Clinical Education in Audiology - American Academy of Audiology

100 Pages·2011·8.83 MB·English

SepOct2011
The magazine of, by, and for audiologists
Clinical
Education in

Audiology:
A Case of the Emperor’s
New Clothes
Can You Unbundle and
Stay in Business?
Wires in a Wireless World
Speech Perception Performance
Published by the American Academy of Audiology | www.audiology.org
Turning Insights
Into Action
Introducing...
...ConnectLine
Microphone
When selecting Through enduser insights, Oticon has learned that it isn’t just about the
peripheral hearing system we are supporting: it’s the whole person. A holistic
hearing instruments,
approach to audiology recognizes that patients’ auditory abilities and cognitive
there is no such thing
skills differ and the key to true client satisfaction lies in treating the person as
The ConnectLine Family of Solutions Just Got Bigger. restaurants, by improving the signal to noise ratio for
as one size fits all. an individual.
Oticon is pleased to introduce ConnectLine Microphone, conversation. Discreetly worn by the communication
The Oticon product portfolio empowers people to communicate freely, a new companion microphone solution for use with partner, ConnectLine Microphone provides wireless
interact naturally and participate actively. Oticon Streamer and compatible instruments. input to the user’s hearing instruments via Oticon
ConnectLine Microphone is designed to help users in Streamer.
PPEERRFFOORRMMAANNCCEE DDEESSIIGGNN PPOOWWEERR PPAEDEDIAITATRRICISCS very challenging listening situations, such as cars and
ConnectLine Microphone joins ConnectLine TV,
PREMIUM Agil
ConnectLine Phone, and Streamer to help instrument
users wirelessly connect with everyday communication
ADVANCED Acto Dual Chili Safari ConnectLine devices.
Streamer
ESSENTIAL Ino
CONNECTIVITY ConnectLine Phone adapter
TV adapter ConnectLine
FM Amigo Microphone
Learn more at oticonusa.com or call 1.800.526.3921
For more information about Oticon ConnectLine, call your Oticon
representative at 1.800.526.3921 or visit us online at www.oticonusa.com.
Turning Insights
Into Action
Introducing...
...ConnectLine
Microphone
When selecting Through enduser insights, Oticon has learned that it isn’t just about the
peripheral hearing system we are supporting: it’s the whole person. A holistic
hearing instruments,
approach to audiology recognizes that patients’ auditory abilities and cognitive
there is no such thing
skills differ and the key to true client satisfaction lies in treating the person as
The ConnectLine Family of Solutions Just Got Bigger. restaurants, by improving the signal to noise ratio for
as one size fits all. an individual.
Oticon is pleased to introduce ConnectLine Microphone, conversation. Discreetly worn by the communication
The Oticon product portfolio empowers people to communicate freely, a new companion microphone solution for use with partner, ConnectLine Microphone provides wireless
interact naturally and participate actively. Oticon Streamer and compatible instruments. input to the user’s hearing instruments via Oticon
ConnectLine Microphone is designed to help users in Streamer.
PPEERRFFOORRMMAANNCCEE DDEESSIIGGNN PPOOWWEERR PPAEDEDIAITATRRICISCS very challenging listening situations, such as cars and
ConnectLine Microphone joins ConnectLine TV,
PREMIUM Agil
ConnectLine Phone, and Streamer to help instrument
users wirelessly connect with everyday communication
ADVANCED Acto Dual Chili Safari ConnectLine devices.
Streamer
ESSENTIAL Ino
CONNECTIVITY ConnectLine Phone adapter
TV adapter ConnectLine
FM Amigo Microphone
Learn more at oticonusa.com or call 1.800.526.3921
For more information about Oticon ConnectLine, call your Oticon
representative at 1.800.526.3921 or visit us online at www.oticonusa.com.
