Imaging Ultrasound from classroom to clinic: A differential diagnosis and autonomous practice necessity.
Purpose
Raise awareness of the unique and significant contribution Musculoskeletal Ultrasound will play in the expanding role of physical therapists as entry level practitioners in healthcare and it’s value in differential diagnosis. Present a sample entry level curriculum and integrative clinical model for incorporation into entry level DPT education.
Methods and/or Description of Project
The project is presented in a lecture, demonstration, and group interactive format. Evidence based support for the progressive invasion of this modality into clinical practice, medical education, and research along with support for the necessity for entry level education to incorporate this modality as part of the curriculum will be presented. A live demonstration of the modality will be performed and referenced as part of one type of educational model. Mechanisms and strategies on how to incorporate education of this modality into current programs throughout the full spectrum of resourced and non-resourced programs will be presented. Group interaction of specific program challenges and concerns and problem solving discussions will be incorporated.
Results/Outcomes
At the end of this session the participant will be able to:
1. describe the expanding and important role of musculoskeletal imaging ultrasound in physical therapy clinical practice, research, and entry level education.
2. describe the essential elements of imaging ultrasound instruction for the entry level Doctor of Physical Therapy Program
3. develop a curriculum model of musculoskeletal ultrasound education specific to their institutional environment.
4. explain how to integrate essential elements of imaging ultrasound instruction into the entry level Doctor of Physical Therapy Program clinical experience.
Conclusions/Relevance to the conference theme: The Pursuit of Excellence in Physical Therapy Education
Imaging ultrasound is becoming an essential tool for physical therapists to incorporate into physical therapy practice for differential diagnosis, safety in progression and documentation of treatment plans, treatment progression, prognosis, and research. Entry level physical therapy education needs to be the leader in presenting the evidence based use and appropriate integration of this modality into physical therapy practice. Excellence in Physical Therapy Education means incorporating educational experiences that prepare students for current and future clinical demands.
References
Ho KY, Ho S, Colletti PM. Use of Ultrasonography for Assessing Treatment Efficacy in a Case With Ankylosis of the Temporomandibular Joint. J Orthop Sports Phys Ther. 2016 Mar;46(3):225. doi: 10.2519/jospt.2016.0404.
Nazarian, Levon N. The Top 10 Reasons Musculoskeletal Sonography Is an Important Complementary or Alternative Technique to MRI. American journal of roentgenology 2008 Jun 190(6): 1621-1626.
Henderson RE, Walker BF, Young KJ. The accuracy of diagnostic ultrasound imaging for musculoskeletal soft tissue pathology of the extremities: a comprehensive review of the literature. Chiropractic & Manual Therapies. 2015 23:31.
Parker L, Nazarian LN, Carrino JA, et al. J Am Coll Radiol. Musculoskeletal imaging: medicare use, costs, and potential for cost substitution. 2008 Mar;5(3):182-8. doi: 10.1016/j.jacr.2007.07.016.
AIUM Practice Guideline AIUM Practice Guideline for the Performance of a Musculoskeletal Ultrasound Examination Journal of Ultrasound in Medicine September 2012 31:1473-1488
Whittaker JL, Stokes M. Ultrasound Imaging and Muscle Function. JOSPT 2011 41(8) 572-580.
Sayeed Y, Marrocco A, Sully K, et al. Feasibility and Implementation of Musculoskeletal Ultrasound Training in Occupational Medicine Residency Education. J Occup Environ Med. 2015 Dec;57(12: 1347-52.
Piposar JR, Easley M, Nunley JA, et al. Musculoskeletal ultrasound education: orthopaedic resident ability following a multimedia tutorial. J Surg Orthop Adv. 2015 Spring; 24(1):64-8.
Finnoff JT, Berkoff D, Brennan F, et al. American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships. Clin J Sport Med. 2015 Jan;25(1):23-9.
Course Objectives
At the end of this session the participant will be able to:
1. describe the expanding and important role of musculoskeletal imaging ultrasound in physical therapy clinical practice, research, and entry level education.
2. describe the essential elements of imaging ultrasound instruction for the entry level Doctor of Physical Therapy Program
3. develop a curriculum model of musculoskeletal ultrasound education specific to their institutional environment.
4. explain how to integrate essential elements of imaging ultrasound instruction into the entry level Doctor of Physical Therapy Program clinical experience.
Instructional Methods
Lecture, demonstration, group discussions.
Tentative Outline/Schedule
5 minutes: Welcome and introduction.
30 minutes: Introduction to basic ultrasound imaging and how it is integrated in medicine. Comparisons and differences of utilization of ultrasound imaging between physician and physical therapist.
15 minutes: Examples of current practicing physical therapy integration of imaging ultrasound – clinical and research.
20 minutes: Sample curriculum matching the depth and breadth of instruction appropriate to entry level DPT curriculum. Demonstration of MSK US scan for teaching.
10 minutes: Available resources and resources needed to have an effective curriculum of imaging ultrasound in entry level DPT curriculum.
10 minutes: Question/Answer