A survey of anatomical items relevant to the practice of rheumatology: upper extremity, head, neck, spine, and general concepts

作者：Villasenor Ovies Pablo; Eduardo Navarro Zarza Jose; Angel Saavedra Miguel; Hernandez Diaz Cristina; Canoso Juan J; Biundo Joseph J; Kalish Robert A; de Toro Santos Francisco Javier; McGonagle Dennis; Carette Simon; Alvarez Nemegyei Jose

来源：Clinical Rheumatology, 2016, 35(12): 3025-3030.

DOI：10.1007/s10067-016-3378-7

• Clinical anatomy
• Physical examination
• Regional pain syndromes
• Rheumatology education

This study aimed to identify the anatomical items of the upper extremity and spine that are potentially relevant to the practice of rheumatology. Ten rheumatologists interested in clinical anatomy who published, taught, and/or participated as active members of Clinical Anatomy Interest groups (six seniors, four juniors), participated in a one-round relevance Delphi exercise. An initial, 560-item list that included 45 (8.0 %) general concepts items; 138 (24.8 %) hand items; 100 (17.8 %) forearm and elbow items; 147 (26.2 %) shoulder items; and 130 (23.2 %) head, neck, and spine items was compiled by 5 of the participants. Each item was graded for importance with a Likert scale from 1 (not important) to 5 (very important). Thus, scores could range from 10 (1 x 10) to 50 (5 x 10). An item score of >= 40 was considered most relevant to competent practice as a rheumatologist. Mean item Likert scores ranged from 2.2 +/- A 0.5 to 4.6 +/- A 0.7. A total of 115 (20.5 %) of the 560 initial items reached relevance. Broken down by categories, this final relevant item list was composed by 7 (6.1 %) general concepts items; 32 (27.8 %) hand items; 20 (17.4 %) forearm and elbow items; 33 (28.7 %) shoulder items; and 23 (17.6 %) head, neck, and spine items. In this Delphi exercise, a group of practicing academic rheumatologists with an interest in clinical anatomy compiled a list of anatomical items that were deemed important to the practice of rheumatology. We suggest these items be considered curricular priorities when training rheumatology fellows in clinical anatomy skills and in programs of continuing rheumatology education.

• 出版日期2016-12