Oral Exam Content

Part II is an oral examination which tests practical and technical skills in performing an electrodiagnostic medicine consultation. Two examiners, a neurologist and physiatrist, test the candidate’s ability to logically address clinical vignettes. A supervisor may also be present for portions of the examination.

Each clinical vignette consists of a brief history and description of physical examination findings. From that information the candidate is then expected to:

  • Develop an appropriate differential diagnosis.

  • Design an electrodiagnostic evaluation for the particular clinical problems including performing appropriate nerve conduction studies, needle EMG, and, if needed, other electrodiagnostic tests.

  • Perform an appropriate number of tests to arrive at a diagnosis while avoiding excessive testing.

  • Interpret individual test results, including: amplitudes (SNAP and CMAP), latencies, velocities, late responses, needle EMG, repetitive stimulation, and modify subsequent testing appropriately.

  • Synthesize test results into a precise, succinct and meaningful final diagnosis for a referring physician.

Making a correct final diagnosis without following a logical sequence of testing and interpretation is not sufficient for a passing grade.


The results of the requested nerve conduction studies and needle EMG studies will be provided one at a time, similar to how one obtains data in the clinical setting. Because there are acceptable variations in electrodiagnostic techniques (e.g. orthodromic versus antidromic sensory studies), data is available for studies conducted with a variety of different recording and stimulating techniques. Candidates are expected to be able to discuss reference (normal) values for techniques used in their own laboratories. Candidates are also likely to be asked, in detail, how they would perform and interpret repetitive stimulation studies. It is highly recommended that candidates be knowledgeable with this technique. Although success on the oral examination will depend on skills that go beyond knowledge of normal values and technique, lack of such knowledge may preclude a successful performance on this portion of the examination.