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Division of Hematology & Oncology Hematology Oncology

Musculoskeletal Ultrasound and Guided Joint Injections Educational Activities

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Target Audience
Specialties - Critical Care, Emergency Medicine, Family Medicine-Family Practice, Orthopaedic Surgery, Pediatrics, Radiation Oncology, Radiology
Professions - Fellow/Resident, Medical Assistant, Medical Student, Nurse, Nurse Assistant, Nursing Home Administrator, Occupational Therapist, Physical Therapist, Physical Therapist Assistant, Physician, Physician Assistant, Radiology Technician, Scientist / Researcher, Student Physical Therapist

Credits
AMA PRA Category 1 Credits™ (23.75 hours), ABA MOCA Part 2 (23.75 hours), ABIM MOC Part 2 (23.75 hours), ABS CC (23.75 hours), Non-Physician Attendance (23.75 hours)

Overview
The UC San Diego Musculoskeletal Ultrasound and Guided Joint Injections Educational Activities have been created to provide a comprehensive modular curriculum to teach point-of-care musculoskeletal ultrasound for the evaluation of ankles, knees, elbows, hips, and spine and to guide intra-articular needle placement for injections and aspirations. Small groups with a high faculty to participant ratio provides a rich and interactive learning environment with ample opportunity for hands-on practice with colleagues and patient volunteers. Course participants will learn basic ultrasound physics, how to operate ultrasound machines (including the use of small emerging small hand-held devices), sono-anatomy and sono-pathology of important arthritic conditions as well as ultrasound-guided joint injection techniques. The curriculum will include how to recognize joint bleeds and distinguish between simple and complex effusions, as well as the Joint Activity and Damage Exam (JADE), a validated joint ultrasound protocol for evaluation of hemophilic joints.

This program is offered several times annually, and is held in San Diego, California at the UC San Diego Center for Bleeding and Clothing Disorders at UC San Diego Health.

Course Agenda

NEW! The Musculoskeletal Ultrasound and Guided Joint Injections Educational Activities are now CPTA accredited. California PT Professionals' CEUs apply to Day 1 and Day 2 only.

Day 1 - Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions: Elbow, Knee, Ankle, and JADE Protocol

Day 2 - Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions: Hip, Shoulder, and Spine

Day 3A - Ultrasound Guided Joint Injection and Aspiration for Arthritic Conditions and Hemophilia

Day 3B - The Joint Tissue Activity and Damage Exam (J.A.D.E.) Review and Practical

*Registrants may choose which days they wish to attend (one day or multiple days).

**Classroom with a 2:1, Student-to-Faculty Ratio

In order to attend the live, hands-on course, registrants must have completed the following pre-course online programs:

Hemophilia provider registrants: Both the Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee and Elbow – Basics and Techniques Online Program and the Musculoskeletal Ultrasound Training in Hemophilia Online Program.

All other registrants: Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee and Elbow – Basics and Techniques Online Program

This is due to the accelerated nature of the new course format. 

Statement of Need
Arthritic conditions are frequent, and benefit from symptomatic relief measures as a bridge to joint replacement. The clinical exam to diagnose and treat arthritic conditions, joint problems and musculoskeletal abnormalities, is unreliable, since range of motion deficits, warmth, swelling and pain are non-specific and don't permit the distinction between conditions. Therefore, point-of-care imaging is rapidly advancing and has become critical to practice state-of-the-art musculoskeletal medicine. High resolution Musculoskeletal Ultrasound (MSKUS) with Power Doppler capacity is an imaging technique, increasingly available due to technological advances, that permits point-of-care hand-held ultrasound scanning. Therefore, MSKUS is now introduced into many musculoskeletal disciplines, including orthopedics, rheumatology, sports medicine, primary care, and hemophilia treatment centers. MSKUS permits ultrasound-guided interventions on multiple levels. MSKUS is a rapid, convenient, highly sensitive and a non-invasive imaging method for the diagnosis of cartilage abnormalities, joint effusions, joint bleeds, muscle tears, tendon tears and inflammation, soft tissue masses, and peripheral nerve conditions. It is also a valuable tool to follow joint health long-term by individual assessment of synovial hypertrophy, inflammation and cartilage health. However, training to diagnose and manage arthritic conditions, is required. This CME course will provide online training in MSKUS, enabling providers to use MSKUS as point-of care imaging tool to assist with diagnosis and treatment of musculoskeletal pains.

