0:00

Welcome everyone to the M-S-K-M-R-I Essentials course.

0:06

Um, I'm Kim Chao.

0:07

I'm one of the people at Modality that works with you all

0:11

to help you get through your courses.

0:13

Um, and then I will let Dr. Smitherman take it away.

0:19

Uh, good day, good evening, or good night.

0:22

Wherever you are, uh, in the world, hope

0:24

for everyone's doing well and safe.

0:26

I am Eddie Sedman.

0:27

Uh, wanted to, uh, uh, welcome you.

0:31

This is the first of our, uh, I believe, five

0:35

or six meetings throughout this, uh, 10 week course.

0:39

I am one of two experts,

0:41

and I am currently, uh, a little bit about me.

0:45

Um, I am currently a clinical professor, uh,

0:49

of health sciences at the University

0:52

of California San Diego.

0:54

I am a, uh, radiology, uh, radiologist by training

0:59

with a subspecialty in, uh, musculoskeletal radiology.

1:03

I also do a little bit of, uh, uh,

1:06

interventional musculoskeletal radiology work, as well

1:10

as cover, um, quite a bit in our trauma

1:13

and emergency imaging division here at uc, San Diego.

1:19

I will be one of, uh, two experts along with Dr.

1:22

Uh, Gitanjali Baja.

1:25

Um, I believe, uh, she will be joining you all.

1:29

Uh, the next, uh, two

1:31

or three sessions I'm slated for, and,

1:35

and, uh, uh, uh, Michelle, correct me if I'm wrong,

1:38

I believe I'm slated for the weeks of September 22nd

1:42

and October 3rd

1:45

or 13th, if I remember the dates correctly, to discuss, uh,

1:50

the latter, uh, cases throughout this course.

1:54

Um, I encourage you, I think, uh, I think there's a total,

1:58

I believe, of 17 ish to 20 students that are signed up.

2:04

But, uh, feel free.

2:05

Um, you know, I see all of your names,

2:07

and thank you for taking the time out of your busy schedules

2:11

to, uh, meet today.

2:13

Um, you know, uh, if you're willing, uh, please share

2:16

where you're from and any relevant background

2:19

up to you, no pressure.

2:21

But, uh, real, real briefly about this course,

2:24

and, uh, Michelle, please feel free to interject as needed.

2:27

But, uh, as I mentioned, I'm one of two, uh, uh,

2:32

experts, uh, in musculoskeletal radiology, uh, serving

2:36

as your guide and, uh, uh, trying to answer questions

2:40

and have, uh,

2:42

a nice discussion throughout your 10 week course with us.

2:46

Uh, we will, uh, center this course, uh, around 50,

2:51

uh, 50

2:53

or so high yield cases that you guys will all, uh,

2:57

get a chance to scroll through and,

2:59

and, uh, uh, generate reports on, and, uh, ask Dr.

3:04

Bajaj and I, uh, any relevant questions about such cases,

3:08

or hopefully these cases will stimulate further discussions

3:11

and questions, what have you, so

3:13

that we can all learn together, uh, over this 10 weeks.

3:17

Uh, and these cases center around MRI of the shoulder,

3:22

wrist, uh, hand, finger, hip knee, uh, ankle

3:26

and foot, working from a proximal

3:29

to distal direction throughout the human anatomy.

3:32

Um, basically though, we, uh, from my standpoint,

3:37

and I'm also one of the graders, um, I'm basically looking

3:41

for, um, basically overall, uh, uh,

3:46

improvement or taken from you.

3:48

I, I'm taking cues from you, uh, from you all.

3:52

But, uh, just looking for, uh,

3:54

overall improvement throughout the, uh,

3:56

10 week course with us.

3:58

And hopefully, uh, you know, you guys have nothing

4:01

but nice things to say about us at the end of the 10 weeks

4:04

with us grading

4:07

and participation expectations from, uh, from my standpoint,

4:11

um, if possible, and I know we're all busy and,

4:14

and there's a, uh, labor crunch throughout the world.

4:18

I do realize, and radiologists are in high demand and,

4:22

and physicians in general,

4:24

but if you can at least glance at the, um, uh,

4:29

cases, five cases per week are assigned, um,

4:33

just try to glance at them.

4:34

And if you can come up with any questions, feel free, um,

4:38

to, uh, email Michelle, Dr.

4:41

Baja. I'm not sure if she'll, she,

4:44

I think she provides her email,

4:45

but I've also listed my email in the chat.

4:48

Um, and I'm, I try to be pretty, uh, responsive,

4:53

but I at least collate and, uh,

4:56

and amass all of the questions such that when it is my turn

5:01

or my weeks to go over cases

5:05

or talk about musculoskeletal imaging

5:07

and radiology, I try to answer all of those questions.

