Episode Transcript
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Recording from the Sunshine CitySt.
Petersburg, FL overlooking beautiful Tampa Bay, this is the
Sonography Lounge. Sponsored by Gulf Coast
Ultrasound Institute. This podcast is dedicated to
medical professionals and patients around the world
interested in diagnostic and interventional ultrasound.
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Our podcast will discuss everything ultrasound from news,
trends, career paths, new technology, and industry
updates. Hosted by Lori Green and Tricia
Rio of Gulf Coast Ultrasound Institute, they bring over 4
decades of experience in the ultrasound profession and are
here to guide you through this journey.
Now sit back, relax and enjoy. Hey everyone, and thank you so
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much for joining us on the Sonography Lounge where we talk
about all things ultrasound. My name is Trisha Rio and I'll
be Co hosting today's episode with Lori Green.
Hey everybody. Today we're going to chat about
some upcoming MSK ultrasound courses that we have on our
calendar. We're going to dive into what
those courses will include, the various course formats that we
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offer, as well as who these courses are designed for, and
basically what you can expect when you attend a Gulf Coast
ultrasound MSK course. Lori, why don't you start us off
and just give us a brief overview of the MSK courses that
we offer? Sure, MSK.
Our MSK courses are one of my favorite courses.
We just have such a wonderful time get to work with a lot of
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great people. And so we have one coming up not
to far from here now, August 19th to 21st, we have our
introduction to MSK ultrasound. We offer that twice a year.
It's our live traditional education format.
So we usually offer it in January of each year and then
again in August. So the next upcoming opportunity
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is August 19th to 21st. And this particular course
offers the perfect blend of didactics and practical
experience with a strong clinical focus.
The course is designed for any clinician, stenographer, the
medical professional who has a desire to learn how to do
diagnostic and interventional ultrasound scanning techniques
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as well as interpret those exams.
We cover both the upper and lower extremity, so all, all
joints are covered. So it's not just a a focus
course on one particular joint, but you're able to actually work
with the experts on learning both upper and lower extremity
diagnostic ultrasound. So this particular course is 3
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days in length. As I said, it's a traditional
education format. So you're going to participate
in comprehensive lectures on diagnostic ultrasound.
And then after each lecture, we do a scan demonstration of the
joint that we've been discussingand you know, whether that's
upper or lower extremity. And then following the scan
demonstration, we break the participants into two groups.
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And while one group is scanning,the other group is involved with
a lecture on the pathology of that particular joint.
And one of the things that we really shine is with our hands
on skills training because it's in small group setting, we don't
have any more than a three to 1 participant to instructor ratio.
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And all of our lecture faculty as well as many of our table
trainers are leading experts in MSK ultrasound.
And these people are internationally recognized.
They're the, they're the expertswho wrote the books on, on how
to perform and interpret MSK ultrasound.
So we're we're so fortunate to have a long term relationship
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with all of our instructors to be able to work with you and
make sure that you're able to actually go back and immediately
integrate these skills. Yeah, and they come from a
variety of backgrounds, right? Specialty practice backgrounds.
Yeah, absolutely. You know, we have our
participants come from many different specialty practice
backgrounds which has their own unique needs and interests of
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what they need to learn and how to apply that into their patient
population. And so how how best to address
that then to have our faculty also meet that.
So, you know, we have our experts are from sports
medicine, orthopedics, radiology, rheumatology, PM and
R, chiropractic medicine, regenerative medicine, and even
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physical therapy, which is a growing application area.
So you know, we, the one thing Imentioned is that we do offer a
very robust scanning skills training.
And that's so important when youare planning to attend a program
is to make sure that you're, youare going to get that scanning
skills training. You can sit through all the
lectures you want, but not be able to scan.
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It's that hands on that really makes everything click and allow
you to be able to, to fully understand and, and comprehend
what you're learning. So as I mentioned before, our
course allows for you to scan with the experts in a three to
one or less participant to instructor ratio.
