The impact of trained patient educators on musculoskeletal clinical skills attainment in pre-clerkship medical students

Oswald, Anna E; Bell, Mary J; Wiseman, Jeffrey; Snell, Linda

doi:10.1186/1472-6920-11-65

Cited by 23Musculoskeletal Disorders and RehabilitationInnovations in Medical EducationSimulation-Based Education in Healthcare

The impact of trained patient educators on musculoskeletal clinical skills attainment in pre-clerkship medical students

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Oswald, Anna E, Bell, Mary J, Wiseman, Jeffrey, Snell, Linda·2011·BMC Medical Education

DOI 10.1186/1472-6920-11-65PMC PMC3190339

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Abstract

BACKGROUND: Despite the high burden of musculoskeletal (MSK) diseases, few generalists are comfortable teaching MSK physical examination (PE) skills. Patient Partners® in Arthritis (PP®IA) is a standardized patient educator program that could potentially supplement current MSK PE teaching. This study aims to determine if differences exist in MSK PE skills between non-MSK specialist physician and PP®IA taught students. METHODS: Pre-clerkship medical students attended 2-hour small group MSK PE teaching by either non-MSK specialist physician tutors or by PP®IA. All students underwent an MSK OSCE and completed retrospective pre-post questionnaires regarding comfort with MSK PE and interest in MSK. RESULTS: 83 students completed the OSCE (42 PP®IA, 41 physician taught) and 82 completed the questionnaire (42 PP®IA, 40 physician taught). There were no significant differences between groups in OSCE scores. For all questionnaire items, post-session ratings were significantly higher than pre-session ratings for both groups. In exploratory analysis PP®IA students showed significantly greater improvement in 12 of 22 questions including three of five patient-centred learning questions. CONCLUSIONS: PP®IA MSK PE teaching is as good as non-MSK specialist physician tutor teaching when measured by a five station OSCE and provide an excellent complementary resource to address current deficits in MSK PE teaching.

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The duration of the preparation ranged from substantial training sessions of 100 hours in total to the majority of programmes providing solely written information or a single orientation session of 1-1.5 hours.
“The duration of the preparation ranged from substantial training sessions of 100 hours in total42 to the majority of programmes providing solely written information or a single orientation session of 1–1.5 hours.24 30 32 39 43 49 52 57”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [42]
No difference was observed in increased structured clinical examination (OSCE) scores when comparing sessions delivered by trained patient educators with sessions delivered by rheumatology staff together with a passive patient undergoing examination and sessions with a non-MSK specialist physician.
“No difference was observed in increased structured clinical examination (OSCE) scores when comparing sessions delivered by trained patient educators with sessions delivered by rheumatology staff together with a passive patient undergoing examination54 62 and sessions with a non-MSK specialist physician.42”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [42]

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Schrieber, L., Hendry, G. D., & Hunter, D. J. (2000) · PubMed · Cited by 35 · see citing works
The Current State of Musculoskeletal Clinical Skills Teaching for Preclerkship Medical Students
Oswald, A., Bell, M. J., Snell, L. S., & Wiseman, J. (2008) · The Journal of Rheumatology · doi:10.3899/jrheum.080308 · Cited by 53 · see citing works
Self-citation
Patients teach students: partners in arthritis education
Hendry, G. D., Schrieber, L., & Bryce, D. A. (1999) · Medical Education · doi:10.1046/j.1365-2923.1999.00524.x · Cited by 58 · see citing works
Undergraduate musculoskeletal examination teaching by trained patient educators—a comparison with doctor-led teaching
Raj, N., Badcock, L. J., Brown, G. A., Deighton, C. M., & O'Reilly, S. C. (2006) · Rheumatology · doi:10.1093/rheumatology/kel126 · Cited by 53 · see citing works

Authors: Oswald, A. E., Bell, M. J., Wiseman, J., & Snell, L.
Affiliations: University of Alberta (CA)
University of Toronto (CA)
McGill University (CA)
Corresponding author: Oswald, Anna E
ORCID: Oswald, Anna E
Bell, Mary J
Wiseman, Jeffrey
Snell, Linda
Venue: BMC Medical Education
Publisher: Springer Science and Business Media LLC
Published: 2011-09-23
Volume: 11
Issue: 1
Pages: 65-65
ISSN: 1472-6920 (ISSN-L)
DOI: 10.1186/1472-6920-11-65
PMC: PMC3190339
OpenAlex: W1976940941
Cited by: 23
References: 67
Citations by year: 2026: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 2 · 2012: 5
FWCI: 2.59
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: BMC Medical Education (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
TSpace (University of Toronto) (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders: University of Ottawa
McGill University
University of Alberta
Topics: Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
Keywords: patient educators, standardized patients, preclinical medical students, clinical skills assessment, OSCE
MeSH terms: Clinical Competence, Education, Medical, Undergraduate, Humans, Musculoskeletal Diseases, Musculoskeletal System, Patient Participation, Physical Examination, Physician-Patient Relations, Quebec, Students, Medical, Teaching

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The impact of trained patient educators on musculoskeletal clinical skills attainment in pre-clerkship medical students

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