Botox injections, EMG/NCV, and other neuro procedures

[WnderWmn10]

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I was just wondering if neurologists can be trained to do botox injections for spasticity without doing some sort of fellowship. How about EMG/NCV studies? Can these be learned to do in elective time during residency training. What other procedures can Neurologists do?

 

[PhakeDoc]

A friend of mine who just graduated this past summer from residency does EMG/NCS on a daily basis in his practice (I've gone and seen this firsthand when I did a rotation with him). He also is getting set to do botox. I believe he is going to attend some training course (few days) somewhere, though from thumbing through his botox injections book from the academy, I'm not sure if that is even required.

 

[bustbones26]

I was just wondering if neurologists can be trained to do botox injections for spasticity without doing some sort of fellowship. How about EMG/NCV studies? Can these be learned to do in elective time during residency training. What other procedures can Neurologists do?

I have done plenty of botox as a resident. It really is not that hard to do. As for EMG, you can become "accredited" through the american board of electrodiagnostic medicine (this is how physical med docs do it). In summary, you do six months of preceptored EMGs, must do at least 200 studies during those six months, must do 200 on your own after residency, and pass the ABEM exam. This can be done is your residency give you the alloted time to do so. Ask at your interview.

 

[drusso]

I have done plenty of botox as a resident. It really is not that hard to do. As for EMG, you can become "accredited" through the american board of electrodiagnostic medicine (this is how physical med docs do it). In summary, you do six months of preceptored EMGs, must do at least 200 studies during those six months, must do 200 on your own after residency, and pass the ABEM exam. This can be done is your residency give you the alloted time to do so. Ask at your interview.

Physiatrists also learn EMG/NCS in their residency. Both neurologists and physiatrists can sit for the AANEM exam or pursue ACGME-accreditd Neuromuscular Medicine fellowships.