Located and Licensed in Arkansas and/or Kansas
Summary of Position
The interpreting physician is a provider of real-time remote neurological supervision, interpretation, and diagnostic/ interventional recommendations during intraoperative neuromonitoring (IONM). The interpreting physician is responsible for real-time interpretation of IONM data. The physician will use their skills to accurately interpret changes in waveform data, immediately report any threat to neural integrity, and suggest specific interventions regarding neural injury. Interpreting Physician shall not engage in other clinical or other distracting activities during IONM supervision.
Duties and Responsibilites
- Evaluate intraoperative neuromonitoring patient care plan based on planned procedure, neural structures that are at risks, and relevant patient’s clinical presentation, physical exam, medical history and radiologic findings
- Recommend appropriate anesthetic regimen to optimize the likelihood of obtaining high quality recording
- Direct neuromonitoring technologists on data acquisition, recording and stimulus parameter optimization and troubleshooting
- Direct neuromonitoring technologist on necessary communication related to monitoring status
- Evaluate and confirm baseline data
- Evaluate and confirm responses obtained from topographical studies in real time
- Evaluate and interpret all significant intraoperative monitoring data changes from baseline recording
- Recommend therapeutic interventions as indicated:
- procedure related changes should be reported to the surgeon as soon as possible
- intraoperative changes related to ambiguous origin should be reported to the surgeon as needed and appropriate
- communicate concerns that suggests neurologic compromise that could be related to patient positioning
- suggest alteration to anesthetic regimens and/or physiologic measures when these appear to compromise neural integrity and/or intraoperative monitoring effectiveness.
- Provide post intraoperative neuromonitoring evaluation to answer postoperative questions if needed
- Provide a report of each intraoperative monitoring session, which include information on surgical procedure, types of modalities performed, description of baseline and intraoperative signals and description of significant changes in the recording and interventional measures.
- Represents AMS in communication/education as requested
- Advanced academic degree such as MD or DO. Preferably be Fellowship-trained in Neuromonitoring/Neurophysiology
- Clinical neurology or clinical neurophysiology credentials by any one of the following Boards: American Board of Neurophysiologic Monitoring, American Board of Clinical Neurophysiology, American Board of Electroneurodiagnostic Medicine, American board of Psychiatry and Neurology (with added in Clinical Neurophysiology)
- Medical license in the state which surgery is being performed