And during these hands on scanning opportunities, you'll
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be scanning standardized patientmodels with different body
habitus, different anatomy, somehave pathology and so forth.
You get a a lot of opportunity to scan so that you're ready to
scan and you know, if you're just scanning easy normal
patients all the time, then you're not going to be best
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prepared to be able to go back and and apply these skills.
So during these things on scanning skills sessions, when
you're scanning the models, you will be guided with your expert
instructor and they'll be providing some formative
feedback and some of their unique insights because you're
going to be working with people that are similar specialty
backgrounds so that you can improve your personal
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experience. And then we also talk about
interventional techniques. And so in the introductory
portion, we do have inanimate phantoms that we utilize to
allow you to practice your ultrasound guided needle
techniques for interventional procedures, basically with the
hands on skills training that's involved in the basic part of
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the program. And then we also offer an
optional cadaver lab and that's an excellent opportunity to just
take your skill set to the next level.
We utilize unembolved human cadaveric specimens.
So that gives you the opportunity to actually learn
and develop your injection skills on the anatomy that
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you're going to encounter when you go back to your clinical
practice and you will have the confidence and confidence to be
able to do so. So by blending the inanimate
phantoms along with the cadaveric specimens just further
improves your your confidence and confidence.
And then we also have that ability with the cadavers to use
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the landmark based techniques with needling, which further
enhances your knowledge and understanding of the
three-dimensional anatomy and practicing your skills such as
your hand eye coordination, yourprobe handling on an irregular
surface and probe needle alignment for MSK related guided
injections and interventions. Yeah, it can't be, you know,
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minimize to that experience whenyou are going to put a needle in
a patient to see, OK, if I'm doing an elbow injection, where
my where am I going to be? How am I going to position
myself? Where's my monitor going to be?
How do I hold the needle and howdo I hold the probe and the
needle at the same time? Like it's just, I think going
through it and doing it on an actual limb is really important.
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And obviously we're not going tosign, you know, live models up
to do that. Nobody's going to come in and be
willing to do that unless they're going to get a free
treatment, which we'll talk about here in a minute.
But it gives you that chance when you're working with those
cadaveric specimens to really get your hands on and then have
the expert instructor standing next to you as well as your Co
participants. I mean, don't underestimate the
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value of their experience, the people who you're working in
your group with, because I hear a lot of times them exchanging
information and sharing tips andtricks and what has worked for
them, what hasn't worked for them and just having that real
life experience. It's just you can't replace
that. It's actually.
And you know, there's different ways of being able to perform
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these injection techniques. It's not just one approach.
There's a lot of different ways to evaluate and actually perform
the interventional procedure. So by using these cadaveric
specimens, we're able to go through the various, you know,
OK, well in this situation we'regoing to come in from this
approach because the anatomy is this or that.
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And so there's a lot of, a lot of different ways that you can
perform these injection techniques.
And as we said, we, we group youwith like specialty practice
participants. So your questions are are going
to be, you know, closely alignedto what you're going to be, you
know, experiencing when you go back to your clinical practice.
So there's definitely nothing that can replace actually doing
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the interventional procedures ona on a cadaver.
Yeah, that's true. So immediately following that
introductory course, which is 3 days in length, we then begin
our two day advanced interventions and regenerative
medicine MSK course. So that's out of the five days,
Three days are focused on the intro and then we go into our
advanced program. So this two day course can be
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attended by anybody who has thatexperience and competence and
diagnostic ultrasound. And now they're looking to take
it to the next level, integrate some of those more advanced
applications such as peripheral nerve spine, ultrasound, or they
want to get into doing, you know, tendinopathy and tenotomy
evaluations and treatments or they want to learn regenerative
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medicine applications. But it's also able to be
combined with the intro course. So if you are making a trip and
your travel time, it allows for it.
