If you could change one thing about the field, what would it be and why?

I recently published a few questions on Survey Monkey and then contacted folks on LinkedIn and Facebook, asking them to complete the survey. Because I got so many responses, I decided to publish answers to each question separately. This is just the first of several surveys that I have planned to address different topics.

My survey began with the following instructions:

You have been invited to participate in this survey because you are a neurophysiologist, neurologist or technologist practicing intraoperative neurophysiological monitoring (IONM). Please answer as many of the following questions as you’d like. You can choose to maintain anonymity, or you may elect to identify yourself by writing your name at the end of each answer. Once the survey is closed, the answers will be published in a blog post on NeurologicLabs.com. Thanks for your participation!

Note: All responses are presented below as submitted though Survey Monkey. The only responses that I eliminated are the ones that were racist, sexist or otherwise egregiously unprofessional and/or inappropriate. If you didn’t have an opportunity to participate in the survey, it is still open. Responses truly are anonymous. To participate, just click here.

If you could change one thing about the field, what would it be and why?

  1. Give people breaks like in any other “normal” job. ~Anonymous
  2. Potty breaks, please! ~Anonymous
  3. Fire the incompetent oversight. What a joke! ~Anonymous
  4. Have those Chinese doctors speak English for God’s sake! ~Anonymous
  5. Let the folks who know the field be allowed to fully bill for their services. ~Anonymous
  6. Registration – trained professionals only in the operating room reporting in real time what they are seeing. ~Anonymous
  7. Communication and cooperation between the different disciplines. ~Anonymous
  8. Inconsistent standards. ~Anonymous
  9. Single IONM-P credential to interpret, thus allowing qualified individuals from different background to prove competency. ~Anonymous
  10. More recognition of the importance of a true patient-centered care approach. ~Anonymous
  11. I would wish for clear and consistent multitier compensation by all 3rd party governmental payers for IONM services. ~Anonymous
  12. How litigious it is at the company level. ~Anonymous
  13. More educational programs in IOM to provide for more qualified technologists. ~Anonymous
  14. Formal education. The quality of the profession is driving by the quality of the person in the room or available on site to actually see the patient, perform the work, interpret and converse with the surgical team. Although tele-medicine is growing in popularity, it is abused in IONM. Both the remote and in person components of neurophysiology need better prerequisite and ongoing education to truly test their competency. We have way too many inexperienced physicians and non-physicians in this field, all of whom consider themselves experts. Ideally, money could be saved and quality could be best served by eliminating the remote component and training the person in the room to deliver the care with sophistication and compassion. This would be 1:1 coverage. ~Anonymous
  15. Eliminating surgeons as company owners/investors. ~Anonymous
  16. I would require all professional interpreters, regardless of degree, to actually demonstrate their competency by passing the same IONM board exam. ~Anonymous
  17. Better patient care. More qualified monitoring practitioners. ~Anonymous
  18. I would give Board certified neurophysiologists a bigger role in the neuromonitoring field. ~Anonymous
  19. Raise the level of professionalism by increasing credentialing eligibility requirements, while concomitantly creating new levels of technical expertise such as advanced practitioners. Promoting a synergistic working relationship between neurology, PhDs, and those working at the advanced technical level. ~Anonymous
  20. Somehow have the quacks and fraudsters that do un-necessary unethical monitoring and billing get exposed and stopped. They are slowing ruining things for the legitimate practices. ~Anonymous
  21. Software which is user friendly and easier to “manipulate” during surgery for effective and better recording and trouble shooting – the cost of course matter!! ~Anonymous
  22. If I could change one thing it would be that we’re no longer referred to as “techs.” I can’t stand that term. Some of us have higher education and degrees. I find the term “tech” to be demeaning. ~Anonymous
  23. Go back to the way it was practiced in the beginning where a professional was in the room and did everything including interpretation and communication on-site in true real-time. ~Anonymous
  24. I would encourage exchange of ideas among all member of the IOM team. Companies are very proprietary and afraid to share information. ~Anonymous
  25. Raising the bar on qualifications and competency for those who perform IOM. ~Anonymous

That’s what I have so far. I’m sure more answers will come in over time. Feel free to comment below.

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