More and more institutions are realizing that IONM has become a standard of care and that the cost of not having it available can be greater than the cost of having it. IMI provides a reliable, proven and cost-efficient alternative to maintaining an internal, hospital-staffed IONM capability.
Stability
Impulse has an experienced management and neurophysiology monitoring team. The Company is quickly expanding and has attracted a large number of neurophysiologists. Impulse is well capitalized and has made significant investments in personnel, as well as clinical and business infrastructure to support a growing medical services company.
Forward-thinking
Impulse continues to invest in clinical education and training, as well as our communications infrastructure to deliver information and data in a timely and efficient manner. Impulse is among the industry leaders in conducting research and development projects that will expand the application of neuromonitoring into other than the traditional orthopaedic spine and complex neurosurgery cases that currently use it.
Training and Credentials
While not required by every IONM company, professional credentials (registration) are now recognized as the standard for ensuring competency. The professional credentials often presented for IONM include one of: R. EEG T. for electroencephalography; R. EP T. for evoked potentials; R. PSG T. for polysomnography; R. ED T. for nerve conduction.
More specific credentialing for IONM are Certification in Neurophysiologic Intraoperative Monitoring (CNIM) for Bachelors level,
and Diplomate of the American Board of Neurophysiological Monitoring (D.ABNM) for Masters level graduates trained in intraoperative monitoring. These registrations include training in not just one modality, but all of the various intraoperative modalities frequently used in IONM, ensuring multi-modality competency. The CNIM requires proof of performance of monitoring on 100 surgeries and successful completion of a written exam in neuromonitoring. The ABNM requires proof of monitoring 300 cases and the successful completion of an oral and written exam.
Impulse has a number of employees with a CNIM or in the process of earning CNIM certification and many with
advanced degrees.

Internal Training and CME
IMI provides its neurophysiologists and neurologists with ongoing internal and external opportunities in accredited continuing education. Neurophysiologists with a graduate level degree are encouraged and trained by IMI to achieve their D. ABNM designation. Impulse, in association with American Neuromonitoring Associates, requires a stringent internal training program, which is in the process of gaining university accreditation for final year audiologist internship
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