Contracts, Tariffs & the Economic Squeeze on IONM

Hot off the press: new CNIM and neurologist data, insights into rising attrition, and what the numbers mean for the future of neuromonitoring. Plus, Rich answers a listener question on how to build a consulting career in IONM, from clinical expertise to LinkedIn presence. Join the discussion on Reddit: r/RichVogel

In Part 2 of Rich’s conversation with entrepreneur and med tech leader Logan McKnight, the conversation evolves into what it really takes to build (and rebuild) trust in leadership. From navigating layoffs and pay cuts to owning mistakes, Rich and Logan discuss candid lessons on culture, vulnerability, and accountability. They also touch on inspiration from Taylor Swift’s wisdom and Mel Robbins’ Let Them movement, highlighting why authentic leadership matters now more than ever. This is Part 2 of a 2-Part interview.

In this episode of the Stimulating Stuff Podcast, host Rich Vogel sits down with Logan McKnight, an entrepreneur and med tech leader, to delve into the challenges and triumphs of leadership in healthcare. From navigating the complexities of neuromonitoring to launching a groundbreaking Leadership Coaching program, Logan shares insights on fostering sustainable leadership and aligning personal values with professional goals. Listen in for an engaging conversation that explores the importance of authenticity, the pitfalls of management, and the power of community in driving change. Don't miss this opportunity to learn from two industry leaders who are passionate about empowering others. This is Part 1 of a 2-Part interview.

In this episode of Stimulating Stuff, Rich Vogel sits down with David Zimmerman—neurophysiologist, educator, and innovator in intraoperative neurophysiological monitoring (IONM). David shares his journey from neuroscience student to OR expert, blending technical skills, teaching insights, and a passion for advancing the field.Rich and David discuss what makes great training, the importance of communication under pressure, the role of AR/VR in neurodiagnostic education, and how networking at professional societies can transform a career. Whether you’re in IONM or any high-stakes clinical environment, this conversation is packed with lessons on skill-building, mentorship, and staying curious.

Thrown into leadership without a life jacket? You’re not alone. In this episode, Rich Vogel shares his TED talk on thriving as a first-time manager in healthcare, where promotions often come with zero training and sky-high expectations.Rich reflects on his own struggles—firing people wholesale, burning out after 100+ hour weeks—and the lessons that helped him evolve into a successful leader. Learn how to “manage up” to your boss, “manage down” to your team, and navigate the delicate balance between authority and empathy.If you're new to management (or mentoring someone who is), this episode will give you practical strategies to stay afloat and lead well in even the most chaotic environments.

In this episode, Jess Barley and Leah Hanson join Rich to discuss an innovative new subdermal needle electrode designed to reduce needlestick injuries. This is a conversation among experts about clinician safety, thoughtful design, and the future of neurodiagnostics. Learn how a simple redesign can improve patient care, protect healthcare workers, and reshape professional relationships in high-stakes clinical environments. BONUS MATERIAL:MUSC News: FDA approves the Guardian Needle, a solution for reducing accidental needle sticksMUSC News: Guardian Needle, MUSC Health clinicians' safer neuromonitoring needle design, debuts in OR

In this wide-ranging episode, Rich answers two listener questions: one about constitutional rights in employment contracts, and another about how tariffs could impact neuromonitoring. From misinformation about free speech to the downstream effects of trade policy on electrode prices, hospital margins, and tech salaries—this episode dabbles in the complex economic forces impacting IONM.

Rich follows up on the IONM case volume crisis with a deeper dive into workforce trends, generational turnover, and listener comments from YouTube. From rising CNIM attrition and Gen Z job-hopping to the stalled fight for licensure and systemic disrespect for technologists, this episode asks hard questions and doesn’t hold back. If we want a future for neuromonitoring, it starts with honest conversations like this.

Rich takes on one of the most debated questions in neuromonitoring: How many IONM cases are actually performed each year in the U.S.? Spoiler—most published numbers are wrong. In this data-packed episode, he breaks down the flaws in major databases, estimates true volume using CNIM data, and forecasts where the profession is headed. If you care about the future of IONM, this episode is a must-watch. NOTE: strong recommendation to watch this on Spotify or YouTube. Link:

In this heartfelt and unfiltered episode, Rich reflects on his ASNM Presidency—sharing hard-won insights, leadership lessons, and the invisible work that fueled one of the society’s most impactful years. From record-breaking attendance and research growth to policy wins, digital engagement, and the power of collaboration, this episode is a masterclass in purpose-driven leadership.