This module’s delivery reflects the practical but varied nature of musculoskeletal ultrasound guided interventions. Face-to-face teaching will assist the students with the related scientific principles. Tutors will guide the students through the practical processes from preparation of injection equipment through to performing the guided intervention.
Students will be expected to engage in class room discussions exploring professional elements including timing of the intervention in the patient’s management pathway, the overall patient experience and evaluation of practice. A significant proportion of the learning will take place in the student’s work place so the clinical application of ultrasound guided injections can be explored. Learning in the work place ensures the reality of clinical scenarios and professional responsibilities are considered alongside technical issues.
Lectures will present theoretical and professional issues and will include:
- Corticosteroids and local anaesthetics – actions, dosage, risks and contraindications.
- Ultrasound Guided Musculoskeletal Injections– what is their role?
- Technical considerations: image optimisation and needle visualisation
- Scope of practice and competency to carry out ultrasound (US) guided injections. Medico-legal and Health & Safety issues.
Students will need to practice their scanning techniques independently and will need support in the work place to complete the module assessment.
There is no formal placement requirement but students will need to complete musculoskeletal interventions in the work place as part of their assessment. One or more work place mentors will need to be identified to enable the clinical interventions to be performed.
Mentors will be guided by Clinical Skills Learning Documentation and will be provided with contact details of the module leader who can be contacted if queries arise. All clinical interventions should initially be performed under supervision, this will facilitate the learning and enable the student to develop competency. Work place supervisors need to complete documentation to provide evidence of the student’s learning.
The module teaching material will be available to all registered students via the university’s intranet learning platform, Moodle. This virtual learning environment will also be used as depository to a library of films. These edited films will present protocols for performing ultrasound guided shoulder injections, they will also be matched to the scanning images that will portray needle placement. This technology brings the class room to the work place so students can learn in their work environment using their own ultrasound systems whilst being assisted by a ‘virtual sonographer’. This technology has been used successfully in other modules and has received positive feedback from students who appreciate the ability to match their own practice with that of an expert.
There are no timetabled tutorials, students are encouraged to e-mail the module leader for learning support if required.
Initially, students will be introduced to the theoretical considerations that underpin injection therapy and ultrasound guided interventions. There will be an emphasis on practical skill teaching, sessions will include principles of ultrasound guided injections so students are introduced to the skill of needle visualisation before moving onto regionally specific and pathology specific training.
Case Study: (Learning outcomes 2, 3 and 4.)
Assessment weighting: 50%
Word limit: 3000 words. Case study discussing the theoretical and professional issues that underpin the application of ultrasound guided musculoskeletal injections.
Logbook: (learning outcome 1)
Assessment weighting: 50%
Log-book that presents 15 ultrasound guided musculoskeletal injections in the work place. A standard reporting form will be used – this has been included below. This will document the details of the intervention, patient’s signs and symptoms, anatomical area, US scanning features indicative of pathology, injection medication dose and needle placement. A brief reflection on the procedure including challenges and unexpected considerations will be expected. Each intervention must be accompanied by annotated images of the area scanned and an additional image demonstrating needle placement.
One of the logbook submissions will form the basis for an extended patient report (word limit 400 words). This extended patient report, (submitted as part of the log book) will present a specific work place practice quality assurance system that the student has engaged with e.g. local prescribing policies, pathway development for specific presentations and systems to evaluate practice.