Rheumatology education and management skills in general practice: a national study of trainees
Article Abstract:
Medical educators may need to develop more community-based learning opportunities for rheumatology instruction and practical experience for general practice students. Researchers surveyed 1,075 general practice trainees and 900 general practice trainers in the United Kingdom to determine the extent of rheumatology education and practical experience gained during the course of medical training. Ninety percent of the trainees reported completing rheumatology coursework during medical school but rated it as being only marginally relevant to the practice of medicine. Many of the trainees had experience in injecting or aspirating the knee (84%) or elbow (56%) and felt confident with these skills. However, few (39%) had experience in injecting the shoulder. Most trainees reported acquiring these skills from their trainer or an orthopedic surgeon. However, an almost equal number reported being self-taught. The trainees did not feel that their rheumatology training was sufficient.
Publication Name: Annals of the Rheumatic Diseases
Subject: Health
ISSN: 0003-4967
Year: 1995
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More pain, more tender points: is fibromyalgia just one end of a continuous spectrum?
Article Abstract:
The number of pain sites as reported by patients appears to be proportional to the number of documented points sensitive to pressure. This spectrum of pain may also prove to correspond to a spectrum of psychological distress. Questionnaires, interviews, and examinations of 177 volunteers were compared for trends in reported versus documented pain. Participants reporting multiple painful sites or generalized pain or stiffness tended to have multiple documented tender points. Doctors could document most of the tender points in each of the regions that the patients reported pain.
Publication Name: Annals of the Rheumatic Diseases
Subject: Health
ISSN: 0003-4967
Year: 1996
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The epidemiology of pain: the more you have, the more you get
Article Abstract:
Arthritis specialists should more frequently address muscle and bone pain in research studies since it is one of the most common patient complaints. Research studies on pain, however, are hampered by difficulties in determining cause and effect and a necessary reliance on the patient's memory. Pain frequently does not correspond to test or imaging results. Early experiences with pain appear to make future experiences with pain more likely. Children's environment or genetic make-up may determine their reactions to pain.
Publication Name: Annals of the Rheumatic Diseases
Subject: Health
ISSN: 0003-4967
Year: 1996
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