EMG

Introduction

The EMG rotation consists of performing outpatient and occasionally inpatient NCS/EMG studies along with rotation through the neuromuscular clinic, MDA multi-disciplinary clinic and ALS multi-disciplinary clinic. The fellow also participates in performing needle muscle biopsies and skin punch biopsies along with attendance at the weekly nerve and muscle lab conference where the focus is on interpretation of the nerve, muscle and skin biopsies. The fellow works closely with the neuromuscular attendings as well as other electromyographers in the EMG lab and neuropathologists in the nerve and muscle pathology lab to learn the fundamental concepts of the neuromuscular exam, electrodiagnostic testing and neuromuscular pathology.

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ACGME Competency Goals

Patient Care

Goals: To care for patients with neuromuscular illness at a high-level use appropriate diagnostic modalities include neurophysiology and provide evidence-based treatment.

Medical knowledge

Goals: Understand the neuroanatomy, pathophysiology, diagnosis, and treatment of neuromuscular disorders.

 

Interpersonal and Communication Skills

Goals: Communicate with patients, allied staff, and referring providers with empathy, professionalism, and by effective transfer of knowledge.

Practice-Based Learning and Improvement

Goals: The fellow will be involved in improving the quality of the care of neuromuscular through QI projects, scholarly activities, and/or participation in weekly multi-disciplinary clinics.

Professionalism

Goals: The fellow will be professional in verbal communications and in timely reporting of neurophysiology studies and clinic notes.

Systems-Based Practice

Goals: The fellow recognizes that he/she is part of a treatment team and participates within the treatment group effectively. The treatment groups including neurology/neurocritical care, EMG technologists, PT/OT, and social work.

Objectives and Evaluation Matrix

As with all of the individual rotations described in this section, the specific objectives of the continuity clinic are reflected in the entrustable professional activities and individual milestones. These form the basis for the fellow’s evaluation, which is completed by his or her clinic attending twice each year. (Please see the section End-of-Rotation Evaluations for the list of milestone abbreviations).

EMG Rotation Objectives

Upon completion of the curriculum, fellows will . . .

EPA #EPA DescriptionMilestones
1Perform and interpret  basic nerve conduction studies (NCS)PC2, PC4,  MK1
2Perform and interpret advanced NCS (e.g., blink reflexes, phrenic nerve stimulation)  PC2, PC4, MK1, MK2
3Perform and interpret necessary studies to evaluate  disorders of neuromuscular transmissionPC1, PC2, PC3, MK1, MK3
4Perform and interpret basic needle EMGPC1, PC2, PC3, MK1, MK3
5Perform and interpret advanced needle EMG (e.g. Laryngeal, SFEMG)  PC2, PC5, MK1, MK2
6Demonstrate high level of professionalism when performing electrodiagnostic studiesPR1, PR2, IC1
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