Intraoperative Neurophysiological Monitoring certification students in the lab.

Intraoperative Neurophysiological Monitoring (IONM)

Intraoperative Neurophysiologic Monitoring (IONM) encompasses the application of a wide variety of electrophysiological methods to monitor the functional integrity of neural structures during surgery. This certification prepares you to monitor the state of a patient's nervous system in “real-time” during surgery to patient safety and surgical outcomes.

Degrees & Offerings
  • Certificate
Department
College
Program Contact
Professor of Audiology, program coordinator, IONM
Department Secretary
illustration of Carver Hall

Although most large academic and the majority of community hospitals now offer IONM services, there remains a shortage of qualified technologists to meet the demand. Most IONM technologists learn on the job and often have no formal curriculum to follow. Many lack suitable skills, knowledge, abilities, training, and expertise to provide IONM service effectively. Generally, technologists also lack the medical knowledge to advise the surgeon about the clinical options when surgical changes do occur.

Bloomsburg University's IONM post-baccalaureate certificate program is aimed to bridge the gaps between the increasing demand of qualified technologists and lack of formal educational programs by providing a one year training program for students interested in pursuing a career as IONM technologists.

IONM benefits for a variety of surgeries including:

  • Neurosurgery
  • Vascular Surgery
  • ENT Surgery
  • Orthopedic Surgery
  • Cardiac Surgery
  • Interventional Radiological Procedures
  • Genitourinary Surgery
  • Other General Surgeries

Why choose Bloomsburg University?

BU is one of the few programs in the country offering IONM training. Our graduates are highly sought after by various IONM providers nationwide.

This graduate-level certificate program provides a year of training (36 credit hours) for students with a bachelor degree to pursue a career as an IONM technologist.

Career Outlook for IONM Technologists

As a neuromonitoring technician, you will provide neurofunctional feedback and guidance during surgery to protect brain, spine and peripheral nervous systems from iatrogenic injury.

IONM technologists are employed by major hospitals as well as private companies. The national wide demand for qualified IONM technologists is very high. Current average salaries for IONM technologist are about $70,000/year.

Training Disciplines

  • Human Functional Neuroanatomy
  • Neurodiagnostic Technology
  • Electrophysiology
  • Pathophysiology
  • Biology Base Of Human Disease
  • Neurosurgery, Spinal Surgery, Ent Surgery, Vascular Surgery, Orthopedic Surgery
  • Neuroanesthesia

Student Handbook

IONM Handbook

Admission Requirements

A bachelor's degree is required for admission to the certificate program. This graduate certificate program will review and consider applications from a wide variety of educational backgrounds. However, to help ensure success in this certificate training, priority applicants should have had previous academic coursework in at least three of the following areas of study: anatomy, physiology, human biology, chemistry, mathematics, statistics, psychology, medical terminology, personal health, medical ethics, and applied physics for the health sciences, or similar courses.

This one year certificate program (12 credit hours per semester, total 36 credit hours) will be promoted to students from undergraduate academic programs such as speech pathology and audiology, exercise science, biological and allied health sciences, nursing, psychology and medical physics. Applicants who do not have the expected foundational coursework may be accepted provisionally pending completion of a program of prerequisite study incorporating three of the aforementioned areas of study.

Academic and Clinical Remediation

Bloomsburg University Department of Audiology and Speech Pathology is committed to preparing clinicians who are ready to enter the workplace. The process of learning the necessary skills for this outcome may vary student by student. The purpose of remediation is to provide students with opportunities to demonstrate knowledge and skills in both academic and clinical areas. Remediation is intended to facilitate student success and assist with progress toward meeting degree requirements.

Both summative (final, at the conclusion of a course/program) and formative (during, periodically throughout a course/program) assessment are used in evaluating students’ progress. Students whose academic or clinical performance falls below graduate expectations will be provided with remediation opportunities as part of formative assessment.

Students are encouraged to take advantage of remediation opportunities to avoid academic consequences such as course repeats or recommendations for dismissal from the program. Remediation may include, but is not limited to a clinical skills development plan, revision or completion of equivalent academic coursework, re-examination, or other methods as stipulated by instructional faculty and, where necessary, in conjunction with clinical staff. Students requiring remediation will complete and sign a remediation plan form which will be retained in their academic file. Remediation plans may be developed by faculty and/or clinical supervisors together with students.

Accreditation

BU’s IONM program is accredited by the Commission on Accreditation of Allied Health Education Programs — the largest programmatic accreditor of the health sciences professions. In collaboration with its Committees on Accreditation, CAAHEP reviews and accredits over 2,100 individual education programs in 32 health science occupations.

Courses and Curriculum

CSD 650: Intro to IONM (3 Credits)
This is a general introduction of clinical neurophysiology and functional monitoring. This course will familiarize the student with the general issues of science and practice of IONM. The IONM principle and history, electroneurophysiological modalities, practical aspects of perioperative monitoring, and routine operation room practice will be reviewed.

CSD 653: IONM Anesthesia (3 Credits)
This is a clinical neurophysiology and functional monitoring course specific to the disorders monitored during cerebral surgery. This course will familiarize the student with the IONM knowledge and techniques used for cerebral monitoring and protection. Brain anatomy, neurophysiology, neurological diseases, pathology, specific surgical procedures, and anesthetic considerations will be reviewed and integrated with perioperative SSEP, TceMEP, EEG (ECoG) and TCD monitoring.

