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Jakub Grobelski1, Florian Recker2, Dagmar Wilsmann-Theis3

  • 1Medizinische Klinik III, Onkologie, Hämatologie, Rheumatologie und Klinische Immunologie, Universitätsklinikum Bonn.

Journal Der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
|December 11, 2021
PubMed
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This pilot course effectively trained dermatologists in musculoskeletal ultrasound (MSUS) for early arthritis detection. Participants achieved high scores, demonstrating the MUDE protocol

Area of Science:

  • Musculoskeletal Ultrasound (MSUS) in Dermatology
  • Medical Education and Training Protocols
  • Psoriatic Arthritis and Inflammatory Conditions

Context:

  • Musculoskeletal ultrasound (MSUS) is crucial for early arthritis detection, including psoriatic arthritis.
  • Pathological findings in joints can be missed during clinical examinations by untrained physicians.
  • The MUDE protocol was specifically developed for dermatologists to address this gap.

Purpose:

  • To evaluate a pilot musculoskeletal ultrasound (MSUS) course using the MUDE protocol for dermatologists.
  • To assess the effectiveness of a specialized training program in MSUS for dermatological applications.
  • To determine if the MUDE protocol enhances dermatologists' ability to identify joint abnormalities.

Summary:

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  • Twelve dermatologists with no prior MSUS experience participated in the six-month pilot course.
  • The curriculum focused on essential joint scans, synovial effusion, and hyperperfusion detection using portable ultrasound devices.
  • Participants achieved an average OSCE score of 87.44%, indicating successful knowledge and skill acquisition.

    • Impact:

    • The MUDE protocol is a highly effective educational concept for training dermatologists in MSUS, regardless of their initial expertise.
    • This training can improve early diagnosis of inflammatory arthritis in dermatological practice.
    • The study highlights the potential for MSUS to become an integral part of dermatological diagnostics.