Diploma in Injection Therapy
Unit 1: £460
Unit 2: £160 + £110 compulsory exam fee
Unit 1 – 8 – 10 November 2011
Unit 2 – 11 – 12 November2011
Unit 1 – 28 – 30 March 2012
Unit 2 – 31 March – 1 April 2012
Unit 1 - 13 – 15 November 2012
Unit 2 – 16 – 17 November 2012
If you attend Unit 1 in April you attend Unit 2 in November and vice versa. The next Unit 2 for those students attending Unit 1 November 2011 will be March 2012.
Venue: Sheffield (Full venue details will be sent on receipt of booking form)
* reduced fee applicable for MSc Students – contact SOM for further details
To book online use our online payment forms below:
Alternativly to book your place and pay offline use our invoice only booking forms below:
Supervisors Form [PDF]
Please read the Terms and Conditions
Forms for the use of students attending the SOM Theory and Practice of Injection Therapy Module are available on-line to SOM members here and are copyright of the Society of Orthopaedic Medicine.
Module Structure
| Code: | SOM2 |
| Title: | Theory and Practice of Injection Therapy |
| Level: | 4 |
| Credit points: | 20 (option module SOM2/MSc Orthopaedic Medicne) |
| Pre-requisite: | Must be a fully subscribed Member of the Society of Orthopaedic Medicine (or have fully satisfied the assessment requirements of affiliated organisations*) |
| Teaching hours: | 24 |
| Teaching/Learning Strategies: | Lecture, Demonstration, Group work, Case Study, Tutorials |
| Total study hours: | 180 |
| Module Leaders: | Paul Hattam and David Knott |
* Affiliated organisations currently Orthopaedic Medicine International, the Cyriax Organisation and Orthopaedic Medicine Seminars
The ‘theory and practice of injection therapy’ module comprises two separate Units, Unit 1 and Unit 2, that are separated by an inter-unit period to allow for practice, consolidation and evaluation of the material presented in Unit 1.
Rationale and Aims
The module aims to develop the knowledge of the chartered physiotherapist in the theory, application and practice of injection treatments in musculoskeletal disorders. It further aims to enhance constant critical reasoning and evaluation in the application of injection skills.
Entry Requirements
It should be noted that this module is only open to fully subscribed Members of the Society of Orthopaedic Medicine (or to those who have fully satisfied the assessment requirements of affiliated associations), who are currently practising in the United Kingdom and can demonstrate that medical supervision is in place for the inter-unit course work.
Students will need to provide evidence that they have completed a course of immunisation against Hepatitis B before commencing the course.
Students are also asked to provide a statement confirming that appropriate supervision has been arranged for the inter-unit period of clinical supervision, as per the guidelines given on page 3.
Learning Outcomes
On completion of this module students will be able to:
- Demonstrate a high level of knowledge and understanding of the pharmacology of local anaesthetic and corticosteroid drugs in relation to orthopaedic medicine injections as well as the indications for and contraindications to injection techniques
- Carry out an expert assessment of patients in order to accurately identify the tissue at fault and determine the appropriate drug selection and dosage
- Demonstrate mastery of the handling skills required to administer injections appropriately and accurately
- Critically evaluate the effects of treatment
- Extrapolate and integrate the advanced knowledge and skills required to undertake independent practice in relation to orthopaedic medicine injection therapy
Outline of content
- Medico-legal aspects of injection therapy
- Principles of diagnosis and treatment
- Absorption and elimination of drugs
- Drug nomenclature and doses
- Local anaesthetics
- Corticosteroids
- Basic equipment and safety
- Aseptic technique
- General injection techniques
- Emergencies and complications
- Record keeping and treatment protocols
- Regional injection techniques
- Supervised clinical practice
- Anatomy laboratory session
- Injection protocols
Teaching and learning strategies
This module will use a range of teaching/learning strategies including research review, lectures, demonstrations, group work, case studies, tutorials and supervised inter-modular practical work.
