Recommendations for the content and conduct of European League Against Rheumatism (EULAR) musculoskeletal ultrasound courses

Objective: To develop education guidelines for the conduct of future European League Against Rheumatism (EULAR) musculoskeletal ultrasound (MSUS) courses. Methods: We undertook a consensus-based, iterative process using two consecutive questionnaires sent to 29 senior ultrasonographer rheumatologists who comprised the faculty of the 14th EULAR ultrasound course (June 2007). The first questionnaire encompassed the following issues: type of MSUS educational model; course timing; course curriculum; course duration; number of participants per teacher in practical sessions; time spent on hands-on sessions; and the requirements and/or restrictions for attendance at the courses. The second questionnaire consisted of questions related to areas where consensus had not been achieved in the first questionnaire, and to the topics and pathologies to be assigned to different educational levels. Results: The response rate was 82.7% from the first questionnaire and 87.5% from the second questionnaire. The respondents were from 11 European countries. The group consensus on guidelines and curriculum was for a three-level education model (basic, intermediate and advanced) with timing and location related to the annual EULAR Congresses. The topics and pathologies to be included in each course were agreed. The course duration will be 20 h. There will be a maximum of six participants per teacher and 50–60% of total time will be spent on practical sessions. There was also agreement on prerequisite experience before attending the intermediate and advanced courses. Conclusion: We have developed European agreed guidelines for the content and conduct of EULAR ultrasound courses, which may also be recommended to national and local MSUS training programmes.

[1]  Andrew K. Brown,et al.  Recommendations for musculoskeletal ultrasonography by rheumatologists: setting global standards for best practice by expert consensus. , 2005, Arthritis and rheumatism.

[2]  E. Naredo,et al.  Snap-shot of the ultrasound school of the Spanish Society of Rheumatology. , 2011, Reumatismo.

[3]  P. Emery,et al.  The value of sonography in the detection of bone erosions in patients with rheumatoid arthritis: a comparison with conventional radiography. , 2000, Arthritis and rheumatism.

[4]  Andrew K. Brown,et al.  Practice, training, and assessment among experts performing musculoskeletal ultrasonography: toward the development of an international consensus of educational standards for ultrasonography for rheumatologists. , 2004, Arthritis and rheumatism.

[5]  A. Iagnocco,et al.  Interobserver reliability of rheumatologists performing musculoskeletal ultrasonography: results from a EULAR “Train the trainers” course , 2005, Annals of the rheumatic diseases.

[6]  A. Woolf.  Specialist training in rheumatology in Europe. , 2002, Rheumatology.

[7]  A. Goverde,et al.  Train the trainers! , 2006 .

[8]  W. Schmidt.  Value of sonography in diagnosis of rheumatoid arthritis , 2001, The Lancet.

[9]  F. Salaffi,et al.  Grey scale and power Doppler sonographic changes induced by intra-articular steroid injection treatment , 2004, Annals of the rheumatic diseases.

[10]  H. Bliddal,et al.  Effects of treatment with etanercept (Enbrel, TNRF:Fc) on rheumatoid arthritis evaluated by Doppler ultrasonography , 2003, Annals of the rheumatic diseases.

[11]  W. Grassi,et al.  Musculoskeletal ultrasound training in rheumatology: the Belfast experience. , 2006, Rheumatology.

[12]  W. Grassi,et al.  Guidelines for musculoskeletal ultrasound in rheumatology , 2001, Annals of the rheumatic diseases.

[13]  D. Kane,et al.  Ultrasonography is superior to clinical examination in the detection and localization of knee joint effusion in rheumatoid arthritis. , 2003, The Journal of rheumatology.

[14]  N. Biller-Andorno,et al.  Save your favourite articles and useful searches , 2004 .

[15]  Marcin Szkudlarek,et al.  Interobserver agreement in ultrasonography of the finger and toe joints in rheumatoid arthritis. , 2003, Arthritis and rheumatism.

[16]  P. Emery,et al.  The current status of ultrasonography in rheumatology. , 1999, Rheumatology.

[17]  P. Emery,et al.  Validation and reproducibility of ultrasonography in the detection of synovitis in the knee: a comparison with arthroscopy and clinical examination. , 2004, Arthritis and rheumatism.

[18]  P. Emery,et al.  Ultrasonography for rheumatologists: the development of specific competency based educational outcomes , 2005, Annals of the rheumatic diseases.

[19]  A. Iagnocco,et al.  Interobserver reliability in musculoskeletal ultrasonography: results from a “Teach the Teachers” rheumatologist course , 2005, Annals of the rheumatic diseases.

[20]  Walter Grassi,et al.  E-learning in ultrasonography: a web-based approach , 2007, Annals of the rheumatic diseases.

[21]  D. Cosgrove,et al.  Comparison of ultrasonographic assessment of synovitis and joint vascularity with radiographic evaluation in a randomized, placebo-controlled study of infliximab therapy in early rheumatoid arthritis. , 2004, Arthritis and rheumatism.

[22]  W. Grassi,et al.  Ultrasonography in rheumatology: an evolving technique , 1998, Annals of the rheumatic diseases.

[23]  H. Thomsen,et al.  Ultrasonography of the metatarsophalangeal joints in rheumatoid arthritis: comparison with magnetic resonance imaging, conventional radiography, and clinical examination. , 2004, Arthritis and rheumatism.

[24]  P. Boendermaker.  Teach the teachers , 2007 .

[25]  J. Koski.  Ultrasound guided injections in rheumatology. , 2000, The Journal of rheumatology.

[26]  Esperanza Naredo,et al.  Longitudinal power Doppler ultrasonographic assessment of joint inflammatory activity in early rheumatoid arthritis: predictive value in disease activity and radiologic progression. , 2007, Arthritis and rheumatism.