NEw! Bone Conduction
Hearing Solution
Introducing the new Cochlear
™
Baha 3 Power Sound Processor
®
The most powerful head-worn Baha transducer
Excellent Sound Clarity & Better Sound Quality
Thinnest Programmable Power Processor
Better Fitting Outcomes Made Easier
To learn more about the new standard for advanced bone conduction
hearing solutions, visit http://professionals.cochlearamericas.com
Cochlear, and the elliptical logo are trademarks of Cochlear Limited. Baha is a registered
trademark of Cochlear Bone Anchored Solutions AB, a Cochlear Group Company.
BUN047 ISS1 JUL11
CCoonnttEEnnttss
NEw! Bone Conduction
Hearing Solution
Introducing the new Cochlear
™
Baha 3 Power Sound Processor
®
The most powerful head-worn Baha transducer
SepOct2011
Volume 23 No.5
18 Clinical Education in Audiology: the Emperor’s new Clothes Many of us feel a bit
like the emperor and his subjects when it comes to clinical education in audiology.
We have a nagging feeling that the whole enterprise does not quite make sense.
By Virginia Ramachandran
28 A Quick Look at ocular Vestibular-Evoked Myogenic Potentials In the mid–1990s,
several investigators observed that particular neurons in the vestibular system
of cats, called “irregular neurons,” were activated by low-frequency acoustic
stimulation. This led some to investigate the possibility of using acoustic
stimulation to measure the function of the vestibular system.
By Devin L. McCaslin and Erin G. Piker
36 Myth Busters: Can You Unbundle and stay in Business? Learn more about the
myths related to hearing aid billing practice models including an introduction to
new evidence related to unbundled billing.
By Stephanie Sjoblad and Barbara Winslow Warren
46 Limitless Wires in a Wireless World It is so easy to get swept up in the swift current
of technology, lose your bearings, and wind up floating aimlessly in an uncharted
ocean. It is time to analyze what it takes to fit the ever advancing and supremely
Excellent Sound Clarity & Better Sound Quality
complex hearing instruments and accessories.
By Bre Myers
Thinnest Programmable Power Processor
52 Evaluating speech Perception Performance While studies often report speech
Better Fitting Outcomes Made Easier perception performance, there is no general agreement regarding choice of test
material, sound intensity levels at which to test, or how to interpret test results.
By Jane R. Madell, Emily J. Klemp, Reva Batheja, and Ronald Hoffman
To learn more about the new standard for advanced bone conduction 58 Educating our Patients About Falls Risk As audiologists who treat at-risk seniors, we
too need to take a patient-centered approach and act as advocates for fall prevention.
hearing solutions, visit http://professionals.cochlearamericas.com By Jeffrey L. Danhauer, Carole E. Johnson, Craig W. Newman, Victoria A. Williams, and
Dennis Van Vliet
70 AAA Foundation Research spotlight This spotlight article features Tiffany Johnson,
PhD, a 2007 recipient of a New Investigator Award.
By David Fabry, Richard Danielson, and Kathleen Devlin Culver
Cochlear, and the elliptical logo are trademarks of Cochlear Limited. Baha is a registered
trademark of Cochlear Bone Anchored Solutions AB, a Cochlear Group Company.
BUN047 ISS1 JUL11
dEPARtMEnts
8 PREsidEnt’s MEssAgE What Sets Us Apart? By Therese Walden
10 ExECUtiVE UPdAtE Coding and Reimbursement Web Seminar Series
By Cheryl Kreider Carey
12 KnoW-hoW Enhancing the Patient Experience Through First
Impressions By Tracey Irene
14 CALEndAR Academy and Other Audiology-Related Dates
16 AUdioLogY.oRg What's New on the Academy's Web Site
76 PUBLiC AWAREnEss They Said What About Audiology? By Patricia Gaffney
78 CAsE stUdY CSI: Audiology By Paul Pessis
82 MoMEnt oF sCiEnCE Easy Listening: Longer Words Can Optimize Speech
Recognition By Kenneth Vaden and Judy Dubno
84 sAA sPotLight Special Olympics World Summer Games, Athens 2011
By Kari Morgenstein
86 Coding And REiMBURsEMEnt Updates and Deadlines
88 ABA The Journey to Certifying the First PASC Audiologists
By John Coverstone
Academy News
90 WAshington WAtCh Take the Pledge for Passage By Melissa Sinden
91 JUst JoinEd Welcome New Members of the Academy
and Student Academy
91 nEWs And AnnoUnCEMEnts Public Policy Resolutions | APEX Excellence in
Publications Award
92 FoUndAtion UPdAtE Phonak Underwrites AN! Lectureship | 2011 Research
Grant Recipients | Donor Spotlight: Melanie Herzfeld
EditoRiAL Mission
The American Academy of Audiology publishes Audiology Today (AT) as a means of communicating information among its members
about all aspects of audiology and related topics.
