1. When submitting your significant IONM  changes case, it must meet several criteria: 

 – You must have monitored the case as the primary supervising and interpreting neurophysiologist. 
– It must contain a significant change(s) or alert(s) in the neuromonitoring. It can’t represent routine drug-induced neuromonitoring data or low pedicle screw thresholds.
– The Case report must refer to the significant event(s) and associated communication between you and the surgical and/or anesthesia teams. 
– Data records also must document the significant event(s) and communications between you and the surgical and/or anesthesia teams.
– If you are repeating the oral exam your significant IONM changes case must come from a different sub-category than your prior selected case.

You will need to de-identify everything and submit ALL records, data and waveforms connected to the case to show your record keeping, documentation as well as the interpretation of the case as a whole. 

Please submit a one page overview of the case with a brief description of the patient (i.e. age, relevant medical history and neurologic symptoms and findings), the proposed surgical procedure, the monitoring modalities used and the anesthetic management requested. 

And lastly include a biography of at least 10 peer-reviewed publications that are specific to the value of IONM you performed for this surgical case.

2. With your application please indication which of the subcategories below you wish your hypothetical testing case to cover. The case type must be from a different category (I-IV) than your significant IONM changes case you submitted.

I. SPINE
     A  Scoliosis
     B Thoracic Stabilization
     C  Lumbosacral Pedicle Screw Fusion
     D  Cervical Fusion
     E  Spinal Cord Tumor
     F  Tethered Cord

II. VASCULAR
     A  Carotid Endarterectomy
     B  Intracranial Aneurysm
     C Thoraco-Abdominal Aortic Aneurysm
 
III. Intracranial
     A  CP Angle/Post Fossa Tumor
     B  Large Skull Base Tumor
     C  Pituitary Tumor
     D  Intracranial Lesion/Tumor
     E  Microvascular Decompression of a Cranial Nerve

IV. Intraoperative Diagnostics
     A  Brachial Plexus/ Peripheral Nerve
     B  Epilepsy/ Electrocorticography
     C  Functional Neurosurgery

If you are repeating your oral exam you must choose a different sub-category than was choses previously for your hypothetical case. 

You will also need to submit a biography of at least 10 peer-reviewed publications that are specific to the value of IONM for sub-category you chose for your hypothetical testing case.