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.