FSEM MSK Diploma study materials
FSEM MSK Diploma study resources

FSEM MSK Diploma study plan

FSEM MSK Diploma · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Musculoskeletal assessment and diagnosis

  • Map the major regional musculoskeletal assessment sequences for shoulder, hip, knee, and spine, listing the key history elements and physical tests for each region.

  • Derive a concise differential-diagnosis framework that separates articular, periarticular, neurological, and referred pain patterns.

  • Practise three focused examination routines on a peer or mannequin and record which manoeuvres change your pre-test probability.

  • Write five self-contained case vignettes that require selecting and interpreting examination findings without relying on images.

Your checkpoint

A 12-page regional assessment matrix covering four regions, with at least 8 history items and 6 examination tests per region, plus 5 original case vignettes with answer rationales.

Week 2

Musculoskeletal assessment and diagnosis

  • Compare the diagnostic accuracy of common special tests by extracting sensitivity, specificity, and likelihood ratios from primary studies.

  • Construct a red-flag screening checklist for spinal, joint, and soft-tissue presentations and apply it to 10 written scenarios.

  • Rehearse integrating imaging and laboratory findings into a provisional diagnosis, stating when each test is indicated or unhelpful.

  • Generate a one-page uncertainty log that records ambiguous diagnostic decisions and the evidence needed to resolve them.

Your checkpoint

A completed diagnostic-accuracy table for 15 special tests and a scored red-flag checklist applied to 10 original scenarios, with at least 8/10 correct action decisions.

Week 3

Musculoskeletal management and rehabilitation

  • Build a phased rehabilitation plan for a post-operative knee case, specifying load progression, range-of-motion targets, and criteria for advancing.

  • Design a progressive tendon-loading programme for a lower-limb tendinopathy using pain-monitoring rules and objective strength endpoints.

  • Select and justify outcome measures for function, pain, and participation, ensuring each measure has a stated recall period and scoring method.

  • Demonstrate two motor-control retraining exercises and document coaching cues, common errors, and regression options.

Your checkpoint

A 6-week rehabilitation protocol for one original case, including weekly load targets, outcome measures, progression criteria, and a regression plan.

Week 4

Musculoskeletal management and rehabilitation & Professional practice, guidelines and evidence-based care

  • Appraise three clinical practice guidelines on musculoskeletal rehabilitation and extract recommendations that are strong, conditional, or consensus-based.

  • Construct a shared decision-making script that presents benefits, harms, and alternatives for a common musculoskeletal intervention.

  • Audit your week-3 protocol against guideline recommendations and revise any unsupported components.

  • Draft a measurable self-management plan that a patient could follow independently for four weeks.

Your checkpoint

A revised rehabilitation protocol with a guideline crosswalk table identifying at least 10 recommendations, their strength, and whether your protocol complies, plus a 1-page patient self-management plan.

Week 5

Rheumatology and persistent pain

  • Differentiate inflammatory, mechanical, and central sensitisation pain patterns using history, examination, and laboratory features in 8 written cases.

  • Explain the biopsychosocial model to a simulated patient in plain language, avoiding reassurance that contradicts the evidence.

  • Construct a graded activity and pacing plan for a patient with persistent low back pain and high fear-avoidance.

  • Identify when to escalate suspected inflammatory arthritis for urgent rheumatology assessment and state the supporting features.

Your checkpoint

An 8-case rheumatology and persistent-pain decision log with correct pattern classification in at least 7/8 cases and a written graded-exposure plan for one case.

Week 6

Sport, exercise and physical activity medicine

  • Apply pre-participation screening principles to three recreational athletes with different risk profiles, documenting clearance or modification decisions.

  • Design a progressive return-to-sport pathway after hamstring strain, including strength, speed, and sport-specific criteria.

  • Prescribe exercise for a sedentary adult with cardiometabolic risk, applying frequency, intensity, time, type, and progression principles.

  • Evaluate the evidence for load management in adolescent sport and state two practice implications.

Your checkpoint

A return-to-sport criteria sheet for hamstring strain and a 4-week physical activity prescription for one original sedentary-adult case, each with measurable progression criteria.

Week 7

Professional practice, guidelines and evidence-based care

  • Formulate a focused clinical question and search strategy for a musculoskeletal uncertainty, recording databases, terms, and inclusion criteria.

  • Appraise one systematic review and one randomised trial for risk of bias using explicit domain-based criteria.

  • Translate the appraisal into a one-paragraph evidence summary that states applicability, limitations, and a practice recommendation.

  • Draft a reflective note on how you would manage a conflict between patient preference and guideline recommendation.

Your checkpoint

A completed evidence appraisal pack containing the search strategy, risk-of-bias judgements for two studies, and a 150-word evidence summary with a clear recommendation.

Week 8

Musculoskeletal assessment and diagnosis & Musculoskeletal management and rehabilitation

  • Integrate assessment, rehabilitation, and professional-practice reasoning in six timed, self-contained case vignettes.

  • Re-test the week-1 assessment matrix and correct any diagnostic gaps identified by the case vignettes.

  • Rehearse concise verbal handovers that state diagnosis, uncertainty, management plan, and review criteria.

  • Produce a personal revision schedule for the next 12 weeks targeting the two weakest domains identified by your scores.

Your checkpoint

A timed 6-case integrated assessment scored against a pre-set rubric, with at least 80% of key diagnostic and management actions correct and a written 12-week revision schedule.

Milestones

Week 2: Complete the diagnostic-accuracy table and red-flag checklist; score at least 80% on the 10 original scenarios and identify the three weakest examination regions.

Week 4: Submit the guideline crosswalk and revised rehabilitation protocol; confirm every strong guideline recommendation is either implemented or explicitly justified as not applicable.

Week 6: Complete the return-to-sport and physical-activity prescriptions; verify each contains measurable progression criteria and at least one safety checkpoint.

Week 8: Score at least 80% on the timed integrated 6-case assessment and produce a 12-week revision schedule that names two priority domains and weekly review tasks.