Musculoskeletal ultrasound training in rheumatology: the Belfast experience

Taggart, A J; Filippucci, Emilio; Wright, Gary; Bell, A. L.; Cairns, Andrew; Meenagh, G; Pendleton, Adrian; Rooney, Madeleine; Wright, Stephen; Grey, Arthur; Grassi, Walter

doi:10.1093/rheumatology/kei162

Cited by 59 publications

(29 citation statements)

References 16 publications

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“…After 6 months they had to pass a clinical assessment and a multiplechoice exam in ultrasound competency. 3 out of 60 did not pass the multiplechoice part of the assessment, and only 14 out of 60 passed the clinical part the assessmentin accordance with the method described by Taggart et al [1]. This showed one more time that direct supervision by an expert is an essential element in learning ultrasonography.…”

Section: Discussionsupporting

confidence: 57%

“…The outlier in the Achilles tendon figure explains partly the intra observer difference for the trainee in that setting. mum of 6 participants and a minimum of 50% of total time devoted to practical sessions [1]. In our education program both theoretical and practical MSUS was performed.…”

Section: Discussionmentioning

confidence: 99%

“…They also underwent several courses including EULAR courses. The conclusion was that constant practice under expert guidance is the single most important key to success in MSUS training [1].…”

Section: Introductionmentioning

confidence: 99%

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Learning musculoskeletal ultrasound

Jensen¹,

Johannsen²

2017

Phys Ther Rehabil

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Aim: To evaluate if an acceptable diagnostic level of musculoskeletal ultrasonography(US) can be achieved by a US-novice when taught by an expert during a 4 month rotation in an outpatient clinic. Methods: All patients referred to an out-patient clinic with heel pain during one month (July 2013) were offered participation. No declined and 17 were included. The exam included 4 US images of both feet: a cross sectional scan of the thickest part of the Achilles tendon,a longitudinal scan of the plantar fascia anda cross sectional of the heel fat pad with and without pressure. These 8 images were repeated after a few minutes resulting in 8 pairs of images. After 2 months all the images were reviewed randomly in a blinded manner and measurements were performed.Hereby two different measurements on two different images were performed. The intra-tester reliability was compared by Intra-class Correlation Coefficient (ICC) and typical error (TE). Results: The US novice trainee achieved an acceptable good ICC (0.64 to 0.90)with agreements (TE 7.1-17.5%), albeit lower than the experienced doctorwith substantial ICC (0.90-0.97) and TE (3.4-6.7%). Conclusion: A 4 month rotation in an outpatient clinic with daily use of musculoskeletal ultrasound can lead to acceptable ultrasonographic skills in a novice with no prior ultrasonography experience.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

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Learning musculoskeletal ultrasound

Jensen¹,

Johannsen²

2017

Phys Ther Rehabil

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“…These have contributed to the development of essential issues, MSUS training method and competency assessment in rheumatology [24][25][26][27][28][29][30][31]. More recently, training in ultrasound-guided injections for rheumatologists among countries has been tested and results demonstrated that the percentage of rheumatologists receiving training in the field is <10% in over 70% of countries that participated in the survey [32].…”

Section: Education and Training In Msusmentioning

confidence: 99%

“…Formal or informal training from a colleague expert in MSUS, predominantly a rheumatologist or radiologist, has been widely used among rheumatologist ultrasonographers to achieve MSUS competency [29].…”

Section: Box 2 Forms Of Musculoskeletal Ultrasonography (Msus) Trainingmentioning

confidence: 99%

Becoming a musculoskeletal ultrasonographer

Naredo

Bijlsma

2013

Best Practice & Research Clinical Rheumatology

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Over the last decade, increasing numbers of rheumatologists have incorporated musculoskeletal ultrasound (MSUS) as a valuable diagnostic tool into their clinical practice. Some countries have established training programmes for MSUS. The European League Against Rheumatism has developed education guidelines for the content and conductance of MSUS courses and it would be useful to standardise rheumatology MSUS training worldwide. A thorough knowledge of anatomy, US physics and technology, US scanning methods, US pattern of normal and pathological musculoskeletal tissues, definitions for US pathology, artefacts and pitfalls in both greyscale and Doppler modalities is necessary to perform efficient MSUS. MSUS training includes attending theoretical-practical and online courses, as well as studying textbooks and using digital video discs (DVDs). Having access to US equipment and performing supervised normal and pathological MSUS examinations for a training period are mandatory for consolidating MSUS learning. A proposal to accredit and certificate competence in MSUS is now being discussed.Ó 2013 Elsevier Ltd. All rights reserved. Musculoskeletal ultrasound basisUltrasonography (US) is an imaging technique based on the emission and reception of mechanical sound waves with a frequency greater than the hearing frequency range of the human ear (i.e., 20 kilohertz (kHz)) by piezoelectric crystals located inside the transducer or probe. Ultrasound wave

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Ultrasound in American Rheumatology Practice: Report of the American College of Rheumatology Musculoskeletal Ultrasound Task Force

Ike

Arnold

et al. 2010

Arthritis Care & Research

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Musculoskeletal ultrasound training in rheumatology: the Belfast experience

Cited by 59 publications

References 16 publications

Learning musculoskeletal ultrasound

Learning musculoskeletal ultrasound

Becoming a musculoskeletal ultrasonographer

Ultrasound in American Rheumatology Practice: Report of the American College of Rheumatology Musculoskeletal Ultrasound Task Force

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