According to Shereen Mahmood, MD, Montefiore Medical Center, The Bronx, N.Y., Einstein-Montefiore recognized the diagnostic and therapeutic value of musculoskeletal ultrasound (MSUS) and implemented a two-year curriculum as a result.
“A review of MSUS literature helped influence workshops and milestones,” she said. “External rheumatology programs and internal departments were queried for models of training. Educational theories focusing on gaming, procedural skills frameworks and assessment were explored.
“In the first year, we hold monthly, joint-specific, hands-on workshops and bedside POCUS [point-of-care ultrasound] opportunities. Advanced diagnostic and procedural practice occur in the second year, with a fellow-run MSUS clinic. Fellows are also encouraged to participate in MSUS research projects and prepare for USSONAR Certification/RhMSUS Board Certification, if opted for.
“Since 2019, we have had significant positive feedback. Each participant completed ~50 MSUS procedures. Those with continued MSUS access report use in clinical practice. Four of seven fellows achieved USSONAR certification, and three graduated fellows will sit for RhMSUS, piquing the interest of fellowship applicants.”