At the core of our comprehensive MSK ultrasound curriculum is a focus on hands-on training with dedicated faculty teaching time and regular attendance in the ultrasound-guided procedure clinic.  At the end of the fellowship years, fellows are expected to demonstrate competency in diagnostic ultrasound of the shoulder, elbow, wrist, hand, hip, knee, ankle, and foot, as well as diagnosing muscle and other soft tissue injuries.  Procedure skills acquired during the year include ultrasound-guided joint and soft tissue injections, percutaneous tenotomy, and hydro-dissection.  Additional teaching resources include the SonoSim ultrasound simulation unit, textbooks, and video review.