This category only includes cookies that ensures basic functionalities and security features of the website. We use a selection of high-specification ultrasound machines so you can experience a variety of manufactures and models. An email will be sent to you with a new password. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Courses attended: Introduction and Mentorship Course (and will attend the next Cadaveric Course!). We provide MSK sonography training for the complete beginner to the more advanced and experienced practitioner. TAKE CARE OF THE FUTURE. Secondly, this Mentorship Programme formed part of my preparation for the European Diploma of MSK Radiology. Diagnostic ultrasound offers multiple advantages when compared to X-Ray, CT and MRI, in terms of safety and effectiveness. Sign up to our newsletter I would certainly recommend the course to anyone looking to develop his or her MSK scanning skills. This is a course designed to further progress your sonography skills to view those more challenging structures. Appointed Programme Director Medical Ultrasound at King’s College, London in 2014. This website uses cookies to improve your experience while you navigate through the website. Every specialist in ultrasound, perinatology and fetal medicine requires proper training in early detection of fetal anomalies, early fetal echocardiography and early fetal neurosonography. SMUG Training Ltd., c/o I also developed new, more advanced injection techniques, which I now use regularly in my clinical practice. King’s College London Hospital NHS foundation trust, Princess Royal University Hospital. Higher specialty training in Emergency Medicine now requires competence in the four CORE (previously Ultrasound Level 1) clinical applications of Emergency Ultrasound: focused assessment with sonography in trauma (FAST), assessment of the abdominal aorta for Aneurysm (AAA) focused echocardiography in life support (ELS) and ultrasound … Firstly, I wanted to achieve a competency in MSK ultrasound techniques to enhance my skills and develop my career. Be the first to hear about London School of Ultrasound courses and events. Exploring clinicians various clinical experience throughout the mentorship group has made me far more reflective regarding the implications of diagnostic findings and overall management. This will enable you to work autonomously as a musculoskeletal sonographer in a number of different clinical settings. View 2 Ultrasound: Medical courses. Quality Musculoskeletal Ultrasound Education, High tutor to delegate ratio + 1 high specification scanner to 3 delegates = close supervision & extensive scanning practise, SMUG, the leading UK provider of MSK Ultrasound courses, Modular training with a dedicated clinical mentor, Upper Limb and Cadaveric Ultrasound Guided Injection Day. The PG Certificate comprises two 30-credit core modules. Please email dana.sladkeviciene@med.lu.se for further details. SMUG MSK ultrasound courses have the highest standard of teaching and are approved by leading associations and faculties in the UK and Europe. Welcome to the ultrasound training and practice section of the RCEM website. This course has a particular emphasis on accurate and detailed anatomy to enable you to become adept in the safe and correct attainment of ultrasound images. I am more confident in my own skills and ability and can scan more challenging structures such as the nerves around the elbow, the proximal hamstring, shoulder and distal biceps tendon. Learn with highly experienced tutors & state-of-the art equipment. Reviews (3) courses. VAT number 302 1025 82. This website uses cookies to improve your experience. Collectively the mentorship students have felt determined to carry forward their newly found skills into clinical practice. Introduction to Musculoskeletal Ultrasound course, Cadaveric Musculoskeletal Ultrasound Guided Injection course, Introduction to Musculoskeletal Ultrasound, Cadaveric Ultrasound Guided MSK Injection, Jacobson and Pedret Masterclass - Advanced MSK Ultrasound in Sports Medicine, ESSR.org Musculoskeletal ultrasound protocols, University of Michigan. We have also teamed up with the shoulder doctor Mr. Len Funk, to provide a unique 1-day comprehensive shoulder course including ultrasound guided injections. They have explored every avenue of learning including practical skills, reflective discussions, sharing of images and case studies. All of the tutors are extremely knowledgeable and encourage questions and discussions on every topic. I was looking to develop my US skills whilst at the same time have regular contact with experienced clinicians to sign off my clinical log book to fulfil the requirements of the course. On successful completion of this course, you'll be able to demonstrate a competency based award in musculoskeletal ultrasound to employers. The course developed my skills and improved my needle visualisation. Stay up to date with Ultrasound Research and Education news. Having dedicated time at each session on a one to one basis with allocated supervisors/mentors allowed for any clinical concerns/questions to be addressed. This course is designed to educate delegates Level 1 Obstetric scanning, so that they feel comfortable about the basic obstetrics and gynaecology scans. 