Preworkshop Knowledge of Musculoskeletal Anatomy of Rheumatology Fellows and Rheumatologists of Seven North, Central, and South American Countries
Article first published online: 28 JAN 2014
Copyright © 2014 by the American College of Rheumatology
Arthritis Care & Research
Volume 66, Issue 2, pages 270–276, February 2014
How to Cite
Navarro-Zarza, J. E., Hernández-Díaz, C., Saavedra, M. A., Alvarez-Nemegyei, J., Kalish, R. A., Canoso, J. J. and Villaseñor-Ovies, P. (2014), Preworkshop Knowledge of Musculoskeletal Anatomy of Rheumatology Fellows and Rheumatologists of Seven North, Central, and South American Countries. Arthritis Care Res, 66: 270–276. doi: 10.1002/acr.22114
- Issue published online: 28 JAN 2014
- Article first published online: 28 JAN 2014
- Accepted manuscript online: 27 AUG 2013 03:25PM EST
- Manuscript Accepted: 7 AUG 2013
- Manuscript Received: 6 MAR 2013
- International League of Associations for Rheumatology
To report the baseline knowledge of clinical anatomy of rheumatology fellows and rheumatologists from Argentina, Chile, Ecuador, El Salvador, Mexico, the US, and Uruguay.
The invitation to attend a workshop in clinical anatomy was an open call by national rheumatology societies in 4 countries or by invitation from teaching program directors in 3 countries. Prior to the workshop, a practical test of anatomic structures commonly involved in rheumatic diseases was administered. The test consisted of the demonstration of these structures or their function in the participant's or instructor's body. At one site, a postworkshop practical test was administered immediately after the workshop.
There were 170 participants (84 rheumatology fellows, 61 rheumatologists, and 25 nonrheumatologists). The overall mean ± SD number of correct answers was 46.6% ± 19.9% and ranged from 32.5–67.0% by country. Rheumatology fellows scored significantly higher than nonrheumatologists. Questions related to anatomy of the hand scored the lowest of the regions surveyed.
Rheumatology fellows and rheumatologists showed a deficit in knowledge of musculoskeletal anatomy that is of central importance in rheumatologic assessment and diagnosis. This gap may hinder accurate and cost-effective rheumatologic diagnosis, particularly in the area of regional pain syndromes. Presently, widespread use of musculoskeletal ultrasound (MSUS) by rheumatologists may be premature, since a key component of expert-level MSUS is the integration of an accurate knowledge of anatomy with the views obtained with the ultrasound probe.