Only use it a couple times a month in clinic. Main places are with neck/headache pain, upper trap, and piriformis. Using ME, CS, and stretching mainly. Use the palpatory techniques a bit more often with physical exams, but its not like I'm diagnosing somatic dysfunction beyond "x-muscle/muscle group hypertonic".
I feel like I've forgotten everything every once and a while, then I talk to MD coresidents about some basic testing and MSK diagnoses, and realize my education in the area was far more in depth even after barely reinforcing it since. Was talking to an internist, intern, and other resident the other day about a specific orthopedic diagnosis, and they barely had any idea about it. I was like, "yeah, remember from med school?" and they just stared at me like I was speaking in tongues.