What do you see as being the most significant challenge to the advancement of the field of neuromonitoring?

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.

What do you see as being the most significant challenge to the advancement of the field of neuromonitoring?

  1. Corruption and greed. ~Anonymous
  2. Unethical practices and greed. ~Anonymous
  3. Technology. You will be laughing about these wiggly waves in 10 years from now. Take the money while you can and get a life! ~Anonymous
  4. Half wits. ~Anonymous
  5. Value base medicine will kill the field unless the field adapts to providing a greater variety of services for broader based surgeries. ~Anonymous
  6. Availability of well trained staff. ~Anonymous
  7. Lack of qualified personnel. ~Anonymous
  8. Value based medicine. Things will always be tight financially and if we can’t prove value, we’re vulnerable. ~Anonymous
  9. Demonstrating efficacy. ~Anonymous
  10. Changes in healthcare funding and lack of recognition of the profession. ~Anonymous
  11. A true understanding by surgeons and anesthesiologists on what makes good IONM and how it can be achieved in a collaborative environment. ~Anonymous
  12. Squabbling across the board. ~Anonymous
  13. Insurance. ~Anonymous
  14. Money. Despite declining reimbursements, there is still a lot of money to be made in IONM. More and more companies are controlled by boards, banks, and clinicians who truly don’t understand the field. Too many metal reps, surgeons and venture groups own the profession, and this won’t change for a long time. ~Anonymous
  15. Surgeon ownership/investment in companies. Licensure. ~Anonymous
  16. It has to be greed. Corporations and physicians will suck the life out of this field until there is nothing left, and then they’ll leave and move on to the next thing. I know that we need to demonstrate efficacy, but that’s a long-term strategy that may actually hurt reimbursements for some companies. ~Anonymous
  17. How to develop a workforce that meets educational and professional standards already in place for other healthcare disciplines, such as nursing, radiology, cardiology , physical therapy, occupational therapy and dental hygiene. Moving forward with licensure at the state level and having representation for the neurodiagnostic societies at the state level. ~Anonymous
  18. Reimbursement going down, forcing companies to hire less qualified neuromonitorists or use cheaper supplies and cut on education. ~AnonymousNot enough qualified people. Too much greed. ~Anonymous
  19. Cost; Innovation, effective use. Having read the comments there seems to be too much greed and not enough care. Hope I am not being rude etc. ~Anonymous
  20. The neurologists. ~Anonymous
  21. Large venture capital firms running IOM programs as a money making venture. ~Anonymous
  22. The encroachment of other allied health fields and general apathy within the field. ~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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