Annual Assembly

Step One: Ultrasound Clinical Applications of the Extremities

Tuesday, November 12-
Wednesday, November 13
8 am-5 pm

Henry B. Gonzalez Convention Center, Room 205

Apply clinical ultrasound in your practice with a course designed for every physiatrist.  Try ultrasound for the first time to see how it will best fit your area of expertise. This course is designed for physiatrists to get started with applying ultrasound to patients with musculoskeletal and neurologic diagnoses for diagnostic and interventional applications. More interactive hands-on experiences than ever allows the clinician to begin to develop the understanding and manual skills needed to begin to improve their practice with clinical ultrasound. More than 8 hours of hands-on time will allow physiatrists to truly experience ultrasound first hand.

This course is the required first component of AAPM&R's STEP Ultrasound Certificate Program. 


Course Directors and Faculty


Samuel K. Chu, MD, FAAPMR
Ethan B. Rand, MD, FAAPMR


Katharine E. Alter, MD, FAAPMR
Ashwin Babu, MD, FAAPMR
Prathap Jayaram, MD, FAAPMR
Kristopher R. Karvelas, MD, FAAPMR
Keakyung Kim, MD, FAAPMR
Dallas J. Kingsbury, MD, FAAPMR
Melinda Loveless, MD, FAAPMR
Nathan P. Olafsen, MD, FAAPMR
Michael Saulle, DO, FAAPMR
Chi-Tsai Tang, MD, FAAPMR
Christopher J. Visco, MD, FAAPMR

Learning Objectives

Upon completion of this course, participants will be able to:

  • Apply the various components of an ultrasound machine to acquire an image, properly annotate and document.
  • Describe their understanding of surface structures and the relationship between regional anatomy, using ultrasound.
  • Identify and differentiate structures typically examined in the neurologic and musculoskeletal system.
  • Describe the indications, advantages, and disadvantages of using ultrasound imaging in musculoskeletal and/or neurologic clinical applications, including spasticity and pain.
  • Modify the practice application of ultrasound to reflect current accepted uses and utilize a methodical approach when examining body regions.
  • Alter practice efficiency with regard to the clinical application of ultrasound.
  • Demonstrate improved visual-spatial and manual skill as it relates to needle tracking with ultrasound guidance.

A Word from the Course Directors

AA19_Ethan RandAA19_Samuel Chu“This course is designed for physiatrists who have an interest in learning more about diagnostic ultrasound, including musculoskeletal ultrasound as well as neurologic uses of ultrasound. During this course, we’ll also provide a comprehensive look at how we use ultrasound in clinical practice. This is such an exciting time for our field. There is great interest within physiatry for ultrasound and we are thrilled to offer this course!”—Samuel K. Chu, MD, FAAPMR and Ethan B. Rand, MD, FAAPMR

Exhibitors include:

Konica Minolta

Support of the Step One: Ultrasound Clinical Applications of the Extremities Preconference Course has been provided through educational grants (financial and in-kind) from the following companies in accordance with ACCME guidelines: Allergan, Inc., Fujifilm Sonosite, GE Healthcare.


Who Should Attend

Physicians who care for patients with neurologic or musculoskeletal diseases with a novice, beginner or intermediate understanding of ultrasound.

Live Course Agenda


Tuesday, November 12

Registration and Breakfast

7:00am - 8:00am

Introduction, Overview, and Acknowledgements
Ethan B. Rand, MD, FAAPMR; Samuel K. Chu, MD, FAAPMR

8:00am - 8:10am   
Tissues and Needles 
Nathan P. Olafsen, MD, FAAPMR
8:10am - 8:25am 

Technical, Needle Tracking, and Manual Skills Lab
All Faculty

8:25am - 9:10am 

Shoulder Region Anatomy 
Chi-Tsai Tang, MD, FAAPMR

9:10am - 9:30am         
Shoulder Clinical Applications and Pathology with Ultrasound
Chi-Tsai Tang, MD, FAAPMR
9:30am - 9:50am


9:50am - 10:00am
Shoulder Scanning Lab (with Procedure Simulation) 
All Faculty
10:00am - 12:00pm

Lunch Break

12:05pm - 1:00 pm

Elbow and Forearm Regional Anatomy
Michael Saulle, DO, FAAPMR

1:00pm - 1:20pm

Wrist and Hand Regional Anatomy
Christopher J. Visco, MD, FAAPMR

1:20pm - 1:40pm
Elbow, Forearm, Wrist, Hand Scanning Lab
All Faculty
1:40pm - 3:40pm


