Neuro-Mod's Comprehensive

Certification Training Course

Is designed to provide all the necessary theory and hands-on technical skills to use Transcranial Magnetic Stimulation (TMS) and repetitive (rTMS) in the following three ways: 

Technician

Researcher

Clinician

Technician

Researcher

Clinician

This course will be accredited through McMaster University and physicians who complete the course will be able to receive Continuing Medical Education (CME) credit. Hands-on skills training will be performed in the Human Neurophysiology and Imaging lab at McMaster University. To increase accessibility of the course and engage a larger audience, the course will also be offered as a virtual option. Live video demonstrations will be performed to illustrate all techniques during the hands-on period. These live demonstrations will take place in the same laboratory space as the in-person classes. 

The rTMS Certification Course 3 Day Break Down:

rTMS Essentials: Theory and Practice (LECTURE)

How TMS works:

  • The TMS device
  • The TMS coil

Characteristics of the electromagnetic pulse and physical principles

Introduction to single pulses and repetitive TMS

Health and safety concerns:

  • TMS side effects and risk management
  • Repetitive TMS safety guidelines
  • Contraindications to TMS in research and clinic
  • Seizure recognition and management

Basic Neurophysiology Procedures (HANDS ON)

During this part of the courses, students will engage hands with TMS equipment to learn and practice the skills of this module and get feedback on technique directly from course instructors. All hands-on training will be delivered using Magstim Ltd equipment. Importantly, the theory and technical skills learned in this course are relevant for other TMS manufacturers.

Screening and safety checks

Skin preparation and applying electromyography electrodes

Using neuronavigation:

  • Calibrating the coil and participant

How to hold and position the TMS coil

Finding motor hotspot

Determining resting and active motor thresholds

TMS stimulation targets (motor cortex and frontal cortex)

Clinical use of rTMS (LECTURE)

Setting up a rTMS clinic

Clinical applications for rTMS (on label- drug resistant depression)

Clinical application for rTMS (off-label use- Pain, OCD, PTSD, Addiction, Concussion, Motor rehabilitation)

Assessing patient candidacy

Evaluating research evidence to inform clinical practice

Repetitive TMS and Paired-Pulse TMS (HANDS ON)

Creating a stimulus-response curve

Assessing cortical silent period

Motor mapping

Paired-pulse TMS circuits and conditioning paradigms (SAI, LAI, SICI, LICI, SIHI, LIHI)

Repetitive TMS and evaluating mechanisms in cortical plasticity

Advanced Concepts of TMS (LECTURE)

TMS physics and physiology, targeting, dosing and physiological effects

State-dependent interactions of TMS

TMS and EEG

The placebo effects & statistical approaches to incorporate placebo effects

The future of TMS

Operationalization of rTMS Therapy (HAND ON)

Health Canada approved rTMS treatment protocols and delivery

  •     iTBS & accelerated protocols

Off-label rTMS treatment protocols and practical procedures

Longevity for TMS therapy

Maintenance and tapering period protocols

  • Day 1 AM (LECTURE)

    How TMS works:

    • The TMS device
    • The TMS coil

    Characteristics of the electromagnetic pulse and physical principles

    Introduction to single pulses and repetitive TMS

    Health and safety concerns:

    • TMS side effects and risk management
    • Repetitive TMS safety guidelines
    • Contraindications to TMS in research and clinic
    • Seizure recognition and management

  • Day 1 PM (HANDS ON)

    Basic Neurophysiology Procedures 

    During this part of the courses, students will engage hands with TMS equipment to learn and practice the skills of this module and get feedback on technique directly from course instructors. All hands-on training will be delivered using Magstim Ltd equipment. Importantly, the theory and technical skills learned in this course are relevant for other TMS manufacturers.

    Screening and safety checks

    Skin preparation and applying electromyography electrodes

    Using neuronavigation:

    • Calibrating the coil and participant

    How to hold and position the TMS coil

    Finding motor hotspot

    Determining resting and active motor thresholds

    TMS stimulation targets (motor cortex and frontal cortex)

  • Day 2 AM (LECTURE)

    Clinical use of rTMS 

    Setting up a rTMS clinic

    Clinical applications for rTMS (on label- drug resistant depression)

    Clinical application for rTMS (off-label use- Pain, OCD, PTSD, Addiction, Concussion, Motor rehabilitation)

    Assessing patient candidacy

    Evaluating research evidence to inform clinical practice

  • Day 2 PM (HANDS ON)

    Repetitive TMS & Paired-Pulse TMS 

    Creating a stimulus-response curve

    Assessing cortical silent period

    Motor mapping

    Paired-pulse TMS circuits and conditioning paradigms (SAI, LAI, SICI, LICI, SIHI, LIHI)

    Repetitive TMS and evaluating mechanisms in cortical plasticity

  • Day 3 AM (LECTURE)

    Advanced Concept of TMS 

    TMS physics and physiology, targeting, dosing and physiological effects

    State-dependent interactions of TMS

    TMS and EEG

    The placebo effects & statistical approaches to incorporate placebo effects

    The future of TMS

  • Day 3 PM (HANDS ON)

    Operationalization of rTMS Therapy 

    Health Canada approved rTMS treatment protocols and delivery

    •     iTBS & accelerated protocols

    Off-label rTMS treatment protocols and practical procedures

    Longevity for TMS therapy

    Maintenance and tapering period protocols

Sign Up Today!

Course registration will cost $3,000 CAD + tax per person. Discounted group rates are available for groups of 3 or more students.

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