The Brown rheumatology fellowship program is one of the first rheumatology fellowship programs in the country to incorporate musculoskeletal ultrasound(MSKUS)into the curriculum and training. Our fellows learn diagnostic and ultrasound-guided procedures in both the inpatient and outpatient setting to assist with early diagnosis and treatment of musculoskeletal pain and rheumatic diseases. A lecture series covering various topics pertaining to MSKUS has been incorporated into the curriculum.