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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 [email protected] • 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