You can take the full 5 day complete program and then you
won't have to split it up and come back and do 2 separate
programs with us. So it's a nice flexibility for
those who are going to already be here for that introductory
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course and allow them to minimize their cost and travel
time associated. So this two day advanced course,
it incorporates more comprehensive lectures as I
mentioned on spine and peripheral nerve diagnostic
ultrasound, the tendinopathy andtenotomy, regenerative medicine
applications including prolotherapy, platelet rich
plasma also known as PRP, the bone marrow aspirate concentrate
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and the lipo aspirate therapies.This course does include a four
hour interventional cadaver lab.So it's not like the intercourse
where that's an option. You can add it or not add it.
It actually includes it because we want you to have practical
experience with those more advanced interventions and
you'll be able to do that. And then we wrap it all up at
the end on Friday afternoon withPRP demonstrations on actual
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patients with the opportunity for discussion in Q&A.
So you get to watch one of our expert faculty perform PRP
treatments on actual patients with real pathology and ask them
questions. You know, how would you do this?
Well, what about this? How did you mix that concentrate
was, you know, what are you using?
All those questions that you have will be answered during
that session. So it's really nice.
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And if that's not something thatyou are interested in doing, we
also offer a optional open scan lab so you can spend more time
scanning some of those more advanced techniques as our
expert instructors if you preferto do that.
So lots of flexibility in that program and it is a fun program
to attend. And I do recommend you come for
all five days because you won't want to leave after day three.
That's absolutely right. And that open scan lab, if you
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do decide you want, don't want to participate in the PRP
demonstrations that we do have expert instructors in there.
It's just an open scan lab, meaning that you know, you're
able to work on whatever you feel like you you need a little
bit of extra help with. And you can actually float back
and forth too. You can watch a couple PRP
procedures being performed and then get a little bit of extra
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hands on if you like. So like what you want to do a
lot of flexibility there that allows you to get the full scope
of education that you you need in particular.
Yeah. And you know, Speaking of the
hands on, you know, we've mentioned that multiple times
and we say that because participant feedback from our
previous courses and we've been doing this a long time and it's
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consistently strongly supports that the hands on scanning
sessions in the cadaver labs arethe most effective portion of
the program, specifically the repetitive format.
So you attend the lecture, you watch the live demo, you go into
hands on and you perform it and you do that for each and every
joint through the intro program.So that repetitive nature really
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helps people take it from the, OK, I'm learning this
application to I'm actually doing this application so they
get to put it into practice. And I think that makes a major
difference when you go back and you start to integrate this into
your own clinical practice. Let's talk a little bit more
about our formats. We have that intro MSK course.
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We also offer that as a blended format.
Lori, can you tell our listenerswhy this flipped classroom
approach is so effective? Sure.
We added in blended format programs many years ago and that
involves being able to complete your didactic portion of the
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program in advance before actually coming to our facility
and spending the entire time scanning.
So with the blended program, you're able to focus completely
100% on your scanning skills when you're here versus sharing
with lectures and hands on. But you're still working with
the same expert instructors thatare here during, many of them
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are here during our traditional education format.
But the online course you'll start with is where you'll get
your didactics. And these are professionally
broadcast quality recordings of a previous live course.
So it's the same exact lectures that you would get if you were
here in our traditional education format, but they're
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just recorded and they're put ina modular format that you can
view on demand. And so you have unlimited access
for 15 months. So it's, that's the perfect
opportunity where you're able toview all the lectures as many
times as you want before you come to our facility to a
scheduled hands on blended program.
You'll spend 2 days here scanning both the upper and
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lower extremity applications. And then when you go back home,
you're able to still have accessto those lectures to reinforce
the additional information that you've learned while you were
here scanning. So it gives you that many people
prefer to have that opportunity to kind of review and reinforce
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what they learned rather than A1and done where they're doing the
lectures and the hands on. So it really depends on your
your education preference. But once you've completed the
online course, we do recommend that you actually complete that
before you come. Yeah.
Otherwise it's kind of like putting the cart before the
horse. You don't want to just come in
and have not looked at any of your your presentations.
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You really want to watch all of the lectures before you come.
Then you're prepared and you're ready to really get the most out
of the hands on experience whileyou're here.
