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FALL 2015 CSD 491 – Audiology Monday and Wednesday 9:00-10:15 am CTW Room 411 Course Instructor: Anne Olson, PhD, CCC/A University of Kentucky College of Allied Health Sciences 900 South Limestone, Room 124 J Lexington, KY 40536-0002 Contact Numbers: 859-494-2224 (Cell) 859-218-0572 (Office) Contact e-mail: [email protected] (preferred method of contact) Office Hours: Mon. and Wed. 10:30-11:30 am or by appointment, Room 124 J Course Website: https://uky.edu/canvas Course Description: Introduction to profession of audiology, instrumentation and assessment techniques for the identification of normal and disordered auditory systems. Opportunities will be provided to obtain practicum experience in the identification of and management of hearing disorders. This course helps meet the required ASHA standard in the area of professional coursework in audiology and hearing disorders. ASHA Standards: Satisfactory completion of this course is intended to assist students in meeting the following sections of the ASHA Standards for the Certificate of Clinical Competence in Speech-Language Pathology, effective September 1, 2014 Standard IV-C: The applicant must have demonstrated knowledge of communication and swallowing disorders and differences, including the appropriate etiologies, characteristics, anatomical/physiological, acoustic, psychological, developmental, and linguistic and cultural correlates in …hearing, including the impact on speech and language Standard IV-D For each of the areas specified in Standard IV-C, the applicant must have demonstrated current knowledge of the principles and methods of prevention, assessment, and intervention for people with communication disorders Standard V-B The applicant for certification must have completed a program of study that included experiences sufficient in breadth and depth to achieve the following skills outcomes: Evaluation a. Conduct screening and prevention procedures (including prevention activities). b. Collect case history information and integrate information from clients/patients, family, caregivers, teachers, and relevant others, including other professionals. c. Select and administer appropriate evaluation procedures, such as behavioral observations, non-standardized and standardized tests, and instrumental procedures. d. Adapt evaluation procedures to meet client/patient needs. e. Interpret, integrate, and synthesize all information to develop diagnoses and make appropriate recommendations for intervention. f. Complete administrative and reporting functions necessary to support evaluation. g. Refer clients/patients for appropriate services. Course objective ASHA standard addressed Standard IV – D and V-B Knowledge conveyed by Knowledge and skill acquisition demonstrated by Class lectures, readings, discussion and labs Exam, Lab checkout, audiology notebook, observation Identify etiologies of common disorders and syndromes related to the outer, middle and inner ear and auditory system and their correlates. Standards IV- C, IV D Exam, audiology notebook, observation Describe and perform basic hearing screening procedures including non-diagnostic otoscopy, pure tone air, immitance screening and Otoacoustic Emission (OAE) Standard V-B Class lectures, readings, assignments and discussion Class lectures, readings, discussion, lab assignments Describe assessment /screening audiometric procedures including how and why they are conducted. Audiometric skills check out 1 Describe audiometric findings in terms of degree, type and configuration of hearing loss and perception of speech and underlying etiologies Standards IV-C, IV-D and V-B Class lectures, readings, discuss, assignments Quiz, HW, exam, audiology notebook , observation, skills checkout Expected Student Outcomes: At the end of the semester, by reading the text, attending class, participating in activities and discussions, completing audiological lab assignments, performing a final audiological screening skills check out, and completing exams, students will demonstrate progress toward the following learning outcomes. . 1. Describe screening and assessment audiometric procedures including how and why they are conducted and demonstrate ability to interpret such procedures. 2. Identify etiologies of common disorders and syndromes related to the outer, middle and inner ear and auditory system and their correlates. 3. Describe and perform basic hearing screening procedures including non-diagnostic otoscopy, pure tone air, immitance screening and Otoacoustic Emission (OAE). 4. Describe audiometric findings in terms of degree, type and configuration of hearing loss and perception of speech and underlying etiologies. Text: Survey of Audiology: Fundamentals for Audiologists and Health Professionals.