Abstract Details

Title Assessing EMG ��ɫ�� and Hands-On Training for Neurology Residents

Topic ��ɫ��, Research, and Methodology

Presentation(s) P6 - Poster Session 6 (11:45 AM-12:45 PM)

Poster/Presentation
Number 5-005

Objective This is a needs assessment for gaps and interest in EMG/NCS training among neurology residents at a large academic medical center.

Background Per ACGME guidelines, graduating neurology residents should be able to “formulate basic NCS/EMG plans and interpret data for common clinical presentations.” However, according to several surveys, only 20-40% of residents feel they graduate with that level of comfort. Practical, hands-on experience is known to be particularly helpful for learning procedures, and neurophysiology (EMG) and neuromuscular fellows as well as PM&R residents routinely perform EMG/NCS informally on each other to familiarize themselves with the procedure and the patient experience.

Design/Methods We designed and distributed a survey through REDCap to neurology residents at NYU. This assessed levels of comfort with EMG/NCS and peripheral anatomy as well as levels of interest in more hands-on experience and learning. This survey was distributed towards the end of the academic year to all classes.

Results Of those surveyed, none believed they met ACGME Milestone 4 for EMG analysis, and a majority believed that they did not meet Milestone 2 (“Identifies NCS/EMG findings for common disorders”), regardless of year of training. Only 9% of those surveyed felt their current level of hands-on NCS/EMG training was sufficient. Most also felt that they would have benefited from an educational primer before the rotation. Finally, residents expressed high interest in performing NCS/EMG on a patient, colleague, or, indeed, themselves. Free response answers emphasized a desire for more consolidated, easily-accessible resources and hands-on experience with neurophysiology techniques.

Conclusions Surveyed neurology residents expressed little comfort with EMG/NCS knowledge and interpretation and high interest in more resources and hands-on education. Based on these results, we plan to incorporate an educational primer and more hands-on experience into the NCS/EMG rotation.

Authors/Disclosures
Eduardo Perez-Torres, MD, PhD (NYU Langone) PRESENTER	Dr. Perez-Torres has nothing to disclose.
Julia Greenberg, MD	Dr. Greenberg has a non-compensated relationship as a Editorial Board Member with Neurology Resident and Fellow Section that is relevant to AAN interests or activities.
Marissa Ilardi, MD	Dr. Ilardi has nothing to disclose.
Rajeev Motiwala, MD, FAAN (NYU Langone School of Medicine)	Dr. Motiwala has nothing to disclose.
Arielle M. Kurzweil, MD, FAAN (NYU)	Dr. Kurzweil has nothing to disclose.

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