Best Practice & Research Clinical Rheumatology
Volume 23, Issue 5 , Pages 625-642 , October 2009

Ensuring that all paediatricians and rheumatologists recognise significant rheumatic diseases

  • Helen Foster, MD, FRCP, FRCPCH (Professor Paediatric Rheumatology)

      Affiliations

    • Newcastle University, Medical School, Framlington Place, Newcastle upon Tyne, NE2 4HH, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 191 2227541; Fax: +44 191 2225455.
    • ,
  • Yukiko Kimura, MD (Chief, Pediatric Rheumatology)

      Affiliations

    • Joseph M. Sanzari Children's Hospital, Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ 07601, USA
    • Tel: +1 201 996 5306; Fax: +1 201 996 9815.

References 

  1. Yeo M, Sawyer S. Chronic illness and disability. BMJ. 2005 Mar 26;330(7493):721–723
  2. Goodman JE, McGrath PJ. The epidemiology of pain in children and adolescents – a review. Pain. 1991 Sep;46(3):247–264
  3. Mayer ML, Sandborg CI, Mellins ED. Role of pediatric and internist rheumatologists in treating children with rheumatic diseases. Pediatrics. 2004 Mar;113(3 Pt 1):e173–e181
  4. Mayer ML, Mellins ED, Sandborg CI. Access to pediatric rheumatology care in the United States. Arthritis Rheum. 2003 Dec 15;49(6):759–765
  5. McGhee JL, Burks FN, Sheckels JL, Jarvis JN. Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children. Pediatrics. August 1, 2002;110(2):354–359
  6. Foster HE, Eltringham MS, Kay LJ, et al. Delay in access to appropriate care for children presenting with musculoskeletal symptoms and ultimately diagnosed with juvenile idiopathic arthritis. Arthritis Rheum. 2007 Aug 15;57(6):921–927
  7. Manners PJ. Delay in diagnosing juvenile arthritis. Med J Aust. 1999 Oct 4;171(7):367–369
  8. Dang-Tan T, Franco EL. Diagnosis delays in childhood cancer: a review. Cancer. 2007 Aug 15;110(4):703–713
  9. Mohamed K, Appleton R, Nicolaides P. Delayed diagnosis of Duchenne muscular dystrophy. Europ J Paediatr Neurol. 2000;4(5):219–223
  10. Shiff NJ, Abdwani R, Cabral DA, et al. Access to pediatric rheumatology subspecialty care in British Columbia, Canada. J Rheumatol. 2009 Feb;36(2):410–415
  11. Jandial S, Myers A, Wise E, Foster HE. Doctors likely to encounter children with musculoskeletal complaints have low confidence in their clinical skills. J Pediatr. 2009 Feb;154(2):267–271
  12. Myers A, McDonagh JE, Gupta K, et al. More ‘cries from the joints’: assessment of the musculoskeletal system is poorly documented in routine paediatric clerking. Rheumatology. August 1, 2004;43(8):1045–1049
  13. Bonds DE, Mychalecky JC, Watkins R, et al. Ambulatory care skills: do residents feel prepared?. Med Educ Online. 2002;7(7):
  14. Glazier RH, Dalby DM, Badley EM, et al. Determinants of physician confidence in the primary care management of musculoskeletal disorders. J Rheumatol. 1996 Feb;23(2):351–356
  15. Hergenroeder AC, Chorley JN, Laufman L, Fetterhoff AC. Pediatric residents' performance of ankle and knee examinations after an educational intervention. Pediatrics. 2001 Apr;107(4):E52
  16. Lanyon P, Pope D, Croft P. Rheumatology education and management skills in general practice: a national study of trainees. Ann Rheum Dis. 1995 Sep;54(9):735–739
  17. GMC. Good medical practice. 2001; London.
  18. Kay LJ, Deighton CM, Walker DJ, Hay EM. Undergraduate rheumatology teaching in the UK: a survey of current practice and changes since 1990. Rheumatology. July 1, 2000;39(7):800–803
  19. Jandial S, Rapley T, Foster H. Current teaching of paediatric musculoskeletal medicine within UK medical schools–a need for change. Rheumatology (Oxford). 2009 May;48(5):587–590
  20. Oswald AE, Bell MJ, Snell L, Wiseman J. The current state of musculoskeletal clinical skills teaching for preclerkship medical students. J Rheumatol. 2008 Dec;35(12):2419–2426
  21. Clawson DK, Jackson DW, Ostergaard DJ. It's past time to reform the musculoskeletal curriculum. Acad Med. 2001 Jul;76(7):709–710
  22. Dubey SG. Musculoskeletal assessment of general medical inpatients. Rheumatology (Oxford). 2004 Apr;43(4):536–537author reply 7
  23. Craze J, Hope T. Teaching medical students to examine children. Arch Dis Child. 2006 Dec;91(12):966–968
  24. Gillam S, Bagade A. Undergraduate public health education in UK medical schools - struggling to deliver. Med Educ. 2006 May;40(5):430–436
