curriculum was too advanced for their level of training. CONCLUSION: A series of lectures was developed by midlevel orthopedic residents for students interested in pursuing a career in orthopedic surgery. After participation in the curriculum, students scored 30-percentage points higher than a previously published test. This study demonstrates that a resident-initiated, near-peer curriculum increases the fundamental knowledge level of students entering orthopedic surgery. An added benefit appeared to be the skills obtained by the residents who created and delivered the lecture series.
Journal Title: Journal of surgical education
Volume: 71
Issue: 5
ISSN: 1878-7452; 1878-7452
Publisher: Elsevier Inc  
Journal Place: United States
Date Published: 2014
Start Page: 734
End Page: 737
Language: eng
Notes: CI: Copyright (c) 2014; JID: 101303204; OTO: NOTNLM; 2013/12/27 [received]; 2014/01/17 [accepted]; 2014/04/14 [aheadofprint]; ppublish