CINP Proposal Accreditation Pathway and Credentialing Examination

CANM talks TOWN HALL SESSION

May 17, 2017

Objectives: 1) Brief history of accreditation pathway and exam development 2) Review of accreditation pathway leading to CINP designation 3) Review of alternate pathway for experienced Canadian IONM practitioners 4) Review of CINP credentialing examination 5) Discussion Period/Q&A

Accreditation is a critical next step for our profession

• Raise the bar on Canadian IONM standards • First step in becoming an independent, self-regulated, and recognized Allied

Health Profession in Canada Goals:

Provide an independent assessment and documentation of professional competency Validate safe and effective job-related skills and practice Encourage continued professional development Provide acceptable standards of practice for IONM Establish and measure level of knowledge and judgment required for practice

History of Development

Survey of Canadian IONM Professionals: 2008, 2011, 2012, 2013 Roundtable Discussions with IONM Community: Yearly Education Committee Retreat: 2011, 2012, 2013, 2016

2008 2016

Education Program Partnership Meetings Michener Institute Graduate Certificate in IONM Proposed CINP Accreditation and Credentialing Pathway

Certified Intraoperative Neurophysiology Practitioner

(CINP)

Advanced Scope of Practice

Modern IONM is more than just monitoring (ie. mapping)

CINP credentialing is an important aspect of achieving CANM’s mission and vision

Potential benefits of CINP credentialing Expanded scope of practice Ability to work independently Builds confidence in interdisciplinary colleagues Self-fulfillment and professional confidence Medicolegal ramifications Encourages continuing education Increased marketability (salary increase)

Pathway leading to CINP designation

• effective January 1, 2017

Effective: January 1,

2017

Tentative: 2020

Projected: 2025

Pathway to CINP Accreditation, effective January 1, 2017

Bachelor’s Degree Health-related

sciences

CINP Practical

Assessment

CINP Written

Exam

*Criteria Met

Master’s Degree

in IONM

Bachelor’s Degree Health-related

sciences

CANM Accredited Internship

CINP Oral

Exam

Possible

Michener Institute

Certificate

Michener Institute

Certificate

Certified Intraoperative

Neurophysiology Practitioner

D.ABNM

*Criteria Met 1) 36 Months Experience in IONM 2) 300 Cases (not as observer/case breakdown obtained) 3) Attestation From 2 Surgeons 4) Recent IONM Experience (24 months in previous 5 years)

Stream 3

Stream 4

Stream 5

Effective: January 1,

2017

Tentative: 2020

Projected: 2025

Pathway to CINP Accreditation, effective January 1, 2017

Bachelor’s Degree Health-related

sciences

CINP Practical

Assessment

CINP Written

Exam

*Criteria Met

Master’s Degree

in IONM

Bachelor’s Degree Health-related

sciences

CANM Accredited Internship

CINP Oral

Exam

Possible

Michener Institute

Certificate

Michener Institute

Certificate

Certified Intraoperative

Neurophysiology Practitioner

D.ABNM

*Criteria Met 1) 36 Months Experience in IONM 2) 300 Cases (not as observer/case breakdown obtained) 3) Attestation From 2 Surgeons 4) Recent IONM Experience (24 months in previous 5 years)

Stream 3

Stream 4

Stream 5

Effective: January 1,

2017

Tentative: 2020

Projected: 2025

Pathway to CINP Accreditation, effective January 1, 2017

Bachelor’s Degree Health-related

sciences

CINP Practical

Assessment

CINP Written

Exam

*Criteria Met

Master’s Degree

in IONM

Bachelor’s Degree Health-related

sciences

CANM Accredited Internship

CINP Oral

Exam

Possible

Michener Institute

Certificate

Michener Institute

Certificate

Certified Intraoperative

Neurophysiology Practitioner

D.ABNM

*Criteria Met 1) 36 Months Experience in IONM 2) 300 Cases (not as observer/case breakdown obtained) 3) Attestation From 2 Surgeons 4) Recent IONM Experience (24 months in previous 5 years)

