Indian Journal of Rheumatology

: 2018  |  Volume : 13  |  Issue : 5  |  Page : 1-

Training needs in musculoskeletal ultrasound

Ramnath Misra 
 Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Prof. Ramnath Misra
Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh

How to cite this article:
Misra R. Training needs in musculoskeletal ultrasound.Indian J Rheumatol 2018;13:1-1

How to cite this URL:
Misra R. Training needs in musculoskeletal ultrasound. Indian J Rheumatol [serial online] 2018 [cited 2022 May 22 ];13:1-1
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I am pleased to learn that the Indian Journal of Rheumatology is bringing out a special supplement devoted to musculoskeletal ultrasound edited by Dr. P. D. Rath and Dr. Sajjan Shenoy N. Use of ultrasound as an investigational tool in rheumatology has only been recognized in the recent years, and one hopes that it is going to be an essential mode in the diagnostic workup of patients with local and systemic rheumatic diseases. It has several advantages that make it acceptable to both patients and physicians; cheap, noninvasive and the information is dynamic and reliable. For the practicing rheumatologist it is like an eye to look beyond the skin and subcutaneous, and to an experienced one, the information gained is almost equal to none particularly in guiding local injection of corticosteroid. Those of us who have practiced years of giving blind injections would have to sit back and ponder how off target our intentions were. Injections in several joints (particularly hips), tendon sheaths and bursa both in adult and children are best guided by ultrasound, and soon blind injections would be redundant.

The challenge, therefore, is to get familiar with handling the machine and the probe and acquiring the skill of us evaluation by rheumatologists in training and the young consultants. For busy rheumatologists, both in practice and in academic setup, it is going to be difficult if not impossible to acquire the essential skills in day-to-day practice. We have organized a series of hands-on workshops at basics, and intermediate level targeted more toward the trainees and younger consultants, taught by experts from abroad and India. We need more such workshops as the need and usefulness are no longer a matter of debate anymore. The next step is to do more such workshops at all level, basic, intermediate, and advanced, the latter two with assessments.

The Doctor of Medicine and Diplomate of National Board training program will have to modify the syllabus to include US in the curriculum so that the training program will be comprehensive. A bigger hurdle to surmount is to convince the regulatory authority to permit the practice of US by rheumatologists, many of the rheumatologists having US exposure at training level find themselves handicapped because of this restrictions.

This supplement is an appropriate step which will greatly help the readership to get the bare facts of the role of US in the evaluation of rheumatic diseases. I congratulate the editor Dr. Ravindran for conceptualizing and commissioning such a supplement and Dr. Rath and Dr. Shenoy and other authors for such a timely effort.

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Conflicts of interest

There are no conflicts of interest.