3:40pm - 3:50pm

Wrist, Hand Clinical Applications and Pathology with Ultrasound
Christopher J. Visco, MD, FAAPMR

3:50pm - 4:10pm

Spasticity Management Using Ultrasound
Heakyung Kim, MD, FAAPMR


4:10pm - 4:30pm

4:30pm - 4:40 pm

Open Scanning Lab: Practice & Review
All Faculty
4:40pm - 5:00pm

Wednesday, November 13

Introduction and Overview
Ethan B. Rand, MD, FAAPMR; Samuel K. Chu, MD, FAAPMR

8am - 8:10am   

Hip Region Anatomy
Kristopher R. Karvelas, MD, FAAPMR

8:10am - 8:35am 

Hip Clinical Applications and Pathology with Ultrasound 
Prathap Jaryarm, MD, FAAPMR

8:35am - 8:55am 
Break 8:55am - 9:00am         

Hip Scanning Lab 
All faculty


9:00am - 11:00am

11:00am - 11:10 am

Knee Regional Anatomy 
Melinda S. Loveless, MD, FAAPMR

11:10am - 11:30am
Ankle & Foot Regional Anatomy
Ashwin Babu, MD, FAAPMR
11:30am - 11:50am
11:50am - 12:00pm


12:00pm - 1:00pm

Knee, Ankle, and Foot Scanning Lab
All Faculty

1:00pm - 3:00pm

3:00pm - 3:10pm

Knee Clinical Applications and Pathology with Ultrasound 
Nathan P. Olafsen, MD, FAAPMR

3:10pm - 3:30pm

Ankle & Foot Clinical Applications and Pathology with Ultrasound
Dallas J. Kingsbury, MD, FAAPMR

3:30pm - 3:50pm

Clinical Correlates in Spasticity; How US Changes your Clinical Care
Katharine E. Alter, MD, FAAPMR

3:50pm - 4:20pm 
4:20pm - 4:30pm 
Open Scan--Review and Summary
All Faculty 
4:30pm - 5:00pm 


Online Video Modules Available Before the Live Course!

Registrants will be able to view the online lectures 30 days prior to the live course to maximize the time for hands-on training. It is strongly recommended that attendees view these online lectures before attending this course. Scroll down to preview some of the online lectures.

Online Lecture Topics Include:11875A-105


Needle Tracking and Ultrasound-Guided Injection Technique 
Ethan B. Colliver, DO

Ultrasound Pediatric Applications in the Upper Limb
Heakyung Kim, MD

Shoulder: Normal Anatomy and Ultrasound Protocol
Luis Baerga-Varela, MD  


The American Academy of Physical Medicine & Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation of Credit

The American Academy of Physical Medicine & Rehabilitation (AAPM&R) designates this live activity for a maximum of 17.75 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Academy Tested, Board Approved!

The 2019 Annual Assembly Preconference Courses have been approved by the American Board of Physical Medicine and Rehabilitation (ABPMR) for Maintenance of Certification® (MOC®) Part II Self-Assessment credit.  Attendees must complete a post-test to earn AMA PRA Category 1 Credits™, which will be commensurate with the number of CME available for each precourse.

Course Pricing

Early Bird Rate (May 15-Sept 18)

Member - $1,250
Non-Member - $1,395

Standard Rate (Sept 19 - Onsite)

Member - $1,350
Non-Member - $1,495


Option 1

If you plan to attend this course as the first step of the AAPM&R STEP Ultrasound Certificate Program, you must register for the complete certificate program. Registering and paying only for the course does not automatically enroll you in the STEP certificate program.

Click below to officially register as a complete STEP Ultrasound Certificate Program participant on me.aapmr.org, which includes the early bird rate for this course.

Option 2

If you are not interested in participating in the complete STEP Ultrasound Certificate Program and plan to only attend this course as a one-off, stand alone course, click the register button below. Early bird and standard rates apply based on the date you register.

This option is SOLD OUT. Please email info@aapmr.org if you would like to be placed on a waitlist for the stand alone course option. 


Attendees are encouraged to dress comfortably and do not need to dress to be scanned as volunteer models will be available for the scanning labs.