AUBURN UNIVERSITY DEPARTMENT OF COMMUNICATION DISORDERS CMDS 8200 DIAGNOSTIC AUDIOLOGY (3 credit hours) SPRING 2015 FACULTY: Martha W. Wilson, AuD, ABA, CCC-A Clinical Professor CLASS: 8:00-9:15 AM, Tuesday and Thursday Haley Center 3110 TEXT: Handbook of Clinical Audiology, Seventh Edition, Editor-in-Chief, Katz J; editors, Chasin M, Hood L J, Tillery, K L; Wolters Kluwer Health, 2015 OFFICE: Haley Center, room 1117 (334) 844-9611 paxtomw@auburn.edu OFFICE HOURS: Wednesday, 1:00-1:30 Tuesday, 3:00-4:00 Thursday, 4:00-5:00 COURSE DESCRIPTION: This course concerns basic and advanced topics in audiometric assessment and techniques to evaluate auditory system site of lesion. Topics may include: otoscopic inspection, pure tone audiometric testing with masking, speech audiometry with masking, physiologic tests of auditory and related function (e.g. acoustic immittance, evoked potentials, balance assessment), and evaluation of special populations (e.g. pediatrics, auditory processing, pseudohypacusis). Reading assignments will include the textbook and supplementary material. OUTCOMES MEASURES: Specific conceptual objectives of this course include items covered in ASHA s Knowledge and Skills Acquisition (KASA) system. The learner outcomes may be measured by any of the following: written tests and quizzes, written final examination, homework assignments, class presentations, laboratory exercises, and classroom participation. Standard IV-A: Foundations of Practice The applicant must have knowledge of: A10. Pathologies related to hearing and balance and their medical diagnosis and treatment A12. Principles, methods, and applications of psychoacoustics A14. Physical characteristics and measurement of electric and other non-acoustic stimuli Standard IV-B: Prevention and Identification The applicant must have the knowledge and skills necessary to:
B1. Implement activities that prevent and identify dysfunction in hearing and communication, balance, and other auditory-related systems Standard IV-C: Assessment The applicant must have knowledge and skills in: C2. Assessing individuals with suspected disorders of hearing, communication, balance, and related systems C4. Performing Otoscopy for appropriate audiological assessment/management decisions, determining the need for cerumen removal, and providing a basis for medical referral C5. Conducting and interpreting behavioral and/or electrophysiological methods to assess hearing thresholds and auditory neural function C7. Conducting and interpreting otoacoustic emissions and acoustic immittance (reflexes) C8. Evaluating auditory-related processing disorders C9. Evaluating functional use of hearing COURSE REQUIREMENTS: Readings from the literature and textbook will be assigned. Students are expected to read the assignment prior to class discussion. Students are expected to attend all scheduled class meetings and laboratory practice. Absence from class or other related experiences may negatively affect the final grade due to lack of class participation. Students can contact the instructor by telephone or email. The instructor will make every effort to respond to inquiries within 24 hours. GRADING: Final grade will be determined by the total number of points achieved throughout the semester; total of 100 points. 90-100 points A 89-80 points B 79-70 points C 69-60 points D 59-below points F Students may withdraw from this course (with W on the transcript) by mid-semester, but withdrawal from this class may affect the student s progression through the AuD program and delay graduation. ASSESSMENT ITEMS: 1. Class presentation (10 points) 2. Quizzes (3 quizzes, 6 points each) 3. Written examinations (1 written test, 10 points) 4. Case studies (child and adult, 8 points each) 5. Homework assignments (3 assignments, 2 points each) a. Audiology Clinic software (case #18, use TDH headset)
