Family Physicians' Knowledge Level of Musculoskeletal System Anatomy: Cross-Sectional Study in Kahramanmaras City

Year 2019, Volume: 13 Issue: 3, 305 - 310, 20.09.2019

Bülent Güneri Murat Uzel , Adem Doğaner

https://doi.org/10.21763/tjfmpc.610659

Abstract

Objective: Family physicians (FP) frequently
encounter musculoskeletal system (MSS) disorders. Physicians, capable of making
fine physical examination, are required for family health centers since
diagnostic equipment is limited. Fine physical examination depends on adequate
human anatomy (HA) knowledge. The aim of this study is to investigate the HA
knowledge level on MSS among FP practicing in Kahramanmaras. Materials and
Methods: This study was approved by institutional review board. 184 FP
attended instructional seminars organized by City General Secretariat of Public
Hospitals Association and 85 (46.1%) volunteered to be involved in the study.
Volunteers were subjected to test including 20 multiple-choice questions on MSS
anatomy. The test included four question groups (bone-ligament, muscle-tendon,
nerve and vascular anatomy), each of which were comprised of five questions.
The results were recorded and subjected to statistical analysis. Results:
The average point of all volunteers was 8.1±3.2. According to question groups,
average points were 3.0±1.0 for vascular, 2.4±1.3 for bone-ligament, 1.3±1.1
for muscle-tendon and 1.2±0.9 for nerve group with significant difference
(p=0.001). Insignificant negative correlation was detected between reported
duration of professional experience and received points considering question
groups. Besides, there was no statistically significant difference between FP
practicing in province and districts with regard to average points considering
question groups. Conclusion: We believe further studies are required to
evaluate knowledge level and interest of FP to HA. Besides, necessity for
reinforcement of pre-graduate HA education and potentiality of postgraduate
instructional seminars including practices for HA to improve health service
quality and motivation of FP should be considered.

 

Amaç: Aile hekimleri (AH) kas-iskelet
sistemi (KİS) sorunları ile sık karşılaşmaktadır. Aile sağlığı merkezlerinde
tanısal cihaz donanımının sınırlı olması nedeniyle iyi fizik muayene yapabilen
hekimlere ihtiyaç duyulmaktadır. İyi fizik muayene yeterli Tıbbi Anatomi (TA)
bilgisine dayanmaktadır. Çalışmamızda Kahramanmaraş’ta görev yapan AH’nin KİS
üzerine TA bilgi düzeyinin araştırılması amaçlanmıştır. Yöntem:
Çalışmamız yerel etik kuruldan onay almıştır. İl Kamu Hastaneler Birliği Genel
Sekreterliği’nin düzenlemiş olduğu bilgi yenileme seminerlerine iştirak eden
184 aile hekiminden 85’i (%46,1) çalışmaya gönüllü olarak katıldı. Gönüllüler
KİS anatomisi üzerine toplam 20 çoktan seçmeli sorudan oluşan teste tabi
tutuldu. Test her biri beşer adet soru içeren dört soru grubundan
(kemik-ligament, kas-tendon, sinir ve damar anatomisi) oluşuyordu. Sonuçlar
kaydedildi ve istatistiksel değerlendirmeye tabi tutuldu. Bulgular: Tüm
katılımcıların puan ortalaması 8,1±3,2 idi. Soru gruplarına göre puan
ortalamaları yüksekten düşüğe doğru şu şekilde sıralanabilir: damar grubu
3,0±1,0; kemik-ligament grubu 2,4±1,3; kas-tendon grubu 1,3±1,1; sinir grubu
1,2±0,9. Soru grupları arasındaki farkın istatistiksel olarak anlamlı olduğu
tespit edildi (p=0.001). Bildirilen mesleki tecrübe süreleri ile alınan grup
puanları arasında anlamlı olmayan negatif yönlü bir ilişki saptandı. Ayrıca il merkezi
ve ilçelerde görev yapan AH arasında, soru gruplarına göre puan ortalamaları
açısından istatistiksel anlamlı fark saptanmadı. Sonuç: Daha ileri
çalışmalarla AH’nin TA konusundaki bilgi düzeylerinin ve ilgilerinin
değerlendirilmesinin gerekliliğine inanmaktayız. Ayrıca mezuniyet öncesi TA
eğitiminin güçlendirilmesinin gerekliliği; pratik eğitimleri de kapsayan
mezuniyet sonrası TA bilgi yenileme programlarının sağlık hizmetleri kalitesini
ve AH’nin motivasyonunu artırması olasılığı göz önünde bulundurulmalıdır.

Keywords

Family practice, physical examination, musculoskeletal system, anatomy

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