5:11

And I appreciate all those questions

5:12

'cause that also tests my knowledge,

5:14

but also forces me to, uh, stay sharp.

5:17

So I appreciate that in advance.

5:19

So I encourage, basically asking questions.

5:22

Um, I am a pretty lenient grader.

5:24

I, I'm looking for, um, just overall

5:29

are we understanding the case and, and what's being asked

5:34

or being presented, um, you know,

5:37

but if there's an obvious, um, discrepancy from

5:42

what is quote the correct answer,

5:45

and obviously sometimes there can be a differential

5:48

diagnosis, but if there's something like, uh,

5:51

that should be mentioned, like tumor or, or,

5:53

or a fracture, things like that, I will mention it in the

5:58

feedback, uh, while grading your cases.

6:01

But I'm, I'm overall pretty lenient.

6:03

And, um, uh,

6:04

and I think I, I put more stock in the, um, question

6:09

and answer week, uh, the weekly question

6:11

and answer sessions, uh,

6:12

or biweekly, sorry, that we have on top of, uh, access to,

6:17

uh, myself and Dr.

6:19

Bajaj. Um, you guys

6:21

with this course have hundreds of hours of review videos,

6:26

uh, by myself

6:27

and some of our colleagues throughout some pretty, uh, uh,

6:31

big names, uh, in musculoskeletal radiology, such as my, uh,

6:35

mentor and now colleague, Dr.

6:37

Resnick, uh, among others.

6:40

Uh, there's also access to, I think, over a hundred,

6:44

I think it was like a last account I,

6:46

I saw it was a hundred cases where you can actually scroll

6:48

through di coms and, and sort of, uh, think about cases.

6:53

Um, and if any questions come about those, uh, in general,

6:57

please, I'm, I'm also willing to try to assist

7:00

with those as well.

7:02

Um, and obviously with those cases, you get, uh,

7:05

the case discussions, some sample reports.

7:08

And out of all of this, uh, I think there's over, uh,

7:13

probably 60 to 70 credits or CME credits.

7:17

And correct me if I'm wrong, Michelle, there's, uh, as

7:20

of today you have, uh, uh, one year access to all of this,

7:23

uh, information at, at your fingertips,

7:27

and it's sort of, uh,

7:28

and I, as I keep saying, uh, as a broken record,

7:31

we're all busy, I get it.

7:33

But it's basically, uh, learn at your own pace

7:36

and, um, whatever you're comfortable with.

7:39

But, uh, again, I'm here to, um, answer any questions

7:43

and, uh, make your learning experience enjoyable.

7:47

And, uh, hopefully y'all spread the, uh,

7:50

good word about the program that we're running

7:52

and I appreciate y'all in advance.

7:55

And with that, I'll hand the, uh, mic over to, uh, Michelle.

8:02

Great, thank you. Um, I'm just gonna give a quick demo

8:04

of the course so you can see what it looks like.

8:08

And, um, then we'll answer any questions that you have.

8:15

Sorry, my kid just caught up.

8:17

So if you hear a noise in the background that my dog, um,

8:23

so I am logged into this site.

8:27

Once you're logged in, if you click on our modality button

8:29

up here, it's gonna take you to a screen like this.

8:33

If you go to fellowship certificates,

8:35

you should see the fellowships available to you.

8:38

I have all of them. Um, but you won't have this many.

8:42

You should see one called M-S-K-M-R-I,

8:44

essentials fellowship certificate, July, 2025 cohort.

8:48

So that's the one you wanna get into.

8:53

Once you're here, it's gonna take you to this program page

8:56

where you have access to different courses.

8:59

The first thing we'll want you to do is go

9:01

through this program overview.

9:03

If you open up that dropdown

9:04

and click start, it's just information about the course, um,

9:08

when the live sessions are, how to navigate the course,

9:11

things of that nature.

9:14

Then we have the mastery training section.

9:16

Um, this is some of what Dr. Miniman was alluding to.

9:19

There's lots of additional courses that you can view.

9:23

These are optional,

9:24

but if you need more information about MSK, we do suggest

9:28

that you watch these courses.

9:31

It does have the scrollable dicom, you can see

9:33

how many CME they're worth,

9:35

but it kind of goes through all the different, um, areas

9:38

that this course is also gonna cover.

9:40

So feel free to peruse that.

9:43

And then fellowship training, this is kind of the meat

9:45

and potatoes of the course.

9:47

So you'll open up this course,

9:55

course, and then let me start from the beginning.

10:00

It's gonna walk you through how to submit a report.

10:07

In this tutorial, I will show you how

10:10

to submit your case reports.

10:12

So this is a video, it's gonna show you how

10:13

to submit your case reports, and then if you scroll down,

10:16

it's gonna give you all of your deadlines for each week.

10:19

So essentially you're gonna have five reports per week.

10:22

They're gonna be due at 1 59 a ET time.

