Prerequisite: Prior Musculoskeletal Ultrasound Training Course or with Director’s approval with equivalent training and demonstrated Musculoskeletal Ultrasound skills. You will be required to upload the proof of equivalent training course completion. Please contact Marlene Zepeda at ucsdmskus@health.ucsd.edu or at (858) 657-5929 to verify proof.
 
Teleguided Hands-on Training: Ankle, Knee and Elbow
The Teleguided Hands-on Training: Ankle, Knee and Elbow program offers live, virtual teleguided training from expert faculty, focusing on musculoskeletal ultrasound (MSKUS) for the evaluation of hemophilic joint disease and musculoskeletal abnormalities. The main objective of the course is to enable physicians and other care providers to use MSKUS as a point-of care-imaging tool to assist with the diagnosis and treatment of joint and muscle pains. MSK experts will be available to provide one-on-one teleguided hands-on training specific to the evaluation of hemophilic joints.
It is recommended that individuals seeking to enroll in this course complete the Musculoskeletal Ultrasound Training in Hemophilia Online Program and/or theMusculoskeletal Ultrasound Training for Arthritic Coniditons: Ankle, Knee, Elbow - Basics and Techniques Online Programprior to registering. Participants with sufficient prior education and experience may apply to bypass this foundational course by attesting to skills and training.
Target Audience
These educational activities are designed for physicians, physician assistants, nurse practitioners, nurses, and physical therapists involved and/or interested in the use of musculoskeletal ultrasound in arthritic conditions. Other healthcare professionals may benefit from these courses as well.
Educational Objectives
Following completion of this educational activity, learners should be able to:
Interpret and apply sono-anatomy of ankles, knees, elbows
Apply standard MSKUS transducer positions for ankles, knees, elbows as needed to evaluate hemophilic joints
Describe the diagnosis of effusions
Distinguish bloody from non-bloody effusions
Perform a diagnostic musculoskeletal ultrasound recognizing methods to detect hemarthrosis, synovitis and structural abnormalities (such as meniscus, tendons, ligaments)
Quantify synovitis by Power Doppler
Quantify cartilage health, soft tissue and synovial hypertrophy, and osteochondral lesions
Describe the limitations and advantages of ultrasound for hemophilic joint disease
Describe the Joint Tissue Activity and Damage Exam (JADE) Hemophilia joint ultrasound protocol
Cost
$175 per hour. Please contact Marlene Zepeda to schedule virtual training: ucsdmskus@health.ucsd.edu or (858) 657-5929.
Hemophilia providers residing in the United States are eligible to have the course fee waived for both the online program and hands-on course. Non-US hemophilia professionals or students/trainees may apply for financial assistance. Please visit CME - Division of Hematology-Oncology & BMT - UC San Diego School of Medicine (ucsd.edu) for more information.
ALL PURCHASES ARE NON-REFUNDABLE
Statement of Need
Arthritic conditions are frequent and benefit from symptomatic relief measures as a bridge to joint replacement. Especially hemophilic arthropathy is a debilitating condition, caused by frequent joint bleeding. The clinical exam to diagnose and treat arthritic conditions, joint problems and musculoskeletal abnormalities, including hemarthrosis is unreliable, since range of motion deficits, warmth, swelling and pain are non-specific and don't permit the distinction between conditions. Therefore, point-of-care imaging is rapidly advancing and has become critical to practice state-of-the-art musculoskeletal medicine. High resolution Musculoskeletal Ultrasound (MSKUS) with Power Doppler capacity is an imaging technique, increasingly available due to technological advances, that permits point-of-care hand-held ultrasound scanning. Therefore, MSKUS is now introduced into many musculoskeletal disciplines, including orthopedics, rheumatology, sports medicine, primary care, and hemophilia treatment centers. MSKUS permits ultrasound-guided interventions on multiple levels. MSKUS is a rapid, convenient, highly sensitive and a non-invasive imaging method for the diagnosis of cartilage abnormalities, joint effusions, joint bleeds, muscle tears, tendon tears and inflammation, soft tissue masses, and peripheral nerve conditions. It is also a valuable tool to follow joint health long-term by individual assessment of synovial hypertrophy, inflammation and cartilage health. However, training to diagnose and manage arthritic conditions, including hemophilic arthropathy is required. This CME course will provide training in MSKUS, and also provide specific knowledge regarding hemophilic arthropathy, enabling hemophilia providers to use MSKUS as point-of care imaging tool to assist with diagnosis and treatment of musculoskeletal pains similar to other disciplines.
Accreditation
This course is not CME accredited.
Course Director
Annette von Drygalski, MD, PharmD, RMSK
Professor of Clinical Medicine, UC San Diego Health
Director, Hemophilia & Thrombosis Treatment Center
University of California, San Diego
San Diego, California
Peter Aguero, PT, DPT, RMSK Co-Director
UC San Diego Health Hemophilia & Thrombosis Treatment Center
University of California, San Diego
San Diego, California
Faculty
Cindy Bailey, PT, DPT, OCS, SCS, ATC Orthopaedic Institute for Children & Ortho HTC Physical Therapy (in alliance with UCLA Health)
UCLA
Los Angeles, California
Eric Y. Chang, MD Clinical Professor of Radiology
Veterans Affairs San Diego Healthcare System
University of California, San Diego
San Diego, California
Randy Moore, DC, RDMS, RMSK General Musculoskeletal Imaging, Inc.
MSK Masters
Cincinnati, Ohio
Bruno U.K. Steiner, PT, DPT, RMSK, LMT Washington Center for Bleeding Disorders
Seattle, Washington
Lena Volland, PT, DPT, OCS University of St. Augustine
National Hemophilia Foundation
San Diego, California
Sponsor
Cultural and Linguistic Compentancy
This activity is in compliance with California Assembly Bill 1195 which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient’s primary language. Cultural and linguistic competency was incorporated into the planning of this activity. Additional resources can be found on the UC San Diego CME website (cme.ucsd.edu).
Balance and Objectivity of Content
It is the policy of the University of California San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual's control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker's outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities.