By Jackie Gunderson, Education Director, AANEM
At its fall 2012 meeting, the AANEM Board of Directors approved an updated version of Educational Guideline for Electrodiagnostic Training Programs
, following ABEM’s recommendations regarding educational experience for EDX program trainees. The AANEM periodically reviews and revises this educational guideline to aid training program directors in ensuring their residents and fellows are prepared for the ABEM exam and a career in EDX medicine.
“The most recent revisions include recommendations for the number of encounters with patients with straightforward, moderate complexity, and high complexity diagnoses to allow the trainee to develop full competency in EDX medicine,” said Elizabeth Angus, MD, chair of the EDX Self-Assessment Exam Committee. “The progression of increasing responsibility should be clearly delineated in a formal curriculum. The guidelines include statements concerning infection control, evidence-based medicine, report generation, and supervision of trainees.”
The recommendations were created based on feedback from oral examiners who suggested many candidates lack experience to speak about complex cases. The updated guidelines are not requirements
to sit for the ABEM exam, but rather recommendations to ensure competency in EDX medicine. It is recommended that trainees obtain the following experience during their training:
Straightforward Diagnosis: Approximately 100-150 patient encounters involving the identification of a simple diagnosis, such as any common entrapment neuropathy or radiculopathy.
Moderate Complexity Diagnosis: Approximately 50-100 patient encounters involving the identification or ruling out of a moderately complex diagnosis, such as polyneuropathy or myopathy.
High Complexity Diagnosis: Approximately 10-25 patient encounters involving the identification or the ruling out of a complex diagnosis, such as motor neuron disease, plexopathy, mononeuritis multiplex, or neuromuscular transmission defect.
View Educational Guideline for Electrodiagnostic Training Programs