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Concussion Management Subspecialty

IANM Fellowship in Concussion Management (FIANM)

Description

The IANM Concussion Management subspecialty is designed for Diplomates who seek to reach the pinnacle of clinical excellence in the evaluation and management of concussion and mild traumatic brain injury. While the DIANM credential establishes a foundation in neuromusculoskeletal medicine, the Concussion Management Fellowship focuses on the high-level, evidence-based application of these principles to the complex, multi-system presentation of concussion.

The concussion management specialist is trained to move beyond generalized symptom management, applying structured subtype classification, objective vestibulo-ocular and physiologic testing, and individualized rehabilitation protocols. This specialized training assures that the provider is qualified to serve as a primary expert for concussion care across acute, persisting symptoms, and medico-legal contexts.

Expertise and Competencies

The neuromusculoskeletal specialist with fellowship status in concussion management is positioned to provide expert care in subjects including:

  • Subtype Classification: Differentiating physiologic, vestibulo-ocular, cervicogenic, and psychological presentations to guide targeted treatment.
  • Objective Diagnostic Testing: Administration and interpretation of multi-system examinations, including orthostatic vital assessment.
  • Evidence-Based Rehabilitation: Prescription of sub-symptom threshold exercise and targeted physiologic, vestibular, oculomotor, and cervicogenic rehabilitation protocols.
  • Return-to-Learn / Return-to-Play Management: Applying the Amsterdam 2023 Consensus framework to guide safe, staged recovery decisions.
  • Medico-Legal and IME Competency: Documentation standards, causation versus risk differentiation, and MMI/impairment rating principles for PI and IME contexts.

Fellowship Requirements

Candidates must hold current IANM Board Certification (Diplomate status), maintain an unrestricted license in good standing, and demonstrate active clinical practice in neuromusculoskeletal medicine, personal injury, or concussion care. The fellowship represents an elite tier of postgraduate achievement and requires:

  • 100 Hours of Specialized Education: Completion of the approved Concussion Certification Program, covering pathophysiology, the Amsterdam 2023 Consensus framework, SCAT6/VOMS/BESS, subtype classification, BCTT-based exercise prescription, rehabilitation protocols, and return-to-learn/return-to-play frameworks, with a certification exam score of at least 80%.
  • Clinical Practicum: A minimum of 50 supervised clinical hours and 30 managed concussion cases (including at least 15 acute and 15 persistent-symptom cases), documented through case logs signed by a supervising Fellow or Diplomate.
  • Case Review Submission: Ten formal case reports demonstrating mechanism of injury, diagnostic framework, symptom tracking, objective findings, subtype classification, treatment planning, and clinical outcomes. 
  • Mentorship: A minimum of six months of mentorship under an IANM Fellow or Diplomate, including case review sessions, treatment planning discussions, and outcome tracking.
  • Research or Scholarly Activity: Publication of a case report or clinical paper, presentation at an IANM conference, or contribution to the Pillars of Practice or examination item bank.

Examinations

  • Part 1 (Written): A 100-question examination spanning pathophysiology, clinical assessment, subtype differentiation, rehabilitation protocols, imaging and testing, and medico-legal considerations.
  • Part 2 (Practical): An Objective Structured Clinical Examination (OSCE) with stations addressing VOMS performance and interpretation, BCTT administration, cervical differentiation, orthostatic intolerance assessment, case-based clinical reasoning, and return-to-play decision-making.

Continuing Clinical Competence (CCC)

To maintain the prestige and credibility of the Concussion Management Fellowship status, specialists must, every three to five years:

  • Complete a minimum of 20–30 hours of continuing education dedicated to concussion care.
  • Submit five updated case logs demonstrating ongoing clinical involvement.
  • Optionally contribute through teaching, lecturing, or publishing in the field.

Course Access & Instructions

Link: https://learn.regionalmedgroup.com/membership-home

Instructions

1. Log In

  1. Go to the course website.
  2. Select Learning Login → Login.
  3. Enter your first name, last name, and email.
  4. Select “Continuing Education” in the Customer Type.
  5. Fill out the Personal Information and Payment fields, then select “Complete Order”
  6. Read and agree to the Non-Compete Agreement.
  7. Create your course password.

2. Access the E-Textbook

  • Open the e-textbook from within the course.
  • Username: Your registration email.
  • Password: First name + last name, no spaces, with the first letter of each capitalized.
    • Example: JohnSmith
  • E-textbook access may take up to 24 hours to activate.

3. Complete the Course

  • Complete all 18 modules.
  • Each module includes course material and a 10-question quiz.
  • Quizzes require approximately 80% to pass.
  • A certificate is provided after completing each module.

4. Final Exam

  • After completing all 18 modules, take the 150-question final exam.
  • Upon completion, you’ll receive the course certification and final certificate.