Audiology Core Competencies Worksheet

Transcription

1 Audiology Core Competencies Worksheet The Audiology Core Competencies worksheet is a reference document to guide expectations related to the expected level of competence prior to the initiation of the finalyear externship. A few examples with a key to the worksheet is provided below. The marked level of competency for each skill is a recommendation only. These recommendations are made with due acknowledgment of individual differences. For some advanced and tertiary skills, no (expected) recommendations are provided, as not all students may have had the opportunity to begin developing those skills before the externship. = ected AUDIOLOGY CORE COMPETENCIES Student Name: 10% 20% 30% 40% 70% PATIENT INTERVIEW/AUDIOLOGIC CASE HISTORY Exhibits professional behavior during interactions Asks appropriate questions Asks appropriate follow-up questions Uses both open and closed questions Facilitates a professional atmosphere Puts the patient at ease OTOSCOPY Demonstrates knowledge and use of equipment Uses appropriate skill technique Uses accurate and professional description of findings Makes appropriate referrals 1

2 10% 20% 30% 40% 70% IMMITTANCE TESTING Thoroughly demonstrates tympanometry technique Thoroughly demonstrates acoustic reflex threshold technique Thoroughly demonstrates acoustic reflex decay technique Accurately records results Exhibits an understanding and significance of test results for both pediatric and adult populations SPEECH RECEPTION THRESHOLD TESTING Thoroughly sets up equipment and operates VU meter control for MLV and use of recorded speech Demonstrates SRT technique to obtain valid thresholds Appropriately demonstrates masking technique for SRT PURE-TONE TESTING BY AIR CONDUCTION Thoroughly demonstrates pure-tone sequence and threshold technique Accurate records results Manages difficult-to-test patients: false-positives, false negative; pediatrics; non-organic hearing loss Demonstrates appropriate/accurate masking technique PURE-TONE TESTING BY BONE CONDUCTION Demonstrates bone oscillator placement/masking transducer placement Exhibits sequence and technique Accurately records results Demonstrates appropriate/accurate masking technique 2

3 10% 20% 30% 40% 70% WORD-RECOGNITION TESTING Thoroughly sets up equipment and operates VU meter control for MLV and use of recorded speech Exhibits presentation level with rationale Accurately records results Demonstrates appropriate/accurate masking technique INTERPRETATION AND COUNSELING Appropriately describes audiogram, hearing loss severity, speech findings, and acoustic immittance testing Integrates data for differential diagnosis Demonstrates knowledge of and implements aural rehabilitation Provides general patient counseling skills Provides family counseling skills Provides educational counseling Gives appropriate recommendations EAR IMPRESSIONS Demonstrates bracing technique Exhibits otoblock placement depth Demonstrates impression removal Demonstrates otoscopic re-examination Provides overall quality of impression OTOACOUSTIC EMISSIONS TESTING Shows knowledge of TEOAE and DPOAE Demonstrates testing technique (probe insertion) Shows ability to interpret/integrate results 3

4 10% 20% 30% 40% 70% NEURODIAGNOSTIC ABR Demonstrates knowledge of equipment parameters Identifies waveforms Exhibits knowledge of waveform morphology Exhibits knowledge of normative data (latencies etc.) Exhibits knowledge of various electrode montages TONE BURST THRESHOLD SEARCH ABR Demonstrates knowledge of equipment parameters Identifies waveforms Exhibits knowledge of waveform morphology Exhibits knowledge of normative data (latencies etc.) Exhibits knowledge of various electrode montages VESTIBULAR ASSESSMENT BASIC Evaluates vestibular case history Asks appropriate questions Asks appropriate follow-up questions Uses both open and closed questions ENG/VNG Determines if use of pharmacologic agents will affect outcome Administers each test in battery Accurately administers water caloric Accurately administers air caloric Accurately interprets results 70% Makes appropriate referrals and recommendations 70% 4

5 10% 20% 30% 40% 70% VESTIBULAR REHABILITATION THERAPY Patient preparation and instructions Appropriate determination of VRT procedures Correctly performs canalith repositioning manuever CERUMEN MANAGEMENT Determines appropriate instrument for cerumen removal Demonstrates CM technique lavage Demonstrates CM technique curette Demonstrates CM technique suction Exhibits the ability to perform skill with minimal patient discomfort HEARING AID EVALUATION HEARING AID SELECTION Appropriately selects test battery to support HA selection process (MCL, LDL, COSI, HHHI, lifestyle assessments, QuickSIN, TEN test, etc.) Accurately performs test battery Demonstrates knowledge of hearing aid technology Selects appropriate technology based on test performance and patient needs Counsels patient successfully on hearing aid choices HEARING AID FITTING Exhibits ability to insert earmold/device into ear Accurately trims earmold tubing length Exhibits ability to determine appropriateness of fit (likeliness of discomfort, feedback, etc.) Instructs patient on care and use according to patient's level of understanding HEARING AID PROGRAMMING Prepares patient with accurate device and programming software setup Successfully manipulates program software to support optimized performance of devices (able to change output, compressions settings, feedback and program management, etc.) 5

6 10% 20% 30% 40% 70% HEARING AID VERIFICATION Sets up and performs functional gain measurement Sets up and performs probe-microphone measurement Sets up and performs RECD protocols Recognizes changes required based on verification outcome Recognizes device limitations and counsels patient appropriately based on verification outcomes HEARING AID TROUBLESHOOTING/REPAIRS Systematically evaluates device performance to determine cause of malfunction Performs electroacoustic analysis in determining device function Successfully performs in-office repair (tube/filter change, receiver/microphone cleaning, etc.) Determines need for manufacturer repair FM SYSTEMS AND ALDs SPECIALTY TESTING Performs electroacoustic analysis in determining device function Performs tone decay Performs Lombard voice-reflex test Performs conditioned play audiometry Performs visual reinforcement audiometry Performs behavioral observation audiometry Performs tuning fork tests APD TESTING Obtains case history Selects appropriate AP tests and administers AP test battery Accurately analyzes and interprets AP test results Makes appropriate referrals and recommendations for therapy PROFESSIONALISM Demonstrates overall professional demeanor 6

7 10% 20% 30% 40% 70% RECORD KEEPING Completes appropriate report of basic auditory assessment Completes appropriate report of basic vestibular assessment Completes appropriate ABR report Provides professional report of advanced studies TERTIARY SKILLS Exhibits rotary chair skills Exhibits CDP skills Exhibits CDVA skills Exhibits MLR/P300/ BioMark skills Exhibits ASSR skills Exhibits ECOCHG skills Exhibits VEMP skills Exhibits intra-operative monitoring skills TINNITUS Obtains case history and complete tinnitus questionnaire Administers tinnitus evaluation Makes appropriate referrals and recommendations for treatment Dispenses devices when appropriate 7