And just like in our traditionaleducation format, our hands on
skills training are set up with standardized patient models.
We don't have more than a three to 1 participant to instructor
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ratio and that gives you the most individualized attention.
And then we also still have our inanimate phantoms that are here
so you can practice your ultrasound needle guidance
techniques as well. This particular course coming up
next is going to be in October. That particular 1 does not have
a cadaver session incorporated into it.
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So if in you know if you want tobe doing some interventional
techniques, then you might want to consider coming to the August
course, attending the optional cadaver session.
Yep, for sure. Yeah.
You know, and yeah, we've said it, I don't mean to be like a
broken record over here, but we've talked about the hands on.
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And I think the reason that we push the idea of the hands on so
much is because, well, one, you know, we we have experienced, we
know through 39 years of teaching ultrasound and how to
incorporate ultrasound into yourclinical practice, what works
and what doesn't. And lately we've seen a lot of
people out there claiming that didactic based learning is a
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strong educational pathway for somebody looking to incorporate
MSK ultrasound into their clinical practice.
And we know from experience thatthat's not true.
The didactic, while it's a vitalcomponent of learning and it is
part of your educational pathway, it is the hands on
skills training in small groups,not six to one or seven to one
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with a or maybe even a whole group of people with one
instructor floating around from station to station.
That does not work. You need small groups so that
you have ample practical experience with an expert
instructor who's literally standing next to you giving you
that feedback, giving you those tips and tricks.
I hear it all the time, like what this physician said to me
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when I was doing the shoulder. It just changed everything for
me. Those tips that I'm walking away
with are going to change how I do this.
I've been doing this, I've been struggling.
Now I see how they're doing it and I'm going to go back and
that's how I'm going to do it. So you can't undervalue that,
that feedback from your expert instructor while you're standing
there, you know, and then you'regetting that, you know, it's a
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muscle memory kind of thing. You really need to perform
ultrasound multiple times. Scan, scan, scan.
I was having this conversation with Lori last week.
I said I've been doing diagnostic ultrasound for over
15 years and I've sat through how many of these MSK lectures
and granted, we're usually working in the back of the room,
but we pay attention to a lot ofthem.
And I could not sit down and go perform a shoulder ultrasound
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right now if I wanted to, no matter how many times I've sat
through those lectures. Because I don't have the skills
training, I haven't gotten to work with an expert instructor
and actually got the hands on experience on a standardized
model with the repetitive naturewhere I can then integrate that
into my clinical practice and take that and run with it and
develop my skill set. I'm an expert in vascular
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ultrasound. I'm an expert in abdomen and
general ultrasound that, Nope, not an expert, can't do MSK
ultrasound. It's because I don't have the
skills training. So I'm sitting here telling you
as somebody with 15 years of ultrasound experience, the
skills training is where it's at.
You have to have the skills training, you know, and again,
we have that 39 years of experience and are consistent
participant feedback stating thehands on scanning sessions were
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absolutely the most effective portion of this program.
So please don't be fooled by what you're hearing out there
that you can just take some courses online and then walk in
and be able to start performing ultrasound on your patients.
You really need to come to a hands on course, one that is
focused and will give you ample scanning opportunities with
expert instructors in small groups on a variety of models on
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a variety of systems, right? And, and just to reiterate and
not to run this into the ground,but it is so critical because a
lot of times people do you know,those people, the stenographers
and clinicians who are experienced scanning, they make
it look easy. They know the anatomy, they
understand the, the mechanics ofmanipulating the transducer and
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optimizing the gain controls on the ultrasound system.
And that and being able to recognize the anatomy and what's
normal, what's abnormal. Is that an artifact because I'm
not scanning appropriately or isit really pathology?
And these are things that you learn over time, but you really
have to have that hands on skills training in the
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beginning. And and like Trisha said, you
can be scanning, even be an expert in another specialty.