  25. Wadey VM, Tang ET, Abelseth G, et al. Canadian multidisciplinary core curriculum for musculoskeletal health. J Rheumatol. 2007 Mar;34(3):567–580
  26. Newble DI, Jaeger K. The effect of assessments and examinations on the learning of medical students. Med Educ. 1983 May;17(3):165–171
  27. Giannini EH, Ruperto N, Athreya B, et al. Specialty training and distribution of work effort among US American College of Rheumatology members caring for children with rheumatic disease. Arthritis Rheum. 1997 Dec;40(12):2273–2274
  28. Doherty M, Dacre J, Dieppe P, Snaith M. The ‘GALS’ locomotor screen. Ann Rheum Dis. 1992 Oct;51(10):1165–1169
  29. Jones A, Ledingham J, Regan M, Doherty M. A proposed minimal rheumatological screening history and examination. The joint answers back. J R Coll Physicians Lond. 1991 Apr;25(2):111–115
  30. Beattie KA, Bobba R, Bayoumi I, et al. Validation of the GALS musculoskeletal screening exam for use in primary care: a pilot study. BMC Musculoskelet Disord. 2008;9:115
  31. Lillicrap MS, Byrne E, Speed CA. Musculoskeletal assessment of general medical in-patients–joints still crying out for attention. Rheumatology. August 1, 2003;42(8):951–954
  32. Coady D, Walker D, Kay L. Regional Examination of the Musculoskeletal System (REMS): a core set of clinical skills for medical students. Rheumatology. May 1, 2004;43(5):633–639
  33. Fox RA, Dacre JE, Clark CL, Scotland AD. Impact on medical students of incorporating GALS screen teaching into the medical school curriculum. Ann Rheum Dis. 2000 Sep;59(9):668–671
  34. Foster HE, Kay LJ, Friswell M, et al. Musculoskeletal screening examination (pGALS) for school-age children based on the adult GALS screen. Arthritis Rheum. 2006 Oct 15;55(5):709–716
  35. Rapley TJ, Heaven B, May CR, et al. An evidence and practice based regional musculoskeletal examination for school aged children – pREMS'. Rheumatology (Oxford). 2009;48(1. i22):
  36. Cividino A. The challenges of developing online learning. J Rheumatol. 2009 Mar;36(3):470–471
  37. Althouse LA, Stockman JA. Pediatric workforce: a look at pediatric rheumatology data from the American Board of Pediatrics. J Pediatr. 2006 Dec;149(6):869–870
  38. Recommendations for paediatric rheumatology service in the UK: British Paediatric Association; 1994.
  39. Cassidy JT, Athreya B. Pediatric rheumatology: status of the subspecialty in United States medical schools. Arthritis Rheum. 1997 Jun;40(6):1182
  40. Mayer ML, Brogan L, Sandborg CI. Availability of pediatric rheumatology training in United States pediatric residencies. Arthritis Rheum. 2006 Dec 15;55(6):836–842
  41. Kolasinski SL, Bass AR, Kane-Wanger GF, et al. Subspecialty choice: why did you become a rheumatologist?. Arthritis Care Res. 2007;57(8):1546–1551
  42. Foster HE, Cabral DA. Is musculoskeletal history and examination so different in paediatrics?. Best Pract Res Clin Rheumatol. 2006 Apr;20(2):241–262
  43. Goff I, Rowan AR, Bateman B, et al. Sensitivity of musculoskeletal history taking in children is poor; the need to examine all joints. Rheumatology (Oxford). 2009;48(Supp 1. i92):
  44. Szer I. Clinical skills in the evaluation of arthritis. In:  Szer I,  Kimura Y,  Malleson PN,  Southwood TR editor. Arthritis in children and adolescents. Oxford, UK: Oxford University Press; 2006;
  45. Beresford MW, Cleary AG. Evaluation of a limping child. Curr Paediatr. 2005;15:15–22
  46. Peterson HA. Leg aches. Pediatr Clin North Am. 1977 Nov;24(4):731–736
  47. Cabral D, Tucker L. Malignancies in children who initially present with rheumatic complaints. J Pediatr. 1999;134:53–57
  48. Jones OY, Spencer CH, Bowyer SL, et al. A multicenter case-control study on predictive factors distinguishing childhood leukemia from juvenile rheumatoid arthritis. Pediatrics. 2006 May;117(5):e840–e844
  49. Wallendal M, Stork L, Hollister JR. The discriminating value of serum lactate dehydrogenase levels in children with malignant neoplasms presenting as joint pain. Arch Pediatr Adolesc Med. 1996 Jan;150(1):70–73

PII: S1521-6942(09)00075-8

doi: 10.1016/j.berh.2009.07.002

Best Practice & Research Clinical Rheumatology
Volume 23, Issue 5 , Pages 625-642 , October 2009

Article Tools

* Image Usage & Resolution