TABLE 4.

Didactic and clinical components for extracorporeal shockwave therapy (ESWT) core curriculum

ESWT core curriculum components
Didactic
Lectures	Principles of ESWT: Introduction to physics, knobology, safety protocols/techniques, ergonomics, informed consent (risks, benefits, side effects), time‐out protocols, and basic ESWT applications
Hands‐on demonstration sessions	Led by senior residents, fellows, and/or attendings
Trainee practice sessions	Direct supervision and feedback from senior residents, fellows, and/or attendings
Clinical
Rotation orientation	Review of milestones, competencies, and rotation goals
Faculty observation	Preprocedural, procedural, and postprocedural protocols
Progressive trainee performance	Direct faculty supervision with procedural invovlement based on current milestone achievement
Feedback sessions	Both formal sessions at specific time points during rotation (ie, midpoint), as well as informal/immediate feedback during procedure or debriefing session afterward to allow for focused practice aligned with milestone goals
Procedural documentation	Review of necessary elements and/or billing procedure if applicable
Competency assessment	Based on outlined ESWT milestones in Table 8