But just because you know how todo vascular or cardiac or
abdominal does not mean that youcan just sit through some
lectures and you automatically are going to be able to scan
MSK. It's a completely different way
of manipulating the transducer. The the angulations and
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manipulations of the transducer are completely different than
scanning and. Or vascular or whatever the case
may be. So we see, we hear that a lot
because people will call and say, I, I know how to do
cardiac. So I'm, you know, I know I'm
just going to be able to, to, you know, listen to a few
lectures and do the hands on training.
And it's absolutely not true. So, you know, it is very vital
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to be able to get a robust amount of hands on skills
training with that feedback. And we know, and not only do you
have the opportunity to work with the experts, but we do
provide a scanning checklist that you're able to take home
with you and use as a reference and, and other support
strategies that that you get along the way that pertain to
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it. So all of these things combined
are, are what make our courses, you know, so comprehensive and,
and allow us to have that 999 consistent 99.9% satisfaction
rate for meeting or exceeding their educational objectives and
being able to actually go back and immediately implement those
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skills into chronic practice, which is what you're here for.
Yeah, exactly. You know, and we're, we're
saying this not because you knowof anything other than we have
heard things in our industry, especially recently that are in
our opinion misleading. We feel like the information is
misleading. So we want you guys to have the
hard, cold truth. It's a fun course.
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So it's not like it's terrible that you have to come do this in
person. But we want you to have the
information because we don't want you to waste your money,
waste your time. I just need some CME and I'll be
fine. No, you need training.
There's a difference. You know, continuing medical
education. We are huge supporters.
That's what we do. This is continuing education,
but you need skills training or you're not going to be able to
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be as effective and successful for your patients as you want to
be. And we just don't want the the
bad information out there to mislead or misguide you into
thinking that it's going to be anything other than that.
Right. It's like anything else.
When you first start something, you're not going to be the best
at it. Practice makes perfect and you
have to continuously ultrasound in any specialty is a
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continuously learning, you know,career.
You cannot stop learning becausetechnology's changing.
Even diagnostic criteria changesalong the way because of the
technology changes. And so you have to really keep
up with what's going on. And the only way to do that is
just to continuously scan to develop that expertise.
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And you know, what makes you might start out a shoulder might
take you 45 minutes to do. You know, down the line, after
you gain that expertise and the proficiency and from, from
practicing over and over and over again, you're going to see
that that that time it takes youto do an exam is going to
decrease your quality of your exams is going to get better.
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But how are you going to do thatwithout having a strong
foundation to build on? And that's what we're providing
to you here, A strong foundationthat you can go back
immediately, integrate those skills, learn and build on your
skill set and your proficiency overtime.
And be less frustrated, right? Like we don't want you to go
home and be frustrated. Yeah, you're gonna leave.
Here. Confident.
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Absolutely. Yeah, Let's move on just a
little bit with just talking about the different formats.
We talked about the traditional education format that gives you
the opportunity to be here in person and interact in person
with the expert instructors. We've talked about the blended
education formats that gives youa little bit more flexibility in
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terms of when you complete your didactic components and be able
to come and just scan and not divide up your time between
lectures and hands on and be able to go back and reinforce
those skills by re reviewing that information that you have
15 months access to. Yeah.
So you know, really that's an individual decision on some
people prefer the in person and some people prefer the blended
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education format. Either 1 is going to give you
the skill sets that you need to be able to integrate the MSK
ultrasound into your clinical practice.
So regardless of the course format that you choose, you can
count on having a comprehensive experience utilizing Gulf Coast
ultrasounds, CME experiences foryou.
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And you know, I think it's important to just reiterate,
we've been in business since 1985 where we are approaching
our 40 year anniversary, which is incredible.
Like that was a very fast 40 years, right.
But we've been around the block of time or two and we have
changed over time as technology changes as as ultrasound.
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I mean, look at ultrasound whereit's come over the years, you
know, from just being pretty much radiology based and
cardiology based and then OB at to some degree.
And now we have ultrasound beingperformed by so many different
specialty practices, which is amazing.
