Training Program

Learn how to utilize musculoskeletal ultrasound to provide improved patient care in this 8-month in-depth training program.

September 1, 2023 - June 12, 2024


Why choose USSONAR?

We know you have other learning opportunties, why should you choose us?


Over 450 students have graduated from our 8 month training program and over 500 people have joined our membership program. Our training resources are structured so each student can begin applying their knowledge in their own patient care setting.


Our teaching program has been around since 2008 and membership since 2014. Our teaching methods and resources evolve each year based on advances in musculoskeletal ultrasound along with feedback from our students and members.


We have over 40 educators who provide mentorship and teaching within our programs. They have trained thousands of health professionals, written landmark research papers, and are considered thought leaders in this specialty.

What you'll learn

At the completion of the 8-month program, you have the confidence and understanding on how to do each of the following.

Perform musculoskeletal ultrasounds

How to perform a standard gray scale ultrasound scan of the hands, wrists, elbows, shoulders, hips, knees, ankles, and feet.

Perform guided needle placement

How to perform a direct, long axis, ultrasound guided needle placement for injection or aspiration of a synovial structure.

Recognize pathology

How to recognize the typical ultrasound pathology found in conditions of osteoarthritis, gout, calcium pyrophosphate arthropathy, infection related arthritis, rheumatoid arthritis, seronegative arthritis, degenerative tendon abnormalities, and median nerve impingement.

Ultrasound machine operation

How to properly adjust ultrasound equipment, and manipulate ultrasound transducer to obtain Doppler signal from vascularized soft tissues such as finger pulp or inflamed synovium.

How you'll learn

This comprehensive program ensures that you get everything you need to improve patient care using musculoskeletal ultrasound. It's comprised of two internet based components, and two in person events.


Self paced learning


Image submission


Hands on workshop


Skills assessment


Self paced learning

We have developed an interactive, self-paced interactive online course which teaches you how to recognize and perform musculoskeletal ultrasound.


Included in this material are scanning videos and lectures, reading assignments, self-assessment quizzes, short scanning assignments, and downloadable resources. You will follow a date based schedule to help you stay on track, but because you will have access to all of the material up front, you can move at your own pace according to your own schedule and preference.

This course is optimized for desktop computer, mobile phone, and tablet viewing so you can use it as a reference tool at the patient’s bedside.


Image submission with expert review

The image submission and review portion of the program is where you’ll develop your ultrasound skills.

One of the most valuable parts of this program is you will receive personal written and/or video feedback by one of our faculty mentors for each joint and injection scan you upload.

You will be required to upload at least 50 complete joint scans.

  • 5 scans of fingers wrists, elbows, hips, knees, and toes
  • 7 of the shoulder
  • 8 of the ankle
  • 5 ultrasound guided injections (direct, long axis type ultrasound guidance)

In addition to scanning the regions listed above, you will also need to get experience with a wide variety of pathology as seen by MSUS - gout, pseudogout, rheumatoid arthritis, seronegative spondyloarthitis, soft tissue rheumatism, OA, thus you should try to scan as many different patient types as possible.


Hands-on workshop

LIVE in person Hands-on workshop

February 2025

Mandatory Attendance


The 3-day hands-on workshop will focus on ensuring that your scanning technique is optimized, to expose you to the major concepts of musculoskeletal ultrasound in a "live" environment, and to answer any knowledge or technique related questions which have arisen during the first portion of the program.

There will be didactics on joint-based scanning, principles of sonography, along with hands-on scanning of models with and without rheumatic conditions.


Knowledge and skills assessment

May 2025
Virtual hands-on practical exam and written multiple choice exam
Mandatory Attendance


We feel it is critical for you to determine your level of MSUS knowledge and skill after finishing this program, and this is an integral part of the learning process. Your test results and formative comments from faculty educators will be given to you after the test.

The written test will consist of multiple choice questions (single best answer type) requiring interpretation of still ultrasound images of common musculoskeletal pathology.

The practical portion will require scanning of individuals to acquire quality still images of the typical joint regions, scanning of patients with rheumatic diseases to demonstrate typical pathology, and demonstrate basic ultrasound guided needle placement on a joint model.

For May 2024, this will be a virtual hands-on practical exam and written multiple choice exam.

Learn from the best

Our educators are nationally recognized musculoskeletal ultrasound experts.

In addition to contributing to the educational course material, they will be your direct mentors, helping you improve your scanning technique and understanding by providing you with individual feedback on your uploaded ultrasound scans.

Learn more about our faculty

It's recommended

Here's what some of our previous participants had to say about our training program.

"It was an amazing experience. I am so happy I had the opportunity to be a participant."

"This program is super organized, coherent, well paced and the feedback is fabulous. The video reviews were particularly helpful."

"Fantastic faculty! Engaged, enthusiastic and devoted to teaching."