AT provides comprehensive reporting on topics relevant to audiology, including clinical activities and hearing research, current events, news
items, professional issues, individual-institutional-organizational announcements, and other areas within the scope of practice of audiology.
Send article ideas, submissions, questions, and concerns to [email protected].
Information and statements published in Audiology Today are not official policy of the American Academy of Audiology unless so indicated.
CoPYRight And PERMissions
Materials may not be reproduced or translated without written permission. To order reprints or e-prints, or for permission to copy or
republish Audiology Today material, go to www.audiology.org/resources/permissions/pages/default.aspx.
© Copyright 2011 by the American Academy of Audiology. All rights reserved.
the future is clear!
clear440 FeAtURes iNCLUDe:
Exceptional tools for speech understanding
3D TruSound for exceptional hearing in quiet and in noise
– improves sound quality and intelligibility
– EIDR at 107 dB SPL
– TruSound AOC
– InterEar compression
– Digital pinna (BTE)
– Broadband output up to 10 KHz (in ClearBand model)
– InterEar active feedback canceling
– Frequent update of binaural parametric settings (21 Hz)
– Extended low frequency (to 70 Hz) in music program

TruSound Softener to dampen brief impulse sounds
within 1ms; improves comfort in noise
HD Locator and Speech Enhancer
Proven use of Audibility Extender for people with
a profound hearing loss in the high frequencies
Best-in-Class wireless technology
Robust wireless transmission to ensure non-interrupted
enjoyment of high fidelity sounds
Wireless products in most hearing styles
Dedicated, discreet, and easy use of DEX assistive
listening devices
EchoFree high fidelity stereo sound with TV-Dex
M-Dex allows use of integrated T-coils in all available models,
including RIC
Patient ease of mind
InterEar Zen Sound Therapy Tool for relaxation and tinnitus
management*
Smartspeak verbal messaging system to ensure
optimal use of aids
Lost partner alarm as early warning of missing hearing aid
Compound programs for ease of use
1-800-221-0188 l www.widexpro.com
* Indications for Use: The Zen program is intended to provide a relaxing sound background for adults (21 years and older) who desire to listen to such a background in quiet.
It may be used as a sound therapy tool in a tinnitus treatment program that is prescribed by a licensed hearing healthcare professional (audiologists, hearing aid specialists,
otolaryngologists) who is trained in tinnitus management.
BoARd oF diRECtoRs
PREsidEnt
Therese Walden, AuD
[email protected]
PREsidEnt-ELECt
Deborah L. Carlson, PhD
The American Academy of Audiology promotes quality hearing and balance care Univ. of TX - Medical Branch
by advancing the profession of audiology through leadership, advocacy, education, Ctr. for Audiology & Sp. Path.
[email protected]
public awareness, and support of research.