Additional Information

Accommodations
We are committed to ensuring that our programs are accessible to all individuals. For general information or to request reasonable accommodations, please contact mxzepeda@ucsd.edu at your earliest convenience. All in-person events are wheelchair accessible.  Service animals specifically trained to assist a person with a disability are welcome. No other animals, including pets, therapy animals, or emotional support animals, are allowed.

Cultural & Linguistic Competency and Implicit Bias
Continuing medical education (CME) providers are required by state Assembly Bills 1195 and 241, and the standards created by the California Medical Association (CMA), to include components that address cultural and linguistic competency and implicit bias in CME activities. The planners and presenters of this activity has been asked to provide meaningful consideration of these standards in the selection and presentation of content.  Additional information and resources are available on the UC San Diego CPD website

Audio / Video Consent
This event may be audio and/or video recorded for future use or distribution. For virtual events, any engagement during the presentation (audio, video, chat, Q&A submission, etc.) will be captured and included. Participant microphones and cameras are generally disabled by default and can always be manually disabled by participants. Depending on the type of event, the recordings might be published on a publicly available website or on an access-restricted site. By registering for this event, you give UC San Diego the right to use your name, voice, image, written text, or video footage without compensation and waive the right to inspect or approve any document in which these appear.

Covid-19 Health & Safety
We follow state and local guidelines and protocols related to 
COVID-19 safety measures. Currently, no restrictions are in place for the State of California and San Diego County.  We encourage each attendee to decide what works for them and wear a face mask if that is their preferred choice.  We reserve the right to update COVID-related expectations at any time, should local and state guidelines change and prevailing COVID rates increase.

Learning Objectives

Upon completion of this activity, learners should be able to:

  • Describe MSKUS basics, physics and knobology.
  • Describe sono-anatomy of ankles, knees, elbows, hip (including sacroiliac joints), facet joints, and shoulders.
  • Interpret basic structural abnormalities by sono-pathological findings.
  • Apply standard MSKUS transducer positions for ankles, knees, elbows, hip (including sacroiliac joints), facet joints, and shoulders.
  • Describe the Joint Tissue Activity and Damage Exam (JADE) Hemophilia joint ultrasound protocol.
  • Describe a diagnostic MSKUS recognizing hemarthrosis, synovitis, and structural abnormalities (such as meniscus, tendons, and ligaments).
  • Describe cartilage health, soft tissue and synovial hypertrophy, and osteochondral lesions.
  • Describe techniques and protocols for performing ultrasound-guided injections.
  • Apply ultrasound-guided needle placement.
Identify sonographic interfaces for accurate needle placement and injections.

Accreditation

The University of California San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of California San Diego School of Medicine designates this Live Activity activity for a maximum of 23.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Maximum credit available per day as follows:

               Day 1: 8.5 credits

               Day 2: 7.5 credits

               Day 3: 7.75 credits

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 23.75 hours of Category 1 credit for completing this program.

Nurses: 
For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report up to 23.75 hours of credit and list "CME Category 1" as the provider number). 

American Board of Internal Medicine (ABIM): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 23.75 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pediatrics (ABP): Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 23.75 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery (ABS): Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

American Board of Anesthesiology (ABA): This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

2025 Registration

Registration
$1,900 per day*

*For those funded, a $500 admin fee will still be charged to cover the course costs, and this fee is non-refundable.

*Registrants can choose the specific days they wish to attend, whether selecting a single day or multiple days.

This is a 1-3 day hands-on, in-person course developed to provide training in MSKUS for evaluation of hemophilic joint disease and other arthritic conditions and musculoskeletal abnormalities and syndromes. 

Course Agenda

The following dates are currently open for registration:

Cancellation Policy
For paid registrants, if cancellation is received up to 30 days or more prior to the start of the conference, a cancellation fee of 50% of the reg fee will apply. Cancellations received between 15-30 days prior to the conference date are subject to a cancellation fee of 75% of the reg fee. No refunds for cancellations received within 15 days of the program date will be allowed.

Sufficient enrollment must be met in order to present any course. UC San Diego reserves the right to cancel the course if enrollment is insufficient or due to other emergency-related events beyond our control. When classes are canceled, every effort will be made to contact you 30 days prior to the scheduled course date, and 100% of your registration fees will be reimbursed.

