After more than a quarter century as a primary care educator, I am convinced that our graduates enter practice inadequately trained in the diagnosis and management of musculoskeletal problems and injuries. One reason for this perceived deficiency is the relatively short duration of primary care training—typically three years for family medicine, general internal medicine, and general pediatrics. During this time, there are just not enough months to teach all a clinician needs to know about diseases and trauma involving the musculoskeletal system