PAst PREsidEnt
Patricia (Patti) Kricos, PhD
University of Florida
[email protected]
MEMBERs-At-LARgE
Content Editor Executive Editor
E Kimberly Barry, AuD
David Fabry, PhD | [email protected] Amy Miedema, CAE | [email protected] Dept. Veterans Affairs
[email protected]
Editorial Advisors Managing Editor Bettie Borton, AuD
Doctors Hearing Clinic
Mindy Brudereck Joyanna Wilson, CAE
[email protected]
Paul Pessis
Art direction Rebekah F. Cunningham, PhD
Christopher Spankovich A.T. Still University
Suzi van der Sterre [email protected]
Suzanne Kleinwaks
Editor Emeritus Brian Fligor, ScD
Children’s Hospital Boston
Jerry Northern, PhD Editorial Assistant and Harvard Medical School
[email protected]
Kevin Willmann
Thomas Littman, PhD
Factoria Hearing Center Inc.
Web Manager [email protected]
Marco Bovo Devin McCaslin, PhD
Vanderbilt Bill Wilkerson Center
[email protected]
Advertising sales
Erin L. Miller, AuD
Heather Troast | [email protected] | 800-501-9571 ext. 124 University of Akron
[email protected]
Eilene Rall, AuD
Children’s Hospital of Philadelphia
[email protected]
AMERiCAn ACAdEMY oF AUdioLogY oFFiCEs
Main office Capitol hill office David Zapala, PhD
Audiology Section-Mayo Clinic
11730 Plaza America Drive, Suite 300 312 Massachusetts Avenue, NE [email protected]
Reston, VA 20190 Washington, DC 20002
Phone: 800-AAA-2336 | Fax: [phone] Phone: [phone]
Ex oFFiCios
Cheryl Kreider Carey, CAE
Executive Director, American Academy
of Audiology
[email protected]
AMERiCAn ACAdEMY oF AUdioLogY MAnAgEMEnt Kari Morgenstein
President, Student Academy of Audiology
Executive director Cheryl Kreider Carey, CAE | [email protected] [email protected]
Audiology Today (ISSN 1535-2609) is published bimonthly by the
deputy Executive director Edward A. M. Sullivan | [email protected] American Academy of Audiology, 11730 Plaza America Drive,
Suite 300, Reston, VA 20190; Phone: [phone]. Periodicals
postage paid at Herndon, VA, and additional mailing offices.
senior director of Finance and Administration Amy Benham, CPA | [email protected]
Postmaster: Please send postal address changes to
Audiology Today, c/o Membership Department, American
senior director of government Relations Melissa Sinden | [email protected] Academy of Audiology, 11730 Plaza America Drive, Suite 300,
Reston, VA 20190.
Members and subscribers: Please send address changes to
senior director of Meeting services Lisa Yonkers, CMP | [email protected] [email protected].
The annual print subscription price is $115 for US institutions
senior director of Communications Amy Miedema, CAE | [email protected] ($138 outside the US) and $56 for US individuals ($105 outside
the US). Single copies are $15 for US individuals ($20 outside
the US) and $20 for US institutions ($25 outside the US). For
director of Reimbursement and Practice Compliance Debra Abel, AuD | [email protected] subscription inquiries, telephone [phone] or 800-AAA-
2336. Claims for un delivered copies must be made within four
(4) months of publication.
director of industry services Shannon Kelley, CMP, CEM | [email protected] Full text of Audiology Today is available on the following
access platforms: EBSCO, Gale, Ovid, and Proquest.
director of Education Meggan Olek | [email protected] Publication of an advertisement or article in Audiology Today
does not constitute a guarantee or endorsement of the qual-
ity, safety, value, or effectiveness of the products or services
described therein or of any of the representations or claims
made by the advertisers or authors with respect to such prod-
ucts and services.
American Academy of Audiology Foundation Kathleen Devlin Culver, MPA, CFRE | [email protected] To the extent permissible under applicable laws, no responsibil-
director of operations and development ity is assumed by the American Academy of Audiology and its
officers, directors, employees, or agents for any injury and/or
damage to persons or property arising from any use or opera-
American Board of Audiology Managing director Torryn P. Brazell, CMP, CAE | [email protected] tion of any products, services, ideas, instructions, procedures,
or methods contained within this publication.
Recharge.
never think about
batteries again.
