This intensive practical one-day course is designed for clinicians looking to integrate diagnostic ultrasound of the shoulder into their clinical practice. The course is designed for those with no or little experience of ultrasound and those looking to further develop their scanning skills. Due to the high tutor to faculty ratio the course can cater for a variety of scanning levels.
The morning is focussed on scanning the shoulder in small groups, with plenty of machines and close supervision from our expert faculty. The morning includes short presentations, faculty demonstrations and practical workshops where the delegates scan each other, with close supervision.
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 and glenohumeral joint, and suprascapular nerve injections. 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 and an ultrasound guided shoulder injection trainer. 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.
This course is suitable for clinicians with no ultrasound imaging experience or those looking to develop their skills further.
Upper Limb Scanning and Guided Injection Masterclass
| Time |
Summary |
| 09:00 - 09:10 |
Introduction/welcome - Plan for the day
The role of US and US guided interventions in the shoulder
Competency in MSK Ultrasound and learning pathways
Chris Myers
|
| 09:10 - 09:30 |
Lecture - Mark Maybury
Introduction: physics, terminology, equipment, safety, artifacts. |
| 09:30 - 10:15 |
Live Demo - Rob Laus
How to scan the shoulder - Guidelines, Indications, Correlation with anatomy and technique, 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 (opportunity for the delegates to meet the sponsors). |
| 13:30 - 14:15 |
Lecture and Expert Panel Discussion - Shoulder Injections
When to inject; What to inject; Blind vs Guided; Hydrodilation; Barbotage; Complications; Consent.
|
| 14:15 - 14:45 |
Lecture - Chris Myers
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
Guided Injection Demo. |
| 15:00 - 15:15 |
Coffee Break (opportunity for the delegates to meet the sponsors). |
| 15:15 - 16:15 |
Practical workshop with phantoms; meat specimens and Injection Models
Guided Injection Workshop - in-plane and out of plane technique; Landmarks. |
| 16:15 - 16:45 |
Panel Discussion
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.
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.