And it's so important for improved patient care and safety
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that we're able to integrate those those skills into clinical
practice right in the in the office, right.
And you know, just think of the patient and satisfaction with
that. They don't have to, you know,
just way to go get an MRI and then wait for those results and
then come back. And then maybe you have to have
something else. You know, you can basically find
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out what's going on with your patient and determine the best
path for treatment or managementright then and there.
And so taking that step is really important.
And yes, there is a learning curve to it, but you really want
to make sure that you're doing your due diligence and and
knowing what you're what you're getting when you're registering
for a program. And I think that's really
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important. And then we are we are a woman
owned small business based here in the United.
States Lori Green. We're very.
Proud of founder and president. And we take a high level of
pride in the quality of education that we offer here at
Gulf Coast. Our all of our staff works
together as a amazing team and the quality of education, but
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also the level of customer service that we provide is super
important to us. So, you know, I can tell you
first hand from working with we,all of our staff has been with
us for many, many years. And all of the faculty that we
work with, they're like family here.
We've been working with them. I mean, what we only work with
the best of the best. And so you'll see that if you
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went back and looked at our instructors who we work with,
we've worked with all of these instructors for some of them
over 20 years, you know, but most people that we work with,
we work with them for years on years to come and we grow
together. And so I can tell you that, you
know, we promise that if you choose to come to Gulf Coast
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Ultrasound, you're going to havean exceptional education
experience. We take your education needs
personally and we will do whatever it takes to make sure
that you leave here with what you need to get get started in
in integrating these skills intopractice.
So you know, we invite you personally invite you to join us
at one of our upcoming programs if you have any questions, we
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are here all the time and our staff is more than happy to talk
to you in person in a phone call.
You don't have to just e-mail orchat us.
We have that available too if that's where the way that you
want to communicate. But just give us a call.
And if our administrative CME coordinators aren't able to
answer your question, there'll be somebody here that can, and
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we'll make sure that you get signed up for the appropriate
course for your needs so that you get the most out of your
educational experience here. Yeah, I would prefer that you
guys pick up the phone and call us before registering if you
have any questions. That way we can make sure you're
getting exactly what you want. You know, that's we're highly
trained, we know what you need. We we know our programs inside
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and out. So we can make some
recommendations and make sure that you get registered for the
course that's going to best meetyour needs and deliver the
educational content that you're looking for in the format that's
most appropriate for your learning style.
So all right, well, I think we're out of time.
It's been fun sitting down and talking about our exciting
upcoming courses. Again, we have the live
introduction to MSK ultrasound course.
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That's August 19th through the 21st, 2024, followed immediately
by our Advanced Interventional and Regenerative Medicine
course. So that is the Thursday and
Friday that would be August 22ndand 23rd of 2024.
And then if that blended format sounded like something up your
alley and you're not looking fora interventional cadaver lab,
that is October 7th, 18th and 18th of 2024.
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So we invite you to come join us, have some fun scanning with
us, and we totally look forward to working with you.
Super excited to meet you guys and work with you and help you
take your skills to the next level.
So we want to thank you for joining us in the stenography
lounge today. We also want to invite you to
check out our other MSK related podcast.
You know, our podcast is here toprovide you guys with the
information and the content thatyou're looking for.
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So I invite you to check out episode 37 that is MSK
Ultrasound and Physical Therapy featuring Doctor Charles
Stevens. He talks about his own personal
experience taking the RMSK registry and how he has
integrated physical therapy intohis daily clinical practice.
It's a great discussion. And then we have episode 40
explaining regenerative medicine, which is a high level
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discussion on various regenerative medicine options
and that features some of our distinguished experts, Doctor
John Broussard, Doctor David Wang, and Dr. Emron Siddiqui.
So be sure that you check those out and don't forget to
subscribe so that you don't missany upcoming episodes.
Absolutely. We thank you guys for joining us
and we hope you have a wonderfulday and happy scanning.
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Happy scanning. Thanks for listening to The
Sonography Lounge. Don't forget, if you like this
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