Background The postgraduate program in rheumatology aims learning of musculoskeletal and autoimmune disorders. In México, objectively-structured clinical examination (OSCE) is applied in postgraduate certification processes by the Mexican Board of Rheumatology annually . Peláez-Ballestas et al. described an epidemiological study (COPCORD, Community Oriented Program for the Control of Rheumatic Diseases) of 19,213 individuals in 5 regions in our country where they found a prevalence of musculoskeletal pain in 25.5%, osteoarthritis in 10.5%, back pain in 5.8%, rheumatic regional pain syndromes in 3.8%, rheumatoid arthritis (RA) in 1.6%, and fibromyalgia in 0.7% .
Objectives The aim of the study is to describe the student training in rheumatic diseases and correlate them with OSCE assessment and the prevalence of rheumatic diseases in our population.
Methods An observational and analytical study was made between March 2014 to March 2015 in a single rheumatology training center at University Hospital. Student training was defined according to the times they evaluated patients with a determined diagnosis, this information was obtained by medical records. We categorize OSCE questions according to the rheumatic diagnosis. Finally, the two results were compared with prevalence of the rheumatic diagnosis according to COPCORD, which were registered according a score pain >4. We made descriptive statistics and a Spearman's Rho to evaluate the correlations of the diagnosis frequencies by each category.
Results We reviewed 6279 medical records, 854 (13.6%) were of first-time evaluation. We had 5,400 (86.4%) women, with a mean age of 47.9 (SD 15.45) years.
Descriptive statistics are in Table 1 and Figure 1, which included: medical consultations, OSCE assessment and a column with rheumatologic diagnosis according to COPCORD.
The Spearman correlation coefficients of the 32 different diagnoses were: student training vs OSCE 0.492 (p=0.004), student training vs COPCORD 0.597 (p=0.01) and OSCE vs COPCORD 0.624 (p=0.01).
Conclusions Although the most common musculoskeletal disease in our community did not obtain the frequency observed by students or evaluated in the OSCE, we observed a moderate correlation. We considered it is important to enhance the knowledge and improve the OSCE according to the most prevalent diseases to prepare the future rheumatologists.
Pascual Ramos V, et al. Reumatol Clin 2014; doi: 10.1016/j.reuma.2014.10.007.
Peláez-Ballestas I, et al. J Rheumatol Suppl 2011;86:3–8.
Disclosure of Interest None declared