November 10-15

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ACR Convergence 2023

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Home // Earn musculoskeletal ultrasound certification in rheumatology through RhMSU

Earn musculoskeletal ultrasound certification in rheumatology through RhMSU


2 minutes


Calling all rheumatologists, rheumatology fellows-in-training, physician assistants, and nurse practitioners who perform musculoskeletal ultrasound (MSUS): Demonstrate your competency, promote quality of care, and develop professional skills relevant in the workplace through the ACR’s voluntary RhMSUS™ certification program!

Are you eligible?

There are four pathways for eligibility. Each pathway contains specific requirements for career status, medical license possession, and MSUS scan experience/education. Detailed information about the eligibility requirements can be found in the Candidate Handbook. All requirements for the selected pathway must be completed prior to application submission.

  • Pathway 1: U.S.-Trained Rheumatologist
  • Pathway 2: Non-U.S. Trained Rheumatologist
  • Pathway 3: Rheumatology Fellow-in-Training
  • Pathway 4: Physician Assistant or Nurse Practitioner

What is the exam format?

The exam consists of 100 multiple-choice questions. Candidates are given two hours to complete the exam. The exam covers seven major domains:

  • Recognize Indications for the Use of Ultrasound in Rheumatology
  • Preparing the Patient and Environment
  • Equipment Use and Management
  • Performing the Ultrasound Examination
  • Interpretation and Integration
  • Procedural Guidance
  • Documentation

How much does the exam cost?

The registration fee includes the processing of the application, exam registration, and one testing appointment.

  • ACR/ARHP Members: $1,500
  • Non-Members: $1,750
  • ACR Fellow-in-Training Members: $950
  • Non-Member Fellows-in-Training: $1,025

Where do you take the exam?

Administration of the exam takes place at Castle Internet-Based Testing Sites located throughout the world. Candidates who wish to take the exam at a non-U.S. testing site must pay an additional $150 fee.

How do you submit an application?

Once you have fulfilled all of the eligibility requirements for your selected pathway, you can submit an online application at The online application includes an attestation to skills and experience in rheumatology and MSUS, and payment of the exam fee.

When is the application deadline?

There are two testing windows per year — spring and fall. Deadlines for the upcoming spring 2019 exam are:

  • Application Deadline: March 31, 2019
  • Late Application Deadline: April 15, 2019
  • Testing Window: May 15–June 15, 2019

Interested in learning more about RhMSUS™?

Visit the Certification booth in the ACR Discovery Center, located in the Exhibit Hall, or visit