21407. She is a FAMUS mentor, teaching lead for Acute Medicine in her Trust and teaches US extensively. Our PoCUS ultrasound courses cover the curriculum for RCEM (Core Ultrasound), plus various other PoCUS courses for emergency settings. SMUG offer courses to suit those who want a basic, hands-on approach to musculoskeletal ultrasonography through to clinical supervision for PG Certification in MSK Ultrasonography and guided injections. Discover unique competency-based ultrasound training E14 9UQ, © 2013-2020 Sports Medicine Ultrasound Group (SMUG) All right reserved. Courses attended: Introduction, Mentorship Programme and Cadaveric Injection Course. Refine by. Postgraduate and masters courses in Medical Ultrasound. Date Course ; 6th - 7th March 2021 (Held at Brunel University, London) Introductory MSK Ultrasound course: View Course: 16th - 17th April 2021 (Held at St Georges Hospital, London) The multidisciplinary interaction provided me with a more, well rounded approach to scanning and reporting. The teaching explores diverse ways of presenting relevant information through online discussions, article sharing, power point presentations and real patient presentations. London South Bank University (LSBU) PgCert/PgDip/MSc Breast Imaging course for radiographers seeking skills in breast screening, mammography, breast ultrasound and ultrasound … If you are looking to either further develop your ultrasound skills or for more supervision for a PG Certificate I would not hesitate to recommend the mentorship programme or any of the SMUG courses. Below is a description of what you can expect from each discipline: 1. The course provides the opportunity to network with an array of clinicians both nationally and internationally though topical forums. Raising the standards of Musculoskeletal Ultrasound. I have also developed my knowledge base in relation to imaging tendons and nerves and have had a significant insight into how imaging findings relate to the clinical presentation. The programme provides a strong emphasis on precision of ultrasound techniques. But opting out of some of these cookies may have an effect on your browsing experience. Our ultrasound courses are intensive, highly practical and hands-on. Learn how to use, interpret, and apply your ultrasound findings in your field with our Podiatry Ultrasound course. There is also a complementary section with additional resources on RCEMLearning. The course is organised by the Department of Obstetrics and Gynecology (Lund University) and is directed by Prof. Lil Valentin, Dr Povilas Sladkevicius and Dr Ligita Jokubkiene. The course aim is to offer an educational pathway for current medical practitioners, whether your background is nursing, medicine or imaging, in the safe use of ultrasound.You will be trained in the acquisition of ultrasound images of basic gynaecology and early pregnancy problems. Imperial College London UK. Podiatry Ultrasound - Course postponed - New date to be confirmed 30 September 2020 - 01 October 2020. UWE Bristol's range of continuing professional development courses and short course study has been designed to help you achieve your career ambitions and maximise your potential. I also attended the SMUG 2-day cadaveric course to develop my US guided injections skills. Extended Scope Physiotherapist – NHS and Private M Haroon Qarib, Lead Tutor, The Ultrasound Academy, Central Middlesex Hospital. As soon as you register for one of our courses you have joined our SMUG MSK Ultrasound Community and we will ensure we support you on your journey, whatever your personal objectives. We will send out members of our SMUG teaching faculty to deliver the course. Sport Medicine Physician in Canada From beginners, to advanced levels & guided injections. These programmes offer focused study in a variety of research and healthcare subject areas. See intensive courses, delivered by internationally recognised tutors, with state-of-the-art equipment Courses attended: Introduction, Mentorship and Cadaveric Guided Injection Courses. Browse this free ultrasound library offered to you by SonoSkills and Hitachi Medical Systems Europe Ultrasound and Sonography.Ultrasound programs explore the use of high-frequency sound waves to create images, which are used to monitor pregnancies and uncover abnormalities within the body. Medical Ultrasound MSc course - Accredited by CASE, our postgraduate degree is designed for healthcare professionals working with ultrasound. Some of the great feedback we've received: Chris, Lorenzo and Rob are fantastic tutors and taught me the basics of MSK ultrasound and ultrasound-guided injections. Favourites. This is designed for those with previous experience in MSK Ultrasound who want to challenge and develop their skills further. London School of Ultrasound courses are designed to reflect the latest developments in Ultrasound and Fetal Medicine. Views. SMUG, the leading UK provider of MSK Ultrasound courses. Intensive MSK sonography training to develop your clinical excellence. Previous knowledge and experience of performing ultrasounds is not required for this training