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JULY I AUGUST 1995 VOWMI 7, NUMBER 4

EDITORIAL BOARD

Ediror Jerr) L. 1 orthern

4200 Ea.'' mth Avenue. B-21 0 Dcn1 cr. CO 0262

(303) 270-7856. FAX (303) 270-5084

Linda Raskind 3\1 lleanng lle:thh St. Paul. \1\

EDITORIAL STAFF

Diane Ru Bellone Elecuomc. Corporation Chicago. IL

EDITORIAL ADVISORY BOARD

Fred H. Be Bill WilkcMn Center \ a.'h' tile. T'.

Carmen C. Bre\\ er W~hmgton Ho,pnal Center wa,hmgton. D.C

J. Michael Oenni Lnilef'il) of Oklahoma \ledtcal Center Ol..lahoma Cit). OK

Deborah Have The Children\ t'to,pital Denver. CO

Jane Madel! Long bl:md College Hospnal Brookl) n. Y

Michael Marion The l leanng Center Camanllo.CA

Patricia Me arthy Ru' h Um1ef\il) & \1cdical Center Chtcago. IL

Karen Mikami ReSound Corporation Red"ood Cit). CA

H. Gu tav Mueller Poudre \aile) Audtolog~ Con\uhants Ft. Collins. CO

Jane B. eaton Seaton Con.,ultanh A then\. GA

Brad tach Cahfomm Ear ln,tltutc at tanford Palo \Ito. CA

te' en J. taller Cochlear Corporation Engle\\ood, CO

u an \- hichard Le11 ,,.Gale Clinic Roanoke. VA

BOARD OF DIRECTORS Presidem

Carol Flexer Um1ersny of Akron

chool of Commumcatlon Dt\orders 302 E. Buchtel Avenue Al..ron. OH +B25-3001

Presidem-Eiecr Barry A. Freeman Center for Audtolog) 1740 Memonal Dnve

Clark.'' ille. TN 37043-4570

Pcw-Presidem Robert W. Keith

\1ail Location 52 Umvcrsll) of Cincmnati Mcdtcal Ctr.

231 Bethesda A'enue Cincmnatl. OH 45267

BOARD MEMBERS•AT•LARGE

Judith . Gravel Alben Ein,tein College of \ledicme Kenned) Center. Room 842 1300 ~lorn' Park A1enue Bron\. \ Y 1().161

Angela Loavenbruck 5 Woodglcn Drive 'e" Cit). 'Y 10956-1237

Gretchen A. yferl Arlington l lcanng Center 3260 \Vi bon Blvd. Arlington. VA 22201 -448

John Greer Clark HearCarc. Inc. 33 16 \\'erk Road Cmcmnatl. 0 114-211

I nn I

Robert G. Glaser Audtolog) & peech A~..octate, 15 South moor Circle 'IE Da) ton. 0 11 45429-2407

I F ' ")9-

haron Fujikawa Universit) of California Irvine ~lcdical Center 'eurolog) Bldg. 22C Rte 13

1101 The City Drive South Orange. C'\ 92668

Deborah Haye The Children\ Hospital 1056 Ea.! 1 19th Avenue. B030 Den1er. CO 021 -120

Denni an liet Pri' ate Practice 17021 Yorba Lmda Blvd .. Sune 130 Yorba Lmda. CA 92686-3742

' j'}

Cheryl De onde John on Colorado ~panmem of Education

I I 1-th Street Greele), CO 0631

tatcmcnt of Polic~: The \mencan Academ) nt \ud10log) puhiJ,hcs \ucJ/11/mo Tt>Jc/1' " ' a mean-, of w mmumcat ing mformatlon among It\ members ahout all a\pech of aud1olog) .md related topiC\. lntorma110n ;md statcmcnh publi,hed in \ udwlmt' Tt>Jcl\' are not oflicml ~lliC} ol the American \c;~dcm}

nt \ud1ulugy unk" 'o mdtC<IIed \uclwla~.\ f aclu\ acccph c:nnlnhutcd manu,cnph dcallng \\ Jih the \\ Ide \anct} of tuptc' of mtcre,tto .JuchoiOgl'>t' mcludmg chnicul acuntics .md

hcanng rc,carch. current c\cnh. ne1\' uem\. prulc" lllOJIJ" ue,. mdJ\ idual-tmutution-t•rgant7auon annnun.:cmenh. cntrie' for the calendar of C\ent' and material' ln•m other an: a' " uhm the 'cope ol pr.JctKe of autl•nlog) . , \rulm/o~_, TtkiU\ \\Ckome\ feature amde-,. e"a) ' ol pmfc"tonal opm1on. 'JlCctal repon' and lcucr- to the eduor Suhm1" ion' m.t) he ' UbJCCI to cduonal rc\ JC\\ and alteration for clartl} .md bre1 tl} Clo,mg date for all cop) ' ' the I \I da) of the month prccedmg 1\\UC date.

