Instituto Nacional de Rehabilitación, Mexico City, Mexico, DF, Mexico.
J Clin Rheumatol. 2010 Apr;16(3):113-8. doi: 10.1097/RHU.0b013e3181d60053.
To develop guidelines for Musculoskeletal Ultrasound (MSKUS) training for rheumatologists in the Americas.
A total of 25 Rheumatologists from 19 countries of the American Continent participated in a consensus-based interactive process (Delphi method) using 2 consecutive electronic questionnaires. The first questionnaire included the following: the relevance of organizing courses to teach MSKUS to Rheumatologists, the determination of the most effective educational course models, the trainee levels, the educational objectives, the requirements for passing the course(s), the course venues, the number of course participants per instructor, and the percentage of time spent in hands-on sessions. The second questionnaire consisted of questions that did not achieve consensus (>65%) in the first questionnaire, topics, and pathologies to be covered at each course MSKUS level.
General consensus was obtained for MSKUS courses to be divided into 3 educational levels: basic, intermediate, and advanced. These courses should be taught using a theoretical-didactic and hands-on model. In addition, the group established the minimum requirements for attending and passing each MSKUS course level, the ideal number of course participants per instructor (4 participants/instructor), and the specific topics and musculoskeletal pathologies to be covered. In the same manner, the group concluded that 60% to 70% of course time should be focused on hands-on sessions.
A multinational group of MSKUS sonographers using a consensus-based questionnaire (Delphi method) established the first recommendations and guidelines for MSKUS course training in the Americas. Pan-American League of Associations for Rheumatology urges that these guidelines and recommendations be adopted in the future by both national and regional institutions in the American continent involved in the training of Rheumatologists for the performance of MSKUS.
制定针对美洲风湿病学家的肌肉骨骼超声（MSKUS）培训指南。
共有来自美洲大陆 19 个国家的 25 名风湿病学家参加了一项基于共识的互动过程（德尔菲法），使用了 2 个连续的电子问卷。第一个问卷包括以下内容：为风湿病学家组织教授 MSKUS 的课程的相关性、确定最有效的教育课程模式、学员水平、教育目标、通过课程的要求、课程地点、每位讲师的课程参与者人数以及实践课程的时间百分比。第二个问卷由在第一个问卷中未达成共识（>65%）的问题、主题和每个 MSKUS 课程级别涵盖的病理学组成。
普遍达成共识，MSKUS 课程应分为 3 个教育水平：基础、中级和高级。这些课程应采用理论教学和实践模式进行教学。此外，该小组确定了参加和通过每个 MSKUS 课程水平的最低要求、每位讲师理想的课程参与者人数（4 名参与者/讲师）以及要涵盖的具体主题和肌肉骨骼病理学。同样，该小组得出结论，课程时间的 60%到 70%应集中在实践课程上。
使用基于共识的问卷（德尔菲法）的多国籍 MSKUS 超声医师小组制定了针对美洲 MSKUS 课程培训的第一个建议和指南。泛美风湿病学协会联盟敦促未来美洲大陆涉及风湿病学家 MSKUS 表现培训的国家和地区机构采用这些指南和建议。
