TMS Safety Training
TMS is safe when used correctly, but is an interventional technique with potential for adverse events. Safety training is a prerequisite for access to TMS at CBS. Currently there exist no nationally accepted certification or accreditation for TMS users. At CBS, we recognize two levels of TMS training and accreditation: Basic and Advanced.
Basic level training (1-Day Basic TMS Safety Course) is open to everyone planning TMS studies at CBS. The course prepares you for planning and executing TMS experiments. It allows you to run TMS experiments with on-site support from the CBS TMS/EEG Tech. Specifically, this course will teach you what TMS is, what it can and cannot do, give you basic tools for designing and conducting safe and efficient TMS studies, educate about local policies and FDA regulations, and explain IRB requirements for TMS studies. The focus of this course is on safety; advanced TMS research/clinical applications and techniques are beyond its scope. Everyone involved in planning and delivering TMS must have passed the Basic level training. This includes the PIs that are ultimately responsible for correct TMS parameters and subject safety. The course takes one full day and includes both lectures and hands-on exercises. This course is offered about once every 3 months. Prior to accreditation, all candidates must show Basic Life Support (BLS) certification or corresponding medical training. To request Basic TMS training, contact the course director Tommi Raij. Advance registration is required.
CBS 1-DAY BASIC SAFETY COURSE – PROGRAM (Next date: NN December 2016)
Lectures 8:00 am – 12:00 pm (open to all registered participants)
TMS Physics and Physiology
Equipment: Stimulators, Coils, Navigators, EMG, EEG/fMRI
Safety, FDA and IRB regulations
CBS policies, operations, and lab etiquette
Setting up a TMS study at CBS
Demonstration of a TMS session
Hands-on sessions 1:00 – 4:30 pm (limit 10 students per session, repeated on later dates as needed)
MagPro X100 w/MagOption stimulator interface and programming
Single pulse, paired pulse, rTMS settings; Waveform options
TMS coil selection
Motor and phosphene threshold measurement
TMS Navigator/EMG interface and recordings
Auditory/visual stimulus systems and trigger setups
TMS seizure plan
Before the course, participants are expected to read the international TMS safety consensus: Rossi S, Hallet M, Rossini PM, Pascual-Leone A (2009) Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clin Neurophysiol 120(12):2008-39.
Advanced training is required to run experiments without CBS Tech support (during off-hours and weekends). Each group conducting TMS studies at CBS must include at least one Advanced level member. Moreover, at least one Advanced level person is required to be present in the CBS during every session. Advanced level accreditation may be obtained by participating in advanced TMS fellowship courses, or for users with extensive prior TMS training and experience, by providing the CBS Laboratory Committee proof thereof. Regardless of prior expertise, all Advanced level candidates must have (i) Basic Life Support (BLS) or corresponding training, and (ii) participated in the lecture portion of the CBS Basic course that describes local regulations, policies, operations, lab etiquette, and instrument specific issues.