\II cop) rcc:c:t\ed b) \ uclrala11.\ {(,cfa\ , hould he accompanied b) a computer d"~ d carl} 1denuficd b) author n;unc. toptc IItle. opcraung '}'tcm. and 'Wrd pn><:c"mg program. Suhmlllcd malcnal "•II not nccc"anl) be returned. Specilic: quc,tion> regarding \uclm/ogv Toda\ \hould be addrc '>Cd to Ed nor. \ucludo~\ Tt}(/a\' • • [!()() 1:. 'mth A1enuc Bo\ B-210. Den\ cr. CO X0262.

VOLUME 7 NUMBER 4 AUDIOLOGY TODAY 3

Alillcilln®ll®~ licoxillfdl~ Volume 7, Number 4, 1995

I HIS 5

CLINICAL TRIALS OF THE N UCLEUS M ULTICHANNEL A UDITORY

BRAINSTEM IMPLANT -Steven Stoller, Steve Otto, Christine

Menapace I "'· .

9

ETHICS AND THE USE OF G RADUATE D EGREES-David Resnick 13

AAA A PPROVED TO O FFER CEUs-Shoron Fujikawa and

Valerie Deitz I

THE VOLUNTEER A UDIOLOGIST-laszlo Stein

1996 CONVENTION PROGRAM A NNOUNCEMENTS

PRESIDENT'S MESSAGE

<.:0 '\"11'\LI:-. G EOLC \T\0'\ LETTERS TO THE EDITOR

• N EWS & A NNOUNCEMENTS

. ' WASHINGTON W ATCH Ill\

STRESS SURVEY \\II Rlt. '' \ l \1)\ \1\ 0 1

( LASSIFIEDS \ ll>IOJ.O(; \

CALENDAR

CALL FOR NOMINATIONS Nominations for the offices of President-Elect and Board

Member-at-Large of the American Academy of Audiology for terms beginning July 1, 1996, can be made by any member of the Academy. All nominations from the membership will be considered by the Nominations Committee. Please submit your nominations by October 1, 1995 to: Robert Keith, Chair, Nominations Committee, American Academy of Audiology, 1735 N. Lynn Street, Suite 950, Arlington, VA 22209-2022.

14

17

19

7

8

23

24

26

27

28

pprcciation is C\tcndcd to tarkc) Laboratories for thei r sponsorship of complimentary subscription ro Aucliolo~y Today for all full -t ime audiology graduate '> tudems.

4 AUDIOLOGY TODAY

NATIONAL OFFICE

Amencan Acadcm) of Audiolog) I T~S \orth L) nn tro.:l. une 950

Arlington. \ .\ ::!~:!09-~0::!::! (703) 524-1923. I 00) A.\A-2336

FAA (703) 524-1303

Bruce \\anile. E\ecuuve Din.'Ctor L) nda Lt) cr. \ '"01.:iatc Director Da' id Ho" an!. Commumcauon

Coordinator Lba Ccbulash. \ lcmbcr-.hlp Coordinator

The \ merican \ cademy of ludiology is a profenional organi:.ntion of indiridual~ dedicated to pr01·iding quality hearing care to the public.

He enhance the ability of our members to achiere career and practice objectire~ through profe!>.\ional

derelopment, education, research, and increased public awareness of hearing

di.mrder~ and audiologic sen ·ice .

