Education and Training at Sentient

Sentient is a team of professionals dedicated to clinical excellence and delivering the best possible patient care. It takes a village and we foster team and transparency to achieve success.

Our Department of Education and Training is led by W. Bryan Wilent, PhD, DABNM and is staffed by a team of skilled surgical neurophysiologists who are adept with didactic and training methods, rubrics, and metrics. In our matrix we continuously communicate among all other groups to rigorously evaluate and improve our program.

We strive to educate, train, and develop…

  1. skilled neurophysiologists who
  2. are patient-first care-givers that are
  3. determined to continually hone their craft and
  4. are excellent communicators.

Fundamental Training in Intraoperative Neuromonitoring

Our program is similar to most clinical professional programs at health universities. We construct our program similar to a master’s degree in a clinical profession, and thus the demands and expectations are high.

We believe in group learning. We have 3-4 new training fellow groups per year in which 6-9 new fellows enter the program as a group.

We supply syllabus, books, manuals, and other training resources.

We have a well developed and tested program that covers all aspects of clinical education and training. The program involves in-person lectures, online lectures, exams, presentations, assignments, hands-on practical, hands-on training, evaluations, and oral defense.

We also have a dynamic online learning management system (Moodle) where all electronic education and training materials are housed, including dozens of courses and hundreds of lectures.

For the field training component of the training, we pair our training fellows with their own Clinical Training Specialist (CTS). Our team of CTSs are not only excellent surgical neurophysiologists, but are all skilled mentors and teachers who are well versed in all of Sentient’s policies and protocols.

Continuing Education

Regular Continuing Education (CEU)

We host 1-2 company-wide educational events per month, and average about 20 events per year. The events are either Grand Rounds presentations or Alerts and Adverse Outcomes (A & A) conferences. All of the events are held via webinar and the entire company is invited to attend. Our SNPs are required to attend a prescheduled number of CEU events each year. Attendance at an event is worth 1 CEU credit each towards Certification in Neurophysiologic Intraoperative Monitoring (CNIM) recertification. In addition, after the fact, a video, pdf, and associated quiz are uploaded to Moodle so that anyone who misses the event, or wants to refer to it later, can log into Moodle and view the event and related materials. All events going back to 2012 are archived and available.

The Grand Rounds events are didactic presentations on a specific topic. These topics can be on anything from pedicle screw testing to cortical mapping.

The A & A events are our version of M & M conferences that most hospitals have. The events involve the presentation of 3 cases in which an alert and/or an adverse outcome occurred. Sentient is divided into regions and we rotate each month which region is hosting the A & A conference. For each region, any surgical neurophysiologist can present a case in which they were involved. The goal is to learn from cases with changes, and to learn from each other.

Exam Preparation

Exam Preparation

We expect all our surgical neurophysiologists to attain and maintain CNIM status. We have developed a through preparatory course designed to pass the exam. The course involves 10 separate lectures, a learning manual, essential references, and over 1,000 online practice questions. In addition, we have weekly lecture and group study events starting 12 weeks prior to the exam date.

We also have materials and person-specific preparation plans for anyone pursuing a Diploma from the American Board of Neurophysiologic Monitoring (DABNM). We encourage anyone eligible to try and attain the DABNM.

Advanced Training

Advanced Training in Intraoperative Neuromonitoring

These advanced courses are available for 10 CEU credits each. The main purpose of these advanced courses is to instill the theoretical acumen and practical skills needed to monitor advanced cases. To pass the course, one must review all materials, lecture and 7-10 articles, achieve a satisfactory score via the hands-on training rubric, and pass a lengthy exam.

List of advanced case categories include:

  • Carotid Endarterectomy (CEA)
  • Cauda Equina Tumor Resection or Detethering
  • Cerebrovascular Procedures
  • Cortical Mapping and Phase Reversal
  • Thyroidectomies and Parotidectomies
  • Intramedullary Spinal Cord Tumor Resections
  • Microvascular Decompression (MVD) Procedures
  • Selective Dorsal Rhizotomies (SDRs)
  • Peripheral Nerve Tumor Resections
  • Pediatric Scoliotic Corrections
  • Thoraco Abdominal Aortic Aneurysms (TAAA) procedures
  • Joint Arthroplasty Procedures
Other Materials

Other Materials

The Surgical Neurophysiologists (SNP) Handbook. While there are a lot of excellent resources available in the field, we found that a handy and very practical reference guide covering all aspects of intraoperative neuromonitoring is essential. So, we developed a 100 page SNP Handbook that is available to all our SNPs online or on hard copy.

Yearly Training Videos. We take our craft very seriously. That does not mean, however, we always take ourselves very seriously. We have yearly training videos on various topics that are part of maintaining and keeping your credentials. Sometimes, we’ve found that injecting a little humor (very little by most accounts) helps retain some the lessons in those yearly training videos. Here are a couple to check out.

Outside Education

Outside Education

In-services. Our team is always ready, willing and able to present an informational overview of our services. Who we are, what we do, signals, service, Sentient, and any other questions are covered. We believe communication and collaboration are the most important aspects to patient care and that we are just part of the team when we are in the OR. As part of your team, we are always ready to help the team.

Grand Rounds. We also provide Grand Rounds didactic presentations for anesthesia, orthopedic, and neurosurgical departments. Each presentation is catered to the respective department with, again, the goal being fostering communication and collaboration.

Other Materials. We will work with anyone in the field or anyone we work with to develop better educational and training resources. Here is an example of training video on how to set up shoulder arthroplasty procedures that we developed with surgeons in the Philadelphia area.