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Musculoskeletal Ultrasound Training in Hemophilia Musculoskeletal Ultrasound Training in Hemophilia Online Program Musculoskeletal Ultrasound Training in Hemophilia, presented by UC San Diego School of Medicine, is an online curriculum (10 hours) developed to provide training in 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. The course covers specific elements geared towards hemophilic joint disease to recognize joint bleeding, synovial hypertrophy, and synovitis by use of Power Doppler, cartilage degradation, osteochondral lesions and other structural joint abnormalities. The course also includes a teaching module pertaining to the Joint Tissue Activity and Damage Exam (JADE), a validated ultrasound imaging protocol for hemophilic joints. Also, the course features a module explaining the limitations and advantages of ultrasound in comparison to other imaging modalities like Magnet Resonance Imaging (MRI) and Computer Tomography (CT) Imaging. After completion of the online modules course participants/attendees will be eligible to attend a session of teleguided ultrasound instruction with a MSK ultrasound faculty instructor, experienced in imaging of hemophilic joints. Leading MSK ultrasound experts will cover joint mechanics, point-of-care aspects of the use of MSKUS in hemophilia, rapid bleed detection, pediatric imaging and instructions and applications for the Joint Tissue Examination and Damage Exam (JADE), a validated ultrasound protocol, providing an algorithm to quantify intraarticular soft tissue expansion, osteochondral changes, inflammation and vascular remodeling in hemophilic joints. This online program is enduring and be accessed anytime. Topics include:
Participants of this program may continue their training in person or virtually. Hemophilia Providers: With completion of this course along with the Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee and Elbow – Basics and Techniques Online Program, you are eligible to take the Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions Live Course. This course is a CME accredited 1-3 day hands-on, in-person course developed to provide training in musculoskeletal ultrasound (MSKUS) for evaluation of hemophilic joint disease, but also other arthritic conditions and musculoskeletal abnormalities and syndromes We also offer the Teleguided Hands-on Training for Hemophilia: Ankle, Knee and Elbow, which offers personalized virtual, teleguided ultrasound sessions as an extension of this online course, but is not CME accredited. 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:
Method of Participation Modules range from 30 to 120 minutes in length for a total curriculum length of 10 hours. Videos and presentations are delivered via a streaming platform in the optimal format for your viewing device. To obtain credit, participants should take a brief pre-activity survey, watch the module, answer the multiple-choice post test questions, and complete the evaluation form online to receive a certificate immediately upon completion. Cost $1200 for indefinite access to modules. Participants are not to share access codes and CME credit will not be awarded to those not purchasing their own curriculum. 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 student/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 The University of California San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA: The University of California San Diego School of Medicine designates this enduring material for a maximum 10.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Please see individual courses for specific credit amounts. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™. Please see individual courses for specific credit amounts. Release: November 30, 2021 Expiration: November 30, 2022
Annette von Drygalski, MD, PharmD, RMSK Professor of Clinical Medicine, UC San Diego Health
Peter Aguero, PT, DPT, RMSK UC San Diego Health Hemophilia & Thrombosis Treatment Center Faculty
Nihal Bakeer, MD
Cindy Bailey, PT, DPT, OCS, SCS, ATC
Eric Y. Chang, MD
Randy Moore, DC, RDMS, RMSK
Bruno U.K. Steiner, PT, DPT, RMSK, LMT
Lena Volland, PT, DPT, OCS
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. Disclosure The course director, faculty, review committee members, and project staff have indicated they have no financial relationships with commercial interests relevant to the content of these activities. The CME staff, meeting planners, editorial staff, planning committee, and CME committee reviewers do not have any relevant financial relationships to disclose. Off-label Disclosure: These educational activities may contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product. The views and opinions expressed in these activities are those of the faculty and do not necessarily reflect the views of the University of California San Diego.
Contact Marlene Zepeda, MSKUS Program Manager P: (858) 657-5929 E: ucsdmskus@health.ucsd.edu |
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