Determination of clinically relevant content for a musculoskeletal anatomy curriculum for physical medicine and rehabilitation residents

To address the need for more clinical anatomy training in residency education, many postgraduate programs have implemented structured anatomy courses into their curriculum. Consensus often does not exist on specific content and level of detail of the content that should be included in such curricula. This article describes the use of the Delphi method to identify clinically relevant content to incorporate in a musculoskeletal anatomy curriculum for Physical Medicine and Rehabilitation (PM&R) residents. A two round modified Delphi involving PM&R experts was used to establish the curricular content. The anatomical structures and clinical conditions presented to the expert group were compiled using multiple sources: clinical musculoskeletal anatomy cases from the PM&R residency program at the University of Toronto; consultation with PM&R experts; and textbooks. In each round, experts rated the importance of each curricular item to PM&R residency education using a five‐point Likert scale. Internal consistency (Cronbach's alpha) was used to determine consensus at the end of each round and agreement scores were used as an outcome measure to determine the content to include in the curriculum. The overall internal consistency in both rounds was 0.99. A total of 37 physiatrists from across Canada participated and the overall response rate over two rounds was 97%. The initial curricular list consisted of 361 items. After the second iteration, the list was reduced by 44%. By using a national consensus method we were able to objectively determine the relevant anatomical structures and clinical musculoskeletal conditions important in daily PM&R practice. Anat Sci Educ 7: 135–143. © 2013 American Association of Anatomists.     

Information for trained nurses in remote areas: do electronically networked resources provide an answer?

This paper reports on a research project which examined the potential ofthe Internet, and other networked information resources, to improve access to information fortrained nurses working in remote areas. This paper provides a review of current literature in thefield. It describes the research carried out, presents a summary of the research findings anddiscusses the implications of these findings. The paper concludes that the Internet and networkedresources do have considerable potential to improve access to information for nurses working inremote and rural areas. However, information skills, along with professional guidance, are alsorequired.     

The effects of test anxiety on learning at superficial and deep levels of processing

The effect of test anxiety on learning superficial and deep level tasks was examined. Ninety college students classified as either high or low test-anxious learned a paired-associate word list using either a superficial level or a deep level processing strategy. The results indicated that on the superficial level processing task, the performance of the low test-anxious students was not significantly different from that of the high test-anxious students, while on the deep level processing task the performance of the low test-anxious students was significantly better than the performance of the high test-anxious students. The results are discussed in the context of a cognitive-attentional theory of test anxiety and the mechanisms by which test anxiety may disrupt performance.