(Second Edition) Debonis, D. and Donohue, C. (2008) Allyn and Bacon Publishers ; ISBN# 978-0-205-53195-0 Chapter 1 *Chapter 2 *Chapter 3 Chapter 4 Chapter 5 Chapter 6 Chapter 7 Chapter 8 Chapter 11 Audiology…. …………………………….Read thoroughly Acoustics and Clinical Application…… Read thoroughly pages 26-53 A&P of Ear …………………………….. Review as needed Pure tone testing ……………………….. Read thoroughly Speech Audiometry…………………….. Read thoroughly through page 149 Physiological Assessment of Ear……… Read thoroughly Disorders…………………………………Read thoroughly through page 261 Pediatric Audiology…………………….. Read thoroughly Screening………………………………… Read thoroughly *Recorded lecture material will be provided that covers chapters 2 and 3 Additional Reference: American Speech-Language-Hearing Association. (1994) Audiologic Screening.[Technical report]. Available at www.asha.org/policy How you will be evaluated: 1. Completion of 4 HW assignments: Audiology HW assignments will be discussed in class and listed on Canvas. 2. Completion of 4 quizzes– Quizzes will be based on readings, lectures, case studies, and videos viewed. They will take place either in class or online and announced in class. The tentative dates are listed in the syllabus. 3. Final Exam: Will be cumulative as the content throughout the semester builds on itself. 4. Completion of Audiology Notebook. This notebook will contain key topics in audiology that you will create to use in your future counseling/education and professional interactions with patients and their families. Each notebook should be well organized for future use and should AT A MINIMUM INCLUDE : Picture of ear with critical landmarks labeled Blank Audiogram with speech sounds, Count the Dot audiogram Definitions and examples of various types of HL illustrated on an audiogram List development of auditory skills Speech Cues available by frequency 2 List and description of assessments used in audiology. Describe how it’s performed, why it is useful, provide any normative values for interpreting results and a blank form (if appropriate) to help illustrate how findings are reported. o PTA- headphones, soundfield, otoscopy, Conditioned play audiometry, Visual Reinforced audiometry, ABR, OAE, tympanometry, HHIE and SIFTER List of Degrees of Hearing loss and definitions (unless already provided on blank audiogram) Common Etiologies with symptoms, characteristics and audiometric findings for at least: o Otitis Media, Otosclerosis, ET Dysfunction, TM Perforation o NIHL, Meningitis, Presbycusis, Meniere’s Disease, Acoustic Neuroma, Diabetes, ototoxicity o common syndromes related to hearing loss 5. Completion of Labs: Students will complete labs and bring to their skills check out in a folder with your name on it. o Lab 1 Otoscopy inspections x 2 classmates o Lab 2 Pure tone air screening x1 adult and 1 child > 5 years old o Lab 3 PTA & Bone x 1 classmate o Lab 4 Tympanogram x 2 classmates o Lab 5 Otoacoustic Emission x 2 classmates o Lab 6 Screening Questionnaires Screening Instrument for Targeting Educational Risk (SIFTER) x 1 school age child Hearing Handicap Inventory (HHI-E or HHI-A) x 1 adult 6. Skills Check Out: Students will perform selected tests on a partner (PTA, OAE, tympanometry). These will take approximately 30 minutes per pair to complete and will be scheduled early in the semester for Wednesday, November 18th, Thursday November 19 or Friday, November 20 - these dates are tentative and subject to change. Additional responsibilities: o Students are responsible for obtaining all class notes, printing out lectures and assignments. Daily lecture materials, videos and HW assignments will be posted and submitted through Canvas (https://elearning.uky.edu) o Class attendance expected and monitored. It is in your best interest to attend and participate in class because both are components of active learning. Active learners have been shown to retain information better than passive learners. Attendance, tardiness and student participation will be taken into consideration when grades are assigned. o The opportunity for class and lab participation is provided through periodical group and individual daily questions. It is in your best interest to participate with these o If students are unable to take an exam or quiz at the scheduled time, they must discuss the reason for the excused absence (in accordance with those outlined by the University Ombud) with the instructor in advance before a rescheduling date can be determined. Notes o o o If you have a documented disability that requires academic accommodations, please see me as soon as possible during office hours in order to received accommodations in this course. You must provide me with a Letter of Accommodation from the Disability Resource Center (Suite 407 of the Multidisciplinary Science Building, 725 Rose Street, 0082. Phone: 257-2754, email address [email protected] for coordination of campus disability services available to students with disabilities. Undergraduate students will be provided with a midterm evaluation of course performance based on criteria in syllabus. Response to Student Communication: Responses to emails will be provided by instructor, usually within 48 hours. In an emergency, please call my cell or office phone listed above. 