Orthopedic sports medicine knowledge before and after implementing clinical practice guideline in general practitioner
Keywords:
Orthopedic sports medicine, E-learning, General practitionerAbstract
This pre-experimental research aimed to compare knowledge in orthopedic sports medicine before and after implementing clinical practice guideline to general practitioner. Research samples were 30 doctors who work in hospitals in Ubon Ratchathani province. Research instruments were questionnaire
and clinical practice guideline in basic orthopedic sports medicine condition (presentation and documents via E-learning). Demographic data were collected. Descriptive statistics were frequency, percentage mean and standard deviation, an inferential statistics were Wilcoxon Matched-pairs Signed rank test and Mann-Whitney test respectively
Research samples were comprised of 60% female, 50% aged more than 30 years old, 43.3% was general practitioner, and mostly practice less than 5 years after graduated.
The result revealed that test score before implementing clinical practice guideline was 6.033 and 8.667 after, which showed statistically significant improvement. In subgroup analysis of orthopedist and non-orthopedists revealed test score before implementing clinical practice guideline was 9.00 and 5.82
respectively, which is different with statistical significant, While after implementing clinical practice guideline, the score was 9.00 and 8.64 respectively which is no longer statistically different. This research suggest that implementing clinical practice guideline in orthopedic sports medicine improve knowledge of practicing doctors with statistical significant.
References
Lykissas MG, Eismann EA, Parikh SN. Trends in pediatric sports-related and recreation-related Injuries in the United States in the last decade. Journal of pediatric
orthopedics. 2013;33(8):803-10.
Siegel L, Vandenakker-Albanese C, Siegel D. Anterior cruciate ligament injuries: anatomy, physiology, biomechanics, and management. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 2012; 22(4):349-55.
Sayampanathan AA, Andrew TH. Systematic review on risk factors of rotator cuff tears. Journal of orthopaedic surgery (Hong Kong). 2017;25(1):1-9
Jensen AR, Cha PS, Devana SK, Ishmael C, Di Pauli von Treuheim T, D’Oro A, et al. Evaluation of the Trends, Concomitant Procedures, and Complications With Open and Arthroscopic Rotator Cuff Repairs in the Medicare Population. Orthop J Sports Med. 2017 ;5(10):1-7
Nwachukwu BU, Schairer WW, Bernstein JL, Dodwell ER, Marx RG, Allen AA. Cost-effectiveness analyses inortho paedic sports medicine: a systematic review. The American journal of sports medicine. 2015;43(6):1530-7.
Shea KG, Carey JL, Richmond J, Sandmeier R, Pitts RT, Polousky JD, et al. The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Anterior Cruciate Ligament Injuries. JBJS. 2015;97(8):672-4.
Streubel PN, Krych AJ, Simone JP, Dahm DL, Sperling JW, Steinmann SP, et al. Anterior Glenohumeral Instability: A Pathology-based Surgical Treatment
Strategy. JAAOS - Journal of the American Academy of Orthopaedic Surgeons. 2014;22(5):283-94.
Kavaja L, Lähdeoja T, Paavola M. Treatment after traumatic shoulder dislocation: a systematic review with a network meta-analysis. British journal of sports medicine. 2018;52(23):1498-506.
Oliva F, Piccirilli E, Bossa M, Via AG, Colombo A, Chillemi C, et al. I.S.Mu.L. T - Rotator Cuff Tears Guidelines. Muscles, ligaments and tendons journal. 2016;5(4):227-63.
Stucken C, Cohen SB. Management of acromioclavicular joint injuries. The Orthopedic clinics of North America. 2015;46(1):57-66.
Li X, Ma R, Bedi A, Dines DM, Altchek DW, Dines JS. Management of acromi oclavicular joint injuries. The Journal of bone and joint surgery American
volume. 2014;96(1):73-84.
สวณี เต็งรังสรรค์, สุภิกา แดงกระจ่าง, เพชรรัตน์ บุนนาค. เปรียบเทียบผลสัมฤทธิ์ทางการเรียนของนักศึกษาแพทย์ มหาวิทยาลัยธรรมศาสตร์ เรื่อง รูปแบบการวิจัยทางวิทยาการระบาด โดยระบบ e-learning กับการบรรยาย. ธรรมศาสตร์เวชสาร. 2557;2:191-196.
Bos-Bonnie LHA, van Bergen JEAM, Te Pas E, Kijser MA, van Dijk N. Effectiveness of an individual, online e-learning program about sexually transmitted infections: a prospective cohort study. BMC family practice. 2017;18(1):57-60.