Repetition alone
Produces confident bad habits.
For licensed physical therapists · Nationwide
Musculoskeletal Ultrasound Mentorship
Most clinicians don't need another weekend course. They need someone to look at their images.
Why mentorship
Skill is built by repetition with feedback.
Physical therapists buy scanners and stop using them — not because the equipment is hard, but because the course ends and no one is left to tell them why their supraspinatus looks like static.
Feedback alone
Produces understanding you can't execute.
Both, over months
From someone with advanced training and real clinical experience. That's the whole model.
How review works
Image by image, on your schedule.
1
Submit a batch
Ten or more images, whenever suits your caseload. No cohort to keep pace with.
2
Get specific feedback
On every image — the mechanics that separate a usable study from gray fuzz.
3
Back in 1–3 days
Business days, every batch. No fixed schedule.
Probe positioning
Gain & depth
Anatomical identification
Artifact recognition
Image quality
The core service
Mentorship pricing
Primary offer · $20 / image
The Full Program
$3,000
150 image reviews — the complete pathway, and the only route to attestation.
- 150 individual image reviews
- At your own pace, up to 24 months
- Guidance on documenting for the RMSK prerequisite
- Unlocks attestation eligibility · why that matters
Ongoing Mentorship
$750 / 25 · $30 ea
For clinicians who want their scanning looked at but aren't chasing the credential.
- Blocks of 25 image reviews
- Same review, same 1–3 day turnaround
- No commitment beyond the block in front of you
- Reviews accumulate — 150 total unlocks the same eligibility
Blocks cost more per image — you're paying for flexibility, which is the honest trade. If you know you want the credential, the Full Program is the better value.
Add live one-to-one sessions — $500
Five 45-minute video sessions, usable across two years — hold them until they're actually useful. Full Program with sessions: $3,500.
RMSK exam prep
What the exam tests, how the case-documentation requirement works, and focused review of your weakest areas.
Questions as they come up
The scan you couldn't get a window on, a finding you weren't sure how to characterize, the regions you avoid.
Ultrasound in real practice
Where it fits without adding thirty minutes, explaining findings to patients, and talking to referrers without stepping outside your lane.
The real barrier
Why attestation is the hard part
Most clinicians assume the exam is the obstacle. It isn't — the paperwork is.
150
musculoskeletal ultrasound studies required
36 months
the window they must fall within
Real patients
in an actual clinical setting
You cannot sign for yourself.
APCA requires a third-party attestation letter. It must come from one of:
A certified RMSK / RMSKS holder
A physician
A medical director
An in-practice administrator
Inside a large system, someone qualified is probably down the hall. If you're self-employed, cash-based, or the only person in your building who has ever picked up a probe, there is no one — and this is where otherwise-qualified clinicians stall out indefinitely. Without a qualified signer, applicants are frequently denied when they try to register for the exam — the application never clears. I've been through this exact problem from the applicant's side. Completing the Full Program means I've reviewed enough of your work to verify it honestly, which is what puts me in a position to sign.
The honest version
Eligibility is not a guarantee. The letter attests to work I have actually reviewed, and I will not sign one I can't stand behind. That is precisely what makes it worth having. Anyone willing to sell you a signature is selling you something worthless.
Before you start
Scans on colleagues, volunteers, or each other do not count toward your 150. APCA requires actual patients in a paid clinical setting and explicitly rejects simulation, volunteer, unpaid, and barter experience. This program reviews the scanning you're already doing in your own practice — it is not a way to generate qualifying cases.
Fit
Who this is for
- Licensed PTs who own or reliably access a musculoskeletal ultrasound unit
- Practice where MSK ultrasound imaging is within PT scope in your jurisdiction
- Want real competence built with structure, not guesswork
Never held a probe? Start with an in-person training →
FAQ
Mentorship questions
Do I have to want the RMSK?
No. A significant share of clinicians in this program have no interest in the credential and simply want to be better at scanning. Blocks of 25 exist for exactly that.
Why is the block rate higher per image?
Because commitment is worth something on both sides. The Full Program lets me plan around your work; blocks don't. If you know you want the credential, the Full Program is $20 per image against $30 — buy it and stop thinking about it.
Do I need to own a machine?
You need reliable, regular access to one. The program is built around scanning volume in your own clinical setting, and that isn't workable on borrowed equipment you see once a month.
How long does the Full Program take?
That depends on your scanning volume. There is no fixed schedule — submit batches of ten or more whenever it suits you, and each batch comes back within one to three business days. Credits are good for 24 months from purchase.
Does this guarantee I'll pass the RMSK?
No, and be skeptical of anyone who tells you otherwise. The program is designed to get you to eligibility with genuine competence and to prepare you thoroughly. The exam is administered independently and the result is yours.
What happens if I don't use all five sessions?
The session package is good for two years from purchase. Unused sessions don't roll over past that and aren't refundable, so schedule them when they'll do you the most good.
Do you work with clinicians outside physical therapy?
Content is built for physical therapists and the way physical therapists practice. Clinicians from other disciplines are welcome, but should know the framing is PT-specific.
Please read
Requirements & Terms
These apply to both mentorship and courses, and exist to protect you as much as they protect this practice.
Scope of practice is yours to verify. Physical therapist authority to perform imaging is not uniform across the United States. Some jurisdictions explicitly authorize it, some are silent, and a number explicitly restrict imaging-related activity by physical therapists. Before enrolling, you confirm that performing musculoskeletal ultrasound imaging is within the scope of physical therapist practice in the jurisdiction where you practice. Enigma DPT and Ultrasonography cannot make that determination for you.
This is education, not clinical consultation. All instruction and image review is provided as professional education to a licensed clinician. It is not a clinical consultation, not a second opinion, and does not create a provider-patient relationship between the instructor and any patient of yours. You remain the sole clinical decision-maker for every patient you scan. Feedback addresses your imaging technique and your skill development — it is not an interpretation of your patient's condition and must not be recorded, billed, or represented as one.
Pricing is set at enrollment. The rate you pay is the rate in effect on the day you enroll, and it holds for the full 24 months regardless of any later change. Published pricing is current pricing and is subject to change for future enrollments.
Images must be de-identified. Any image submitted for review must have all patient identifiers removed before it is sent. This includes identifiers embedded in file metadata, not only those visible on the image display — cropping the screen is not sufficient. Instructions for compliant export are provided at enrollment. Images containing identifiable patient information will be deleted without review.
Get started
Email
Reach out
For mentorship, tell me your license state, current equipment, a sentence on where you are in your scanning experience, whether you're pursuing the RMSK, and whether you want the session package. Considering an on-site course instead? See In-Person Trainings →
Phone
Ethan Brinkmann, PT, DPT, RMSK
Enigma DPT and Ultrasonography
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Clinician inquiry
A few details help me reply with something useful rather than a generic answer.