Curriculum & Schedule

Proposed Weekly Clinical Rotation Schedule:

Locations

The primary locations will include the UC Gardner Neuroscience Institute Building[ https://vimeo.com/368806369], as well as UC Daniel Drake Center, UC Florence, and UC West Chester outpatient buildings.

Curriculum

Highlighted area of study each month for Spine and Ultrasound[12]:         

• SPINE
• Sacro-iliac joint
• Diagnostic Musculoskeletal Ultrasound
• Lumbar Zygapophyseal joints
• Cervical and thoracic  ZA joints
• Lumbar and Caudal epidural procedures
• Cervical and Thoracic selective and interlaminar procedures
• Spinal Cord Stimulation/Neuromodulation
• US- guided joint and tendon procedures
• Peripheral Nerve Blocks
• Chemodenervation procedures
• Regenerative medicine/ Emerging Technologies
• Business of medicine

 MSK/NM ULTRASOUND

• Introduction to Sonography/Physics
• Basic Pathology Concepts
• Shoulder
• Elbow
• Wrist and Hand
• Knee
• Ankle/Foot/Lower Leg
• Hip –Anterior and Upper Thigh
• Gluteal Hip and Upper Posterior Thigh
• Interventional Techniques
• Ultrasound of the Nerves
• Muscles/Lung/FAST Exam—POCUS

Reference Library

Bogduk N: Clinical Anatomy of the Lumbar Spine and Sacrum.
Bogduk N: Practice Guidelines for Spinal Diagnostic and Treatment Procedures.
Travell and Simons: Myofascial Pain and Dysfunction: The Trigger Point Manual Volumes I and 2. Haymaker and Woodall: Peripheral Nerve Injuries.
Kimura J: Electrodiagnosis in Diseases of Nerve and Muscle.
McKeag and Moeller: ACSM’s Primary Care Sports Medicine.
Oh S: Principles of Clinical Electromyography Case Studies.
Jacobson, J: Fundamentals of Musculoskeletal Ultrasound.

Conferences

Weekly:

• PM&R Department Weekly Grand Rounds
  Attendance
  ( 1 presentation later in year) 

• Patient Case Conference — weekly case discussion, film review, and procedure planning. 1-hour conference with attending physicians to discuss options for best patient -centered care.
• Clinical “Quarterbacks Meeting” with Fellowship faculty
• Patient chart and case reviews
• Imaging presentation
• Consensus Care Plan
• Proctoring assignments
• Back, Neck, Spine Institute Weekly Physical Therapy Huddle

     Twice/month:

• MSK Journal Club( present an article at each)

     Monthly:

• MSK Conference ( co- facilitator with PM&R residents)

     Twice/year:

• MSK UE and LE Ultrasound Hands- On CME conferences( 2).
  • Fellow would be expected to formally present 1 lecture and assist with hands-on learning station.