Medical student referral patterns for musculoskeletal disorders

American Journal of Physical Medicine & Rehabilitation
S Abramson, J Stein

Abstract

The purpose of this study was to determine the relationship between medical student knowledge and exposure to physiatry and the student's referral patterns for musculoskeletal disorders. Surveys were mailed to senior medical students at five United States medical schools across the country with a response rate of 26% (n=191). Five common musculoskeletal and neurologic disorders were presented as clinical vignettes and the student was asked to assume the role of a primary care physician and refer the patient to one of eight specialists listed. A section to assess the student's subjective overall knowledge and exposure to these fields was also included. Physiatrists received 27% of the referrals for evaluation and treatment of chronic low-back pain, 3% of the referrals for acute low-back pain, 10% of the referrals for carpal tunnel syndrome, 22% of the referrals for an industrial medicine injury, and 20% of the referrals for a sports medicine injury. The frequency of physiatry referrals for three of the five cases was significantly correlated (P < 0.05) with the student's overall knowledge of physical medicine and rehabilitation (PM&R). The presence of a department of PM&R at the student's school, however, did not have a signific...Continue Reading

References

Sep 1, 1987·Journal of Medical Education·R T KatzH B Betts
Sep 6, 1995·JAMA : the Journal of the American Medical Association·M L RivoD A Kindig
Jan 1, 1996·Archives of Physical Medicine and Rehabilitation·P F HoganN E Walsh

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Citations

Mar 2, 2012·American Journal of Physical Medicine & Rehabilitation·Clinton E FaulkRoderick Sembrano
Jan 6, 2006·Disability and Rehabilitation·G Reza RaissiKourosh Mansouri
May 6, 2010·Disability and Rehabilitation·Jeremy GibsonMargaret Phillips
Dec 17, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Shiv J PatelPrathap Jayaram

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