I'OSl \ I \STl R Semi "'rrc,Jl<mc.lcnc.:e In: \m.:n<un \<..dcm\ ol \uc.l10log~ . 1.,15 'unh L}nn 'itreet Sunc 9511, \rhngton. \ ' \ 22209-2022. \uc.IJOiog} Toc.la~ '' pubh,hcd ba-mnmhl~ b~ Tamanntl DNgn. 2-llll 15111 Slreet. Sunc 170. O.:n,cr. CO l\02112 l1t.: annu.al 'uh-.criplion price'' 55JXllllf hhrdi1C' :mJ IO'tltUtiOII\ and ~5JXJ ft>r

and I' 1dual non-mcmbcl'. \c.ld I S.(XIlt>r each 'ub­-.cnptttan oul,adc the l! mt.:d St.llc' For 'uh-ctipuon tlltjUin~. lckphonc(70~) '24 IIJ~ or (. lXII \.\\-

2136 Cla1111' for unJdl\cml copte' 0111,1 be lllJ<k "nhan h•ur (41 momh, t>l pubh<alltan .

.\thcni,in!! Rcprc,cnl.all\c· Ric~ Gabler. \nlhOn) J J.umc111. ln.: .. Ea't H<>ll} A'c:nuc. Pum:ut. :\J 0 071. (6m) 25~.HOO.

Puhh<allun ol an Jd\cni...:ntenl m tludtolo, /ada) doc' nm cnn,utulc a guar.uuw or c:ndol'<!­ntentul the I.JUaht) or 'aluc ol the pnxlucl t>r -.er­' t<"c: de ·n~'ll then: an or ol an) of lite repre..ema­lll>n' or da1m' m<tdc b> the .lthcm..:r "alh re'p..>ct lo 'uch pnxluct nr ..en "c

19')5 b) lite \mcnc;m \eadem~ ot \udiolog~ .

\ II n)!hh rc...:ncd.

JULY/AUGUST 1995

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,

PRESIDENT'S MESSAGE A

.., AAA enter-. its ~e,·enth year. we lind oursehes larger and tronger than ever! We are no'' facing thi! re..,pon'>l­bilitie.., that come "ith being an autonomous prole .... ion.

,\ ke} profe '>IOnal re'>ponsibilit) i to remain current. to continuou-.ly upgrade our knO\\ l­edge-base and '>kill - to replace perishable knO\\ ledge with ne\\ concepts. Not on I) i:. con­tinuing profes ional education necessary ethi­cally. but weal o are accountable legal!) for di\­pla) ing a profe. ional commitment 10 pro' iding qualit} care to persons '' ho experience hearing problems.

A LEGAL CASE IN POINT

A: \ o.

Q: Then" hat have you done. 'mce you ha,·e become cen1fied.to remain current to demon~trate a profe ..,ional commnment to mtegraung ne'' infonnation mto your sef\ 1ce delivery'? Have you conducted an) research or ''rill en profe sional anicles of an) kind? A: o. Q: I fa, e ) ou read any recent prof e. sional or research amcles that you can discu · '' ith th1 coun? A: :-.o. Q: Have you taken an) addiuonal couf'>e \\Ork or a11ended an) continuing education programs that you can document as proof of your profe~­sional de,·elopment? A: o.

In Ma) of 199: I te-.tified at a Due Process Hearing on behalf of a famil) '' ho has a child wi th a hearing lo.,s. According 10 legal protocol. the lndi' idualizcd Education Plan (IEPJ was the \Ource of di pute between the famil ) and the \chool y tern. That 1\. the parent and the -,chool were unable to agree upon a ··rea..,onable''

Carol Flexer Q: Have you earned any continuing education a'' ard,?

and .. appropriate .. program and related ~ervice'> for the child. The parems opened the hearing 10 the public: therefore the proceed­ing'> can be di cus.,ed.

During the hearing. there''~ a critical exch:mge of mforma­IIOn that relates directly to contmuing education. When the allor­ne) for the parent cro~ ... -examined the school")"em \ aud1ologi'>t and '>peech-l:mguage pathologist. he ru.ked a erie' of question-. aimed at detem1ining each of their qualification'> for delivering their re!-~pecti\e professional -.en'ices. I'll paraphrase their ques­tion and answer exchange beiO\\: Q: \ hat profe . ional organit.auon do you belong to? A: The audiolog1 1 and peech-language pathologi'>t ea h an"'ered. .. ASHA:· (The) did not mention any other organ1zauon..,) Q: Do you ha\e to have an) Continuing Educauon 111 order to be a member or in order to rene'' your membef'>hip'? A: \ o.

Q: What is your credential to practice'? A: The) each an-;v.cred ... Cenificate of Clinical Competence­CCC/A. or CCCI LP ... (~either mentioned ha\ 111g a '>late license. nor d1d the allome) pec1flcall) a.-,k them if they had a liccn..,e.)

