Published online January 3, 2005
PEDIATRICS Vol. 115 No. 1 January 2005, pp. 28-33 (doi:10.1542/peds.2004-0266)
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Pediatric Residency Education: Is Sports Medicine Getting Its Fair Share?

Rebecca A. Demorest, MD*, David T. Bernhardt, MD*, Thomas M. Best, MD, PhD{ddagger} and Gregory L. Landry, MD*

* Departments of Pediatrics
{ddagger} Orthopedics and Rehabilitation and Family Medicine, University of Wisconsin, Madison, Wisconsin

Introduction. Sports are the leading injury-related cause for pediatric primary care visits. Pediatric residency education guidelines suggest incorporating sports medicine (SM) education into curricula; however, research is lacking regarding effective teaching methods.

Objective. To assess reported US pediatric residency SM curricula, teaching methods, and resident evaluation of SM education.

Design/Methods. Chief residents (CRs) and third-year residents (PL3s) from 100 randomly selected US Accreditation Council for Graduate Medical Education–accredited residency programs, stratified by size and geographic location, received surveys regarding programs' SM curriculum and teaching methods and individuals' methods for learning SM.

Results. Response rates were 63% and 39% for CRs and PL3s, respectively. According to CRs, 34% of programs had no one in charge of their SM curriculum. Lecture (77%) was the primary method used for teaching SM. Hands-on teaching (37%) was used less frequently. CRs stated that 29% of programs did not include musculoskeletal examination teaching in their curriculums; 24% did not include formal teaching of concussion management, and 29% did not include reasons for medical disqualification. PL3s rated teaching of joint examinations and the preparticipation physical as the most poorly taught components of the physical examination. PL3s rated hands-on teaching and patient experience as the best methods for improving SM education. CRs reported that only 36% of programs have discussed incorporating more SM into their curriculum.

Conclusions. SM education is deficient in US pediatric residency programs. Standardized curricula should be developed with a focus on hands-on training as a means for teaching SM to pediatric residents.

Key Words: pediatric residency education • sports medicine • graduate medical education • musculoskeletal • orthopedics

Abbreviations: SM, sports medicine • ED, emergency department • PPE, preparticipation physical examination • PL3, third-year resident • CR, chief resident • ACGME, Accreditation Council for Graduate Medical Education • PCSM, primary care sports medicine • CI, confidence interval • HEENT, head, eyes, ears, nose, and throat

Accepted Jun 30, 2004.




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