Physical Medicine and Rehabilitation Education Residency Program Didactic Curriculum Procedures Within the Department Procedures Within the Department As part of their outpatient clinic experience, the resident will participate in various procedures during their residency at CHRH, UK Clinic, and VA rotation. The resident will be given gradual responsibility based on their competency. The procedures include: EMG/NCS Neurolytic injections for spasticity, dystonia, and sialorrhea Ultrasound guidance for procedure Joint injections Trigger point injections Refill and maintenance of Intrathecal Baclofen Pump Programming and maintenance of Deep Brain Stimulators for patients with dystonia, essential tremor and Parkinson's Disease Wound care which includes debridement and wound vac placement Image PM&R Procedure Minimum Requirements Procedure Minimum EMG/NCS (Total performed and observed) 200 EMG/NCS (Performed) 150 Axial Epidural Injection (Total) 5 Axial facet, SI joint, nerve block (Total) 5 Periph joint/intra=artic inj/tendon sheath/bursa inj (Total) 20 Periph joint/intra=artic inj/tendon sheath/bursa inj (Performed) 15 Botulinum toxin injection (Total) 20 Botulinum toxin injection (Performed) 15 Ultrasound (Total) 10 UK PM&R Procedure Averages Per Resident (2017-2018) Procedure Total EMG/NCS 298 Axial Epidurals 21 Axial facets 16 Joint injections 192 Trigger Point injections 12 Botox injections 102 Refilling Baclofen Pumps 35 Ultrasounds 152 Total 885 Image
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