The neuromuscular rotation is a three-month rotation during the PGY-3 year. These months are done consecutively to maximize residents' experience and comfort with performing EMGs and interpreting nerve conduction studies, visual evoked potentials, and other neurophysiological testing. Over the course of the rotation, residents perform and interpret between 150 and 200 EMGs, at first with faculty supervision and instruction, then on their own with attending back-up. Residents will interpret over 200 nerve conduction studies. Nerve conduction studies are actually performed by techs, but residents have the option of performing the studies themselves early on in the rotation to better understand how to interpret the findings. Additionally, residents will also interpret repetitive nerve stimulation studies (Jolly tests), single-fiber EMGs, blink reflex studies, and (somatosensory, brainstem, and visual) evoked potential studies. Like other rotations, residents may do additional months using their eight months of elective time.
Our residents finish with a level of competence and comfort in the realm of Neurophysiology that is not equaled at similar institutions. They are able to confidently perform these tests to assess their patients in private practice and excel if they choose to go on for a neurophysiology fellowship, as many have in the past few years. Our residents perform enough studies to provide for certification of these tests at most any hospital without further time spent performing these tests on elective rotations.