3 Student Conduct and Responsibilities Excused Absences: Acceptable reasons for excused absences are listed in Student Rights and Responsibilities, Section 5.2.4.2. Briefly, these include illness, death of someone in the student’s immediate family, University sponsored trips, major religious holidays, and other circumstances the instructor finds reasonable. Make-up Work: Students will be allowed to make-up work only with an excused absence. Late Assignments: Will be graded with an automatic point deduction proportional to the assignment (25% per day). Students with excused absences may turn in assignments late as long as approved by professor. Cheating and Plagiarism: Students are expected to abide by the University of Kentucky Students Rights and Responsibilities. Descriptions of what constitutes cheating and plagiarism are found in Sections 6.3.1 and 6.3.2. Be aware that the minimum punishment for either of these offenses is an “E” in the course. ADDITIONAL MEETING TIME OUTSIDE OF SCHEDULED CLASSES needed for Audiometric Skills checkout. You will sign up for one of the times below. Purpose Skills checkout Skills Checkout Skills Checkout Location Audio suite Audio Suite Audio Suite Date Nov 18 (W) Nov 29 (Th) Nov 20 (F) Time 30 minute slot between 2:00-4:00 30 minute slot between 8:30– 4:00 30 minute slot between 8:30- noon GRADING Class # 1 Source HW x 4 (5 points each turned in at the beginning of class and graded) LABS 1-6 Audiology Notebook Audiometric Skill check out Quiz x4 (50 points each) Final Exam Points 20 Total Points for CD 420 400 30 25 25 200 100 Date Topic/Activity Text Aug 26 Aug 31 Profession of Audiology / Intro Clinical Applications (speech cues by frequency, threshold of hearing, decibel scales, pathways of sound, AC & BC) Clinical Applications (air and bone relationships, audiograms, degrees of HL, symbols used, ) Labor Day Ch 1 Ch 2 (26-34) Clinical Applications (speech sounds, environmental acoustics, S/N, reverberation) Equipment & Calibration (transducer, masking, audiometric 0, headphones) Ch 2 (45-53) 2 Sept 2 3 Sept 7 4 Sept 9 5 Sept 14 Scale A: 360-400 B: 320-359 C: 280-319 D: 240-279 E: <240 Notes Ch 2 (34-45) NO CLASS HW 1 Ch 4 (84-91) 4 6 Sept 16 Screening Otoscopy Ch 11 7 Sept 21 8 Sept 23 9 Sept 28 Audiological Measures – Subjective Pure tone air and bone Audiological Measures – Subjective Pure tone air Group 1 – Audio Suite Ch 4 (91-101 Ch 4 (91-101 See Canvas for assignments 10 Sept 30 Group 2 – Audio Suite 11 Oct 5 12 Oct 7 Audiological Measures – Subjective Masking in pure tone Audiological Measures – Subjective Masking in pure tone See Canvas for Group Assignments Ch 4 (101-124) Ch 4 (101-124) 13 Oct 12 14 Oct 14 15 Oct 19 16 Oct 21 17 Oct 26 Audiological Measures – Subjective Speech Audiometry Audiological Measures – Objective Immitance – Tympanometry Audiological Measures – Objective Immitance – Acoustic Reflexes Audiological Measures – Objective Otoacoustic Emissions Group 1 – Audio Suite 18 Oct 28 Group 2 – Audio Suite 19 Nov 2 20 Nov 4 21 Nov 9 Audiological Measures – Objective Aud. Evoked Potentials Audiological Measures – Objective Aud. Evoked Potentials Disorders – Outer Ear 22 Nov 11 Disorders – Middle Ear 23 Nov16 Disorders – Inner Ear 24 Nov 18 Nov 18, 19 and 20- Disorders – Inner Ear Audio Suite (sign up in pairs for one of these 3 dates) 25 Nov 23 Disorders – Inner Ear 26 Nov 25 Nov 30 Wednesday of Thanksgiving week Disorders – CANS 27 28 29 Dec 2 Dec 7 Dec 9 Pediatric Audiology Prevention Review Ch 5 (125-165) Ch 6 (169-183) Ch 6 (184-195) Ch 6 (196-202) Quiz 1 Lab1 otoscopy Lab 2 pure tone air Lab 3 Pure tone bone Lab 1 otoscopy Lab 2 pure tone air Lab 3 pure tone bone HW 2 Quiz 2 HW 3 Lab 4 (tympanometry) Lab 5 (OAE ) Lab 4 (tympanometry) Lab 5 (OAE) Ch 6 (202-228) Quiz 3 Ch 7 (233-238) Ch 7 (238-248) NO Face to Face Class but lecture recorded for online reviewing Ch 7 (248-258) *Audio Skills Checkout *Audiometric Notebook due on day of your Audio Skill checkout * All Labs due at your audio skills checkout date Ch 7 (248-258) NO CLASS Ch 7 (258-261) Ch 8 Ch 8 Quiz 4 DEAD WEEK DEAD WEEK 5 Dec 16 Wednesday, 8:00 AM CTW 411 Final Exam RUBRICS Rubric for Labs - 30 points 5 points each Lab Lab 1 PTA and Bone threshold test (classmate ) Lab 2 Otoscopy ( classmate)) Lab 3 –PT A screen -( 1 child, 1 adult) Lab4 Tympanometry (classmate) Lab 5– OAE (classmate) Lab 6 Screening Questionnaires (HHIE and or SIFTER) Rubric for Audiology Notebook - 25 points Outstanding (3) Good (3) Poor / absent(1) Audiograms with different degrees and types of HL Blank audiograms and audiograms with speech sounds Common etiologies and brief descriptions of CHL and SNHL List and description of development of auditory skills Speech Cues available by frequency List and description of assessments used in audiology. Picture of ear with landmarks Organization Future Use (indexed or TOC ) Neatness for future professional use 6 Rubric for Skills Check Out: Demonstration of pure tone hearing screening, tympanometry, OAE (25 points) Adequate Inadequate PTA Directions (1) Headphone placement (1) Seating (1) Presentation method (1) Recording method (1) Start in better ear (1) Explanation of audiogram and result (5) OAE Directions(1) Placement of probe(1) Recorded result (1) Interpretation of result(4) TYPANOGRAM Directions(1) Placement of probe(1) Ability to obtain a seal (1) Interpretation of result (4) 7