Background The JRCPTB* Training curriculum for Rheumatology mandates that trainees should be able to:
1. Describe the surface anatomy of the musculoskeletal system
2. Gain competences in joint and soft tissue injections.
This is usually achieved in an informal basis. Simulation can provide a realistic learning opportunity to develop this skill. We designed and ran a simulation course to aid trainees in achieving these competencies.
Methodology 10 junior rheumatology trainees were invited to participate. The course started with a lecture which covered indications and contraindications to procedures including a summary of results from a regional survey of Rheumatology consultants and registrars on joint injection techniques. Faculty consisted of 4 Rheumatology Consultants and 3 Senior Registrars. At least one faculty member per station was present to provide instructions. Actors were used to demonstrate knee, shoulder and ankle/foot surface anatomy. Instructors demonstrated elbow, hand and wrist anatomy on themselves. Self-reported level of confidence using Likert score Pre and Post workshop questionnaires were used for evaluation.
Results 9/10 of the trainees felt that the session met their learning objectives. Confidence levels increased non-significantly in performing wrist, carpel tunnel, glenohumeral, subacromial and knee injection. Confidence levels increased significantly in performing ankle, acromoclavicular, elbow and epicondyle injections.
Conclusions It is possible to successfully run a simulated joint injection course which can improve confidence levels in trainees.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.