ASPN Programs · Certification
MISN Certification
Minimally Invasive Spine and Neuromodulation
Advance your skills in minimally invasive spine and neuromodulation with ASPN's structured 12-month program — renamed from 2025's MIS Certification when Neuromodulation was added.
Applications close July 31, 2026
Applications closed

Program leadership
Program overview
Two 12-Month Pathways
Pathway 1
$1,000
Certification of Participation — ASPN Fundamentals of MISN Course
- 10-part virtual didactic series
- 100-question written exam
- No hands-on, no mentor site visits, no procedure certification
Who it's for: Participants seeking a structured foundation in MISN principles without procedure certification.
Pathway 2
Starts at $2,000
MISN Certification (1, 2, or 3 procedures)
- 10-part virtual didactic series
- 100-question written exam
- Hands-on practical exam at the ASPN Annual Meeting 2027
- 2–3 site visits with an assigned mentor for observation
- Regular mentor meetings to plan and debrief cases
Who it's for: Participants pursuing procedure-specific certification with guided mentoring and assessment.
Quarterly structure
Both pathways follow the same four themed quarters.
Q1
Fundamentals of MISN and Neuromodulation
Q2
Fundamentals of pedicular access and anterior column procedures
Q3
Sacroiliac Complex Interventional Management
Q4
Spinal stenosis treatment with or without arthrodesis
What to expect
- Format
- 10 virtual didactics + written exam; practical exam (Certification pathway only) at ASPN 2027.
- Mentorship
- Assigned mentor; 2–3 observation site visits; regular planning/debrief meetings (Certification pathway).
- Outcome
- Certificate of Participation (Fundamentals) or procedure-specific MISN Certification (1–3 procedures).
FAQ
How long is the program?
Twelve months, divided into four themed quarters.
What's the difference between Fundamentals and MISN Certification?
Fundamentals includes didactics and a written exam only. MISN Certification adds mentoring, site visits, and a practical exam, leading to procedure-specific certification.
Where is the practical exam held?
At the ASPN Annual Meeting in 2027.
Can I add procedures later?
Applicants may select 1–3 procedures within the Certification pathway. (Details on additions/changes will be provided upon acceptance.)
Note: MISN is a standalone ASPN certification, distinct from the Intracept Certification Course (the invitation-only pre-conference course on the annual-meeting hub). Looking for mentorship rather than certification? See MINDset.
Apply today
Certify with intention
Build advanced minimally invasive spine and neuromodulation skills through structured didactics, mentored site visits, and procedure-specific assessment.
Apply now (opens in new tab)Applications close July 31, 2026


