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:

  • 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


Doctor performing ultrasound on patient's wrist
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
Axial Epidurals 21
Axial facets 16
Joint injections 192
Trigger Point injections 12
Botox injections 102
Refilling Baclofen Pumps 35
Ultrasounds 152
Total 885
National Percentile for UK PM&R 2017-2018 graph