Module code: HS966
Module credits: 30
Module level: seven
Module contact: telephone 01206 873375, email
Location: University of Essex, Southend campus.
Dates: a full list of dates can be found on the
module calendar (.pdf)
This module aims to develop students’ knowledge, practical use and clinical
application of ultrasound guided musculoskeletal injections. The clinical role
of ultrasound guided musculoskeletal injections relates to the evidence base
supporting its role in the management of many musculoskeletal presentations and
the increasing requirement for clinicians to guarantee the site of injection,
thereby providing evidence of needle placement. Clinicians need to have a strong
understanding of the theoretical issues underpinning injection therapy including
legalities and professional responsibilities. There is a strong emphasis on
clinical reasoning in this module ensuring clinicians are able to justify the
guided injection intervention’s inclusion in patients’ management pathway.
Learning and teaching methods
This module’s delivery reflects the practical but varied nature of
musculoskeletal ultrasound guided interventions. Face-to-face teaching will
assist the students with the related scientific principles. Tutors will guide
the students through the practical processes from preparation of injection
equipment through to performing the guided intervention. Students will be
expected to engage in class room discussions exploring professional elements
including timing of the intervention in the patient’s management pathway, the
overall patient experience and evaluation of practice. A significant proportion
of the learning will take place in the student’s work place so the clinical
application of ultrasound guided injections can be explored. Learning in the
work place ensures the reality of clinical scenarios and professional
responsibilities are considered alongside technical issues.
Lectures will present theoretical and professional issues and will include:
- Corticosteroids and local anaesthetics – actions, dosage, risks and
- Ultrasound Guided Musculoskeletal Injections– what is their role?
- Technical considerations: image optimisation and needle visualisation
- Scope of practice and competency to carry out ultrasound (US) guided
injections. Medico-legal and Health & Safety issues.
Students will need to practice their scanning techniques independently and
will need support in the work place to complete the module assessment.
There is no formal placement requirement but students will need to complete
musculoskeletal interventions in the work place as part of their assessment. One
or more work place mentors will need to be identified to enable the clinical
interventions to be performed. Mentors will be guided by Clinical Skills
Learning Documentation and will be provided with contact details of the module
leader who can be contacted if queries arise. All clinical interventions should
initially be performed under supervision, this will facilitate the learning and
enable the student to develop competency. Work place supervisors need to
complete documentation to provide evidence of the student’s learning.
The module teaching material will be available to all registered students via
the university’s intranet learning platform, Moodle. This virtual learning
environment will also be used as depository to a library of films. These edited
films will present protocols for performing ultrasound guided shoulder
injections, they will also be matched to the scanning images that will portray
needle placement. This technology brings the class room to the work place so
students can learn in their work environment using their own ultrasound systems
whilst being assisted by a ‘virtual sonographer’. This technology has been used
successfully in other modules and has received positive feedback from students
who appreciate the ability to match their own practice with that of an expert.
There are no timetabled tutorials, students are encouraged to e-mail the
module leader for learning support if required.
Initially, students will be introduced to the theoretical considerations that
underpin injection therapy and ultrasound guided interventions. There will be an
emphasis on practical skill teaching, sessions will include principles of
ultrasound guided injections so students are introduced to the skill of needle
visualisation before moving onto regionally specific and pathology specific
On successful completion of this module, you will be able to:
- Integrate musculoskeletal ultrasound skills with injection therapy in the
- Understand the theoretical and scientific principles that underpin the
integration of these modalities.
- Critically evaluate and synthesise the current evidence base regarding the
efficacy of ultrasound guided injection therapy.
- Evaluate the role of ultrasound guided injections within their professional
A summary of the components is below, detailed instructions will be provided
to the students and supported by Moodle. Please see
Undergraduate/Postgraduate Handbook for further general information on
guidance, support and rules of assessment.
Case Study: (Learning outcomes 2, 3 and 4.) Assessment weighting: 50% Word
limit: 3000 words. Case study discussing the theoretical and professional issues
that underpin the application of ultrasound guided musculoskeletal injections.
Log – book , (learning outcome 1) Assessment weighting: 50% Log-book that
presents 15 ultrasound guided musculoskeletal injections in the work place. A
standard reporting form will be used – this has been included below. This will
document the details of the intervention, patient’s signs and symptoms,
anatomical area, US scanning features indicative of pathology, injection
medication dose and needle placement. A brief reflection on the procedure
including challenges and unexpected considerations will be expected. Each
intervention must be accompanied by annotated images of the area scanned and an
additional image demonstrating needle placement. One of the logbook submissions
will form the basis for an extended patient report (word limit 400 words). This
extended patient report, (submitted as part of the log book) will present a
specific work place practice quality assurance system that the student has
engaged with e.g. local prescribing policies, pathway development for specific
presentations and systems to evaluate practice.
You may apply for the module, provided you have formal training in
ultrasonography, this will have included musculoskeletal elements. Students must
be employed in a professional environment that enables them to complete the work
based practice elements.
You will also need to have:
- A relevant first degree OR a relevant professional experience or
qualifications that demonstrates ability to study at Level 7
- A minimum of 1 year post-registration experience and relevant
- Current Registration with the relevant UK or equivalent professional body.
- HCPC or equivalent registration e.g. in case of doctors (GMC) and Nurses
(NMC), non-radiographer sonographers must evidence their qualification.
- Access to support in the work place to enable completion of assessment:
including a mentor, legally prescribed medication and suitable ultrasound
In the first instance approach your Education Liaison Manager to see if
funding can be secured via the organisation you are working for.
How to apply
Once you have secured funding, please fill in our
module application form (.pdf). After you have completed the application
form, and had it signed off by your manager and your education liaison manager,
please forward it to email@example.com.