The Assessment and Management of Osteoarthritis course for Medical Doctors
This session describes the approaches that all healthcare professionals can take to tackle the huge challenge of osteoarthritis (OA).
Objectives
By the end of this session, you will be able to:
- Describe to a patient what OA is
- Make a clinical diagnosis of OA
- Identify the core management approaches for all patients with OA
- Explain strategies that patients with OA can use to reduce their pain and/or increase function
- Identify patients for whom referral for consideration of joint replacement surgery may be appropriate.
OA is the most common form of arthritis. Over 8.75 million people in the UK have sought help for the condition. However, we know that healthcare professionals don’t always manage OA in line with current recommendations.
Michelle initially trained as a diagnostic radiographer at Keele University. She was drawn to research early on in her career and subsequently completed an MSc at the University of Bradford and then a PhD back at Keele University on the patterns of radiographic hand osteoarthritis and associations with pain and function in a prospective cohort study.
Following her PhD she has continued working in the field of osteoarthritis and is involved in both observational and interventional osteoarthritis research in community-dwelling populations. This research has particularly focused on investigating the prevalence, distribution of joint involvement, risk factors and the natural history of osteoarthritis at sites that include the hands, feet and ankles. The aims of this research have been to determine the burden of the condition in general population to inform healthcare provision and clinical need, and to gain further understanding of the presentation and aetiology of the condition as well as identifying subgroups of people that might benefit from targeted treatment. With her background in imaging, she has been the main point of contact liaising with imaging departments in the acquisition of radiographic images and has developed expertise in the grading of osteoarthritis on radiographic images for research purposes.
Having trained in Manchester and Stoke-on-Trent, Lizzie graduated from Manchester University. Lizzie stayed in Staffordshire after graduation from medical school and has undertaken all her postgraduate training and general practice in North Staffordshire and Stoke-on-Trent. She was an academic trainee, so early on in her career she was combining clinical medicine and research. Lizzie’s PhD. focused on the attitudes and beliefs of GPs regarding clinical knee osteoarthritis. She has now taken this work forward into her post-doctoral research, in which her primary focus is the management of osteoarthritis in primary care.
Lizzie has an interest in the delivery of primary care services, both in terms of understanding healthcare professionals’ behaviours, identifying effective service models and evaluating service delivery. Combining her academic and clinical expertise, she is now a member of the implementation team at Keele University. Her main role in this co-leading an international roll-out of an enhanced osteoarthritis care programme, focused on improving uptake of guideline recommendations in primary care. This provides Lizzie with the platform to bridge the gap between research evidence and real world clinical practice.
Jonathan completed undergraduate and masters Physiotherapy degrees at Nottingham University and worked clinically in musculoskeletal services and interdisciplinary pain management teams before undertaking his PhD at the Arthritis Research UK Primary Care Centre at Keele University.
His doctoral thesis investigated attitudes, beliefs and physical activity in older adults with knee pain due to osteoarthritis (OA) and his post-doctoral research focusses on physical activity and weight loss for people with OA.
Johny is part of the Keele implementation team designing and delivering OA themed workshops and training to a range of health professionals. He leads a physiotherapy OA community of practice and has set up and delivers a general practice based OA service.
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