Assessment Procedure
Formative
There are three main formative components:
- A set of assessment tasks that include elements of self, peer and tutor assessment.
- The professional development portfolio, introduced during the first module unit attended that has a formative role in providing evidence of learning as it is compiled throughout the inter-unit period, according to the guidelines given.
- A minimum of ten supervised injections that are to be performed and evaluated within the inter-modular period .
Summative
The components of summative assessment are as follows:
- A practical viva voce examination of half an hour during which students will be tested in six areas to include elements of assessment, diagnosis, discussion and demonstration of injection techniques.The pass mark for the practical examination is 70%.
- A case study to be prepared during the inter-unit period, based on a lesion encountered in your supervised practice.
Guidelines for Organising Clinical Supervision
Supervised Injection Therapy Techniques – CLINICAL SUPERVISION
Clinical supervision is a vital component of the module and essential to your development of confidence and competence in performing the application of injection therapy. The following guidelines should help you to locate a suitable supervisor (or supervisors).
Please read carefully
- It is your responsibility to arrange your own clinical supervision although we shall be pleased to advise you in support of this wherever possible.
- It is important that your supervisor is aware of what will be required of them before agreeing to act in that role.
- The clinical situation in which you are being supervised should allow for you to assess patients to be able to reach a diagnosis and recommend that injection therapy is the treatment of choice, prior to discussion with the supervisor. It is accepted that injection therapy may not always be appropriate following those discussions in light of the collaborative clinical reasoning process.
- Throughout the module recommendations for drugs and dosages of injectable steroid and local anaesthetic will be given, to form the basis of the suggested approach to apply in clinical practice. These may vary from those usually applied by supervisors in their own clinical practice and their cooperation to comply wherever possible with the suggested dosages and volumes is sought during the training process. Where clinical reasoning draws the practitioner to conclude otherwise, this should be recorded clearly on the injection record.
Your supervisor(s) can be doctors and/or physiotherapists but they must meet the following criteria. Please make sure that your supervisor is aware that they may be asked to provide evidence that all criteria for supervision have been met before supervision commences.
| Doctor Supervision | Physiotherapist Supervision | |
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Must have a minimum of 3 years post qualification injection experience evidenced by injection diploma certification. | |
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Must be CSP and HPC registered and practising in the UK | |
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Must be undertaking a minimum of 50 injections annually | |
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Must be able to legally supply and administer POMs and have provision to obtain necessary drugs for supervised student within the PGD agreement | |
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Must have agreement to provide supervision from employing Trust |
THE INJECTIONS
During the inter-unit period at least 10 supervised injections must be carried out.
Ideally these should include:
- At least three different peripheral joint/bursa injections
- At least two different peripheral soft tissue injections
- At least one tendon in a sheath or a carpal tunnel injection
- The remaining injections may be determined by availability, but as broad a spread of peripheral techniques as possible should be performed.
It is strongly advised that students do not undertake spinal injections during the supervised practice of this module and only do so once they have undergone further advanced training and can demonstrate competency.
A record is to be kept of all injections performed, on the proformas provided as well as providing additional information so that your patient selection and clinical reasoning skills can be assessed. The supervising doctor must sign the appropriate form and make comments as appropriate.
The purpose of these criteria is to encourage as broad experience during your supervision as possible. It is acknowledged however that in unusual circumstances this exact mix of injections may not always be possible. Should this scenario be anticipated, you are requested to discuss this with your course tutor during the first unit or by email in the inter-unit peiod.
NB: At least 10 supervised injections must be completed before attendance on the second module. If you are unable to achieve this, you will not be eligible to attend Unit 2 and take the final examination, and will be deferred until all inter-unit work, including the case study, is complete.
Contact
For more information on this course please contact the Society of Orthopaedic Medicine.
Tel: 0151 237 3970
Fax: 0151 237 3971
Email: admin@somed.org
Post: SOM, 4th Floor, 151 Dale Street, Liverpool, L2 2AH .
