Literature DB >> 30013410

Patient Discomfort and Resident Confidence After Knee Intra-articular Injection Simulation Training: A Randomized Control Trial Study.

Adae O Amoako1, George Ga Pujalte2, Neha Kaushik3, Timothy Riley4.   

Abstract

Teaching primary care providers how to perform musculoskeletal procedures has become increasingly important as more and more patients with orthopedic conditions present in primary care clinics. This study aims to evaluate whether targeted simulation model training in residency can increase residents' comfort level in performing intra-articular knee injections and decrease the pain of the procedure, as reported by patients injected. Residents were randomized into intervention and control groups. The comfort level of the residents as well as the pain levels from the procedures, as reported by patients, was recorded. The mean comfort level for the intervention group was 1.2, compared with that in the control group, which was 2.13; P value was .047. The mean pain level in the intervention group was 1.8, whereas in the control group was 3.63; P value was .156. Simulation training may boost residents' comfort level, but not necessarily decrease patient discomfort during intra-articular knee injections.

Entities:  

Keywords:  Arthritis; corticosteroid injections; family medicine; graduate medical education; residency training

Year:  2018        PMID: 30013410      PMCID: PMC6039901          DOI: 10.1177/1179544118782903

Source DB:  PubMed          Journal:  Clin Med Insights Arthritis Musculoskelet Disord        ISSN: 1179-5441


  9 in total

1.  Procedural experience and comfort level in internal medicine trainees.

Authors:  C M Hicks; R Gonzalez; M T Morton; R V Gibbons; R S Wigton; R J Anderson
Journal:  J Gen Intern Med       Date:  2000-10       Impact factor: 5.128

2.  An instructional program to facilitate teaching joint/soft-tissue injection and aspiration.

Authors:  Scott A Vogelgesang; Theresa M Karplus; Clarence D Kreiter
Journal:  J Gen Intern Med       Date:  2002-06       Impact factor: 5.128

3.  Perception of competency to perform procedures and future practice intent: a national survey of family practice residents.

Authors:  Lisa K Sharp; Ralph Wang; Martin S Lipsky
Journal:  Acad Med       Date:  2003-09       Impact factor: 6.893

4.  Musculoskeletal exam and joint injection training for internal medicine residents.

Authors:  Tracie Wilcox; Julie Oyler; Caroline Harada; Tammy Utset
Journal:  J Gen Intern Med       Date:  2006-05       Impact factor: 5.128

5.  Design, implementation, and outcome of a hands-on arthrocentesis workshop.

Authors:  Maria-Louise Barilla-Labarca; James C Tsang; Melissa Goldsmith; Richard Furie
Journal:  J Clin Rheumatol       Date:  2009-09       Impact factor: 3.517

6.  Joint and soft tissue injections in the community: questionnaire survey of general practitioners' experiences and attitudes.

Authors:  G J Gormley; M Corrigan; W K Steele; M Stevenson; A J Taggart
Journal:  Ann Rheum Dis       Date:  2003-01       Impact factor: 19.103

7.  Underuse of intra-articular and periarticular corticosteroid injections by primary care physicians: discomfort with the technique.

Authors:  Meenakshi Jolly; James J Curran
Journal:  J Clin Rheumatol       Date:  2003-06       Impact factor: 3.517

8.  A survey of arthrocentesis and soft-tissue injection procedures performed in primary care practice: effect of resident training and using data to shape curriculum.

Authors:  Catherine J Bakewell; Gregory C Gardner
Journal:  J Rheumatol       Date:  2011-07-15       Impact factor: 4.666

9.  The declining number and variety of procedures done by general internists: a resurvey of members of the American College of Physicians.

Authors:  Robert S Wigton; Patrick Alguire
Journal:  Ann Intern Med       Date:  2007-03-06       Impact factor: 25.391

  9 in total

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