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Musculoskeletal (MSK) complaints and injuries comprise 18.7% of emergency department visits. However, only 61% of emergency physicians (EP) pass a validated written Freedman and Bernstein MSK examination (FB-MSK). Educational interventions such as a primary care sports medicine (PCSM) rotation aid in MSK residency education. This study utilizes a validated MSK examination to evaluate and compare MSK knowledge acquisition following a traditional orthopedic rotation and a PCSM rotation.  Methods  Forty-nine interns were recruited to participate in this study over two academic years. The FB-MSK was administered to all participants at the start of residency. Participants were divided into two groups based on their residency sites; one group completed a traditional four-week orthopedic surgery rotation and the second group completed a four-week PCSM rotation. Forty-six of the forty-nine participants were administered the FB-MSK after completion of their rotations.  Results  Individual post-rotation scores significantly improved regardless of rotation (mean difference 2.78,  p< 0.001; 95% CI 2.05-3.52). The orthopedic surgery group significantly improved (mean difference 2.84,  p <0.001; 95% CI 1.93-3.73) and the PCSM group significantly improved (mean difference 2.64,  p =0.002; 95% CI 1.23-4.07). There was no significant difference in pre-rotation scores between the two groups ( p =0.86; 95% CI -2.13 to 1.79). There was no significant difference in post-rotation scores between the two groups ( p =0.66; 95% CI -1.98 to 1.26). There was no significant difference in mean score improvement between the two groups ( p =0.81; 95% CI -1.33 to 1.69).  Conclusion  This study demonstrates significant MSK knowledge acquisition and no difference in the level of knowledge acquisition after completion of either traditional orthopedic surgery or PCSM residency rotation.

Impact of Sports Medicine and Orthopedic Surgery Rotations on Musculoskeletal Knowledge in Residency