CSD 657: IONM Spine Surgery & Neural Function Protection (3 Credits)
This is a clinical neurophysiology and functional monitoring course specific to the disorders monitored during spine surgery. This course will familiarize the student with the IONM knowledge and techniques used for spinal cord monitoring and protection. Spinal cord anatomy, neurophysiology, spine diseases, pathology, specific surgical procedures, and anesthetic considerations will be reviewed and integrated with perioperative SSEP, DSEP, Spinal Epidural Potentials, MEP, S-EMG, and T-EMG monitoring.

CSD 659: IONM Instr/Pract App I (3 Credits)
Provides students with supervised experience in the practical application of IONM instrumentation and procedures. This course will allow students to obtain exposure to the operating room environment and gain competence with the IONM protocols for a variety of surgeries. Students will also prepare for the Certification Examination in Neurophysiologic lntraoperative Monitoring (CNIM). This practicum involves on-site training at various hospitals.

CSD 651: Functional Human Neuroanatomy (3 Credits)
Introduces students to functional human neuroanatomy of cerebral cortex, basal ganglia, thalamus/hypothalamus, brains tern, reticular formation, cerebellum, spinal cord, motor system, somatosensory system, limbic system, visual system, auditory/vestibular system, the blood supply of the nervous system, cranial nerves and peripheral nerves, autonomic nervous system, the meninges, ventricular system, and cerebrospinal fluid. Both the normal functioning and particular pathologies of these systems will be discussed with the emphasis on clinical vignettes to illustrate the concepts to facilitate the interpretation and memorization of essential neuroanatomic information. This course emphasizes the correlation between IONM and the function of the relevant anatomical structures.

CSD 654: Clinical Neurophysiology: EEG and Biophysics (3 Credits)
Familiarizes the student with the EEG knowledge and techniques used for brain monitoring and protection. This is a clinical neurophysiology and functional monitoring course specific to electroencephalography (EEG) monitoring during surgery. Biophysics basis of EEG recording, adult and pediatric EEG, Epileptic EEG, neurological and medical EEG, and neuropharmacological EEG will be reviewed and integrated with neural functional monitoring and protection during surgery.

CSD 655: IONM Skull Base Surgery & Neural Function Protection (3 Credits)
This is a clinical neurophysiology and functional monitoring course specific to the disorders monitored during skull base surgery. This course will familiarize the student with the IONM knowledge and techniques used for skull base neural monitoring and protection. Skull base anatomy, neurophysiology, neurological diseases, pathology, specific surgical procedures, and anesthetic considerations will be reviewed and integrated with perioperative ABR, SSEP, VEP, S- EMG, T-EMG, NCS and MEP monitoring.

CSD 659: IONM Instr/Pract App II (3 Credits)
Provides students with supervised experience in the practical application of IONM instrumentation and procedures. This course will allow students to obtain exposure to the operating room environment and gain competence with the IONM protocols for a variety of surgeries. Students will also prepare for the Certification Examination in Neurophysiologic lntraoperative Monitoring (CNIM). This practicum involves on-site training at various hospitals.

CSD 652: Clinical Neurophysiology: Sensory & Motor (3 Credits)
Introduces students to the neurophysiology for the motor and sensory systems. This is a clinical neurophysiological course specific relevant to IONM. Nerve conduction study (NCS), Electromyography (EMG), Somatosensory evoked potentials (SSEP), auditory evoked potentials (ABR), visual evoked potentials (VEP), motor evoked potentials (MEP) will be reviewed and integrated with functional monitoring and protection during surgery.

CSD 656: IONM Cranial/Vascular Surgery & Neural Function Protection (3 Credits)
This is a clinical neurophysiology and functional monitoring course specific to the disorders monitored during cerebral and vascular surgery. This course will familiarize the student with the IONM knowledge and techniques used for cerebral monitoring and protection. Brain anatomy, neurophysiology, neurological diseases, pathology, specific surgical procedures, and anesthetic considerations will be reviewed and integrated with perioperative SSEP, TceMEP, EEG (ECoG) and TCD monitoring.

CSD 658: IONM Neurophysiological Mapping & Functional Imaging (3 Credits)
This is a clinical physiological mapping and imaging navigation course specific stereotactic and functional surgery. This course will familiarize the student with the central nervous system (CNS) neurophysiological mapping and functional navigation imaging techniques. The CNS structural mapping, deep brain stimulation/targeting, and functional navigation imaging study will be review and integrated with CNS disorders monitored during surgery.

CSD 659: IONM Instr/Pract App III (3 Credits)
Provides students with supervised experience in the practical application of IONM instrumentation and procedures. This course will allow students to obtain exposure to the operating room environment and gain competence with the IONM protocols for a variety of surgeries. Students will also prepare for the Certification Examination in Neurophysiologic lntraoperative Monitoring (CNIM). This practicum involves on-site training at various hospitals.

The Husky Difference

CAAHEP
Accreditation
BU’s IONM program is accredited by the Commission on Accreditation of Allied Health Education Programs — the largest programmatic accreditor of the health sciences professions.

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