Stability
Impulse has an experienced management and
neurophysiology monitoring team. The company is quickly expanding
and has attracted a large number of Neurophysiologists. The company is well capitalized and has made significant
investments in personnel as well as clinical and business
infrastructure to support a quickly expanding medical service
company.
Forward thinking
Impulse has made large investments in
clinical
education and training as well as
communication
infrastructure
to deliver information and data in a timely and
efficient manner. Impulse is leading the neuromonitoring field by
actively conducting Research and Development projects that will
expand the application of neuromonitoring into other than the
traditional orthopedic spine and complex neurosurgery cases that
currently use the service.
Training and Credentials
While not required by every IOM company, professional credentials
(registration) are now recognized as the standard for ensuring
competency. The professional credentials often presented for IOM 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 IOM
are CNIM
for Bachelors level and 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 IOM,
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 currently has approximately 30 employees
all with a minimum of CNIM or “in process” CNIM certification and many with MD/PhD/D. ABNM
qualifications.
Internal Training and CME
Impulse provides it's technologists and
neurologists with ongoing internal and external opportunities in
accredited continuing education.
Neurophysiologists with a graduate level degree are encouraged and
trained by Impulse to achieve their D. ABNM designation. Impulse, in
association with American Neuromonitoring Associates, requires a
stringent and expansive internal training program which is in the
process of gaining university accreditation for final year
audiologist internship.
Costs of IOM
More and more institutions are realizing that IOM has become a
standard of care and that the costs of not having this service
available are greater than those of having it. For an example of a
recent cost analysis by a university center go
here.