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Neurophysiology Specialist

Massachusetts General Hospital
United States, Massachusetts, Boston
45 Fruit Street (Show on map)
May 30, 2025
Under the direction of the Chief Epilepsy Monitoring Technologist and the Medical Director of the Epilepsy Service, performs Phase I and Phase II monitoring procedures on all ages of patients from infants to geriatrics. The Epilepsy Specialist II is required to have passed examination by the American Board of Registration of Electroencephalography (R.EEGT) and long term monitoring (CLTM). A candidate with 5 years of experience of working in an Epilepsy Monitoring Unit or is in the process of taking their CLTM exam are acceptable. The Epilepsy Specialist II performs all core functions of the Epilepsy Specialist I. Performs monitoring of patients during special procedures such as sodium amytol injection (Wada testing), PET, Ictal SPECT, and Cortical stimulation. Well-developed communication skills are required for this position. Reviews video/EEG data, and correlates the clinical and electrographic activity of the patient's seizures. Extracts other pertinent information (push button events, background activity etc.) about the patient's monitoring session, and archives this data for future review. Assists in the training of fellows, technologists in all aspects of continuous video/EEG monitoring and its related equipment. Assists the Chief Epilepsy Monitoring Technologist in the maintenance of equipment, patient data, schedules, supplies, and other duties as necessary and appropriate.

1. Performs all core functions of the Epilepsy I position.

2. Prepares and monitors patients for Phase I (scalp) and Phase II (intracranial placed electrodes or grids) evaluations.

3. Sets up equipment and records intracranial electrodes as patients are being implanted in the operating room.

4. Simultaneously creates a detailed list of implanted electrodes while also cognizant of limitations in placement of contacts between headboxes.

5. Works quickly and efficiently in the operating room as alterations in original operative plan spontaneously change.

6. Creates and customizes montages for each implanted patient due to the high volume of inputs (256) multiple sets and multiple montages may be created for each patient.

7. Prepares and records patients undergoing Wada testing in the operating room setting.

8. The specialist will connect, record and analyze data from minimally invasive Foramen Ovale electrodes.

9. Must be able to accurately identify the proper sample rate and recording protocol unique for each implanted patient.

10. Collaborates with our Intraoperative colleagues performing language and motor mapping studies on our implanted patients. As stimulation is applied, specialist will actively document settings and responses by patient.

11. Specialist must be able to send studies over the network, recognize when studies have switched to local recordings and transfer studies between networks.

12. Specialist must be able to work independently and be proficient in accessing studies remotely.

13.Must be able to troubleshoot issues arising from multiple pieces of equipment i.e... Acquisition units, multiple types of headboxes, nurse alarm stations, review stations.

14. Shows initiative and willingness to take on additional responsibilities. Works closely with chief technologist on special projects.

15. Participates in research projects by members of our multidisciplinary team.

16. Must be able to participate in a rotating on -call schedule between other members of the team.

Skills/Competencies Required:

1.Graduate of a Neurodiagnostic Training program

2.The Epilepsy Specialist II must be registered by the American Board of Registration of EEG(R.EEGT by ABRET).

3. Must have a minimum of five years' experience in a Long Term Monitoring

4. Epilepsy Certification in Long Term Monitoring (CLTM by ABRET) preferred

Physical Requirements

  • Standing Frequently (34-66%)
  • Walking Frequently (34-66%)
  • Sitting Occasionally (3-33%)
  • Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
  • Carrying Frequently (34-66%) 20lbs - 35lbs
  • Pushing Occasionally (3-33%)
  • Pulling Occasionally (3-33%)
  • Balancing Frequently (34-66%)
  • Stooping Occasionally (3-33%)
  • Kneeling Occasionally (3-33%)
  • Crouching Occasionally (3-33%)
  • Crawling Rarely (Less than 2%)
  • Reaching Frequently (34-66%)
  • Gross Manipulation (Handling) Frequently (34-66%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)


The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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