ABPMR Neuromuscular Medicine study materials
ABPMR Neuromuscular Medicine study resources

ABPMR Neuromuscular Medicine study plan

ABPMR Neuromuscular Medicine · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Disorders of the Anterior Horn Cell and Spinal Cord & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Map spinal cord tract and segmental anatomy onto the four classic myelopathy syndromes (anterior cord, central cord, Brown-Séquard, posterior column) and state the localizing findings of each

  • Contrast upper versus lower motor neuron examination findings and build a decision table that separates anterior horn cell disease from root, plexus, and nerve lesions

  • List the needle EMG hallmarks of anterior horn cell loss (fibrillation potentials, fasciculation potentials, enlarged polyphasic MUAPs, reduced recruitment) and explain the physiologic basis of each

  • Outline the standard upper and lower extremity nerve conduction setup and identify which nerves and muscles to sample when motor neuron disease is suspected

Your checkpoint

One-page localization algorithm for weakness plus a 20-item self-written quiz on cord anatomy and motor neuron EMG findings, scored at 80% or better

Week 2

Disorders of the Anterior Horn Cell and Spinal Cord & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Differentiate ALS from its mimics (multifocal motor neuropathy, Kennedy disease, cervical spondylotic myelopathy, post-polio syndrome) using clinical, electrodiagnostic, and laboratory criteria

  • Apply the Awaji and revised El Escorial diagnostic frameworks to three written case vignettes and defend the diagnostic category assigned

  • Describe the inheritance, examination features, and expected EMG findings of spinal muscular atrophy and hereditary spastic paraplegia

  • Explain motor unit number estimation and its role in tracking motor neuron disease progression

  • Identify red flags that separate structural myelopathy, dural arteriovenous fistula, syrinx, and intramedullary tumor on history and imaging

Your checkpoint

Comparison matrix covering six anterior horn cell and spinal cord disorders across onset, inheritance, exam, EMG, imaging, and treatment, verified against two independent references

Week 3

Disorders of Nerve Roots and Plexus & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Correlate cervical and lumbosacral root levels with myotomal, dermatomal, and reflex patterns, and predict which root is affected in ten written vignettes

  • Explain the electrodiagnostic signature of radiculopathy, including paraspinal fibrillation potentials, normal sensory responses in root lesions, and H-reflex and F-wave utility

  • Distinguish brachial plexus lesions by trunk, division, and cord level using weakness and sensory patterns

  • Interpret the classic EMG patterns of neuralgic amyotrophy, radiation plexopathy, and neurogenic thoracic outlet syndrome and state the features that separate them

Your checkpoint

Root and plexus localization card set (30 cards) plus a timed 25-question block on domains 1 and 2 scored at 75% or better

Week 4

Disorders of Nerve Roots and Plexus & Disorders of Peripheral Nerves

  • Differentiate lumbosacral plexopathy from radiculopathy and from individual mononeuropathies using examination and electrodiagnostic findings

  • Compare obstetric and traumatic brachial plexopathy regarding lesion level, prognosis, and timing of surgical referral

  • Describe the classification of peripheral neuropathies by fiber type, tempo, and pattern, and match each pattern to a differential list

  • Explain how nerve conduction studies, needle EMG, and autonomic testing are sequenced to characterize a length-dependent versus non-length-dependent neuropathy

Your checkpoint

Completed cumulative timed exam of 40 mixed questions drawn from domains 1, 2, and 6, with every missed item rewritten as a corrected teaching point

Week 5

Disorders of Peripheral Nerves & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Differentiate Guillain-Barré syndrome from chronic inflammatory demyelinating polyneuropathy using onset, progression, cerebrospinal fluid findings, and treatment response

  • Interpret demyelinating versus axonal nerve conduction patterns and state the criteria supporting each conclusion

  • Identify the clinical and electrodiagnostic features of hereditary neuropathies, vasculitic neuropathy, and diabetic and alcoholic neuropathies

  • Describe the anatomic basis and testing approach for small fiber and autonomic neuropathy

  • Outline the evaluation of a focal mononeuropathy at common entrapment sites and the role of ultrasound and inching studies

Your checkpoint

Written answer set to ten neuropathy vignettes with a defensible electrodiagnostic conclusion and next management step for each, self-graded against source texts

Week 6

Disorders of the Neuromuscular Junction & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Distinguish myasthenia gravis, Lambert-Eaton myasthenic syndrome, and botulism on the basis of fatigability pattern, autonomic features, and reflex findings

  • Interpret repetitive nerve stimulation results, including decrement magnitude, post-exercise facilitation and exhaustion, and the rationale for each provocative maneuver

  • Explain the role, sensitivity, and technical pitfalls of single-fiber EMG and jitter analysis

  • Match antibody profiles in myasthenia gravis to phenotype, thymoma risk, and treatment selection

  • Recognize congenital myasthenic syndromes and medication-induced neuromuscular junction disorders

Your checkpoint

Completed 30-question timed block on neuromuscular junction disorders at 80% or better, plus a one-page table mapping repetitive nerve stimulation findings to each diagnosis

Week 7

Muscle Disorders (Myopathies) & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Classify myopathies by inheritance and pathophysiology, covering inflammatory, muscular dystrophy, congenital, metabolic, mitochondrial, and toxic etiologies

  • Contrast myopathic and neuropathic needle EMG findings, including motor unit potential size and duration, recruitment pattern, and spontaneous activity

  • Explain the indications, yield, and interpretation limits of muscle biopsy and genetic testing in suspected myopathy

  • Identify the myopathy patterns that produce prominent weakness with normal or minimally abnormal nerve conduction studies

  • Describe the cardiac, respiratory, and systemic surveillance required for specific myopathies

Your checkpoint

Fifteen-vignette myopathy interpretation set with EMG and biopsy conclusions documented, reviewed against a peer source for accuracy

Week 8

Disorders of the Anterior Horn Cell and Spinal Cord & Disorders of Nerve Roots and Plexus & Disorders of Peripheral Nerves & Disorders of the Neuromuscular Junction & Muscle Disorders (Myopathies) & Electrodiagnostic Medicine and Clinical Neuromuscular Assessment

  • Reconcile every previously missed item into a single error log organized by domain and by reasoning error type

  • Complete two full-length timed mixed-domain examinations and compare scores across the two attempts

  • Re-teach the three weakest subtopics from memory without notes, then verify against references

  • Assemble a rapid-review sheet covering localization pearls, electrodiagnostic criteria, and treatment-defining diagnoses

Your checkpoint

Final 100-question timed practice examination scored at 80% or better with a completed error log and one-page rapid-review sheet

Milestones

Week 2: Explain the full ALS electrodiagnostic picture and its three most important mimics out loud in under five minutes without notes

Week 4: Score 75% or better on the cumulative 40-question block covering the three heaviest-weighted domains studied so far

Week 6: Correctly interpret ten repetitive nerve stimulation tracings, including one showing post-exercise facilitation, with clear reasoning stated for each

Week 8: Score 80% or better on two separate full-length timed mixed-domain exams and show a measurable gain from the first attempt to the second