What are the rheumatology educational preferences of family medicine residents? A descriptive study

• Published in: Clinical rheumatology 2020-08, Vol.39 (8), p.2409-2415
• Main Authors: Lagacé, Sonia, Julien, Anne-Sophie, Rheault, Christian, Bessette, Louis, Michou, Laëtitia
• Format: Article
• Language: English
• Subjects: Adult; Arthritis; Attitude; Brief Report; Canada; Connective tissue diseases; Connective tissues; Curriculum; Family Practice - education; Female; Humans; Inflammatory diseases; Internship and Residency; Learning; Male; Medical personnel; Medicine; Medicine & Public Health; Musculoskeletal Diseases; Polyarthritis; Rheumatology; Rheumatology - education; Surveys and Questionnaires; Young Adult
• ISSN: 0770-3198; 1434-9949
• DOI: 10.1007/s10067-020-05018-2

Background In Canadian medicine faculties, an average of 2.3% of the medical curriculum is dedicated to musculoskeletal problems with a focus on orthopedic conditions. The goal of this descriptive study was to assess the educational preferences in rheumatology of family medicine residents and to identify their preferred methods of learning. Methods From September 2017 to December 2017, two hundred and thirty-six first- and second-year family medicine residents from Université Laval were asked to complete an electronic anonymous survey assessing their confidence in doing different rheumatology tasks. They were also consulted on their favorite methods of learning and their preferred periods throughout their medical cursus to learn the different skills related to rheumatology. Results Eighty-five family medicine residents completed the survey. The residents were rather confident when evaluating mono-arthritis but less confident for oligo/polyarthritis and even less confident with connective tissue diseases. The family medicine residents mentioned preferring traditional lecture classes and clinical cases. They wanted to learn the majority of rheumatology education during medical school training. As residents, they wanted only small capsules, seminars, or memory aids. Interestingly, men preferred learning rheumatology skills during the residency, whereas women preferred learning it in medical school. Conclusion The lack of confidence of family medicine residents when evaluating systemic inflammatory diseases compared to mechanical musculoskeletal problems highlights the importance of rheumatology teaching through general medical training and through family medicine residency. Key Points • Family medicine residents are less confident when evaluating systemic inflammatory diseases than musculoskeletal disorders. • Family medicine residents prefer traditional lecture classes and clinical cases. • Family medicine residents prefer learning rheumatology during medical school training.