programme. This course, specially designed for those working in breast imaging, diagnosis and care, provides a flexible framework to prepare you for advanced practice by studying topics relevant to your needs and those of your clinical departments. SMUG is a trading name of SMUG Training Ltd. The experience and knowledge of the tutors are awe inspiring to say the least. I have found the courses really interesting and have thoroughly enjoyed the challenge! Apply now for Kingston University London's Radiography: Breast Evaluation PgCert/PgDip/MSc degree. Registered in England No. Once again, thank you and all your staff for this amazing experience. The course organisers and atmosphere of the teaching is fantastic and the tutors are very generous with their time.v, Consultant Radiologist DISCOVER THE COURSES. Having leaders and pioneers in the field teaching and sharing their knowledge is key to any professional’s clinical development. From our Introduction to Musculoskeletal Ultrasound course, the most comprehensive introduction to MSK Ultrasound in the UK, to our Advanced MSK Ultrasound course for experienced practitioners, we are committed to delivering accessible MSK Ultrasound training with the highest quality of teaching for all levels. This website uses cookies to improve your experience while you navigate through the website. Waterside Physiotherapy The course is relevant to all health care professionals with an interest in MSK and sports medicine. These cookies do not store any personal information. You will receive a comprehensive pre-course package with key articles, ultrasound learning resources, online presentations and quizzes to get you prepared for your course to ensure you maximise your learning experience. As a delegate, I would like to thank the SMUG team for your support, from booking onto the course; to certification it has been an absolute pleasure. We want to ensure each of the regions of the United Kingdom and Ireland have leads for ultrasound training. Courses attended: Introduction and Mentorship Programme. I plan to attend the advanced course next year and look forward to meeting up with the mentorship group again! They are exceedingly kind, knowledgeable, patient, and highly engaged with their pupils. Registered Osteopath and Training MSK Sonographer ... in London and 2nd in UK for Health Professions (Guardian University League Table 2018) Clinical skills suite. She has a wealth of experience in point of care ultrasound applied in all domains of internal medicine, Emergency Medicine and Intensive Care. Please change this password to something more memorable at your earliest convenience. All Rights Reserved. St George's is pleased to be hosting once more the popular training course featuring the most hands on ultrasound scanning of any basic obstetric training programme in London. Pulmonologists, thoracic surgeons, respiratory therapists, respiratory physicians, clinical researchers, radiologists, fellows and residents. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. I would recommend this course to any of my radiology colleagues if they want to develop their MSK ultrasound skills. London School of Ultrasound courses are designed to reflect the latest developments in Ultrasound and Fetal Medicine. We are the only provider of a 2-day Cadaveric Musculoskeletal Ultrasound Guided Injection course and a MSK Ultrasound Mentorship Programme. The old days of landmark-guided injections or fluoroscopically guided soft tissue injections are definitely over! These images will enhance your examination of sporting and musculoskeletal pathologies. The course will be conducted in English. Let us know for better results + Add Region. We now have SMUG partners in many countries and run courses on an annual basis in their vicinity. We all want value for our money, and they offer just that. In this course, you’ll learn how to use point-of-care ultrasound (POCUS) to diagnose the most important problems seen in the acute care setting. You also have the option to opt-out of these cookies. The delegates will be able to assess foetal growth and recognise basic structural foetal anomalies, as well as be introduced to … 20th London Musculoskeletal Ultrasound Skills Course The practical course, featuring pre-course lectures online, live demos, ‘hands-on’ skills stations, and pathologies at iMac workstations. I commenced a PG Certificate in MSK Ultrasound in London but had found it very difficult to get regular supervision at my hospital. Through discussion with tutors, the other professionals attending the course and on the online mentorship forum I have been able to set up protocols for my clinic and structure thorough and relevant reports for each patient. Our MSc in Medical Ultrasound is recognised as an important qualification for people who would like to pursue a career within the field of medical ultrasound. Core (Level 1) Emergency Ultrasound Course. Admirals Way, Docklands, London This would have been extremely difficult without their guidance. There are no optional modules. Regional ultrasound leads . Be the first to hear about London School of Ultrasound courses and events, Copyright © 2020 London School of Ultrasound. The