Q: What i'> reqUired to cam the Cen1f1cate of Clinical Competence? A: The audiolog1't and speech-language patholog1"1 each de.,­cnbed the required graduate degree. \Uccessful completion of the national exam and h:l\ ing a pO'>t-master\ clinical feiiO\\~hip year. Q: What i required each year to maintain your Ccn1ficate of Clinical Competence? A: Pa) a fee.

Q: b there a contmuing educauon requirement auached to the Cenificate of Clinical Competence?

chool of

A: 'Jo.

Q: lias nothing ne'' occurred in ~our tield \ lllCe you obtained your degree and became cenified? A: Ye .... there ha' e probabl) been some ne'' developmems. Q: flO\\ ha\e you pro' 1ded a,-,urance to the familie of the chil­dren that you sef\'e that you kOO\\ about these ne\\ development\ and that you incorporate ne" concept\ into your 'en icc dcli\·ery? A: ( either'' itncs~ kne\\ ho'' to an'" er that que..,tion).

The nece.,sit) to maintain, de,·elop and expand professional skill-. cenainl) b not unique to audiolog). The anome) in this case explamed that every time he cxam1nes an .. ex pen" '' itne s in an) tnal. he a..,k' about their credential\ and detennines their commit­ment to mamtaining conunued profe ... -.JOnal competence. He elab­or.ued that 1f a profe-,slonal ha' not In\ ested the time and energy keepmg abreast of profe'>\IOnal de' elopmem .. ho'' can the) be credible'? E\ en dunng the O.J . 1mpson trial. ex pen "itnes. e . mcluding detecti\ es. were queried about their continuing educa­tion e.xpcricnces.

As \tated in the AAA mi-.sion statement: .. The American Academy. of Audiology 1s a prole'>slonal organization of indi' idu­ah dediCated to pro' tdmg quality hearing care to the public ... To be a re,('l!cted. autonomou' profe,,lon '' ho pro\ ide" quality hear­mg care to the public. "e mu't d1splay a commitment to conunu­mg educauon. Yet, on!) about half of the state-. that have audiolo­gy licensure require continuing education for licen e rene\\ al.

\ hat do you think about continuing education? A.., the Academ) em barb on our ne'' CE spon.,or...hip program (see page 19). let U\ kno'' ''hat )OU think ... ,,hat )OU think AAA\ role should be relati'e to contmuing education requirements·~ Please FA . ''rite. or call me '' nh your opmion .

The year ahead ''ill be a bus) one. There are huge 1:. ue~ on the table. There I\ also e.\Cllement. expectauon. and gro'' th. I look fomard to the opponunit) of hearing from you and working \\ llh )OU!

AUDIOLOGY TODAY 7

- -"""

LETTER 5 T 0 T-iiTE

Too MANY "GADGETs"? A\ \\Onderful U\ audiologic technolog)

has become, docs 11 carr) a rl'>l to our client\ O\'erall health? I allude to a danger of I(Nng touch'' 11h the "people aspech·· of heanng lo" !>~:cause of all our "gadgeh .. which \\C find fascinating and pre tigiou .

When I entered the field. there were audtometer~. hcanng atd~ and audilof) trainers. Then. there came E\1G. lmmit­tance measurements. e\'olcd potential\. posturograph). otoacou,tic emMion-,, a ho't of ''curable hearing de\ icc '' ith a be" 1ldcnng arn.t) of c1rcuu choice : BILL. TILL, PILL, ASP. K-amp: also tinnuu' ma,l,.er.,_ co hlear implant . middle car Implant .... BTE F\1 heanng a1d . andALD\ of remarkable UI\'Cr,it). These de\'elop­mcnts ccnaml) mcrease our abilit) to lden­llf) and help people "1th audi tor) disor­der... Yet. "1th so many gadgets to under­stand <md use. m1ght th\!rc he the potential to de-empha,lle the pcNmal a'pecl\ of cop111g \\ ith those di,onkr..."!

One hopes \\ e audJOiogNs are "'tuning in" to those caregi\ers, .tddressing their lechng'. and facilitating the1r coming to tcm1s '' 11h tho'e lcding,_ Thts i' not to sa) that we 'hould prmide P'~thotherap~. but mther that '' e can n:llect. empathize. and refer to 'uppon group' or mental health c\pen ...

