Annual Assembly

Step One: Ultrasound Clinical Applications of the Extremities

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

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
Kristopher R. Karvelas, MD, FAAPMR
Keakyung Kim, MD, FAAPMR
Dallas J. Kingsbury, MD
Melinda Loveless, MD, FAAPMR
Nathan P. Olafsen, MD, 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

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

7am - 8am

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

8am - 8:15am   
Tissues and Needles 

8:15am - 8:30am 
Technical, Needle Tracking, and Manual Skills Lab
All Faculty

8:30am - 9:30am 

9:30am - 9:45am         
Shoulder Region Anatomy 

9:45am - 10am
Shoulder Scanning Lab (with Procedure Simulation) 
All Faculty

10am - 12pm
Shoulder Clinical Applications and Pathology with Ultrasound

12pm - 12:20pm
12:20pm - 12:30pm

Lunch Break
12:30pm - 1:30pm

Forearm, Wrist and Hand Regional Anatomy

1:30pm - 1:45pm
Forearm, Wrist, Hand Scanning Lab (with Procedure Simulation Block) 
All Faculty

1:45pm - 3:45pm

3:45pm - 4pm
Forearm, Wrist, Hand Clinical Applications and Pathology with Ultrasound

4pm - 4:20 pm
Spasticity Management Using Ultrasound

4:20pm - 4:40pm
Open Scanning Lab: Practice & Review
All Faculty
4:40pm - 5pm

Wednesday, November 13

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

8am - 8:15am   
Hip Region Anatomy

8:15am - 8:40am 
Hip Scanning Lab (with Procedure Simulation)
All Faculty

8:40am - 10:40am 

10:40am - 10:55am         
Hip "the Long View" with Selected Pathology on Ultrasound 

10:55am - 11:25am
Knee Regional Anatomy 

11:25am - 11:45am
Ankle & Foot Regional Anatomy
11:450am - 12:05pm

12:05pm - 12:10pm

Lunch Break

12:10pm - 1:10pm

Knee, Ankle, and Foot Scanning Lab (with Procedure Simulation Block)
All Faculty

1:10pm - 3:10pm

3:10pm - 3:25pm
Knee Clinical Applications and Selected Pathology with Ultrasound 

3:25pm - 3:45pm
Ankle & Foot Clinical Applications and Pathology with Ultrasound
3:45pm - 4:05pm
Clinical Correlates in Spasticity; How US Changes your Clinical Care

4:05pm - 4:25pm 
4:25pm - 4:35pm 
Open Scan--Review and Summary
All Faculty 
4:35pm - 5pm 


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.


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.