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 w...

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Autores principales: Michael K. Seifert, Christina T. Holt, Amy Haskins, William Dexter
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Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/33d4958002ec4a1e9059b90711b1716d
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spelling oai:doaj.org-article:33d4958002ec4a1e9059b90711b1716d2021-11-19T14:47:35ZImproving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop10.15766/mep_2374-8265.109792374-8265https://doaj.org/article/33d4958002ec4a1e9059b90711b1716d2020-09-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10979https://doaj.org/toc/2374-8265Introduction 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.Michael K. SeifertChristina T. HoltAmy HaskinsWilliam DexterAssociation of American Medical CollegesarticleJoint InjectionsResident TeachingSports MedicineInternal MedicineClinical/Procedural Skills TrainingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Joint Injections
Resident Teaching
Sports Medicine
Internal Medicine
Clinical/Procedural Skills Training
Medicine (General)
R5-920
Education
L
spellingShingle Joint Injections
Resident Teaching
Sports Medicine
Internal Medicine
Clinical/Procedural Skills Training
Medicine (General)
R5-920
Education
L
Michael K. Seifert
Christina T. Holt
Amy Haskins
William Dexter
Improving Internal Medicine Resident Comfort With Shoulder and Knee Joint Injections Using an Injection Workshop
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 article
author Michael K. Seifert
Christina T. Holt
Amy Haskins
William Dexter
author_facet Michael K. Seifert
Christina T. Holt
Amy Haskins
William Dexter
author_sort Michael K. Seifert
title 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_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_sort improving internal medicine resident comfort with shoulder and knee joint injections using an injection workshop
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/33d4958002ec4a1e9059b90711b1716d
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AT amyhaskins improvinginternalmedicineresidentcomfortwithshoulderandkneejointinjectionsusinganinjectionworkshop
AT williamdexter improvinginternalmedicineresidentcomfortwithshoulderandkneejointinjectionsusinganinjectionworkshop
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