b. Acoustic immittance (tympanometry, MEMRs, reflex decay, multifrequency tympanometry) c. Random Gap Detection Threshold (RGDT) 6. Cumulative final examination (40 points) There will be no make-up quizzes. Missed quizzes will be assigned zero points. In case of an emergency, with provision of written documentation (e.g. note from physician), a missed quiz will be omitted from the final grade determination process. If a student misses an examination for one of the reasons listed in the Tiger Cub online, a make-up exam will be scheduled. Tentative CLASS SCHEDULE: 1/15/2015 Course overview, review syllabus Review pure tone and speech audiometry masking (audiogram: CMDS 8120 final exam) Read: pp 119-133 1/20/2015 Test sensitivity and specificity 1/22/2015 Otoscopic inspection Read: pp 144-146 1/27/2015 Eustachian tube function testing Read: pp 137-154, 165-172 1/29/2015 Multi-frequency tympanometry; Middle ear muscle reflexes; reflex decay 2/03/2015 QUIZ #1 LAB: middle ear testing Homework #1- multi-frequency tympanometry and AR decay Read: pp 459-475 2/05/2015 Auditory development Age related changes in hearing Read: pp 399-413 2/10/2015 Balance assessment; videonystagmography Read: pp 387-397 Homework #1 due 2/12/2015 Vestibular Myogenic Potentials (cvemp, ovemp) (Dr. Kelli Watts) [Dr. Wilson @ SHAA convention] Read: pp 399-405
2/17/2015 Balance assessment: bedside evaluation Read: pp 207-230 2/19/2015 QUIZ #2 Electrocochleography (ECochG) Read: pp 187-191, 231-248, 249-266 2/24/2015 Auditory evoked potentials 2/26/2015 Auditory evoked potentials Read: pp 357-379 3/03/2015 Otoacoustic Emissions Read: pp 49-59 3/05/2015 Bone conduction threshold testing Homework #2-Audiology Clinic Case #18 Read: pp 61-75 3/10/2015 TEST #1 Speech audiometry: Speech in noise testing Performance Intensity functions Read: pp 39-47 3/12/2015 Hearing screening Extended high frequency audiometry Read: pp 545-559 3/17/2015 Auditory Processing Disorder in Children 3/19/2015 Auditory Processing Disorder in Adults 3/24/2015 NO CLASS SPRING BREAK 3/26/2015 NO CLASS SPRING BREAK Read: pp 617-629 3/31/2015 False and/or exaggerated hearing loss Read: pp 653-658 4/02/2015 Review AC and BC masking Homework #2-Random Gap Detection Thresholds (due 4/10/2015) 4/07/2015 Auditory Neuropathy Spectrum Disorder Adult Case Study (due 4/21/2015) 4/09/2015 Traumatic Brain Injury
Pediatric Case Study (due 4/23/2015) 4/14/2015 Hyperacusis 4/16/2015 QUIZ #3 and work on case studies DR. WILSON @ CAPSCD 4/21/2015 Class presentations 4/23/2015 Class presentations 4/28/2015 Diagnostic decision analysis 4/30/2015 REVIEW 5/05/2015 FINAL EXAMINATION @ 8:00-10:30 STUDENT EVALUATION OF COURSE AND PROFESSOR: Students will receive an email from AU evaluate at the end of the semester to evaluate this course. AU evaluate is a web-based software application that allow students to anonymously evaluate courses and instructors online, replacing the traditional paper end-of-semester evaluations. ACADEMIC HONESTY: Honesty is expected in this class at all times. Violations will be reported to the Academic Honesty Committee, according to the procedures outlines in the Tiger Cub. STUDENTS WITH DISABILITIES: Students with disabilities who may need accommodations should make an appointment with Tracy McDonald, Director of the Program for Accessibility, 1244 Haley Center, 844-2096 (V/TT) to determine eligibility. Then, the student should arrange a meeting with Dr. Wilson during her office hours the first week of classes, or as soon as possible, if accommodations are needed immediately. If a student has a conflict with the office hours, an alternate time can be arranged. The student should contact Dr. Wilson by e-mail to schedule a meeting. The student should bring a copy of the Accommodation Memo and an Instructor Verification Form to the meeting. EMERGENCY PROCEDURES: Basic emergency procedures will be reviewed during the first week of class. Students will be advised regarding location of exits, shelters, and assembly points. Students will be instructed regarding procedures when evacuation or sheltering is issued. Severe weather protocol for severe thunderstorms (watch or warning) or tornados (watch or warning) includes notification by sirens or weather radios. In the case of evacuation, students will be asked to evacuate via the nearest exit or stairwell (do not use elevators) and to meet at the pre-designated assembly point.
Students should not re-enter the building until the all clear has been issued by emergency personnel. Additional information is available on the Risk Management and Safety Office emergency preparedness website (www.auburn.edu/rms/emergency.html). **The clinical professor reserves the right to alter the class schedule as necessary and will notify students of any changes in a timely manner.