Sports Medicine and Pediatric Residency Training: Changing the Paradigm

Demorest, Rebecca A.

doi:10.3928/0090-4481-20071101-13

Cited by 2 publications

(6 citation statements)

References 12 publications

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“…Orthopedic rotations can improve the knowledge and confidence of primary care residents when diagnosing musculoskeletal problems [13,14,21,22]. Matheny et al [23] demonstrated that family-practice residents who have had eight or more weeks of musculoskeletal rotations during residency found greater confidence in fracture care, radiographic assessment of musculoskeletal injuries and physical examination skills [23].…”

Section: Discussionmentioning

confidence: 99%

Referral patterns to a pediatric orthopedic clinic: pediatric orthopedic surgeons are primary care musculoskeletal medicine physicians

Pan

Kish

Hennrikus

2022

Journal of Pediatric Orthopaedics B

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In 2004, Reeder and in 2012, Schwend reported that inappropriate nonsurgical referrals to pediatric orthopedic clinics create a misuse of resources. Additional authors have called for re-emphasis and additional training in musculoskeletal medicine for primary care physicians (PCP) to improve the confidence, knowledge and performance when managing musculoskeletal conditions. The current study compares the diagnoses referred to a pediatric orthopedic clinic with diagnoses recommended for referral by the American Academy of Pediatrics (AAP) guidelines to determine if any improvement in the quality of referrals has occurred since Reeder and Schwend’s article. A chart review of new referrals to a pediatric orthopedic clinic during a 3-month-period was performed. Data were collected on age, sex, referring diagnosis, referral source, final diagnosis and treatment. In total 230 new consults were evaluated. The referral source was a PCP in 169 (73.5%) cases, 30 (13%) self-referrals by a parent, 19 (8.3%) from another orthopedic surgeon, 9 (3.9%) from a neurologist and 3 (1.3%) from another specialist. Fifty percent of referrals met the criteria outlined in the AAP guidelines for referral to a pediatric orthopedic specialist and 48% were classified as primary care musculoskeletal conditions. During the 15 years since the publication of Reeder’s study and despite a limited re-emphasis on musculoskeletal education, the percent of inappropriate referrals to a pediatric orthopedic clinic remains unchanged at 50%. We support an expanded musculoskeletal educational effort aimed at the medical, resident and pediatrician level, online decision-making aids, and implementation of a standardized referral form with the specific criteria of the AAP included.

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Section: Discussionmentioning

confidence: 99%

Referral patterns to a pediatric orthopedic clinic: pediatric orthopedic surgeons are primary care musculoskeletal medicine physicians

Pan

Kish

Hennrikus

2022

Journal of Pediatric Orthopaedics B

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“…2 Keeping children safely active throughout their youth and into adulthood can have significant positive public health implications, requiring that community pediatricians be proficient in basic SEM knowledge and skills to provide appropriate care for active youth. 15 Future aspirations SEM needs to be recognized as an important pediatric field in Canada. Standardizing a national SEM curriculum for all pediatric residency programs, incorporating a hands-on focus with clinical opportunities to interact with youth athletes in a variety of clinical settings, would ensure that all pediatric residents were taught the basic components of SEM necessary for community pediatrics practice, including appropriate MSK/joint examinations, recognition/management of common sport injuries, return to play advice and anticipatory guidance.…”

Section: Figure 1 Canadian Community Pediatricians' Perceptions Of Tr...mentioning

confidence: 99%

“…Standardizing a national SEM curriculum for all pediatric residency programs, incorporating a hands-on focus with clinical opportunities to interact with youth athletes in a variety of clinical settings, would ensure that all pediatric residents were taught the basic components of SEM necessary for community pediatrics practice, including appropriate MSK/joint examinations, recognition/management of common sport injuries, return to play advice and anticipatory guidance. 5,10,15 This curriculum could be provided by a variety of MSK experts, including adult and pediatric sport medicine physicians, orthopedic surgeons, rheumatologists, physical medicine and rehabilitation specialists, athletic therapists and physiotherapists.…”

Section: Figure 1 Canadian Community Pediatricians' Perceptions Of Tr...mentioning

confidence: 99%

“…Particular difficulties in providing pediatric SEM training include lack of awareness of SEM, lack of a standardized national SEM curriculum, lack of SEM clinical opportunities, and a lack of pediatric MSK/SEM experts and resources. 5,15 Canadian pediatric SEM physicians have been proactive about increasing awareness of pediatric SEM by offering clinical opportunities to learners and providing continuing medical education (CME) at Canadian Paediatric Society (CPS) conferences and Canadian Academy of Sport and Exercise Medicine (CASEM) conferences.…”

Section: Hurdles To Overcomementioning

confidence: 99%

“…For educators, pediatric residency programs will have to be creative and flexible in providing this training. 15 To address lack of clinical opportunities and MSK/SEM experts and resources, pediatric residencies can access resources provided by SEM organizations (see resources below) to obtain lists of SEM physicians in their area, as well as CME opportunities for faculty and trainees. Collaboration between pediatric residency programs can help programs access SEM experts and resources at other sites to compliment/supplement their own.…”

Section: Hurdles To Overcomementioning

confidence: 99%

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Providing optimal care for active youth in Canada

et al. 2022

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Sports are important activities for youth, with millions of children and adolescents participating in organized sports and recreational activities every year. Sports participation has many benefits but can also cause injuries, accounting for two-thirds of all injuries in Canadian adolescents and resulting in hundreds of thousands of medical visits annually. Despite the frequency of sports-related injuries in youth, many practising pediatricians are not comfortable managing these issues, citing a lack of teaching and clinical exposure during training. Many studies have found deficits in musculoskeletal (MSK) and sport and exercise medicine (SEM) training in residency programs in North America, including Canadian pediatric residency programs. To address this learning gap, Canadian pediatric residency programs should incorporate more MSK/SEM training and clinical exposure to these issues. A standardized national curriculum in MSK/SEM will help ensure that community pediatricians practicing in Canada are adequately prepared to care for active youth.

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Sports Medicine and Pediatric Residency Training: Changing the Paradigm

Cited by 2 publications

References 12 publications

Referral patterns to a pediatric orthopedic clinic: pediatric orthopedic surgeons are primary care musculoskeletal medicine physicians

Referral patterns to a pediatric orthopedic clinic: pediatric orthopedic surgeons are primary care musculoskeletal medicine physicians

Providing optimal care for active youth in Canada

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