Table 1.

Summary of Specific Knowledge and Skill Objectives for the Musculoskeletal Curriculum

	Learner Objectives
For all conditions	1. Demonstrate physical exam techniques relevant to diagnoses.
	2. List the indications for X-ray, other radiologic imaging, and for surgical referral when indicated.
	3. Write a concise, appropriate physical therapy referral as indicated for the patient's diagnosis.
	4. Identify appropriate materials needed and perform appropriate aspiration and corticosteroid injections with appropriate technique.
Knowledge: knee	1. List the elements of the history that differentiate between meniscal and ligamentous tears from simple knee strain, and those that distinguish between various pain syndromes of the knee including patello-femoral syndrome, knee strain, a Baker's cyst, and anserine bursitis.
	2. List the key treatments for knee strain, patello-femoral syndrome, meniscal tear, ligament tear, anserine bursitis, and osteoarthritis.
Skill: knee	1. Demonstrate key maneuvers in the physical exam to distinguish between various pain syndromes of the knee including patello-femoral syndrome, anserine bursitis, and knee strain, and to distinguish meniscal from ligamentous tears and from knee strain.
	2. Demonstrate intra-articular aspiration/injection, prepatellar bursa aspiration, and injection of the anserine bursa.
Knowledge: shoulder	1. Describe the distinguishing features of rotator cuff tendonitis, subacromial impingement, frozen shoulder, rotator cuff tear, subscapular bursitis, glenohumeral osteoarthritis, and biceps tendonitis.
	2. Describe principles of treatment, including heat, exercise, NSAID, and corticosteroid injections.
Skill: shoulder	1. Perform range of motion evaluation and identify any deviation from normal.
	2. Perform the arc of elevation maneuver and show how it is used to diagnose shoulder pain.
	3. Demonstrate the proper performance of range of motion and strengthening exercises.
	4. Perform corticosteroid injection, using proper technique.
Knowledge: hip	1. List the elements of the history that distinguish between various pain syndromes of the hip including osteoarthritis, trochanteric bursitis, ileopectineal bursitis, and ischial bursitis.
	2. List the key treatments for osteoarthritis, trochanteric bursitis, ileopectineal bursitis, and ischial bursitis.
Skill: hip	1. Demonstrate key maneuvers in the physical exam to distinguish hip osteoarthritis, trochanteric bursitis, ileopectineal bursitis, and ischial bursitis.
Knowledge: elbow	1. Describe the typical features of lateral epicondylitis, including lateral location of pain, reproduction of pain by resisted dorsiflexion of the wrist, lack of synovitis, and normal range of motion, and describe the symptoms, signs, and most common causes of olecranon bursitis.
	2. Describe the typical features of medial epicondylitis, including medial location of pain, reproduction of pain by resisting wrist flexion and radial deviation, decreased grip strength, and normal range of motion.
	3. Describe treatment for epicondylitis, including analgesics, exercises, and injections.
Skill: elbow	1. Demonstrate proper performance of exercises and demonstrate use of elbow strap.
Skill: plantar fasciitis	1. Describe treatment, including shoe inserts, NSAID, exercises, and injections.
	2. Demonstrate how to perform exercises and demonstrate proper injection technique.

NSAID, non-steroidal anti-inflammatory drug.