{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T22:07:38Z","timestamp":1771020458046,"version":"3.50.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["asbmr.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JBMR Plus"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Large\u2010scale studies have not addressed the knowledge level of US resident physicians regarding osteoporosis management. We gauged the knowledge level of family medicine, internal medicine, and obstetrics and gynecology resident physicians regarding osteoporosis management. In 2019, we sent an anonymous survey via e\u2010mail to all program directors of Accreditation Council for Graduate Medical Education\u2013accredited residency programs in family medicine, internal medicine, and obstetrics and gynecology for distribution to resident physicians. Knowledge items assessed osteoporosis screening, diagnosis, and treatment. We received responses from 182 family medicine, 275 internal medicine, and 122 obstetrics and gynecology programs. Of 582 resident physician respondents, 31% were family medicine residents, 47% were internal medicine residents, and 21% were obstetrics and gynecology residents. Although 77% of respondents correctly selected the <jats:italic>T<\/jats:italic>\u2010score threshold for the diagnosis of osteoporosis among persons aged 50\u2009years and older (\u22122.5), only 20% of respondents correctly identified minimal\u2010trauma hip fracture as being diagnostic of osteoporosis. One\u2010third of respondents correctly identified which medications were demonstrated in clinical trials to decrease hip fracture risk. Fifteen percent of respondents correctly identified that denosumab and alendronate are associated with osteonecrosis of the jaw; and 40% of respondents correctly identified that decline in bone density is more rapid after discontinuation of denosumab than after discontinuation of bisphosphonates. Less than half of resident physicians knew that bisphosphonate\u2010associated atypical femoral fractures are duration\u2010dependent. One\u2010quarter of respondents felt not at all prepared to manage osteoporosis. In this nationwide survey of resident physicians, knowledge regarding osteoporosis diagnosis and treatment was poor, with a striking lack of knowledge regarding the two most serious adverse effects of osteoporosis pharmacotherapy (osteonecrosis of the jaw and atypical femoral fractures). The undertreatment of osteoporosis is unlikely to improve without increased education of resident physicians. \u00a9 2021 The Authors. <jats:italic>JBMR Plus<\/jats:italic> published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.<\/jats:p>","DOI":"10.1002\/jbm4.10524","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T11:10:06Z","timestamp":1624014606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Knowledge and Needs of Resident Physicians Regarding Osteoporosis: A Nationwide Survey of Residents"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-0198","authenticated-orcid":false,"given":"Carolyn J","family":"Crandall","sequence":"first","affiliation":[{"name":"Department of Internal Medicine David Geffen School of Medicine at University of California, Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia Y","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine David Geffen School of Medicine at University of California, Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler D","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine David Geffen School of Medicine at University of California, Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Elashoff","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine David Geffen School of Medicine at University of California, Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie S","family":"Faubion","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Mayo Clinic  Jacksonville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana M","family":"Kling","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Mayo Clinic  Scottsdale AZ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Shifren","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Massachusetts General Hospital, Harvard Medical School  Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Skinner","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine David Geffen School of Medicine at University of California, Los Angeles  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5261-7721","authenticated-orcid":false,"given":"Douglas C","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of California, San Francisco  San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-154-5-201103010-00307"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.7498"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.0826"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/M19-0961"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2018.08.033"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/M15-1361"},{"key":"e_1_2_7_8_1","volume-title":"Data resource book academic year 2019\u20102020","author":"Accreditation Council for Graduate Medical 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