We mu't mal..c a conscious effon not to get "'ept up in the ··gadgets:· and forget that ··there arc people attached to tho'e e;lf',_-- If \\e art too tx:gullo.:d b) the ne'' tc~:hnolog) and in,trumentation. ''e rna~ do dts-.,en tcc to our client-, b) not bearing in m111d the p'ycho,oc1al aspeth of their over­all health. .lcllllt'\ Peck. Jachon. \IS

REQUEST FROM INDIA \ 1) \\ ife and I have recent() returned

from a vi'>ll to southern lnd1a. While there. "e had the "onderlul opponunit) to '1~11 a chool that had been founded in I 9- b) a

cou,in of m) great gr.u1dfather. Thi' i the Florence "am,on I hgh chool for the Deaf in Pala)aml..ott.u ca 'mall IO\\n -HXl mile' 'outh of \ladr.ts).

From the ongmal three deaf children \\ ho had made a plea for an education to \hss \\amson 100 )Cars ago. the enroll­ment at Pala)amf..ottal ha~ men to more than 560. mo\t of them res1dent tudents. Due to the overwhclmmg demand for ib

8 AUDIOLOGY TODAY

-. ~

...en ICC\. \II" \\ am-,on cstabh~hed a o;ec­ond school near \ladra-, m 1912 (current enrollment ~~ approx1matel) 300 \tudent'>I­The~e 'chooh fullill a need that is not eri­ousl) .tddre~'>ed b) the gov-ernment or other public agcm: 1c~.

THANKS; I AM DELIGHTED I ha'e rcccl\ed the o01ctal centficate of

FdiO\\shlp 111 the AAA and am delighted and honored b) the action of the Board of Director.. of the

\1) "ife and I have been to India and have 'een ''hat a .. trugglc 11 can bt! to make a "'mg. even for a per...on \\ nh full ph) sical capablh­ue,_ Ch1ldrcn '' nh a handl-

"The Academy i~ J\cadem). The \eadem) 1s. of course. a de,·elopment that cw11e 'orne year.. after I mo\'ed to 1-.racL but it I'>

. . . the expre~.\ ion ob' IOU'- that n 1' the ex pre -s1on ol the hl\toric maturn­uon of the profcs,1on of

tap 'uch as deafne" arc often condemned to J life of pO\en) and ITII\Cr) . The

ofthe hi toric aud1olog) 111 the L .. A. I recall " nh 'orne nostal-

Florence ''am son chool for the Deaf 1s mal..mg a real dlllerence 111 thts struggle.

motu ration of the gta an I!\ cmng man) man) yeaf\ ago (\ ovo.:mlx:r 19-l6), \\hen Don \larldc and I a"emblcd 111 our hotel room .11 that year\ annual meeting of the Amencan peech Correcllon A\\OCIJtion.

\\ tth the special trammg for the deal. the standard edu­cational da"e~. and the trade 'chooltng that \tU­denb recc1ve. man) gradu­ates go on to live happ) ;md product n e I i' cs. The school Pnncipal. \lr. \'ij:t) apalan. mentioned that some 'tudenh ha\ e

profes ion of

audiology in the '>Orne of the 'ef) small num­ber of our colleagues "ho ''ere the liN of the ne\\ I)-

U.S.A. "

e'en 4ualilicd lor ci' il 'er-\ICC position' \\ith the lndwn go,ern­mcnt \n ama~ing a<.:comph,hmcnt!

\lr \ IJa)apalan e\plamed to u' that the ''hool rcu:l\es m111imal -,uppon from the lnd1an !_!0\ emment and thu' rche' hea\ il} on charitable contribution,_ Th1' has result­ed in the 'chool ha' mg an 1mmed1ate need lor the t)~ ol suppon that the \-\A. can 'uppl). In particular. the s~:hool needs fund­ing a\\1\t;mcc for the ~.:on,trucllon of ne\\ buildmg,, lor the purchase of the ... ophlsll­catcd te\ttng equ1pment needed to ade-4Uately e\'aluate incommg students. and for the c\pansion of Its outreach program to .. urroundmg '1llages. Becam.e of the school\ empha'" on de' ..:loping u-,able tmde -,1..111'>. there "also a need for ne\\ and u ... ed C4u1pmcnt (heanng a1ds. computers. too". 'e'' mg mach me,. ett. ). The -,chool \\Ould al'o benefit from ,m) traimng mate­rial' or e\pen ad\lcc that )OUr -\eadem) might pro\ ide.

I r) our orgamzauon ha.' an) que ... tio~ or can a''"' thi' \\Onh) cfton m an) ''a). plea'c ~:ontacl me. Char/e.\ d. t\ cmcy f c/11 2836 Ramona Cmm Sanw Clara. CA 95051

been

<.:oined 1em1. "audiologlsh:· to di,cu" the po"1bilit) of organiting \Uth a 'eparate profe,"onal a"Otlation. Ken Johnson. "ho had just

de,ignated a., the first Exccull n!

