Shoulder Masterclass - Diagnostic Ultrasound and Guided Injections

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£390 Inc VAT
Venue Start Date
Twickenham RFU Stadium, TW2 7BA Fri 01 Apr 2022
  • Expert faculty with internationally renowned lecturers and clinicians
  • Highly practical to ensure plenty of opportunity to practise and learn from our expert faculty
  • High tutor-to-delegate ratio to allow close supervision and feedback
  • Comprehensive online pre-reading material and teaching resources

Where better to run a shoulder study day than the home of England Rugby, Twickenham stadium!

SMUG has partnered with England Rugby to develop a one-day intensive, practical diagnostic ultrasound and ultrasound guided injection course specifically for the shoulder.

It is designed especially for orthopaedic surgeons, sports doctors, physiotherapists, sonographers, radiologists, osteopaths, chiropractors and GP's, looking to integrate diagnostic ultrasound of the shoulder into their clinical practice. Due to the high tutor-to-delegate ratio we can cater for a variety of scanning levels, from no or little experience of ultrasound, to those looking to further develop their scanning skills.

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The morning focusses on scanning the shoulder in small groups, with high-specification machines and close supervision from our expert faculty. The format is short presentations, faculty demonstrations and practical workshops where the delegates scan each other, with close supervision/guidance.

There is a strong clinical focus throughout, and particular attention is given to when and how imaging findings change clinical management. Many case examples are presented, and discussion is encouraged to share ideas and experiences. Clinicians attend our courses from a variety of disciplines, providing an excellent opportunity to network, learn from each other and challenge clinical practice.

The afternoon focusses on ultrasound guided injections of the shoulder. The course will cover sub-acromial bursa, acromioclavicular, LH biceps sheath, glenohumeral joint, and suprascapular nerve injections. More advanced procedures including barbotage and lavage and hydrodistention are also included.

Delegates will be taught how to carry out an in-plane and out-of-plane guided injection and will have the opportunity to practise this on meat specimens. Our tutors have taught this course all over the world and have lots of top tips, technical knowledge and clinical gems to ensure delegates maximise this unique learning opportunity and develop their skills. For each injection, the delegates are taught the simplest and most effective techniques.

Day 1

Time Summary Details
09:00 - 09:10 Introduction - Plan for the day The role of US and US guided interventions in the shoulder. Competency in MSK Ultrasound and learning pathways.
09:10 - 09:30 Lecture Introduction: knobology, physics, terminology, equipment, safety and artifacts.
09:30 - 10:15 Live Demo How to scan the shoulder: guidelines, indications, correlation with anatomy and techniques, and common shoulder injection sites.
10:15 - 11:00 Practical workshop Shoulder - Diagnostic ultrasound workshop.
11:00 - 11:30 Coffee Break Opportunity for the delegates to meet the sponsors.
11:30 - 12:00 Lecture Shoulder pathology and clinical relevance.
12:00 - 13:00 Practical Workshop Diagnostic ultrasound workshop.
13:00 - 13:30 Lunch
13:30 - 14:15 Lecture Introduction to ultrasound guided shoulder injections. What to inject and when: SA bursa, intra-articular GHJ, AC joint, LH biceps sheath, hydrodistention, Barbotage and Lavage.
14:15 - 14:45 Lecture Shoulder Injection technique. How to carry out an in-plane and out-of-plane US guided injection - technical and procedural considerations.
14:45 - 15:00 Live Demo on Phantom Practical workshop with phantoms and meat specimens. Guided injection workshop: in-plane and out of plane techniques.
15:00 - 15:15 Coffee Break
15:15 - 16:30 Guided injection demonstration SA bursa, intra-articular GHJ, AC joint, LH biceps sheath, hydrodistention, Barbotage & Lavage.
16:30 - 17:00 Panel Discussion Where to go from here? Competencies and training. Review and Close.

Are SMUG courses endorsed by The College of Radiographers?

Endorsment for our Introduction to Musculoskeletal Ultrasound Imaging in Sports Medicine course is currently being processed.


How does the SMUG introduction course differ from other courses?

