A primary care musculoskeletal clinic for residents: Success and sustainability

Thomas K. Houston, Robert L. Connors, Naomi Cutler, Mary Anne Nidiry

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Musculoskeletal complaints are common, but are often under-emphasized in residency training. We evaluated the experience of residents (12) in 4 sessions of an innovative concentrated ambulatory, community-based musculoskeletal (MS) clinic precepted by general internists with additional training in teaching MS medicine. Compared with the yearlong longitudinal house staff (HS) clinic experience, the mean number of musculoskeletal diagnoses per resident seen in MS clinic was higher (13.9 [standard deviation 4.0] vs 5.4 [standard deviation 4.0]; P < .01). Common diagnoses in MS clinic included shoulder, hip, and knee tendonitis/bursitis, and the majority of diagnoses in HS clinic were nonspecific arthralgia (66%). Fifty-two injections were performed in MS clinic over the year, compared with one in HS clinic.

Original languageEnglish (US)
Pages (from-to)524-529
Number of pages6
JournalJournal of general internal medicine
Issue number5 PART 2
StatePublished - May 2004


  • Housestaff
  • Musculoskeletal
  • Primary care

ASJC Scopus subject areas

  • Internal Medicine


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