UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

The impact of a needs-based educational programme on General Practitioners' confidence and skill in managing common musculoskeletal problems

Haq, M.I.; (2009) The impact of a needs-based educational programme on General Practitioners' confidence and skill in managing common musculoskeletal problems. Doctoral thesis , UCL (University College London). Green open access

[thumbnail of 18529.pdf]
Preview
PDF
18529.pdf

Download (1MB)
[thumbnail of Appendix 1: Needs assessment questionnaire]
Preview
PDF (Appendix 1: Needs assessment questionnaire)
18529_Appendix_1_Needs_assessment_questionnaire.pdf

Download (115kB)
[thumbnail of Appendix 3: GP course invitation letter]
Preview
PDF (Appendix 3: GP course invitation letter)
18529_Appendix_3_GP_course_invitation_letter.pdf

Download (155kB)
[thumbnail of Appendix 4: MSK course teaching materials: Attendance Certificate]
Preview
PDF (Appendix 4: MSK course teaching materials: Attendance Certificate)
18529_Appendix_4_MSK_course_teaching_materials_Attendance_Certificate.pdf

Download (41kB)
[thumbnail of Appendix 4: MSK course teaching materials: Back Pain]
Preview
PDF (Appendix 4: MSK course teaching materials: Back Pain)
18529_Appendix_4_MSK_course_teaching_materials_Back_Pain.pdf

Download (46kB)
[thumbnail of Appendix 4: MSK course teaching materials: Blood Tests]
Preview
PDF (Appendix 4: MSK course teaching materials: Blood Tests)
18529_Appendix_4_MSK_course_teaching_materials_Blood_Tests.pdf

Download (118kB)
[thumbnail of Appendix 4: MSK course teaching materials: Course Timetable]
Preview
PDF (Appendix 4: MSK course teaching materials: Course Timetable)
18529_Appendix_4_MSK_course_teaching_materials_Course_Timetable.pdf

Download (54kB)
[thumbnail of Appendix 4: MSK course teaching materials: Joint Injection]
Preview
PDF (Appendix 4: MSK course teaching materials: Joint Injection)
18529_Appendix_4_MSK_course_teaching_materials_Joint_Injection.pdf

Download (33kB)
[thumbnail of Appendix 4: MSK course teaching materials: GALS Screen]
Preview
PDF (Appendix 4: MSK course teaching materials: GALS Screen)
18529_Appendix_4_MSK_course_teaching_materials_GALS_Screen.pdf

Download (41kB)
[thumbnail of Appendix 4: MSK course teaching materials: Knee Examination]
Preview
PDF (Appendix 4: MSK course teaching materials: Knee Examination)
18529_Appendix_4_MSK_course_teaching_materials_Knee_Examination.pdf

Download (14kB)
[thumbnail of Appendix 4: MSK course teaching materials: Osteoporosis and Osteoarthritis]
Preview
PDF (Appendix 4: MSK course teaching materials: Osteoporosis and Osteoarthritis)
18529_Appendix_4_MSK_course_teaching_materials_Osteoporosis_and_Osteoarthritis.pdf

Download (290kB)
[thumbnail of Appendix 4: MSK course teaching materials: Shoulder Examination]
Preview
PDF (Appendix 4: MSK course teaching materials: Shoulder Examination)
18529_Appendix_4_MSK_course_teaching_materials_Shoulder_Examination.pdf

Download (8kB)
[thumbnail of Appendix 5: MSK course evaluation questionnaires: Course evaluation questionnaire 4-6 weeks]
Preview
PDF (Appendix 5: MSK course evaluation questionnaires: Course evaluation questionnaire 4-6 weeks)
18259_Appendix_5_MSK_course_evaluation_questionnaires_Course_evaluation_questionnaire_4-6_weeks.pdf

Download (72kB)
[thumbnail of Appendix 5: MSK course evaluation questionnaires: Immediate Post-Course Evaluation Form]
Preview
PDF (Appendix 5: MSK course evaluation questionnaires: Immediate Post-Course Evaluation Form)
18259_Appendix_5_MSK_course_evaluation_questionnaires_Immediate_Post-Course_Evaluation_Form.pdf

Download (68kB)
[thumbnail of Appendix 2: Interview with GP 1 October 2003]
Preview
PDF (Appendix 2: Interview with GP 1 October 2003)
18529_Appendix_2_Interview_with_GP_1_October_2003.pdf

Download (198kB)
[thumbnail of Appendix 2: Interview with GP 4 October 2003]
Preview
PDF (Appendix 2: Interview with GP 4 October 2003)
18529_Appendix_2_Interview_with_GP_4_October_2003.pdf

Download (145kB)
[thumbnail of Appendix 2: Interview with GP 2 September 2003]
Preview
PDF (Appendix 2: Interview with GP 2 September 2003)
18529_Appendix_2_Interview_with_GP_2_September_2003.pdf

Download (147kB)
[thumbnail of Appendix 2: Interview with GP 3 September 2003]
Preview
PDF (Appendix 2: Interview with GP 3 September 2003)
18529_Appendix_2_Interview_with_GP_3_September_2003.pdf

Download (174kB)

Abstract

Disorders of the musculoskeletal (MSK) system are prevalent in the UK. They are a significant cause of pain, disability and health and social care resource utilisation. Most patients with MSK disorders are seen and treated by General Practitioners (GPs). MSK disorders form up to 20% of GP consultations and the majority are formed of a small number of conditions such as back, neck, and knee pain. Despite the prevalence of these conditions, there is evidence that management of affected patients is suboptimal. This thesis investigated the possibility and feasibility of improving GP delivery of care to patients with MSK problems using an evidence-based educational intervention. The study population was a cohort of GPs from Camden and Islington Primary Care Trusts. The first phase of the project was a needs assessment case study of prior training and CME experience in MSK disorders using questionnaires and face-to-face interviews. The second phase used these results to develop, deliver and evaluate an MSK training course. The principal findings from the needs assessment were that formal postgraduate training in MSK disorders was rare. CME events were mainly in the form of lectures. GPs rated the need for knowledge of MSK disorders in primary care as high. The MSK training course was based on the needs assessment, taking place in small groups, using trained patients (Patient Partners) and clinical cases. GPs evaluated the course as highly relevant to their needs, leading to increased confidence and skills. However, GPs estimated that confidence would reduce after 6 months without further training. It is feasible to deliver a research informed training course for GPs on MSK disorders. Further work needs to be done to find effective strategies to produce prolonged changes in behaviour and practice that deliver effective patient care.

Type: Thesis (Doctoral)
Title: The impact of a needs-based educational programme on General Practitioners' confidence and skill in managing common musculoskeletal problems
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Research funded by Arthritis Research Campaign
UCL classification:
URI: https://discovery.ucl.ac.uk/id/eprint/18529
Downloads since deposit
10,589Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item