In the unlikely event that the course is canceled, the UC San Diego Center for Bleeding and Clothing Disorders is responsible only for a full refund of the registration fee and not for transportation, hotel accommodations, or any miscellaneous expenses. We highly recommend that you protect your trip and/or airline tickets by buying trip protection coverage.

2026 Registration

Registration
$1,900 per day*

*For those funded, a $500 admin fee will still be charged to cover the course costs, and this fee is non-refundable.

*Registrants can choose the specific days they wish to attend, whether selecting a single day or multiple days.

This is a 1-3 day hands-on, in-person course developed to provide training in MSKUS for evaluation of hemophilic joint disease and other arthritic conditions, musculoskeletal abnormalities and syndromes. 

  • March 2026 - TBA
  • June 2026 - TBA
  • September 2026 - TBA
  • December 2026 - TBA

Cancellation Policy
For paid registrants, if cancellation is received up to 30 days or more prior to the start of the conference, a cancellation fee of 50% of the reg fee will apply. Cancellations received between 15-30 days prior to the conference date are subject to a cancellation fee of 75% of the reg fee. No refunds for cancellations received within 15 days of the program date will be allowed.

Sufficient enrollment must be met in order to present any course. UC San Diego reserves the right to cancel the course if enrollment is insufficient or due to other emergency-related events beyond our control. When classes are canceled, every effort will be made to contact you 30 days prior to the scheduled course date, and 100% of your registration fees will be reimbursed.

In the unlikely event that the course is canceled, the UC San Diego Center for Bleeding and Clothing Disorders is responsible only for a full refund of the registration fee and not for transportation, hotel accommodations, or any miscellaneous expenses. We highly recommend that you protect your trip and/or airline tickets by buying trip protection coverage.

Financial Assistance

Non-Hemophilia Providers

  1. If you need financial assistance, please fill out the Financial Assistance and Hemophilia Provider Form. If not, skip to step 3.
  2. Fill out the application and return it to mxzepeda@ucsd.edu. If approved, we will provide codes for each course if you are requesting financial assistance.
    • Be aware that the ONLINE COURSE and the LIVE COURSE have different codes
  3. Register for the ONLINE COURSE titled “Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee, and Elbow – Basics and Techniques Online Program. 
    • THIS ONLINE COURSE IS A PREREQUISITE TO ATTENDING THE LIVE COURSE
  4. Complete Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee and Elbow – Basics and Techniques Online Program
  5. Register for LIVE COURSE titled Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions Live Course.  Select which dates you would like to attend. If applicable, use the appropriate code provided to register.
    • Registrants may choose which days they wish to attend (one day or multiple days)
  6. You are now ready to come to San Diego to take the LIVE COURSE.

Hemophilia Providers

  1. Hemophilia providers residing in the United States are eligible to have the course fee waived for both the online courses (no administrative fee) and the Live course (with exception to a $500/day non-refundable administrative registration fee). Please download and complete the form below for verification. Once complete, please scan, sign, and email the form to ucsdmskus@health.ucsd.edu.To do so, please fill out the Financial Assistance and Hemophilia Provider Form. If not, skip to step 3
  2. Fill out the application and return it to mxzepeda@ucsd.edu. If approved, we will provide codes for each course if you are requesting financial assistance.
    • Be aware that the ONLINE COURSES and the LIVE COURSE have different codes
  3. Register for BOTH ONLINE COURSES titled Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee and Elbow – Basics and Techniques Online Program and Musculoskeletal Ultrasound Training in Hemophilia Online Program.  
    • THESE ONLINE COURSES ARE PREREQUISITES TO ATTENDING THE LIVE COURSE
  4. Complete Musculoskeletal Ultrasound Training for Arthritic Conditions: Ankle, Knee, and Elbow – Basics and Techniques Online Program.
  5. Complete the Musculoskeletal Ultrasound Training in Hemophilia Online Program.
  6. Register for LIVE COURSE titled Musculoskeletal Ultrasound Training for Hemophilia and Other Arthritic Conditions Live Course. Select which dates you would like to attend. If applicable, use the appropriate code provided to register.
    • Registrants may choose which days they wish to attend (one day or multiple days)
  7. You are now ready to come to San Diego to take the LIVE COURSE.

 

Faculty

Contact

Marlene Zepeda
UC San Diego Health Center for Bleeding and Clotting Disorders
Program Coordinator
Email: mxzepeda@ucsd.edu 
Phone: (858) 657-5929
Fax: (858) 249-2519