The Impact of an Ultrasound Curriculum on the Accuracy of Resident Joint Line Palpation

PM R. 2021 Nov;13(11):1261-1265. doi: 10.1002/pmrj.12538. Epub 2021 Jan 23.

Abstract

Background: Ultrasound education has been used as a tool to help improve physical examination skills. However, its utility in increasing accuracy of joint line palpation has yet to be investigated.

Objective: To evaluate the accuracy of resident palpation and identification of the lateral knee joint line before and after introducing a musculoskeletal ultrasound (MSUS) curriculum.

Design: Cohort study.

Setting: A physical medicine and rehabilitation (PM&R) residency program at an academic institution.

Participants: Seventeen PM&R residents.

Interventions: Residents underwent a knee-focused MSUS workshop.

Main outcome measures: Distance from needle placement to joint line confirmed with ultrasound.

Results: All residents demonstrated improved accuracy in lateral knee joint line palpation after completing a knee-focused MSUS workshop, with statistically significant (P < .05) improvement in postgraduate year (PGY) 2 (P = .02), PGY-3 (P = .04), and across all residents (P = .001).

Conclusions: MSUS education significantly improved lateral knee joint line palpation accuracy in resident physicians.

MeSH terms

  • Clinical Competence
  • Cohort Studies
  • Curriculum
  • Humans
  • Internship and Residency*
  • Palpation
  • Physical and Rehabilitation Medicine*