Stream 3

Stream 4

Stream 5

Alternate Pathway for Existing Canadian IONM professionals

• practicing prior to January 1, 2017

Hired in IONM before

Dec 31, 2014

Hired in IONM between

Jan 1, 2015 & Dec 31, 2016

Proof of IONM

Employment

Grandfathered Pathways to CINP Accreditation *Criteria Met 1) 36 Months Experience in IONM 2) 300 Cases (not as observer/case breakdown obtained) 3) Attestation From 2 Surgeons 4) Recent IONM Experience (24 months in previous 5 years)

CINP Practical

Assessment

CINP Written

Exam

Certified Intraoperative

Neurophysiology Practitioner

*Criteria

Met

Michener Institute

Certificate

Proof of IONM

Employment

CANM Accredited Internship

CINP Oral

Exam

Possible

Recurring Full CANM

membership starting 01/2018

No

Yes

Recurring Full or Assoc. CANM Membership

starting 01/2018 Recurring Full by

01/2020

No

Yes

*Criteria

Met

Stream 1

Stream 2

Grandfathering Allowances for

Experienced Canadian IONM Professionals

Exemptions from:

• Bachelor’s Degree (1&2)

• Michener Institute Certificate (1)

• future CANM Accredited Internship (1&2)

• future Master’s Degree in IONM (1&2)

* Contingent upon maintenance of CANM FULL membership starting JANUARY 2018, until certified

Decision – 2011 symposium

Examination Process

• Written • Oral • (possible) Practical

Administered by the newly created:

‘Canadian Board of Intraoperative Neurophysiology Practitioners’ (CBINP)

Prerequisites

In order to challenge the examination, ALL applicants must meet the following criteria:

Stream of Entry Eligibility Conditions Met

Minimum 36 Months Experience in IONM

Recent IONM Experience (minimum 24 months in previous 5 years)

300 IONM Cases Monitored (not as an observer)

Minimum Case Breakdown Achieved (25 each for brain, brainstem, spine, and vascular)

Attestation from 2 Surgeons

CINP Exam

• CINP will have a very different competency profile than CNIM because of our desired model of care in Canada (i.e. “expert in the room does the interpretation”)

• CINP will have an expanded scope of practice and, as a result, there needs to be a comprehensive process to assess the competency of individuals and their ability to work independently and make informed decisions

CINP Examination

Written

• 250 Multiple Choice

• 4 hours

• Professional Testing Company

Oral

• Scenario-based

• Panel of examiners & independent observer

? Practical

• ??? Clinical Skills Assessment

Re-write Policy: - Written: 2nd attempt 6 months later, 3rd attempt 18 months later - Oral: 3 attempts within 3 years of successful written exam

6 months

CINP Written Exam Topics

• Clinical/basic neuroscience and disorders • Signal acquisition, processing, and troubleshooting • EEG • SEP & BAEP • MEP (incl. D-wave, cortical mapping, subcortical mapping, corticobulbar MEP)

• EMG (incl. triggered, cranial nerve, reflexes)

• Anesthesia • Professional conduct and patient safety (ie. electrical safety, ethics, OR

procedures)

• Other (ie. DBS, spinal cord mapping, brainstem mapping, NCS, VEP)

* Study guide and/or prep course will be available

CINP Exam • Question Validation

• Mock Exams – 2013, 2015, 2016

• Professional Testing Company – analysis

• Dates • Written & Oral – every 6 months

• Autumn, Spring

• Maintenance of Certification • 5 year duration

• CME point accumulation (or option to re-challenge examination)

• Active IONM practice

Give us your feedback before June 30, 2017

• Anonymously via CANM talks evaluation form • Email us at info@canm.ca • Speak to CANM Education Committee member

2017 CANM Full members will VOTE on finalized pathway at AGM – Sept 16th

Discussion Period Q&A

CINP Proposal Accreditation Pathway and Credentialing Examination

Education Committee - Sue Morris - Dave Houlden - Marshall Wilkinson - Sam Strantzas - Francois Roy - Gina Bastaldo - Laura Holmes

Thank You for Participating