RHEUMATOLOGY SONOGRAPHY COURSE

SHE Level 5
SCQF Credit Points 0.00
ECTS Credit Points 0.00
Module Code MMB825071
Module Leader Diane Dickson
School School of Health and Life Sciences
Subject Diagnostic Imaging
Trimesters
  • A (September start)-B (January start)-C (May start)
  • B (January start)-C (May start)-A (September start)
  • C (May start)-A (September start)-B (January start)

Pre-Requisite Knowledge

Available to registered health care professionals and medical staff with relevant experience and an interest in the area. Applicants should have UK Honours degree 2:2 (or equivalent); or an unclassified degree or professional diploma with over two years' professional experience.

Summary of Content

-107 The CPD course is designed to ensure clinical competency in the focussed area of Rheumatology ultrasound (Hands, wrist and feet) by delivering the theoretical underpinning whilst students engage in practice concurrently, thus facilitating the application of theoretical principles to practice. The clinical education element of the programme requires the student to be able to have regular access to ultrasound placement, with the support of an appropriate mentor (this is not provided by GCU). Evidence of this is required prior to entry The course is designed to: -510b7 culminate in a GCU award of 'Certificate of Competence to Practice focussed Rheumatology Ultrasound (Hands, wrist and feet)' - accredited by the Consortium of Accreditors for Sonographic Education (CASE) -510b7 be predominantly work-based within a recognised placement under the supervision of a named mentor b7 be assessed through a practice based appraisal undertaken by a nominated external assessor b7 include a two day workshop comprising key note lectures and practical sessions using state of the art equipment to meet the learning outcomes. b7 offer distance learning support including key note lectures and directed learning tasks delivered through the university's virtual learning environment (VLE) GCU Learn -107

Syllabus

-360b7 Fundamental scientific principles of B-Mode and Doppler ultrasound b7 Equipment components, selection and Image generation b7 Image optimisation b7 Ultrasound artefacts (B-mode and Doppler) b7 Ultrasound ergonomics and bio-effects b7 Safe scanning practice b7 Patient informed consent, communication procedures and practice limitation issues b7 Scanning techniques for hands, wrists and feet b7 Ultrasound appearances - (normal and pathological) b7 Review of International guidelines for Rheumatology ultrasound of the hands, wrists and feet b7 Image appraisal b7 Semi - quantitative grading systems b7 Reporting protocols; legal implications of reporting

Learning Outcomes

On successful completion of the course which includes clinical assessments, you should be able to:- 1. apply physical, technological, ergonomic and safety principles in order to identify, select, manipulate and optimise ultrasound equipment;2. apply knowledge of anatomy and pathophysiology to Rheumatology ultrasound of the hands, wrists and feet;3. communicate clearly and effectively with service users and other health care professionals; 4. competently and safely undertake appropriate B-mode and Doppler focused real-time examinations for Rheumatology ultrasound according to the evidence base and current local, national and international guidelines;5. produce good quality representative images and archive appropriate images in accordance with local protocols;6. accurately interpret, measure and grade normal and pathological sonographic features consistent with rheumatic diseases of hands, wrists and feet in accordance with local protocols;7. report ultrasound findings to contribute to case management in line with local protocols;8. critically reflect on and recognise responsibility for own learning and professional development

Teaching / Learning Strategy

Learning strategies will range from key note lectures and blended learning resources which will provide theoretical underpinning to practice based tutorials which will consolidate learning and rehearse practical skills. Clinical based learning, an intrinsic part of the module, will take place at the students' placements where individual tutorials led by the clinical teams, based on the workload referrals, will encourage problem solving and reflective practice. Where it is identified in the placement unit, through learning objectives and feedback, that the student's contact with more complex pathologies is limited, clinical experience in these areas will be supplemented normally by a placement in an alternative centre with a wider range of procedures and examinations. Emphasis is placed on the student achieving autonomy, competent to carry out focussed Rheumatology ultrasound (Hands, wrist, feet). Enabling strategies in the clinical placement will reflect this approach. The virtual e-learning environment - GCU Learn- offers a forum for exchange of information and ideas among participants with the intention of broadening their learning experience and encouraging students to become autonomous, reflective learners who assume responsibility for their learning to achieve clinical competency. The Professional Portfolio will be utilised as a learning tool throughout the course, enabling the student to evidence clinical competency and providing a vehicle for continuing development.

Indicative Reading

Bianchi, S. & Martinoli, C. (2007) Ultrasound of the Musculoskeletal System, Spinger, New York El Miedany Y. (2015) Musculoskeletal Ultrasonography in Rheumatic Diseases, Spinger International Publishing, Switzerland Hoskins PR, Martin K and Thrush A. 2010, Diagnostic Ultrasound: Physics and Equipment, 2nd edn, Cambridge University Press, Cambridge. (available as e-book) O'Neill, J. (2008) Musculoskeletal Ultrasound: Anatomy and Technique, Springer, New York McNally, E. (2014) Practical Musculoskeletal Ultrasound 2 nd Ed. Churchill Livingstone, Elsevier Rolfe G, Jasper M, Freshwater D (2011) Critical Reflection in Practice, generating knowledge for care. Palgrae,, Macmillan publishing ter Haar G and Duck FA. (2012), The Safe Use of Ultrasound in Medical Diagnosis, 3rd edn, British Institute of Radiology, London. (available as e-book) RCR/SCOR. (2014) Standards for the provision of an ultrasound service https://www.rcr.ac.uk/sites/default/files/documents/BFCR%2814%2917_Standards_ultrasound.pdf Electronic sources http://www.bmj.com (web-site provides current information on medical research papers, including case studies from all medical disciplines) http://www.rsnajnls.org (web-site for the Radiological Society of North America that publishes material from its own Annual Scientific Conference in Chicago each November/December) www.ncbi.nlm.nih.gov/PubMed (similar web-site to that of the U.K. Department of Health but information derived from this source may provide a further argument on a subject) http://www.cochrane.org (web-site providing evidence on current research especially critical reviews across a wide range of healthcare)

Transferrable Skills

On completion of this module students will be able to: -359 -360b7 Working in a self-directed manner, taking responsibility for own learning and personal development and where appropriate practice competence. b7 Developing knowledge and understanding in the context of a subject, which can be transferred within different clinical settings. -360b7 Demonstrate critical thinking and problem solving skills in a range of situations. b7 Underpin professional practice through: the integration of theory with practice; Reflection on practice and reflection in practice; Structuring of professional development activities; Depth of practice knowledge. Undertake the clinical practice of focussed Rheumatology ultrasound (Hands, wrist, feet) in a professional manner within an ethical and legal framework. b7 Adhere to the principles of verbal and written reporting concurrent with approaches to decision making and accurate record keeping b7 Utilise resources identified in previous or current learning and in the Clinical placement unit. Draw upon the expertise of other professionals in order to inform and develop own practice,

Module Structure

Activity Total Hours
Tutorials 10.00
Independent Learning 70.00
Directed Learning 10.00
Practicals 50.00
Tutorials (FDL) 4.00
Assessment 6.00
Lecturers 4.00

Assessment Methods

Component Duration Weighting Threshold Description
Placement n/a 100.00 50% Evidence of clinical competency (clinical assessment/clinical hours/log of cases).