Orthopaedic Physical Exam Skills for the Primary Care Provider (RECORDING)

Primary care providers oftern are the front line in discovering newly emerged or underlying chronic health conditions in patients. Therefore, proficiency in orthopaedic exams is crucial in early detection of orthopaedic ailments. In this course, a didactic portion reviews common presentations for orthopaedic sports and back injuries and their management. Pertinent history and exam, appropriate use of imaging and referrals are also covered, supplemented by a physical exam skills practice demonstration to provide a real-world example of hands on skills training.

Original Release Date: November 08, 2022

Review Date: July 16, 2025

Expiration Date: November 07, 2028

Estimated Time To Complete: 2.0 hours

Registration Fee: Free

Click Begin (at the top) to launch this course.

1. Conduct a complete patient history for orthopaedic sports and back conditions.
2. Identify when to refer patients for advanced imaging or to an appropriate specialist.
3. Perform a complete physical exam for orthopaedic sports and back related injuries and conditions.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 2.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 
 
American Nurses Credentialing Center (ANCC) 
Stanford Medicine designates this Enduring Material for a maximum of 2.0 ANCC contact hours.  

American Academy of Physician Assistants (AAPA) 
Stanford Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This Enduring Material is designated for 2.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. 

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact Stanford CME.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
Bronstein, R. D., & Schaffer, J. C. (2017). Physical Examination of Knee Ligament Injuries. The Journal of the American Academy of Orthopaedic Surgeons, 25(4), 280–287. https://doi.org/10.5435/JAAOS-D-15-00463

Hippensteel, K. J., Brophy, R., Smith, M. V., & Wright, R. W. (2019). Comprehensive Review of Provocative and Instability Physical Examination Tests of the Shoulder. The Journal of the American Academy of Orthopaedic Surgeons, 27(11), 395–404. https://doi.org/10.5435/JAAOS-D-17-00637

Malanga, G. A., Andrus, S., Nadler, S. F., & McLean, J. (2003). Physical examination of the knee: a review of the original test description and scientific validity of common orthopedic tests. Archives of physical medicine and rehabilitation, 84(4), 592–603.https://doi.org/10.1053/apmr.2003.50026

 For activity related questions, please contact

  Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Brady Tyler Evans, MD
Clinical Assistant Professor, Orthopaedic Surgery
Stanford University
Us

Course Director

Nothing to disclose

Serena Shaw Hu, MD
Professor and Spine Surgery Service Chief
Stanford University

Faculty

Seth Lawrence Sherman, MD
Stanford

Faculty

Paid consultant-Kinamed|Consulting Fee-Arthrex, Inc|Membership on Advisory Committees or Review Panels, Board Membership, etc.-Arthroscopy|Consulting Fee-BioVentus (Relationship has ended)|Paid consultant-CONMED Linvatec|Membership on Advisory Committees or Review Panels, Board Membership, etc.-Epic Bio (Relationship has ended)|Grant or research support-JRF Ortho|Other: Board membership, stock ownership-Reparel, Sarcio|Grant or research support-Smith & Nephew|Membership on Advisory Committees or Review Panels, Board Membership, etc.-Sparta Biomedical|Other: Paid speaker, consultant and board member-Vericel|Stocks or stock options, excluding diversified mutual funds-Vivorte|Consulting Fee-Active Implants (Relationship has ended)|Grant or research support-Allosource|Consulting Fee-Arcuro |Consulting Fee-Depuy J&J (Relationship has ended)|Membership on Advisory Committees or Review Panels, Board Membership, etc.-DJO Global|Paid consultant-Flexion (Relationship has ended)|Paid consultant-LifeNet|Paid consultant-NewClip (Relationship has ended)|Grant or research support-Organogenesis (Relationship has ended)|Paid consultant-EPIC BIO (Relationship has ended)|Paid consultant-Moximed Inc., Ostesys, LinkX|Stocks or stock options, excluding diversified mutual funds-Moximed Inc., Ostesys, LinkX, Icarus Bracing|Membership on Advisory Committees or Review Panels, Board Membership, etc.-Icarus Bracing|Grant or research support-Octane Biotherapeutics|Grant or research support-Miach Orthopaedics Inc.

Jesse Amanda Rokicki-Parashar, MD
Clinical Assistant Professor, Medicine - Primary Care And Population Health
SHC

Planner

Amanda Thomas, PA-C
Stanford Health Care

Planner

Alicia Wilson, RN BSN
Sr. Quality Consultant
Stanford Healthcare

Planner