Janeth Yinh1, Karina D Torralba2, Kristal S Choi3, Robert M Fairchild4, Amy Cannella5, Lorena Salto6, Eugene Y Kissin7, Ralf Thiele8, Edward J Oberle9,10, Bethany Marston11, Midori Jane Nishio12. 1. Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Yawkey 2C, Boston, MA, 02144, USA. jyinh@mgh.harvard.edu. 2. Division of Rheumatology, Department of Medicine, Loma Linda University School of Medicine, Loma Linda, CA, USA. 3. Division of Rheumatology, Loma Linda University Medical Center, Loma Linda, CA, USA. 4. Division of Immunology and Rheumatology, Stanford University, Stanford, CA, USA. 5. Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, USA. 6. Department of Basic Sciences, Loma Linda University, Loma Linda, CA, USA. 7. Division of Rheumatology, Boston University, Boston, MA, USA. 8. Division of Rheumatology, University of Rochester, Rochester, NY, USA. 9. Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA. 10. Division of Rheumatology, Nationwide Children's Hospital, Columbus, OH, USA. 11. Division of Pediatric Rheumatology and Division of Allergy/Immunology and Rheumatology, University of Rochester, Rochester, NY, USA. 12. John Muir Hospital, Walnut Creek, CA, USA.
Abstract
BACKGROUND/ OBJECTIVE: A North American rheumatology consensus on tiered-mastery designation for anatomic views was developed in 2011 for course and fellowship teaching. This study updates the lower extremity joint scanning protocols aiming to inform musculoskeletal ultrasound curriculum development for the American College of Rheumatology affiliated Fellowship Programs. METHODS: Three Delphi rounds were conducted to reach consensus for tiered-level mastery designation for hip, knee, ankle, and foot scanning views. The survey was disseminated (Qualtrics™) to 101 potential participants with ultrasound teaching experience. High agreement was defined as ≥ 85% consensus and final tier designation as having >50% agreement for the preferred tier. Response changes were evaluated by McNemar's chi-square test. RESULTS: Consensus regarding tier designations was reached for 80% of the views. Three knee views (anterior transverse suprapatellar, medial, and lateral longitudinal) and 2 ankle views (anterior and posterior transverse) achieved upgrades to tier 1 from 2. The transverse sacroiliac hip joint was downgraded from tier 2 to 3. The lateral longitudinal hip view was added with a tier 1 designation. CONCLUSION: Updated scanning protocols support modifications reflecting current scanning methods delivered by North American rheumatologists performing point of care ultrasound that may inform educators involved in rheumatology ultrasound. Key Points • The anterior transverse suprapatellar, medial, and lateral longitudinal knee views; the anterior and posterior transverse ankle views; and the lateral longitudinal view hip view were perceived as important to master and perform routinely. • The transverse sacroiliac joint view was suggested to be performed based on practice focus.
BACKGROUND/ OBJECTIVE: A North American rheumatology consensus on tiered-mastery designation for anatomic views was developed in 2011 for course and fellowship teaching. This study updates the lower extremity joint scanning protocols aiming to inform musculoskeletal ultrasound curriculum development for the American College of Rheumatology affiliated Fellowship Programs. METHODS: Three Delphi rounds were conducted to reach consensus for tiered-level mastery designation for hip, knee, ankle, and foot scanning views. The survey was disseminated (Qualtrics™) to 101 potential participants with ultrasound teaching experience. High agreement was defined as ≥ 85% consensus and final tier designation as having >50% agreement for the preferred tier. Response changes were evaluated by McNemar's chi-square test. RESULTS: Consensus regarding tier designations was reached for 80% of the views. Three knee views (anterior transverse suprapatellar, medial, and lateral longitudinal) and 2 ankle views (anterior and posterior transverse) achieved upgrades to tier 1 from 2. The transverse sacroiliac hip joint was downgraded from tier 2 to 3. The lateral longitudinal hip view was added with a tier 1 designation. CONCLUSION: Updated scanning protocols support modifications reflecting current scanning methods delivered by North American rheumatologists performing point of care ultrasound that may inform educators involved in rheumatology ultrasound. Key Points • The anterior transverse suprapatellar, medial, and lateral longitudinal knee views; the anterior and posterior transverse ankle views; and the lateral longitudinal view hip view were perceived as important to master and perform routinely. • The transverse sacroiliac joint view was suggested to be performed based on practice focus.
Entities:
Keywords:
Musculoskeletal ultrasound; Scanning protocol; Ultrasound of the ankle and foot; Ultrasound of the hip; Ultrasound of the knee
Authors: G Sakellariou; A Iagnocco; G Meenagh; L Riente; E Filippucci; A Delle Sedie; C A Scirè; S Bombardieri; W Grassi; G Valesini; C Montecucco Journal: Clin Exp Rheumatol Date: 2012-03-06 Impact factor: 4.473
Authors: A Delle Sedie; L Riente; E Filippucci; C A Scirè; A Iagnocco; M Gutierrez; G Valesini; C Montecucco; W Grassi; S Bombardieri Journal: Clin Exp Rheumatol Date: 2010-05-13 Impact factor: 4.473
Authors: G Meenagh; G Sakellariou; A Iagnocco; A Delle Sedie; L Riente; E Filippucci; L Di Geso; W Grassi; S Bombardieri; G Valesini; C Montecucco Journal: Clin Exp Rheumatol Date: 2012-06-26 Impact factor: 4.473
Authors: A Delle Sedie; L Riente; E Filippucci; C A Scirè; A Iagnocco; G Meenagh; M Gutierrez; G Valesini; C Montecucco; W Grassi; S Bombardieri Journal: Clin Exp Rheumatol Date: 2011-04-19 Impact factor: 4.473
Authors: A Iagnocco; G Meenagh; L Riente; E Filippucci; A Delle Sedie; C A Scirè; F Ceccarelli; C Montecucco; W Grassi; S Bombardieri; G Valesini Journal: Clin Exp Rheumatol Date: 2010-10-28 Impact factor: 4.473