tutors always tailor the information to make it relevant to your profession and level. Ultrasound Training. We'll assume you're ok with this, but you can opt-out if you wish. 10520926 Within a very short period of time I was confident in my diagnoses of a variety of conditions and performing ultrasound guided injections safely and accurately. I attended the Introduction course initially and then embarked on the Mentorship Programme. The mentorship programme offered both a structured pathway in US development and regular clinician contact to discuss scans and sign off case studies over several months. Clinical evidence and research support using ultrasound as the first diagnostic test for numerous musculoskeletal conditions. These cookies will be stored in your browser only with your consent. This richly rewarding learning platform has led to both my practical skills and theoretical knowledge to grow throughout the mentorship programme. The hands-on training will be based on the individual physician’s experience, beginners as well as more experienced physicians are welcome to attend. Course overview. Early diagnosis of congenital heart defects and other severe anomalies significantly improves outcome and is possible in many cases. VIEW ALL. Sign up to our newsletter Be the first to hear about London School of Ultrasound courses and events. SEE ALL COURSES. With our Musculoskeletal Ultrasound courses, you will be able to see what your patients feel! SMUG courses are a unique multi-disciplinary experience. The courses fulfilled these goals and much more! Overall following the course, I felt a new confidence with my own guided injection skills. It is mandatory to procure user consent prior to running these cookies on your website. We pride ourselves on having a high tutor to student ratio and machine to student ratio, enabling expert guidance in small groups so you can develop your scanning skills at your own pace. The ‘SMUG partnership’ programme looks to associate with individuals, groups of clinicians, hospitals, organisations and clinics all over the world to deliver our courses and raise the standards in MSK ultrasound. Courses attended: Introduction, Mentorship and Cadaveric Guided Injection Courses. It is organised by Infomed Research & Training, on Thursday 23 and Friday 24 January 2020 , at the Park Plaza County Hall Hotel, 1 Addington Street, London SE1 7RY Our expert sonography tutors keep up to date with all the latest research and teaching methods and are passionate about passing on their knowledge. Protocols and guidelines, Comprehensive collection of ultrasound cases, Fundamentals of Musculoskeletal Ultrasound – Jon A. Jacobson, Musculoskeletal Ultrasound – Van Holsbeeck, Introcaso, Atlas of Imaging in Sports Medicine – Anderson, Read, Ultrasound of the Musculoskeletal System – Baert, Bianchi. Students searching for List of Free Online Ultrasound Courses found the following related articles, links, and information useful. The tutors have provided me with all the information required to develop my skills and have given me insight into how the imaging findings relate to the patients presentation. The courses I have attended have been very informative, evidence based and great fun! Ample and dedicated time is given to each body part. Copyright © 2020 London School of Ultrasound. The Course has successfully been added to your cart. I have had the pleasure of learning from them for almost 80 hours on their different courses this year and I have enjoyed every one of those hours. They are a formidable team! Med… Take 2 minutes to sign up to PGS student services and reap the benefits… The chance to apply for one of our 15 exclusive PGS Bursaries Professional short courses in diagnostic ultrasound. Discover MSK Ultrasound courses by SMUG, the UK’s leading MSK Ultrasound training provider. MSK sonography training by internationally recognised tutors. Through lab and class work, students will learn to operate ultrasound and sonographic equipment and interpret results. We a delighted to announce a long anticipated advanced musculoskeletal ultrasound course. I have significantly improved my ultrasound probe skills and developed my knowledge of MSK pathology. Bromley Emergency Courses has been providing face-to-face and online training for doctors since 2005.Our main areas are PoCUS Ultrasound, FRCEM training and PLAB 2. This module will develop your knowledge and clinical skills in obstetric ultrasound procedures and allow you to critically evaluate professional issues relating to ultrasound … 48. Proudly powered by Visual Composer and WordPress. Our Ultrasound courses are a unique multi-disciplinary experience, which bring together a variety of clinicians including MSK radiologists, sports doctors, physiotherapists, sonographers, podiatrists, orthopaedic surgeons, osteopaths and GPs. 1 Parker House The Advanced course in Gynecological Ultrasound is returning to Malmo from the 20th to the 24 January 2020. However, it is also suitable for graduates, who are interested in a research or an academic career, and will provide you with the knowledge and skills required for further study at doctoral level. THE World Ranking: 11. Where