Mentorship in MSK Ultrasound Course by SMUG | Clinical Competency Pathway
NOTE: We are in the process of finalising dates for the Mentorship Programme later this year.

If you would like us to let you know when the dates are confirmed, please provide your email address and any comments by clicking here.

Mentorship in Musculoskeletal Ultrasound

Venue Start Date
  • Excellent tutor to delegate ratio - plenty of time to practice under close supervision
  • Opportunity to work with the experts in this field
  • One machine to three delegates - only high specification machines are used on the course. Delegates are encouraged to use their own machines if they use a portable device
  • 100% pass mark so far
  • Access to our online resources including key articles, learning resources, online presentations and quizzes
  • Exclusive access to out online learning forum

We have developed this unique programme to provide a learning pathway to gain a basic clinical competency qualification in MSK Ultrasound. The programme is structured to work as a stand-alone clinical competency pathway or to complement an existing pathway such as a PG Certificate. The SMUG mentorship provides each delegate with a dedicated clinical supervisor to ensure each delegate maximises this learning opportunity and completes the necessary components of the Mentorship Programme and/or their post graduate study.

Day 1 - Shoulder: Monday 01 April 2019 09:00-17:00
Day 2 - Knee: Monday 13 May 2019 09:00-17:00
Day 3 - Hip: Monday 03 June 2019 09:00-17:00
Day 4 - Ankle and Foot: Monday 01 July 2019 09:00-17:00
Day 5 - Elbow: Monday 09 September 2019 09:00-17:00
Day 6 - Wrist and Hand: Monday 07 October 2019 09:00-17:00
Day 7 - Competency Exam: Monday 04 November 2019 09:00-17:00

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Course Structure

This unique Mentorship Programme gives delegates the opportunity to secure clinical supervision, with a dedicated clinical mentor, to gain clinical competency in MSK Ultrasound. Delegates will have regular supervision over an 8-month period. This has been introduced to address the lack of clinical supervisors in the UK. It also provides a unique opportunity for clinicians enrolled on PG Certificates, Diplomas and Masters to gain regular clinical supervision and support their course requisites in terms of supervised and unsupervised scans. Each delegate will be allocated one of our expert tutors to guide him or her through the Mentorship Programme.

Delegates will attend a SMUG 2-day Introduction course and then attend one day each month for 6 months. Each supervision day will focus on a specific joint (see overview below). At the end of the course (month 8) there is a practical clinical competency exam, a session to review log books/clinical portfolio and sign off all relevant paperwork.

All delegates will keep a log book/practice portfolio and will need to achieve 250 scans (100 supervised and 150 unsupervised) over the 8-month period. The tutors will sign off supervised and unsupervised scans and will provide feedback on image quality, scan findings, diagnosis and management.

The tutors have extensive experience of guiding students through their post graduate qualifications in MSK Ultrasound and are passionate about maintaining high standards of scanning and helping clinicians achieve their goal.

Any scans carried out on the day will form part of the assessment process and will be signed off by the tutor.

Who should attend?
This programme attracts MSK Radiologists, GPs with special interest in MSK/Sports Medicine, Surgeons, Sports Medicine Consultants, Physiotherapists, Radiographers, Podiatrists, Sonographers and Osteopaths.

Designed for delegates looking for clinical supervision/supervisors to compliment their existing post graduate certificate or those who want to obtain a basic competency in MSK ultrasound. For example: to facilitate radiologists to achieve the Level 1 Royal College of Radiologists (RCR) Standards or prepare Sports Medicine Doctors and GPwSI to pass the Faculty of Sports & Exercise Medicine (FSEM) Clinical Competency Exam also known as The Ultrasound Direct Observation of Procedural Skills (DOPS) Clinical Assessment. It also provides a stand-alone competency pathway for sonographers, GPs, orthopaedic surgeons, physiotherapists and osteopaths.

Course pre-requisites
Attendance of SMUG 2-day Introduction to MSK Ultrasound Imaging in Sports Medicine course.

Must be carrying out regular diagnostic MSK ultrasound in their own workplace.

Must attend all teaching days (a SMUG 2-day Introduction course, all 6 supervision days and the exam day). Alternative dates may be available at special request, but may incur a fee.


  • Chris Myers - Extended Scope Physiotherapist, Osteopath and MSK Sonographer
  • Robert Laus - Clinical Director, Specialist Physiotherapist and MSK Sonographer
  • Dr Lorenzo Masci - Consultant Sports Medicine Doctor and MSK Sonographer

Supervision Day Structure

Time Summary Details
09:00 - 09:30 Registration and plan for the day Review of the last month
What has gone well?What has not gone so well?
Identify areas for development to focus on in day
09:30 - 10:30 Presentation and Demonstration Outline of the joint to be scanned
Pitfalls and Top Tips
Tutor demonstration of the joint to be scanned
10:30 - 12:00 Practical Workshop Opportunity for delegates to scan with close supervision and feedback
12:00 - 12:45 Lunch
12:45 - 14:00 Practical Workshop Delegates will scan normal and abnormal anatomy under close supervision on models and real patients (depending on patient availability). Ultrasound findings will be combined with clinical testing and appropriate management discussed
- Throughout the afternoon each delegate will have time with their tutor to review their log book/practice portfolio, review scans, sign off scans, discuss cases and identify any areas for development
14:00 - 14:15 Coffee Break
14:15 - 16:30 Practical Workshop Delegates will scan under close supervision
16:30 - 17:00 Presentation Review of the day
Areas of development for each delegate will be identified
Plan for next month

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.

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 Please note that to guarantee your place, the final instalment must be received 28 days prior to the start of the course.

NOTE: If you have not completed the Introduction to Musculoskeletal Ultrasound course you must complete this course prior to starting this Mentorship Programme.
Click here to view available dates.
Fully Booked

Price: £2420.00 Inc VAT

Venue: University College of Osteopathy Clinic, 98-118 Southwark Bridge Road, London, SE1 0BQ

Day 1 - Shoulder:
Monday 01 April 2019 09:00-17:00
Day 2 - Knee:
Monday 13 May 2019 09:00-17:00
Day 3 - Hip:
Monday 03 June 2019 09:00-17:00
Day 4 - Ankle and Foot:
Monday 01 July 2019 09:00-17:00
Day 5 - Elbow:
Monday 09 September 2019 09:00-17:00
Day 6 - Wrist and Hand:
Monday 07 October 2019 09:00-17:00
Day 7 - Competency Exam:
Monday 04 November 2019 09:00-17:00

Total Days:
7 Days

Note: Bookings close on Sunday 31 March 2019

Dr Frank Johnson
Sports Medicine Consultant, Canada

Saturday 04 March 2017

Chris, Lorenzo and Rob are fantastic tutors and taught me the basics of MSK ultrasound and ultrasound-guided injections. Within a very short period of time I was confident in my diagnoses of a variety of conditions and performing ultrasound guided injections safely and accurately. I flew across from Canada every month for 9 months to attend the SMUG Courses. It has been worth every penny and would never have made such rapid progress with any other learning pathway. I have had the pleasure of learning from them for almost 80 hours on their different courses this year and I have enjoyed every one of those hours.

Lisa Hughes

Saturday 04 March 2017

Brilliant course - I have found the course really interesting and have thoroughly enjoyed the challenge! I would certainly recommend the course to anyone looking to develop his or her MSK scanning skills. The course is relevant to all health care professionals with an interest in MSK and sports medicine. I plan to attend the advanced course next year and look forward to meeting up with the mentorship group again!

Taalat Youssef
Consultant Radiologist

Saturday 04 March 2017

I have significantly improved my ultrasound probe skills and developed my knowledge of MSK pathology. I am more confident in my own skills and ability and can scan more challenging structures.I would recommend this course to any of my radiology colleagues if they want to develop their MSK ultrasound skills. The course organisers and atmosphere of the teaching is fantastic and the tutors are very generous with their time.

Matt Prout
Extended Scope Physiotherapist

Saturday 04 March 2017

I commenced a PG Certificate in MSK Ultrasound in London but had found it very difficult to get regular supervision at my hospital. I was looking to develop my US skills whilst at the same time have regular contact with experienced clinicians to sign off my clinical log book to fulfil the requirements of the course. I would not hesitate to recommend the mentorship programme or any of the SMUG courses.

Geoff Gardener

Saturday 04 March 2017

The courses I have attended have been very informative, evidence based and great fun! The experience and knowledge of the tutors are awe inspiring to say the least. As a delegate, I would like to thank the SMUG team for your support, from booking onto the course; to certification it has been an absolute pleasure. May the SMUG journey continue...

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If you require training we can come to you or you can come to us! There is a minimum fee of £1,000 per day (plus travel expenses). To enquire about your specific training needs please email or use the contact form.

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Become a SMUG Partner

The ‘SMUG partnership’ programme looks to associate with individuals, groups of clinician’s, hospitals, organisations and clinics all over the world to deliver our courses and raise the standards in MSK ultrasound. We will send out members of our SMUG teaching faculty to deliver the course. We now have SMUG partners in many countries and run courses on an annual basis in their vicinity. We are always looking to develop new partnership links.

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