I don't know if there is any "certification" but keep a list in a procedure log. I did and there is not question that I have proof that I did a number of procedures during residency, even though there is not set number yet.Dont know the answer but the guy who does it in my institution did a neuromuscular fellowship
Honestly, I can't say that a patient of mine ever asked this or was really concerned about it. They seem to like the fact that this medication significantly reduces their dystonia, spasticity, or in the cases of headaches, significantly reduces the frequency of their headaches.Explain to me how you can assure the patient that the BOTOX or any injected product stayed in the targeted area once the patient gets up and moves around. Even under visual guidance during injection, there is no way for any physician to assure the patient that the product did not bath other structures without the use of injected dye and follow up imaging.