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Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop
INTRODUCTION: Joint injections can be effective treatments for musculoskeletal issues. We examined whether a brief teaching session delivered to residents and faculty would significantly improve resident confidence in performing shoulder and knee joint injections. METHODS: We implemented a 90-minute...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association of American Medical Colleges
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7521064/ https://www.ncbi.nlm.nih.gov/pubmed/33005732 http://dx.doi.org/10.15766/mep_2374-8265.10979 |
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author | Seifert, Michael K. Holt, Christina T. Haskins, Amy Dexter, William |
author_facet | Seifert, Michael K. Holt, Christina T. Haskins, Amy Dexter, William |
author_sort | Seifert, Michael K. |
collection | PubMed |
description | INTRODUCTION: Joint injections can be effective treatments for musculoskeletal issues. We examined whether a brief teaching session delivered to residents and faculty would significantly improve resident confidence in performing shoulder and knee joint injections. METHODS: We implemented a 90-minute workshop instructed by two sports medicine providers. The objectives and content of the workshop included the topics of indications and contraindications, risks and benefits, supplies and setup, and injection techniques, all assessed on 5-point Likert scales. The workshop included a lecture, followed by residents practicing injections on simulation models and identifying key bony landmarks. Outpatient clinic faculty were given the same lecture and practiced on models. The postworkshop questionnaire was administered to the residents 4 months later. RESULTS: Eighteen residents participated. Mean confidence for performing knee injections increased from 2.2 to 3.8 immediately postlecture (p = .006). Shoulder injection confidence increased from 1.6 to 3.8 immediately postlecture (p = .0002). Confidence in knowledge of the risks and benefits, supplies needed, and indications increased similarly. Four months postworkshop, confidence levels were sustained above pretesting levels for all areas studied. Faculty members appreciated their workshop since they had not often performed injections. DISCUSSION: This brief workshop-style teaching session can provide meaningful, durable improvements in a trainee's confidence regarding performing shoulder or knee joint injections. The session requires few resources and fits into regular didactic sessions. Further development of this model could increase clinical performance and practice confidence and make these procedures more widely accessible to patients. |
format | Online Article Text |
id | pubmed-7521064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Association of American Medical Colleges |
record_format | MEDLINE/PubMed |
spelling | pubmed-75210642020-09-30 Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop Seifert, Michael K. Holt, Christina T. Haskins, Amy Dexter, William MedEdPORTAL Original Publication INTRODUCTION: Joint injections can be effective treatments for musculoskeletal issues. We examined whether a brief teaching session delivered to residents and faculty would significantly improve resident confidence in performing shoulder and knee joint injections. METHODS: We implemented a 90-minute workshop instructed by two sports medicine providers. The objectives and content of the workshop included the topics of indications and contraindications, risks and benefits, supplies and setup, and injection techniques, all assessed on 5-point Likert scales. The workshop included a lecture, followed by residents practicing injections on simulation models and identifying key bony landmarks. Outpatient clinic faculty were given the same lecture and practiced on models. The postworkshop questionnaire was administered to the residents 4 months later. RESULTS: Eighteen residents participated. Mean confidence for performing knee injections increased from 2.2 to 3.8 immediately postlecture (p = .006). Shoulder injection confidence increased from 1.6 to 3.8 immediately postlecture (p = .0002). Confidence in knowledge of the risks and benefits, supplies needed, and indications increased similarly. Four months postworkshop, confidence levels were sustained above pretesting levels for all areas studied. Faculty members appreciated their workshop since they had not often performed injections. DISCUSSION: This brief workshop-style teaching session can provide meaningful, durable improvements in a trainee's confidence regarding performing shoulder or knee joint injections. The session requires few resources and fits into regular didactic sessions. Further development of this model could increase clinical performance and practice confidence and make these procedures more widely accessible to patients. Association of American Medical Colleges 2020-09-28 /pmc/articles/PMC7521064/ /pubmed/33005732 http://dx.doi.org/10.15766/mep_2374-8265.10979 Text en © 2020 Seifert et al. https://creativecommons.org/licenses/by/4.0/ This is an open-access publication distributed under the terms of the Creative Commons Attribution (https://creativecommons.org/licenses/by/4.0/) license. |
spellingShingle | Original Publication Seifert, Michael K. Holt, Christina T. Haskins, Amy Dexter, William Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop |
title | Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop |
title_full | Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop |
title_fullStr | Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop |
title_full_unstemmed | Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop |
title_short | Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop |
title_sort | improving internal medicine resident comfort with shoulder and knee joint injections using an injection workshop |
topic | Original Publication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7521064/ https://www.ncbi.nlm.nih.gov/pubmed/33005732 http://dx.doi.org/10.15766/mep_2374-8265.10979 |
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