It is an intensive, highly practical, hands-on and highly interactive course with a high tutor participant ratio of at least 1:6. It is designed for sports medicine practitioners and provides a good grounding in tissue recognition and scanning skills as well as giving participants a clear idea of the skill level required and the time it takes to be competent and confident.


Do I get a qualification/certificate at the end of the Introduction course?

You will receive a certificate for the allocated CPD hours for the course, not a certificate of competence.


How do I continue to develop my skills after the Introduction course?

For MSK Diagnostic Ultrasound the only accredited pathways are via the Royal College of Radiologists and a PG Cert in MSK Sonography (such as at Canterbury University); it takes approximately 18 months and you have to do a clinic with a radiologist/sonographer once a week.


What are the prerequisites for the Mentorship Programme?

Participants to have attended an introduction to MSK ultrasound imaging course (not necessarily our course) and have good anatomical knowledge (especially cross-sectional) and access to an ultrasound scanner in their clinical setting.


I only want to know how to scan a particular area (shoulder, muscle, ankle). Is the introduction course for me?

Yes, any scanning requires the skill to optimise the image using the machine settings and the correct manual skill to assess the tissues of interest as well as the knowledge of how to avoid pitfalls.


I am already injecting and only want to know how to do it under guidance. Is the introduction course necessary?

Yes, to identify the correct target area you need the manual skill to visualise the needle and the procedure correctly as well as to follow up after injections.


My company is looking at purchasing a machine. Any suggestions or things to look for?

Many portable machines are very good quality. Look for multi-frequency probes (5-12 MHz or higher), sensitive Power and colour Doppler and most important of course good, clear images. GE, Siemens, SonoSite, Mindray to mention a few manufacturers. Ask the representative to demonstrate a model in your clinic and compare!


Will I be able to scan my patients after the introduction course?

The course gives you the practical skills, but it takes a lot more training to get familiar with the spectrum of normal anatomy appearance, trauma, pathology and clinical interpretation, before ultrasound can be combined with your clinical examination. Practise your skills on patients with their consent, do not use it immediately as a clinical skill.


What is your cancellation policy?

Less than 28 days notice = No refund
29 to 56 days notice = 50% refund
Over 57 days notice = Full refund, less an administrative charge of 4% of the course fee


What are the prerequisites for the Introduction course?

Participants should have good anatomical knowledge (especially cross-sectional) and clinical experience.


What are the prerequisites for the Advanced course?

Participants have ideally attended an introductory (Level 1) course, are expected to have regular access to an ultrasound scanner, are using ultrasound scanning as part of their daily practice, have completed at least 10 documented scans and are competent at identifying the normal appearance of most commonly assessed structures in MSK ultrasound.


What are the prerequisites for the PGCert in MSK Ultrasound?

You must have access to an MSK ultrasound scanner so you can practise (minimum 10 scans per week).
You must have a clinical supervisor to achieve 100 supervised scans.
You must have good MSK anatomical knowledge (especially cross-sectional).
You must be able to attend all dates.


Can I pay for the PGCert in MSK Ultrasound in instalments?

Yes. You must pay a deposit within 7 days of being offered a place, with the balance paid at least 21 days before the course start date.


Can SMUG help find a clinical supervisor for the PGCert in MSK Ultrasound?

No. It is the students responsibility to identify a clinical supervisor.


How many scans are required for the PGCert in MSK Ultrasound logbook?

You must produce a logbook of 250 scans (100 supervised & 150 unsupervised scans).


What is the deadline for submission of the PGCert logbook?

This must be submitted within 6 months of the OSCE, preferably electronically, and must not contain any identifiable patient information.


Do SMUG run courses specific to emergency medicine to identify DVT etc?

No, our courses are purely sports medicine orientated and as such do not cover DVT screening or application in an A&E department.


Can I pay by instalments?

Yes. Please email Francesca at info@ultrasoundtraining.co.uk. Please note that to guarantee your place, the final instalment must be received 28 days prior to the start of the course.

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Price: £390.00 Inc VAT

Venue: Twickenham Stadium, 200 Whitton Road, Twickenham, TW2 7BA

Date: Friday 01 April 2022 09:00-17:00

Note: Bookings close on Thursday 31 March 2022


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