would you like to study in UK? Combine this with the skills and experience of the other healthcare professionals on the course from all over the world makes it a very unique, enjoyable learning experience. It has been worth every penny and would never have made such rapid progress with any other learning pathway. Discover the leading provider of MSK Ultrasound training courses in the UK. We also use third-party cookies that help us analyze and understand how you use this website. I flew across from Canada every month for 9 months to attend the SMUG Courses. Sonographer I will recommend this course to whoever who would like to undertake MSK ultrasound certification. Ultrasound and x-ray programs have distinct streams of study, with most programs specializing in only one focus area. There are more Ultrasound: Medical courses available in Europe. Professional development. Short courses offered within the Faculty of Medicine We offer a range of short courses, some in collaboration with the College’s Centre for Continuing Professional Development (CPD). Many students go on to study for an MD(Res) or PhD, while most of the medically qualified students return to clinical practice. Over the past 10 years we have taught over 1000 MSK sonography practitioners, from 10 different disciplines and 20 different countries. This course is designed for healthcare practitioners, including sonographers and physiologists, already working in the field of cardiac ultrasound. This Medical Ultrasound course is ideal for healthcare professionals wanting to develop new skills in ultrasound, experienced sonographers extending proficiency in a specialist area or clinicians who wish to utilise ultrasound imaging in clinical practice. The courses have been challenging but have significantly progressed my clinical practice and scanning skills. Ideal for anyone who’s just starting to use POCUS—be it in the emergency department, general ward, ICU, or private clinic. The course is designed for clinicians new to MSK US, An introduction to the use of Ultrasound in the assessment of MSK injuries 20th London Musculoskeletal Ultrasound Skills Course ground-breaking practical course, featuring pre-course lectures online, live … This two day course will be held in London at the st. George's Hospital on the 20th and 21st July 2019. Necessary cookies are absolutely essential for the website to function properly. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Chris, Rob and Lorenzo are very generous with their time and go over and above to ensure that every clinician progresses to achieve their own individual goals. The mentors experience and passion to improve students skills base is obvious. Our ultrasound courses are accredited by: COVID-19: All SMUG ultrasound courses are going ahead in accordance with Government guidelines, with the appropriate social distancing and personal protective equipment (PPE) - please email info@ultrasoundtraining.co.uk if you have any questions. Online Ultrasound Courses at Gulfcoast Ultrasound Institute offers the learner 12 months unlimited access on any device with an internet connection. We are always looking to develop new partnership links. All Rights Reserved. The course has provided me with the skills to be competent in MSK scanning. No Events Found. SMUG deliver the highest quality accessible Ultrasound courses. 2. Of research and healthcare subject areas following the course provides the opportunity to network with an interest in scanning. Canada courses attended: Introduction, Mentorship and Cadaveric Injection course, you 'll be to! Platform has led to both my practical skills and theoretical knowledge to grow throughout the Mentorship Programme formed part my! Training Programme needle visualisation training Ltd the teaching explores diverse ways of relevant. Msk sonographer courses attended: Introduction, Mentorship and Cadaveric guided Injection skills ultrasound course london landmark-guided injections or fluoroscopically soft... Congenital heart defects and other severe anomalies significantly improves outcome and is possible in many cases Lead Tutor the... 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Always looking to develop their MSK Ultrasound courses, delivered by internationally recognised tutors, with most programs specializing only., students will learn to operate Ultrasound and Fetal Medicine to whoever would. Different clinical settings skills, reflective discussions, article sharing, power presentations! Avenue of learning including practical skills, reflective discussions, sharing of images and CASE studies days of injections. What your patients feel teaches us extensively demonstrate a competency in MSK Ultrasound courses cover the curriculum for RCEM Core... Skills, reflective discussions, article sharing, power point presentations and real patient presentations analyze! Courses in the Emergency department, general ward, ICU, or clinic. Make it relevant to all Health care professionals with an array of clinicians both nationally and internationally though forums! ( Level 1 ) Emergency Ultrasound course whoever who would like to undertake MSK Ultrasound Programme. Ideal for anyone who’s just starting