SOUTHERN CONNECTICUT STATE UNIVERSITY
MEASUREMENT AND DIAGNOSIS IN HEARING
CMD 530
FALL SEMESTER, 2002
1.
Instructor:
Robert
E. Jirsa, Ph.D.
Professor
of Audiology
Davis
Hall, 012I
(203)
392-5961 B Office
(203)
392-5968 B Fax
e-mail:
jirsar1@southernct.edu
Website:
http://www.southernct.edu/~jirsa/
SCSU
Pipeline: http://myscsu.southernct.edu
Office
Hours: T: 2 – 4; W: 10 – 11; TR: 3 – 5; and by appointment
1.
Prerequisites:
1. CMD
320 or equivalent
2.
Departmental Permission
3.
Course
Description:
Students
examine, and become familiar with, diagnostic approaches for the assessment of
peripheral auditory function in children and adults using appropriate clinical
instrumentation and techniques. Specialized
behavioral and electrophysiological assessment procedures for the differential
diagnosis of peripheral pathology are reviewed.
An
introduction to the central auditory system is provided along with a summary of
assessment and remediation protocols.
Select peripheral auditory disorders, their etiology and management, are
also reviewed.
4.
Course
Objectives:
1. Students
will be able to describe the function and calibration of clinical equipment.
2.
Students will learn the
principles and rationale for administering the peripheral auditory test battery
including pure tone air and bone procedures, immittance audiometric techniques,
otoacoustic emissions, and speech audiometric protocols. Confidentiality and
the ethical treatment of test results
will be stressed.
3.
Students will be
introduced to advanced evaluation techniques using both behavioral and
electrophysiologic protocols to examine the total auditory system from
pediatrics to geriatrics in a culturally diverse population.
4.
Students will be exposed
to the various interpretations and implications of results obtained from the
audiological test battery and the relationship of these findings to cognitive
and language abilities.
5. Students will gain an understanding of selected auditory
pathologies including assessment and rehabilitative
protocols.
6. Students will gain an introductory understanding of the central auditory system and selected diagnostic and rehabilitative protocols.
5.
Instructional
Mode:
Both
lecture and Socratic methodologies will be used. Additionally, videotapes illustrating management techniques will
be used. Some laboratory demonstrations
will be included as well. Finally,
students learn much from each other.
Class discussion (questions, ideas, disagreements, clarifications, etc)
is strongly encouraged and desired.
The
Department of Communication Disorders is committed to providing quality
academic and clinical training to all students enrolled in its programs. If you need course adaptations or
accommodations due to a disability, if you have emergency medical information
to share with me, or if you need special arrangements in case the building must
be evacuated, please make an appointment with me as soon as possible.
6.
Course
Outline: (The dates are approximate and
should be used only as a general time line guide)
Date Topic Text
9/05 Introduction
& Overview Ch.
1 - 4
The
Clinical Notebook B What is expected
Scope
of Practice
1) Diagnostic
2)
Rehabilitative
3)
Environmental/forensic
4)
Medical
5)
Neuro
Review
of Basic Instrumentation
1)
Clinical Audiometer
2)
Immittance Audiometer
3)
Emissions Testing
Equipment
4)
Electrophysiologic
Equipment
5)
Hearing Aid Measuring
Equipment
6)
Recorded Assessment
Tools
7)
The Audiogram &
Symbolization
Review of Anatomy and
Physiology
Review Intensity and Frequency of
Sound
9/12 - 10/17 Assessment of Auditory Function Ch. 5, 7, 8, 9, 11
1)
Clinical Decision
Analysis
2)
Case History &
Hearing Handicap
3)
Behavioral Measures of
Hearing Sensitivity
4)
Clinical Masking
5)
Speech Audiometry
6)
Immittance Audiometry
7)
Otoacoustic Emissions
Audiometry
10/24 Mid-term
examination
10/31 – 11/14 Classification
and Impact of Auditory Pathologies
Ch. 6
a) Classification
of Hearing Loss – medically/audiologically
b)
Peripheral Hearing
Losses – conductive & sensory
c)
Neural Hearing Losses
d)
Central Pathologies
e)
Functional Hearing
Losses
11/21 No class, ASHA Convention
11/28 No class, Thanksgiving
12/5 - 12/12 Assessment
and Management of Hearing Loss Ch.
15
12/19 Final
Examination
7.
Course Requirements
1. Examinations:
There will be a midterm and final examination. Together, both exams will constitute 70% of your final
grade. While the exams will cover both
lecture and textbook material, the greatest emphasis will be on the lecture
notes. Your text should be used to
enhance and expand on material that is presented in the lecture. Also, the lecture material will tend to be
more in-depth than the presentation of the same material in the text. While the
final examination will be cumulative, it will emphasize material presented
after the midterm evaluation.
