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A Novel Application of Musculoskeletal Ultrasound Imaging
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Musculoskeletal Ultrasound Instruction in Adult Rheumatology Fellowship Programs.

Karina D Torralba1, Amy C Cannella2, Eugene Y Kissin3

  • 1Loma Linda University, Loma Linda, California.

Arthritis Care & Research
|August 5, 2017
PubMed
Summary

Most rheumatology fellowship programs now teach musculoskeletal ultrasound (MSUS), but formal curricula are lacking. Program directors support a standardized MSUS curriculum, preferably optional, to improve training.

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Area of Science:

  • Rheumatology
  • Medical Education
  • Diagnostic Imaging

Background:

  • Musculoskeletal ultrasound (MSUS) is increasingly important in rheumatology.
  • Standardization of MSUS training is crucial for rheumatology fellows.
  • Previous efforts have focused on certifications and core curriculum integration.

Purpose of the Study:

  • To assess current rheumatology fellowship program needs for MSUS curricular incorporation.
  • To identify teaching methods currently employed for MSUS training.

Main Methods:

  • A needs-assessment survey (S1) was distributed to rheumatology fellowship program directors.
  • A curriculum survey (S2) was sent to lead faculty in programs teaching MSUS.
  • Programs were stratified by size and use of a formal written curriculum.

Main Results:

  • 94% of programs teach MSUS, but only 41% have a formal curriculum.
  • Program size did not impact curricular implementation.
  • Most directors (95.3%) favor formal MSUS curriculum adoption, with 65.7% preferring it to be optional.
  • Inadequate time, funding, and faculty remain barriers, alongside lack of divisional and fellow interest in some programs.

Conclusions:

  • MSUS is now taught in a majority of rheumatology fellowship programs.
  • While teaching strategies and content are similar, barriers to formal curriculum implementation persist.
  • A majority of program directors advocate for a standardized, often optional, MSUS curriculum.