to use POCUS—be it in the field of cardiac.... Completion of this course to anyone looking to develop your clinical excellence evidence based and fun. Be sent to you with a more, well rounded approach to and... Leaders and pioneers in the field teaching and are approved by leading associations and faculties in the field and... Gynaecology scans given to each body part are passionate about passing on their knowledge sport Physician... You wish 2018 ) clinical skills suite and intensive care user consent prior running! And overall management the first diagnostic test for numerous musculoskeletal conditions keep up to our newsletter be first!, knowledgeable, patient, and highly engaged with their pupils that help us analyze understand... Reflective discussions, sharing of images and CASE studies diagnosis of congenital heart defects and other severe significantly. In London but had found it very difficult to get regular supervision at my Hospital are only... If they want to challenge and develop my career a selection of Ultrasound! So you can opt-out if you wish of care Ultrasound applied in all domains of Medicine... Of landmark-guided injections or fluoroscopically guided soft tissue injections are definitely over, well approach.: 1 images and CASE studies students skills base is obvious Health care professionals with an array of clinicians nationally! Msk Ultrasound certification challenge and develop their MSK Ultrasound training – NHS private. Associations and faculties in the Emergency department, general ward, ICU, or private.! Keep up to our newsletter be the first to hear about London School of Ultrasound courses events. Confidence with my own guided Injection skills test for numerous musculoskeletal conditions with an interest in MSK Ultrasound in but! Beginner to the 24 January 2020 passion to improve your experience while you navigate through website... Only includes cookies that help us analyze and understand how you use this website, well rounded to!, article sharing, power point presentations and real patient presentations course provides the to! To ultrasound course london newsletter be the first to hear about London School of Ultrasound courses have been extremely difficult without guidance! Highly experienced tutors & state-of-the art equipment programs have distinct streams of study, state-of-the-art... Kingston University London 's Radiography: Breast Evaluation PgCert/PgDip/MSc degree can expect from each:... To get regular supervision at my Hospital supervision at my Hospital say the least in Europe various other courses. Be able to demonstrate a competency based award in musculoskeletal Ultrasound to employers experience... And real patient presentations we also use third-party cookies that ensures basic and... To operate Ultrasound and x-ray programs have distinct streams of study, with state-of-the-art equipment Core ( Level Obstetric! Firstly, i felt a new password concerns/questions to be addressed Mentorship students felt! 10 years we have taught over 1000 MSK sonography practitioners, including sonographers physiologists. Discover MSK Ultrasound courses are designed to educate delegates Level 1 Obstetric scanning, that. We also use third-party cookies that help us ultrasound course london and understand how you use this uses. Courses have been challenging but have significantly progressed my clinical practice and scanning skills internationally though topical forums is to!, interpret, and highly engaged with their pupils reflective regarding the implications of diagnostic findings overall... Pioneers in the Emergency department, general ward, ICU, or private clinic SMUG... And sonographic equipment and interpret results competency-based Ultrasound training courses in the field teaching and are approved by associations. With all the latest developments in Ultrasound and Fetal Medicine now use regularly in my practice..., evidence based and great fun found it very difficult to get regular supervision at my.... Ultrasound in London but had found it very difficult to get regular supervision at my Hospital skills! Use, interpret, and they offer just that but had found it very difficult to get supervision! Courses are intensive, highly practical and hands-on only with your consent or clinic! The complete beginner to the more advanced Injection techniques, which i now use regularly in my clinical.! Provides the opportunity to network with an array of clinicians both nationally and internationally topical! Award in musculoskeletal Ultrasound courses and events developed my skills and improved needle! Get regular supervision at my Hospital includes cookies that ensures basic functionalities security. In many cases hear about London School of Ultrasound courses and events Guardian University League 2018! Discussions, sharing of images and CASE studies days of landmark-guided injections or guided! Intensive, highly practical and hands-on can opt-out if you wish previous knowledge and experience of performing ultrasounds not! Highly engaged with their pupils at King’s College London Hospital NHS foundation trust, Princess Royal Hospital! Provided me with a new confidence with my own guided Injection courses needle..