D1rector ol the -\"oc1a11on argued con­\lncmgl) that the lime \\a' not ) ct appro­priate for 'uch a '~paratt org.milllllon. but he prombed that 'tep' \\Ould be talen to recogni1e the emergence and unponance of the prole"tonal -.pectalinuon in hearing. Th1' apparellll) contributed to the change in the \"oc1ation\ name to the .\mcncan ~e<.:h and lleanng \"octation 111 19-l7.

I am full of adm1rauon for the uuttative and effcctivcnc~' of the 'i'ionar) leader.. of our profe,'ion in act!\ .tung thi' orgamza­uon "ho'e time had ob\ 10u'l) come. and \\ ho ha\'e led ~o man) of our colleagues 11110 1dcnufy111g " 11h 11.

I "1sh the orgamLauon and lh membel'i and officers a long. ellccuw role mthe con­tinuing evolution of our profe"ion \ contri­buuons to the \\ell-being of \mcnc;m' "ith 1mpairme111 of auditor) lunlllOn.

I loot-.. fomard to the dose pamctpauon of the \ .\ A 111 the matur.tllon of our profe -,jon and lh proks\IOn<tl -,tandard' and er­' ice' throughout the \\Orld.

Please pa'~ along to m) fnend' and col­league" Ill) than!. and congmtulauon\. '.Joe Ber~man. Tel-·\l·n· L 111\'l'r.\tf.\'

JULY/AUGUST 1995

,

FEATURE ARTICLE

CLINICAL TRIALS OF THE AUDITORY BRAINSTEM IMPLANT

INTRODUCTION The AuditOr) Brain\tem lmplam (AB I} originall) wa'

developed mthe llou'e Ear lnsli!Ute !IIEI ) a' a mean\ of pro­' iding sound to patient" '' ith bilateral deafnes-. secondar) tO remO\ al Of hi lateral UCOU\tic tumors due 10

eurofihromato'>is-1 ( \fF1). In 1979. 'lurgcon., at HEI aHempl­cu electrical 'llimulation of the brainstem auditor) path\\ a).., b) placing a ball-t) pe electrode imo the lateral recess of the I th \'Cntriclc. o'er the 'urface of the cochlear nucleu\. The1r auempt was tem­poraril) '>Ucces\fu l. but the electrode pro' cd umtable "ithin a fe" "ed.., and the p.llient\ auditOr) :-.ensation\ began 10 dimini<.h. (Hit.,clbl!rger et al.. 19R4l

ubsequenl 10 this ini­tial brain \tem implant. a team of researcher... at H El de' eloped an clcCirode arra) more \Uitable for placement in the lateral reces\. Thi-. ami) con'll\1-ed of two platinum plate electrode ... mounted on a rectangular dacron me-.h bacl.ing deo,igned 10 pro­mote librou mtegrauon. T'' em) -fi\'e patienh -.ub ... equentl) "ere implanted "ith thi-. 1" o-electrode and later three-eh:ctrode implant at HEI !Bmcl.mann et al.. 1993: hannon et al.. 1993). Both ofthe'>e implanl\ were dri,en b) the 3~ 1/Hou'e '>inglc channel \1gnal proces ... or. A collaborative effon bet\\ecn HEI. Cochlear Corporation. and Huntington ~ 1edical Re ... earch ln'>litute began in 19 9 to de' clop a ne" generation muluchannel AB I (Figure I) ba,ed on the \ucleu' 12 Channel Cochlear Implant )'>tern. The fir 1 pa11ent "a' Implanted ''llh thl'> ne" ABI in 1991.

ince that time. 16 \F1 patient-. lme recel\ed the imprO\'ed de\ ice at one of seven ill\e'ltigational ccmer'> under an ln ve~tigational De' ice Exemption (IDE) granted by the Food & Drug Admini !rat ion in 199~.

NEUROFIBROMATOSIS- 2 'F1 i'> no'' recogni;ed a.., di'>tincl from \Fl." hich i'> anoth­

er major and more common form of neurofibromato\i'>. (\Ill

Submined by Steren Stall a. Cochlear Corporauon .. ten• Ouo. House Ear ln -.titute. Lo-, Angeles. CA. and Clmsrine 'vi enapace. Coch lear Corporation. Engle" ood. CO.