Become a skilled musculoskeletal ultrasonographer

This comprehensive 8-month program ensures that you get everything you need to improve patient care using musculoskeletal ultrasound.

Next session

September 1, 2023 - June 12, 2024


$ 500
  • $500 is the program registration fee. See FAQ below for more details on full program cost and requirements.


$ 5,800
  • Non-Fellows are healthcare professionals who are NOT enrolled in a rheumatology fellowship program.
Credit card payment for the registration fee is due
when you are accepted and decide to join the training program.

Frequently Asked Questions

This program is geared toward rheumatologists and other applicable health care professionals who want to learn how to utilize musculoskeletal ultrasound to provide improved patient care.

A Fellow is a rheumatology fellow who is currently enrolled in a fellowship program.

A Non-Fellow is someone who is NOT enrolled in a rheumatology fellowship program. While previous participants have included academic and private practice rheumatologists, internal medicine physician or other MDs, nurse practitioners, physician assistants, and sports medicine specialists, the focus of the teaching is on rheumatic disease manifestation visible on ultrasound scanning.


  • Program Registration Fee: $500 (by credit card payment, nonrefundable)
    • This Program Registration Fee ($500) gives registrants full access to the program's educational materials for 1 year and 8 months with at least 4 weeks of ability to submit and receive mentorship on their scans. Please see FAQ below on "Will everyone be accepted into the program?" for full details regarding the competitive exam, and full admission into the program after October.
  • Written and Practical Exam Registration Fee: $0
  • Hand-On Workshop Registration Fee: $1,700 (Scholarships are available, see below)
    • $1,700 covers full cost of registration to the hands-on workshop.
  • Scholarships are available depending on funding. If funding is available there will be a limited number of scholarships based on competitive fellow participation in the program during the months of October through December.
  • NOT INCLUDED: Fees associated with travel and hotel accommodations for hands-on workshop and final exam.


  • Program Registration Fee: $5800 (by credit card payment)
  • Written and Practical Exam Registration Fee: $0
  • Hand-On Workshop Registration Fee: $0
  • NOT INCLUDED: Fees associated with travel and hotel accommodations for hands-on workshop and final exam.


  • We have a minimum of 30 fellow spots due to variable non-fellow demand
  • Participation in the first month of the program is open to all fellows who successfully register, but participation in the full program is a competitive process determined by program participation in the month of September and limited to 30 fellows.
  • The top 30 fellows who complete all of the assignments, submit at least 16 full ultrasound studies and show responsiveness to feedback, and get the highest scores on a written quiz at the end of September will be invited to participate in the remaining 7 months of the program.
  • If you are not accepted into the full 8-month program
    • You will receive 1 year 7 months free access of USSONAR membership which gives you immediate access to the same internet-based course material used in the 8-month training program.
    • You will no longer be able to upload studies/assignments for review, or attend the hands-on workshop or final examination.


  • We have 30 non-fellow spots available for participation in the full 8 month program. If we receive more than 30 applications, then preference is given to academic rheumatologists who train fellows.
  • If you are not accepted into the full 8-month program
    • You can reapply next year and will have priority over other applicants.
    • You can sign up to become a member of USSONAR which gives you immediate access to the same internet-based course material used in the 8-month training program.


  • Permission from your program director to scan your patients for educational purposes and to fully participate in all three portions of the training program.
  • Download, review and complete the Program Direct or Letter of Fellow Support.
  • Fill Program Director Letter of Fellow Support form


  • Access to ultrasound equipment during the time you see patients (this equipment must allow you to export images for editing and web-based submission.)
  • The dedication and time to spend 3 hrs per week on ultrasound related learning.
  • Attend the hands-on workshop
  • Attend the final ultrasound exam
  • Full payment for the program, in-person events, and travel fees.
  • Acceptance of our Terms of Use → Click here to read.

The training program is the right choice if you’re looking for personalized 1:1 training where you upload your own ultrasound scans and receive direct mentor supervision with personalized feedback, explore our 8 month training program. This program combines online training along with live in person events. It's only offered once a year and has limited enrollment. You will receive a free year of membership upon completion of the program.

The membership is perfect if you want a self-paced learning curriculum taught by experts in musculoskeletal ultrasound and do not want the other features of the training program. The educational materials include all of the modules used in our 8 month training program, plus 3 additional ones. Membership is open to anyone interested in learning musculoskeletal ultrasound, and you’ll have immediate access to all of the educational materials after signing up.

  • Application deadline - Aug. 31
  • Notification of program acceptance or denial - First week of Sept.
  • Quiz to determine the selection of fellows attending full course - Sept. 30
  • Full course begins - Oct. 2
  • Hands-on Workshop in Tampa. FL - Feb 2025
  • Virtual Knowledge and Skills Assessment - May 2025

Still have questions? Get in touch

Ready to apply?

Sign up below to get notified when we begin accepting training program applications (around mid-August each year.)

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