Intraoperative Neurophysiological Monitoring (IONM) is a medical procedure performed during surgeries that can affect the functioning of the nervous system. It has been shown to significantly reduce the occurrence of neurological damage during high-risk surgeries in adult and pediatric populations.  Use of neuromonitoring can prevent injuries that would severely affect the lives of patients, such as: paralysis, muscle weakness, and loss of sensations like hearing, vision, and touch. 

Coursework at Carlow University in neuroscience disciplines provides the necessary foundation for students to have an in-depth understanding of the functioning and anatomical structures of the nervous system. 

Students complete the degree with instructors at UPMC Procirca's - Center for Clinical Neurophysiology This highly specialized training allows students:

  • hands-on training
  • the opportunity to observe and assist in up to 150 surgical cases
  • to accumulate the clinical hours necessary to take the ABRET's Certification in Neurophysiologic Intraoperative Monitoring (CNIM) Exam to be a certified Surgical Neurophysiologist.

Requirements for bachelor of science in Behavioral Neuroscience with concentration in Intraoperative Neurophysiological Monitoring

Candidates must satisfy all requirements for the Bachelor of Science degree in Behavioral Neuroscience. Senior Experience/capstone is waived as it will be fulfilled by clinical coursework at UPMC. Intraoperative Neuromonitoring coursework is determined by UPMC’s Procirca -Center for Clinical Neurophysiology.


Along with meeting UPMC’s Procirca - Center for Clinical Neurophysiology's admission requirements, students must meet Carlow University’s prerequisites for approval and recommendation to enter the program: science course GPA of 3.0 or higher, overall GPA of 3.0 or higher, and have the recommendation of science faculty and/or advisor based on demonstrated integrity and excellence in academic pursuits. Transfer students must have an overall and science course GPA of 3.0 to be considered for the program. 


Why choose this program? 

Carlow University's program in cooperation with UPMC's Procirca - Center for Clinical Neurophysiology's B.S. program is special in that there are only 3 other programs listed by ASET, The Neurodiagnostic Society, that offer a BS degree that leads to a career in Neuromonitoring. 

Graduates from UPMC's program report salary ranges from $75,000-$90,000 per year. 

The Bureau of Labor and Statistics describes the profession of IONM as having a "bright outlook" with faster than average projected growth (22% or higher).  Employment opportunities are in many sectors including: 

  • hospitals
  • healthcare companies
  • specialized sleep and epilepsy labs
  • education
  • research in academic and industry setting
  • industry sales.



"Intraoperative Neuromonitoring (IONM) represents an exciting intersection between the fields of Neuroscience, Computer Science, and Healthcare.  Professionals in the field of IONM work in the Operating Room alongside Surgeons and Neurologists to help ensure that patients undergoing surgical procedures are protected from injury.  Until very recently, there has never been a purely academic route into the field of IONM, and many employers only want to hire experienced individuals who have their certification.  Procirca of UPMC and Carlow are excited to offer the first program in the world that allows students to attain a Bachelor of Science degree in Neuroscience with a concentration in Neuromonitoring.  Graduates from our program will be eligible to sit for their boards (CNIM) and find employment immediately upon receiving their diploma, having benefitted from training at one of the top IONM programs in the world."

Josh Sunderlin, MS, CNIM - Program Director

"Intraoperative neurophysiological monitoring is a relatively new, challenging, and rapidly growing field which requires well trained and educated practitioners.  I not only had the good fortune of finding IONM as a career, but also to be trained with Procirca.  Under the supervision of industry leading professionals, Procirca provides extensive training of all current monitoring techniques and explores new areas in which they can be approved.  I am proud to work for Procirca because I know that I am working with a team that shares my values, and puts patient care first.  Procirca provides all the tools necessary to help people become top clinicians in the field of Clinical Neurophysiology."

Nicholas Karkowsky, CNIM

"I had a unique opportunity to graduate from the first undergraduate intraoperative neuromonitoring program in the country, and I continually advocate for the value of both the advanced knowledge and direct clinical experience it provided. Pursuing a concentration in IONM was the perfect intersection of my collective interests in neuroscience, anatomy, physiology, and medicine. Taking intraoperative monitoring courses, coupled with hands-on clinical experience in operating rooms, allowed me to immediately step into a full time IONM surgical position, bypassing several years of typical on-the-job training. "

Kylie Burnham, CNIM


Sample Courses

NEU 221 Neurophysiology:

Neurophysiology is a one-semester undergraduate-level course designed to provide students in Behavior Neuroscience tracks with an overview of neurophysiology and current topics in neuroscience. The course will also introduce basic research and diagnostic techniques used to investigate the nervous system.  Attention will be given developing analytical and communication skills necessary to investigate and report on topics in the field.  This is a 4-credit course with 3 hours of lecture instruction and 3 hours of lab instruction per week.

Neuromonitoring Fundamentals:

This one semester undergraduate course is designed to introduce the equipment and modalities used in IONM to students who are preparing for a career in neuromonitoring.  Emphasis will be placed on reading, evaluating, and presenting scientific journal articles.  Students are also required to complete a research project that makes use of IONM equipment, and submit a final paper.  This is a 4-credit course with 3 hours of lecture instruction and 2 hours of lab instruction per week.

Introduction to Neuromonitoring for Surgical Procedures:

Students learn from hands on experience in the operating rooms of UPMC hospitals during basic surgical procedures.  Each student is paired with a preceptor who provides instruction on how to set-up for, and perform the different neuromonitoring modalities used in the specific surgical procedure being performed.  Outside of the operating room, students participate in didactic lectures and case review sessions.

Neuromonitoring for Advanced Surgical Procedures:

Students learn from hands on experience in the operating rooms of UPMC hospitals during more complex surgical procedures that require multiple IONM modalities.  Each student is paired with a preceptor who provides instruction on how to set-up and perform multi-modality IONM.  During this course, students will be assessed for how well they make the transition from being passive observers to active primary providers of IONM.

17.5% of the coursework and clinical learning for this program will be completed at the UPMC Center for Clinical Neurophysiology/UMPC Presbyterian, Pittsburgh, PA.  

For more information, contact Amy Romesberg.