20 hours per charge plus a
5 year battery guarantee.
X-Mini Rechargeable RIC • Inductive Charging
• automatic on & off
Finally, a rechargeable hearing device so trouble-free, it will revive your entire • Bluetooth Compatible
practice. Why choose design or technology when you can have both? The new
• 8 natural Colors
AQ X-Mini Rechargeable RIC is the perfect balance of style and substance—
• Elite signal Processing
combining an elegant RIC design with the industry’s best recharging system.
It’s the most sophisticated and trouble-free hearing instrument on the planet. • natural sound
• small, Elegant Case
order today, call 1.888.984.7432
Become a Hansaton provider today.
to learn more about Hansaton products, visit hansaton-usa.com
The environmental bonus.
Every purchase of an AQ hearing system will be rewarded by HANSATON with the planting of a tree. The AQ X-Mini rechargeable battery
technology eliminates environmentally harmful elements contained in conventional batteries. Hansaton, committed to our unique world.
PREsidEnt’s MEssAgE
What sets Us Apart?
Even if you don’t follow popular music
closely, you’ve probably heard of Lady professional. We have rigorous, com-
Gaga. Besides a catchy stage name, petitive academic training programs
she has set herself apart from many in place throughout the country to
of the other contemporary perform- generate educated, prepared young
ers and has “branded” herself and her clinicians and scientists. After the
music quite well. Lady Gaga has set formal coursework, we have a dedi-
herself apart from the rest. cated lifelong continuing education
What sets audiology apart? How mandate. We read journals, attend
are we branding ourselves and our conferences, engage in on-demand
profession? What are we doing to learning with a plethora of Academy
ensure that audiologists are known eAudiology options, and we attend
as the preferred health-care provider the premier continuing education
for hearing and balance wellness? event of all—AudiologyNOW! We set
The profession has come a long way ourselves apart through education.
since its “birth” during World Wars Second: Publications. Our own
I and II. In an excellent monograph peer-reviewed audiology publication, our patients. We set ourselves apart
published in Audiology Today in the Journal of the American Academy through advocacy.
January 2002, Moe Bergman, EdD, of Audiology is a highly respected Finally: You and Me. We have
provided a detailed and illustrative journal that has broad appeal to each other. Each time we diagnose
historical record of the “origins of clinicians and researchers alike a treatable hearing loss in a three-
audiology.” This is a must-read for and our Audiology Today magazine month-old, each time we hold the
everyone in the field. Decades later, is contemporary, informative, and hand of an Alzheimer’s patient and
from these auspicious beginnings, award-winning! We set ourselves help guide the hearing aid into his
the profession of audiology is still apart through publications. or her ear, each time we perform the
“fashioning itself as a service profes- Third: Advocacy. We have a balance assessment that aids in the
sion” (to paraphrase Dr. Bergman!). vibrant and growing PAC (Political diagnosis of a debilitating vestibular
That’s who we are, what we do— Action Committee) that is dedicated disorder, and each time we acti-
we provide a service. Whether that to helping our elected (federal) offi- vate the newly implanted cochlear
service is as a clinician, a researcher, cials understand the importance of implant and see the tears stream
an academic, a hearing conserva- unfettered accessibility to audiologi- down the patient’s face, we set our-
tionist, a hearing scientist, etc., we cal services for their constituents. selves apart. No one can do what we
provide a valuable and necessary We have a State Leaders Network do as audiologists. No one.
service to our customers. To con- and many state audiology organiza-
tinue to build on our reputation as a tions that work on the local level to
“service profession” we must continue educate elected officials about the
to brand ourselves and the service importance of the provision of audio-
we provide. How do we do that? Let logical care.
me point out a few ways we achieve We have increased our voice and
audiology branding. presence within the federal legisla- Therese Walden, AuD
First: Education. We do this tive and regulatory entities that help President
really well from student to seasoned define how we provide our service to American Academy of Audiology
8 Audiology Today | SepOct2011