10:29

I'm gonna click the complete button

10:31

and move on to the next page.

10:33

So this is some sample reports.

10:38

If you want an idea of how

10:40

to structure your reports, you need a little help.

10:43

This is some examples we've put together.

10:45

So feel free to download these and take a look at them.

10:53

This is just how to get in contact with myself and support.

11:01

Alright, and then once you get through that,

11:03

now you're gonna get into the actual cases.

11:06

So each week you're gonna have this week, one week,

11:10

whatever, it's gonna tell you the case is due.

11:12

And then if you scroll down, you're gonna see an AEs number,

11:16

which isn't that relevant for you.

11:17

You don't need it. And then the history.

11:20

So you'll be able to see a case one,

11:21

the history is a 72-year-old male interior pain

11:24

with squatting to open up the case,

11:26

it's gonna be on the right hand side.

11:29

So you'll see case one,

11:30

you'll be able to click on that button.

11:31

Sometimes it's collapsed and hidden,

11:34

and you have to expand it open.

11:36

So just in case you can't find it,

11:38

but you'll click that open, it'll open

11:43

up your dicom, you'll be able to scroll through,

11:46

look at the case, and then make a report.

11:50

So we suggest that you make your report on

11:53

like a different Word document, so Microsoft Word,

11:57

Google Doc, something else, and save it

12:01

and wait until you've done all five cases.

12:04

Then once you've done all five,

12:05

you'll come down and submit them.

12:07

In this submission form,

12:08

you're gonna put your email address.

12:10

This part is important

12:11

because that's how I know who submitted the case.

12:15

So make sure you put your email address, then it'll take you

12:18

through and you'll be able

12:20

to paste your report for each case.

12:22

So you'll do one case at a time once you're done with that,

12:27

and you can click mark complete at the top.

12:31

It's gonna take you to some learning materials for each case

12:33

that you can work through while you're waiting for Dr.

12:37

Smitherman and Dr. Bajaj to grade your cases.

12:39

So the first case, it was a seven 2-year-old male

12:44

with a anterior.

12:46

So what you'll see is a review video, I think Dr.

12:49

Smitherman iss doing most of these, if not all of them.

12:52

Then you scroll down, you'll see the example report of

12:56

how we would've structured it,

12:58

and then below that you're gonna have a case discussion

13:00

with some general information about the case, the diagnosis,

13:04

and then you're gonna have key images

13:05

with annotations pointing out the findings.

13:10

And lastly, if you're interested,

13:11

there's some additional references that you can look up.

13:15

So that's the general structure of the course.

13:17

It's going to go like that for each of the five weeks.

13:20

Um, one thing to note,

13:22

you do get one CME per report submitted.

13:25

I have gotten a question from someone already about

13:28

is it like pass fail even if you didn't get the case right?

13:32

You still get the credit for submitting the report.

13:35

So just know that whatever grade you get, it's okay.

13:39

The purpose is to learn and you still get CME credit for it.

13:44

Great. Any general questions for Dr. Smitherman or myself?

13:55

Um, Yeah. Hi, um, just, sorry, one question quickly,

14:00

um, about getting the feedback.

14:03

I gather you can only get the feedback once you've submitted

14:05

the case, so you know, you just demonstrated it now,

14:09

but that's obviously in your mode,

14:12

but we can only access it once we've

14:15

submitted the case, which is good,

14:16

Correct? Yeah, so

14:17

the course does go in adaptive release, so you have

14:21

to submit the reports first

14:23

before you can get to the learning materials afterwards,

14:28

which we would want anyway.

14:29

So you can, you know, take a stab at the report

14:31

before you see the correct answer.

14:34

Yep, thanks. Mm-hmm.

14:39

Um, hi, Kimberly Simon also from, uh,

14:42

Melbourne, Australia.

14:44

Uh, a, a question with regards to timing of the cases.

14:48

I'm aware the first five cases are due, you know,

14:50

1 59 9 on um, August 3rd.

14:53

Um, there may be a couple

14:56

of times I'm an interventional radiologist by trade

14:59

and, uh, unfortunately on call, uh, a couple of weeks, um,

15:02

during the course, uh, including this current week.

15:05

Um, my question is, if we happen to not be able to

15:11

do the cases by that stage, say, hey, you know,

15:14

I may actually have to, you know,

15:16

say send them on the 4th of August.

15:18

I'm not talking about sending 49 on the 3rd of October,

15:22

but, um, but you know, like a delay of a day or so.

15:26

Um, something along those lines, just depending if I've,

15:29

you know, pulled an all-nighter and trying to get them in.

15:33

Um, is that okay?

15:36

Um, and if so, I assume that we would just email you

15:40

and say, Hey, look terribly sorry, you know,

15:42

I better work all weekend or whatever.

15:44

Um, is it okay if I put them in,

15:47

you know, put them in tomorrow?

