Pan-American League of Associations for Rheumatology (PANLAR) Recommendations and Guidelines for Musculoskeletal Ultrasound Training in the Americas for Rheumatologists

Pineda, Carlos; Reginato, Anthony M.; Flores, Victoria; Aliste, Marta; Alva, Magaly; Aragón-Laínez, R.A.; González, Araceli Bernal; Bouffard, Jeffrey A.; Caballero-Uribe, Carlo V.; Chávez-López, Mario Alfredo; Chávez-Pérez, Nilmo Noel; Collado, Paz; Díaz-Coto, José Francisco; Duarte, Margarita; Filippucci, Emilio; Galarza-Maldonado, Claudio; García-Kutzbach, Abraham; Godoy, Francisco Javier; González-Sevillano, Edgardo; Silveira, Inês Guimarães da; Gutiérrez, Marwin; Hernández‐Díaz, Cristina; Hernández, Jerónimo; Lamuño-Encorrada, Montserrat; Marcos, Juan Carlos; Marín-Arriaga, Norma; Mendonça, José Alexandre; Michaud, Johan; Moya, Carlos Javier Moya; Muñoz-Louis, Roberto; Neubarth, Fernando; Quintero, Maritza; Reyes, Benjamín; Ruta, Santiago; Rodríguez-Henríquez, Pedro; Solano, Carla; Ventura‐Ríos, Lucio; Möller, Ingrid; Naredo, Esperanza

doi:10.1097/rhu.0b013e3181d60053

Cited by 35 publications

(13 citation statements)

References 31 publications

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“…1,29–34 Although implementing a formal MSUS curriculum is a daunting task, the authors present a systematic assessment of barriers and available institutional resources that can be incorporated into a formal MSUS curriculum. Focus on independent study, peer-to-peer training, and participation of expert faculty are key aspects of the authors’ proposed curriculum.…”

Section: Resultsmentioning

confidence: 99%

Resident-Perceived Benefit of a Diagnostic and Interventional Musculoskeletal Ultrasound Curriculum

Luz

Siddiqui

Jain

et al. 2015

American Journal of Physical Medicine &Amp; Rehabilitation

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Musculoskeletal ultrasound (MSUS) training is now a required component of physiatry residency, but formal curriculum guidelines are not yet required or established. The authors’ objective was to assess the educational value of a collaborative residency MSUS training program. The authors designed a structured MSUS training curriculum for residents based on the authors’ experience and previous literature. Twenty-five residents participated in this MSUS curriculum designed by faculty and chief residents. Resident volunteers were trained by the faculty as “table trainers” who taught their peers in small groups. Handson MSUS training sessions were led by a Physical Medicine and Rehabilitation faculty MSUS expert. A Likert scale–formatted questionnaire assessed resident-perceived value of the curriculum. Response rate was 96% (22 of 23). Self-reported MSUS knowledge comparing precurriculum and postcurriculum implementation resulted in significant improvement (P = 0.001). Peer teaching was highly valued, with 86% of residents rating it “very” or “extremely” beneficial (mean [SD] score, 3.9 [1.1]). Self-guided learning, by supplemental scanning and reading, was rated “beneficial” or “very beneficial” by 73% of residents (3.0 [0.7]). The authors’ successful pilot program may serve as a teaching model for other residency programs.

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Section: Resultsmentioning

confidence: 99%

Resident-Perceived Benefit of a Diagnostic and Interventional Musculoskeletal Ultrasound Curriculum

Luz

Siddiqui

Jain

et al. 2015

American Journal of Physical Medicine &Amp; Rehabilitation

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“…However, it is an established and efficient tool for data collection and group decisionmaking . It has also been utilized previously to establish guidelines for other ultrasound courses …”

Section: Discussionmentioning

confidence: 99%

“…Establishing scoring rules for images submitted and competence for online evaluations were beyond the scope of this document. However, future competency assessment and certification could be envisioned, similar to the European League Against Rheumatism and Pan‐American League of Associations for Rheumatology programs for musculoskeletal ultrasound …”

Section: Discussionmentioning

confidence: 99%

Guidelines for neuromuscular ultrasound training

Tawfik

Cartwright

Grimm³

et al. 2019

Muscle and Nerve

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Neuromuscular ultrasound has become an essential tool in the diagnostic evaluation of various neuromuscular disorders, and, as such, there is growing interest in neuromuscular ultrasound training. Effective training is critical in mastering this modality. Our aim was to develop consensus‐based guidelines for neuromuscular ultrasound training courses. A total of 18 experts participated. Expert opinion was sought through the Delphi method using 4 consecutive electronic surveys. A high degree of consensus was achieved with regard to the general structure of neuromuscular ultrasound training; the categorization of training into basic, intermediate, and advanced levels; the learning objectives; and the curriculum for each level. In this study, a group of neuromuscular ultrasound experts established consensus‐based guidelines for neuromuscular ultrasound training. These guidelines can be used in the development of the specialty and the standardization of neuromuscular ultrasound training courses and workshops.

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“…An increasing number of rheumatologists worldwide have received training on US, and increased efforts are being made to standardize education, certification, and accreditation in the United States, Europe, and Latin America. [5][6][7] Ultrasound provides essential clinical information regarding the early anatomical changes, signs of aggressive inflammatory process, disease activity, and efficacy of therapy that helps the physician for a correct interpretation of the disease process and to make the best therapeutic decision in order to provide optimal patient care. [8][9][10][11][12][13][14][15][16] The clinical relevance of US is closely related to several advantages in comparison to other imaging modalities such as a patient-friendly, safe, noninvasive approach; lack of contraindications; free of ionizing radiation; and relative low cost compared with magnetic resonance imaging (MRI) or computed tomography (CT).…”

mentioning

confidence: 99%

General Applications of Ultrasound in Rheumatology

Ruta¹,

Pineda²,

Gutiérrez³

2015

JCR Journal of Clinical Rheumatology

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Ultrasound (US) is a noninvasive imaging technique that continues to gain interest among rheumatologists because of its undoubted utility for the assessment of a wide range of abnormalities in rheumatic diseases. It also has a great potential to be used at the time of consultation as an extension of the clinical examination.Current data demonstrate that the standard clinical approach could result in an insensitive assessment of some the different aspects of the various rheumatic diseases for which US has become a feasible and effective imaging modality that allows early detection of anatomical changes, careful guidance for the aspiration and/or local treatment, and short- and long-term therapy monitoring at the joint, tendon, enthesis, nail, and skin levels. The spectrum of pathological conditions for which US plays a crucial role continues to increase over time and includes rheumatoid arthritis, spondyloarthropathies, osteoarthritis, crystal-related arthropathies, connective tissue disorders, and vasculitis.It is expected that the inclusion of more longitudinal studies with a larger number of patients and more rigorous methodological approach will undoubtedly provide a better understanding of the significance of the abnormal US findings detected in order to provide the proper diagnostic and/or therapeutic approaches. In this article, we analyze the current potential applications of US in rheumatology and discuss the evidence supporting its use in the daily rheumatologic practice.

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Pan-American League of Associations for Rheumatology (PANLAR) Recommendations and Guidelines for Musculoskeletal Ultrasound Training in the Americas for Rheumatologists

Cited by 35 publications

References 31 publications

Resident-Perceived Benefit of a Diagnostic and Interventional Musculoskeletal Ultrasound Curriculum

Resident-Perceived Benefit of a Diagnostic and Interventional Musculoskeletal Ultrasound Curriculum

Guidelines for neuromuscular ultrasound training

General Applications of Ultrasound in Rheumatology

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