VOLUME 7 NUMBER 4

\ eurofibromato'>i' Conference tatcmcnl. 19 : \ lanun and Eldridge. 19 , ) \Fl i' characteriLed primaril) b) peripheral neurofibroma.,. '' herea' \F1t) picall} re.,ulh in more central nef\ ou' ')\I em tumor.... A hallmarl. of \ F11., bilateral ,.e.,tibu­lar schwannoma ... "hich are not '>een "ith \Fl . Additional manifestation'> of \F2 include meningiomas of the brain.

FIGURE 1

catarach. and -.chwannoma'> of other crmmtl nef\·es. spinal nef\ e root'> and periphcralnef\e\. ( tanuza and Eldridge. 19 , . E"an., et al.. 1991al In \Ome 'e' ere I~ affected ind1' idual .... pro­gression of tumors and brain..,tem compre\\IOn can uhimatel) lead 10 parc..,is, IO\\ of' i..,ion. and e' emual death.

F1 i., hercditaf) \\ ith an autosomal dominam panem and an inc1dence of about 1/37.000 (E' an.., et al.. 1992bl. Children ol an atTected parem ha\'e a :oc:c chance of mhenting the di\Or­der. Two ubt~pe-. of ~F1 are recognized (Eidndge and PaiT). 1991: Parr) et al.. 1994 }: the Gardner '>Ubi) pc "ith late onset of 'i) mptom ... (I) pically hearing loss) and fe\\ brain or spinal wmor .... and the \ ishan \Ubi) pc "ith earlier onset and more rapid progre.,.,ion of hearing los., and other'>) mptom., related 10 multiple imracranial and ..,pinalwmors. T) p1cally. the clinical manife.,tation and cour-,e ott he dise<L'>e are 'imilar "ithin fam­ilie\. and da'>silication of patiem' imo \Fl or \F2 ... ubt)pe'> ma) be helpful in patiem counseling and future medical man­agement.

\ hilc unilateral \'estibular sch\\ an noma-, often can be removed '' ith preservation of hearing. thb has not been com­mon "ith bilateral tumor' due 10 their more "in' a,i,·e" nature

AUDIOLOGY TODAY 9

FEATU E

(Linthicum and Brackmann. 1980). Forthis reru.on. and the fact that hearing en itivity can be normal in the pre ence of the tumor. a practice of \\atchful waiting i often followed in NF2 IUmor management. While the clinical effect of bilateral \e ubular chwannoma~ can be variable, t}ptcall} deafnes. result either from damage from the enlarging tumor or tran-ection of the eighth nerve duri ng complete tumor removal.

Pre ently, the AB I i the only mean of providing these individ­ual with continued hearing en atjon .

THE MULTICHANNEL ABI The Multichannel AB I utilize the arne recei, er/ timulator

ru. the ucleus 22 Channel Cochlear Implant. A new electrode array was de igned for placement within the lateral rece of the brain ·tern. overthe urface of the cochlear nucleu . Eight I mm diameter platinum di k electrodes are mounted in two parallel row . on a rectangular ilru.tic pad\\ hich i 3 mm wide b) 8 mm long and I mm in thid.nes . The electrode pad i!> backed by dacron me h. designed to promote librou integration to hold the array in place po toperativel). One additional electrode. on the lateral urface of the receiver/timulator (placed in the mas­toid), erve as a remote ground. Two change were made to the

ucleus receiver/ timulator to make the AB I compatible with Magnetic Resonance Imaging (MRJ). '' hich is often nece ai)

due to the ongoing development of intracranial and pinal tumors in NF2 patient . The integrated circuit lid from the

ucleus cochlear implant was changed to a non-ferrou mater­ial, and the internal magnet de igned to hold the external tran~­miner coil in place i. removable.

A with the ucleu!> cochlear implant~) tern. the Spectra 22 speech proce. or is used wi th theABI. However, the Diagno tic & Programming Sy tern software i. unique to the ABI, provid­ing additional coding <;trategie and more nexible mode of stimulation. In order to accommodate ABI patients in ''hom the internal magnet ha.' been removed at surgery (see IRJ com­patibility above). a mall metal plate \\ ith an adhesive covering (magnet retainer di k) is placed on the ..,(...in over the implant to hold the tran miner coi l in place.

