Skip to main content

Opinion on “Current status of MSK radiology training: an international survey by the European Society of Musculoskeletal Radiology (ESSR) Young Club”

The Original Article was published on 09 September 2021

In the article written by Albano et al. titled “Current status of MSK radiology training: an international survey by the European Society of Musculoskeletal Radiology (ESSR) Young Club” [1], the authors talk about training programs around the world, specifically on the musculoskeletal (MSK) field expressing their concern about education in this area worldwide. To have an initial approximation of the current status of MSK radiology training, the researchers made a 20-question survey and exposed the perception radiology residents have about their experience and exposure to MSK cases, academic reviews, meetings, and research.

Patients referred by specialties such as orthopedic surgery, internal medicine, family practice, emergency medicine, and rheumatology [2] for radiological MSK examinations have increased exponentially, and general radiologists must be well prepared to understand and correctly interpret the examinations as well as develop research skills, especially in academic centers.

We agree the survey had very few participants (only 86 countries included with 972 single surveys). For instance, our country Colombia only had 7 single surveys and now we have 18 radiology residency programs and 350 residents approximately.

Our residency program is one of the most demanding both academically and professionally in our country, with over 4,875 MRIs of the joints so far this year and 1–2 MSK radiologist dedicated to MSK MRI exclusively per day. Our residents have 2-month rotations during their radiology training with great exposure to MSK MRI. This is just an example of a residency program in South America, and like the authors we are also concerned about the quality in MSK training in young radiologists worldwide. A paper published by ACR on 2007 [3] proposed that a radiology Residency program that satisfies ACGME´s requirements should include at least three 4-week rotations, which is far from what the survey showed and far from our reality.

Giving the extraordinary effort of the ESR and ESSR to improve MSK radiology training among young radiologist, we consider the effort should be expanded to older radiologists who in their daily practice are confronted to challenging MSK cases. Alliances with radiology societies could improve MSK training, for instance, implementing EDiMSK in countries like Colombia where there are no official MSK fellowship programs. Additionally, EDiMSK could also be accepted as an official postgraduate qualification as in some European Countries [4].

Availability of data and material

Not applicable.


  1. Albano D, Dalili D, Huber FA et al (2021) Current status of MSK radiology training: an international survey by the European Society of Musculoskeletal Radiology (ESSR) Young Club. Insights Imaging.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Harkey P, Duszak R Jr, Gyftopoulos S, Rosenkrantz AB (2018) Who refers musculoskeletal extremity imaging examinations to radiologists? AJR Am J Roentgenol.

    Article  PubMed  Google Scholar 

  3. Flemming D, Davis KW, Dinauer PA et al (2007) Musculoskeletal radiology curriculum for radiology residents. J Am Coll Radiol.

    Article  PubMed  Google Scholar 

  4. Snoj Ž, Hebar T, Sconfienza LM et al (2020) Present Status of Musculoskeletal Radiology in Europe: International Survey by the European Society of Musculoskeletal Radiology. Semin Musculoskelet Radiol.

    Article  PubMed  Google Scholar 

Download references


Not applicable.

Author information

Authors and Affiliations



RB and AD were equal contributors in writing the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Rodrigo Borrero Leon.

Ethics declarations

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Duarte, A., Borrero Leon, R. Opinion on “Current status of MSK radiology training: an international survey by the European Society of Musculoskeletal Radiology (ESSR) Young Club”. Insights Imaging 13, 15 (2022).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: