Article

The objective of this study was to determine the effectiveness of a
2-day course teaching the introductory skills and concepts of lumbar spine
procedures to physiatry residents. This is a 3-yr prospective study of a
2-day musculoskeletal course teaching the introductory skills and concepts of
lumbar spinal procedures to the residents at a large academic physical medicine
and rehabilitation program.
The residents attending the course took
multiple-choice pretests and posttests as well as participated in a procedural
skills competency demonstration. RESULTS: Forty-two residents participated. The
results were stratified according to the level of training and repetition of the
material and revealed gains of medical knowledge at each level of residency
training (P < 0.001). The postgraduate year 2 residents seemed to have the
greatest overall improvement (P = 0.04). Half of the residents scored lower than
65% on the pretest, and these residents ultimately had the largest posttest
gains. Forty (95.2%) residents achieved a grade of pass in the skills-based test.
The residents felt that the course was valuable or extremely valuable.
CONCLUSIONS: The comprehensive 2-day course teaching the skills and concepts of
spinal interventions for physiatry residents enhances medical knowledge as an
introduction to interventional spine care. Those who benefited the most were the
residents who had the greatest deficit of medical knowledge on this topic before
the course. This course curriculum does not replace fellowship training or
closely monitored mentorship in the performance of spinal procedures.

Langue : ANGLAIS