Self‐directed learning of basic musculoskeletal ultrasound among rheumatologists in the United States

  title={Self‐directed learning of basic musculoskeletal ultrasound among rheumatologists in the United States},
  author={Eugene Y. Kissin and Jane Nishio and Mei Yang and Marina Backhaus and P{\'e}ter Vince B{\'a}lint and George A W Bruyn and Jurgen Craig-Muller and Maria Antonietta D’Agostino and Alexander Feoktistov and Janak R. Goyal and Annamaria Iagnocco and Robert W Ike and Ingrid Moller and Esperanza Naredo and Carlos Pineda and Wolfgang A Schmidt and Nanno Swen and Darren Tabechian and Richard J. Wakefield and Alvin F. Wells and Gurjit S. Kaeley},
  journal={Arthritis Care \& Research},
Because musculoskeletal ultrasound (MSUS) is highly user dependent, we aimed to establish whether non‐mentored learning of MSUS is sufficient to achieve the same level of diagnostic accuracy and scanning reliability as has been achieved by rheumatologists recognized as international experts in MSUS. 
Ultrasound Learning Curve in Gout: A Disease‐Oriented Training Program
To describe the learning curve of rheumatologists with limited experience using ultrasound (US) attending an intensive disease‐oriented training program focusing on the skills required to obtain and
Musculoskeletal Ultrasound Instruction in Adult Rheumatology Fellowship Programs
The objectives of the present study were to assess current program needs for curricular incorporation and the teaching methods that are being employed in musculoskeletal ultrasound in the US.
The Current State of Musculoskeletal Ultrasound Education in Physical Medicine and Rehabilitation Residency Programs
Exposure to musculoskeletal ultrasound (MSUS) is now a mandatory component of physical medicine and rehabilitation (PM&R) residency training. However, reports on the extent of the implementation and
Musculoskeletal ultrasound in rheumatology in Korea: targeted ultrasound initiative survey
In collaboration with the Targeted Ultrasound Initiative (TUI), to conduct the first study in Korea to investigate current practices in ultrasound use among Korean rheumatologists.
Modern Landscapes and Strategies for Learning Ultrasound in Rheumatology.
Education opportunities, competency assessment, and certification pathways in ultrasound in rheumatology: a consensus-based and publicly available training curriculum can further enhance and standardize learning.
al. Musculoskeletal ultrasound training and competency assessment program for rheumatology fellows. J Ultrasound Med 2013;32:1735–43. 3. Kissin EY, Grayson PC, Cannella AC, DeMarco PJ, Evangelisto A,
The use of musculoskeletal ultrasound by rheumatologists in the United States.
It is found that 20% of rheumatologists and fellows who responded are utilizing MSUS, and those using it primarily do so for diagnosis and injection guidance, and this study is valuable as the first to document this trend among U.S. r heumatologists.
Utility and feasibility of musculoskeletal ultrasonography (MSK US) in rheumatology practice in Canada: needs assessment
There is a great level of interest in learning and applying MSK US in Canadian rheumatology practice, but the balance between added clinical value and lack of remuneration, equipment associated costs, and time to complete training is the major limiting factor influencing r heumatologists’ willingness to take on MSKUS.
The Impact of Education: Has the Failure to Standardize Musculoskeletal Sonography Undermined Its Value?
Sonography has made substantial technological improvements over the years, removing many of the barriers to its application in evaluation of the musculoskeletal (MSK) system. Sonography offers the
Ultrasound applications for the practicing rheumatologist.
  • F. Joshua
  • Medicine
    Best practice & research. Clinical rheumatology
  • 2012
Musculoskeletal ultrasound can detect and monitor multiple joint pathologies including synovitis, tenosynovitis and tendon pathologies, entheseal processes, bone erosions and osteophytes, cartilage changes and bursal pathologies.


The development of an evidence-based educational framework to facilitate the training of competent rheumatologist ultrasonographers.
A comprehensive evidence-based, expert consensus-defined educational framework is proposed that provides a template for teaching and learning and standards for competency assessment and should facilitate common principles of training, uniform professional practice and a justifiable governance structure.
Snap-shot of the ultrasound school of the Spanish Society of Rheumatology.
Today, there is no doubt that musculoskeletal ultrasonography (MSUS) is the rheumatologists’ best tool. It extends physical examination, aids clinical approach and is a very attractive research tool.
Interobserver reliability of rheumatologists performing musculoskeletal ultrasonography: results from a EULAR “Train the trainers” course
Interobserver reliabilities, sensitivities, and specificities in comparison with MRI were moderate to good and further standardisation of US scanning techniques and definitions of different pathological US lesions are necessary to increase the interobserver agreement in musculoskeletal US.
Ultrasound in rheumatology. The Mexican experience.
In Mexico, ultrasonography has a still limited diffusion among rheumatologists even if it may play a key role as a first line imaging technique also because of the restricted availability for rheumatic patients for other imaging modalities.
Musculoskeletal ultrasound including definitions for ultrasonographic pathology.
The first report from the OMERACT ultrasound special interest group is presented, which has compared US against the criteria of the O MERACT filter, and for the first time are consensus US definitions for common pathological lesions seen in patients with inflammatory arthritis.
Interobserver reliability in musculoskeletal ultrasonography: results from a “Teach the Teachers” rheumatologist course
Musculoskeletal ultrasound has a moderate to good interobserver reliability and further consensus on standardisation of scanning technique and diagnostic criteria is necessary to improve musculoskletal ultrasonography reproducibility.
E-learning in ultrasonography: a web-based approach
The e-learning methods described in this report represent the first attempt to adopt a novel technique to circumvent several of the inherent barriers to the many facets of teaching musculoskeletal ultrasound to a wide audience.
Ultrasound B-scanning in the differentiation of Baker's cyst and thrombophlebitis.
Ultrasound affords a simple, rapid, non-invasive technique for distinguishing between thrombophlebitis and irritation or rupture of a Baker's cyst.
Ultrasonography in rheumatology: an evolving technique
At present, US is still a tool in search of a job in rheumatology, but it seems to have many of the features of a big bargain.
High-resolution ultrasonography of the first metatarsal phalangeal joint in gout: a controlled study
HRUS may assist in the management of gout in two ways: first, by aiding in the diagnosis by identifying the sonographic features that may be representative of the disease, and, second, by allowing the early detection of erosive joint damage and/or tophaceous deposits even in clinically silent joints.