Musculoskeletal (MSK) ultrasound is increasingly used in clinical practice to enhance diagnostic accuracy and patient care. However, its operator-dependent nature necessitates comprehensive training for clinicians. Traditionally, MSK ultrasound courses have been delivered in-person, combining didactic instruction and hands-on practice. The COVID-19 pandemic, however, necessitated a shift to fully online formats, prompting questions about the comparative efficacy of these approaches. This study compares the learning outcomes of participants in in-person and online MSK ultrasound courses delivered by the Canadian Rheumatology Ultrasound Society (CRUS).
The study analyzed two cohorts: an in-person group from 2018–2019 and an online group from 2020–2021. Both cohorts attended two weekend learning sessions spaced five months apart, followed by biweekly homework submissions of ultrasound images for three to five months. Expert faculty provided written feedback, and independent reviewers assessed image quality for participants who completed at least 70% of their homework. Results revealed no significant differences between cohorts in homework completion rates, image quality, or self-reported satisfaction. Approximately 63% of in-person participants and 71% of online participants submitted homework, and image quality ratings were comparable. Participants in both formats reported high satisfaction with course content and structure.
The study highlights the viability of online learning for MSK ultrasound training, showcasing its advantages, including accessibility, cost-effectiveness, and convenience, without compromising learning outcomes. However, potential drawbacks such as reduced social interaction, time management challenges, and technical issues were noted. While hands-on practice remains critical for procedural skill development, this study supports the continued use of online MSK ultrasound courses as an effective alternative for clinician training.