YOU HAVE A CHOICE OF EITHER COMPLETING #2 OR #3 BELOW. EITHER ONE WILL CONSTITUTE THE REMAINING 30% OF YOUR FINAL GRADE. THE DUE DATE IS DECEMBER 12TH.
2.
Clinical Notebook: Please prepare
a clinical notebook for each of the following procedures: a) pure-tone air and
bone conduction – including the use of clinical masking, b) speech recognition
threshold, c) word recognition assessment, d) tympanometry and acoustic
reflexes, and e) otoacoustic emissions. The notebook should be user friendly
(for you to use) and organized into three sections. Section #1 should include an in-depth discussion covering the
historical development and psychoacoustic/electrophysiologic principles upon
which the procedure is based. This
section should be written in the style of a research paper using the APA (5th
edition) style guide. Section #2 should
include: (1) clinical applications with a discussion of test
sensitivity/specificity, (2) test administration, (3) scoring protocols and
data interpretation, and (4) limitations and variable that may influence
outcome measures. Section #3 should
include any appendices and references.
3.
Research Paper: A research paper using as a style guide the Publication
Manual of the American Psychological Association (5th ed). This is available in the bookstore and I recommend
that, if you don=t already have this guide, that you purchase one. You will find it useful in all of your
classes in CMD. The research paper may
focus on any of the following broad areas: (1) Behavioral Assessment Protocols,
(2) Objective Assessment Protocols, (3) Auditory Pathologies, (4) Remediation
Strategies, (5) Central Assessment and/or Management Protocols, (6) Receptive
Communicative Pathologies. As is my
custom, you may hand in drafts of the paper as you progress and I will make
suggestions that hopefully will help you with the final product. There is no limit as to the number of drafts
you may turn in B but, please, don=t
give them to me a week before the paper is due.
3. Attendance: As responsible adults, class attendance
should be a Ano brainer@. You are responsible for knowing what was
discussed in class whether or not you were in attendance. Failure to attend regularly may result in a
grade reduction. If you know in advance
that you will be unable to attend class, please notify me.
8.
Grading:
Final grades will be determined by the
following formula:
A+ (perfect or almost perfect
performance): 98% B 100% of total
points
A (very good work,
but not A+ quality): 94% B 97% of total points
A- (good work, but
not quite A level): 90% B 93% of total points
B+(good work, but
not quite A- level): 88% B 89% of total points
B (above average,
but not B+ level): 84% B 87% of total points
B- (average work for
graduate level): 80% B 83% of total points
C (below average,
but passing): 74% B 79% of total points
C-(below average but
marginal pass): 70% B 78% of total points
D (failure) 60% B 70% of total points
Students who are on the
borderline (within 1% of the next grade up) will benefit from class
participation. Everyone should
participate at least once each class session.
9.
Textbook:
Gelfand, S. A. (2001). Essentials of Audiology, 2nd
ed. New York,
Thieme.
10.
Recommended References
for the Avid Reader:
Bellis, T., (1996). Assessment and Management of Central
Auditory Processing Disorders in the Educational Setting: From Science to
Practice. San Diego, Singular
Publishing Group.
Chermak, G., & Musiek, F.
(1997). Central Auditory
Processing Disorders:
New Perspectives. San
Diego, Singular Publishing Group.
Hughes,
G.B., & Pensak, M.L. (1997). Clinical
Otology (2nd ed). New
York, Thieme.
Katz, J. (ed). (2002). Handbook of Clinical Audiology (5th ed). Baltimore,
Lippincott Williams and Wilkins.
Martin, F.N. & Clark, J.G. (2000). Introduction to Audiology (7th
ed). Boston, Allyn and Bacon.
Masters, M.G., Stecker, N.A.,
& Katz, J. (1998). Central
Auditory Processing
Disorders: Mostly Management. Boston,
Allyn and Bacon.
Musiek,
F.E., Baran, J.A., & Pinheiro, M.L. (1994). Neuroaudiology: Case Studies.
San Diego, Singular Publishing Group.
Musiek, F.E., & Rintelman, W.F. (1999). Contemporary Perspectives in Hearing
Loss. Boston, Allyn and Bacon.
Roeser,
R.J., Valente, M., & Hosford-Dunn, H. (2000). Audiology Diagnosis.
New York, Thieme.
Schow, R.L., Nerbonne, M.A. (2002). Introduction to Audiologic
Rehabilitation (4th ed). Boston,
Allyn and Bacon.
Stach, B.A. (1998).
Clinical Audiology: an Introduction. San Diego, Singular Publishing Group.
Webster, D.B. (1999).
Neuroscience of Communication (2nd ed). San Diego, Singular Publishing
Group.