15:49

Um, that kind of efficien? It's okay if not. I understand.

15:52

Um, yeah, no, no, no, no. It's a great,

15:54

Great question. Great. Yeah,

15:56

Yeah, great question, sir.

15:57

Late submissions, uh, late submissions are, are welcome.

16:01

And, and, uh, it happens all the time.

16:03

And as I mentioned, um, uh, yeah,

16:07

we understand and, and we're all busy and, uh, life happens

16:11

and, uh, late submissions are welcome

16:14

and no need to say sorry. Totally understand.

16:17

Thank you. I, I appreciate.

16:18

'cause uh, you know, to be honest, there's such a,

16:20

there's such a wealth of, of information, um, on all your,

16:24

you know, all the pre te presubmission materials

16:28

and so on, you know, going through all the, um, courses in,

16:30

in a sense, you know, you wanna, you wanna do your,

16:33

you wanna do your work as much justice as possible and,

16:35

and benefit as much from it.

16:37

And, uh, yeah, it's unfortunately, you know, between that

16:41

and a few overnight bleeders or whatever else, or,

16:43

or indeed for some of my colleagues, potentially some,

16:46

you know, screaming young children who've caught a cold at,

16:50

you know, preschool, whatever.

16:51

Um, yeah, just, that's, that's fine.

16:54

Look, if that does arise, it said even for a day

16:56

or two, I'll, I'll certainly just as a matter of courtesy,

16:59

I'll just say, Hey guys, I'm just gonna submit this,

17:03

you know, day after or whatever

17:04

and has indeed made my colleagues at some stage, of course,

17:08

but I just wanted to check that. Thank you very much.

17:10

Yeah, Simon, my point of view, if you could just email

17:13

that fellowship@modality.com and let course, um,

17:18

'cause if not, I will be reaching out to you

17:20

to see if you're gonna submit cases.

17:23

So of course, uh, to avoid that,

17:25

To preempt you.

17:26

Yeah, yeah. I reach out to everyone Absolutely.

17:28

That doesn't submit cases to see if, if there was a problem,

17:30

they couldn't access the course.

17:32

Yep. I need help. So, um, of course, yeah.

17:35

Great. Okay. I will definitely said if that does occur,

17:38

um, I'll do a fellowship@modality.com and attention you

17:43

and, uh, no, that's, that's great.

17:44

Thank you very much. Yep. Appreciate it.

17:48

Thank You. Any other questions?

17:55

I, I think the information that you, um,

17:57

you have on all your, on the website,

18:00

but that's accessible to us is a bit like, um,

18:02

it's a bit like the ends of the internet.

18:04

Like, can you actually reach the end of the internet?

18:06

So can you actually reach the end

18:08

of all the educational materials that we have access to?

18:12

There's a lot of it.

18:18

Any other questions? All right.

18:23

Um, one thing to note, once you submit those reports,

18:26

um, Dr.

18:27

Smitherman and Dr. Peja, they have up to a week

18:30

after the deadline of your submission date

18:32

to grade the cases.

18:34

They're practicing radiologist as well.

18:36

So also give them a little grace as they take time

18:38

to grade the reports.

18:40

And then once I get those back,

18:41

you'll receive them via email from that fellowship inbox.

18:45

Um, so just know that if you, you are welcome

18:48

to submit reports early,

18:49

but that doesn't necessarily mean

18:50

you're gonna get your grades early.

18:51

So just keep that in mind.

18:53

Um, but you will get your reports back.

18:59

I think that's a fair deal on both ends.

19:03

Awesome. Dr. Miniman, anything else you wanna discuss?

19:07

Uh, no. Um, just wanted to say thank you

19:11

and again, appreciate everyone joining, um,

19:15

from wherever you are, uh, currently,

19:18

and, uh, looking forward to, uh, getting to know all of you

19:22

and, and sharing what I've, uh, uh, sharing my mistakes

19:26

that I've, I've learned over the years and, and, uh, and,

19:30

and, uh, yeah, and,

19:31

and just look forward to learning from y'all and,

19:34

and, uh, hope hopefully we can all grow and get stronger.

19:38

Name of the game. And thank you, Dr. Shaw

19:40

and others sharing, uh, your experience and wishes and,

19:44

and that's why we're here.

19:45

Really appreciate it.

19:47

Thank you. Thank you. Dr. Kahan.

19:49

I see you have a question about will the five cases

19:51

for each week be for the same body part?

19:54

Mostly, there are some weeks that are split

19:57

between two body parts, um,

20:01

but a lot of the weeks are just one body part,

20:03

so you'll kind of see as you get into it.

20:09

Great. Well, if there's no other questions, um,

20:12

that's all we have for you guys today.

20:13

Thank you so much for joining us.

20:15

We look forward to the course, and we hope you enjoy it.