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This is a skills course in musculoskeletal ultrasound guided injections. The teaching focuses on practical tutorials with small groups of delegates (4 delegates per tutor). We will be reviewing anatomical material with practical hands-on experience at an early stage. Delegates will then progress to practical training in injection techniques. Tutorials will be adjusted to match experience, skills and clinical interest. Whilst some delegates will be experienced ultrasound practitioners others may be less adept at ultrasound examination technique. Streaming of groups will allow us to teach basic examination methods and we will have some volunteer patients (some with disease) to assess and review.