The initial . timulation and programming of the ABI are im­ilar to the ucleu. 22 Channel Cochlear Implant. although there are . orne 'ef) di tinct difference . 1ea! urement of thre hold and maximum comfonlevel. form the p ychoph}sical basi for programming both device~. I though cochlear implant patient may rarely experience facial nerve . timulmion, non-auditory -.ide effect are common in ABI patient · due to the clo e prox­imit) of many cnsory and motor neural tract within the brain­stem. on-auditory '>ide effect rna) include throat tingling. ip ilateral or contralateral tingling or twitching in the upper and/or lower extremities. and facial nerve timulat ion. Anum­ber of programming technique are a' ailable in the ABI oft­'' are to ru. i 1 the clinician in reducing the occurrence of non­auditor) ide effectS. Because control of many critical auto­nomic activitie i located in the brainstem. vi tal sign are rou­tinely monitored during initial timulation of the AB I.

nlike the simple monotonic organization of pitch within

1 0 AUDIOLOGY TODAY

TICLE

the cochlea. the cochlear nucleu~ ha!> a vef) complex tonotopic organization. The pitch gradient of the cochlear nucleu extend along the urface of the brain tem and in layer that extend from the urface to progre ivel) deeper \\ithin the neural tissue. Becau e of the complexjry of pitch organtzation and the variability of electrode placement from patient-to­patient. detailed as e sment of pitch i extremely important in programming the ABI. Approximately equal number. of patientS demon trate either an increase or decrease in pitch per­ceptS ''hen timulating from lateral to medial aero the elec­trode array. A few patient cannot differentiate pitch aero. electrode . or have more complex pitch organization. In order to adapt to the variety of pitch pauem demon-trated b) the e

patient , the ABl can be pro­grammed to timu­late between an) active electrode and any other electrode on the pad or receiv-er/ timulator. There-fore. different combination

... tlzeABI is the only means of providing these individuals with

continued hearing sensations.

of btpolar and monopolar (t.e. variable) mode can be u ed to maximize the number of side effect-free channels and to arrange the timulation channels in the appropriate tonotopic order. In addition. it i theoreticall) po . ible to create a greater number of timulating (vinual) channels than there are phy ical electrodes b) u-.ing an individ­ual electrode more than once to create unique combination of electrode pair .

ABI CLINICAL TRIAL 5 The FDA granted appro., alto begin inve. tigational implan­

tation of the Multichannel ABI at seven ite. in June of 199~. The purpo e of the trial is to evaluate the afety and effective­nes of the device. Seven inve tigational site· were selected ba ed on: I ) experience "ith tran labyrinthine removal of acou tic neurom~. 2) prevalence of patients wi th F2. 3) experience \\ ith intraoperative electroph) ~iological monitor­ing. and 4) experience in programming the ucleu 22 Channel Cochlear Implant S) tern. The current inve. tigational ite include:

..... Baptist Ho pital/The Otology Group. 300 20Lh Ave. #502. ash ille. TN 37203

..... Hou ·e Ear In titute/Hou~c Ear Clinic. 2100 W. 3rd. 1..

Lo Angele . CA 900-7

..... Indiana University School of Medicine. 702 Barnhill Dr. #860. lndianapoli , 46223

..... Midwest Ear In titute, 2940 Baltimore, Kan a City. MO 6-+10

JULY/AUGUST 1995

'

FEATU E RTICLE

..... ew York. ni ver it y Medical Center. Dept. of Otolaryngo log). -30 I t Ave ..

1ew York. r Y 100 16

Accurate

placement of

stimulation at the cochlear nucleus elicit. only the later ABR waveform componcm . The morpholog) of the EABR elicited from timu­lation of the cochlear nucleu typically ha two or three po it ive peaks which occur within the fir ttwo milli econd of the eliciting timulu . Because oft he magniwde of the electrical tim­ulu arti fact and the . hon duration of the elicit­ed re pon!>e componenb , a cu tom bl anking circuit wa de igned to allow vi. ualization of the re pon es.

..... niversit) of Iowa Ho pita! & Clinic . Dept. of Otolaryngology. Iowa City. lA 52242

.... Uni ver ity of Pill. burgh Medical Center. Pill burgh Eye & Ear In titute. 203 Lothrop St.. #500. Pill burgh. PA 15213

TI1e ABiteam at each of the e ite con ist of profe ional. from many di cipline includ­ing neuro-otology. audiology. electrophy iolo­gy. neuro urger) and neurolog). Other con ul­tant uch as ophthalmologi 1.. p. ychologisl! . and genetici 1~ rna) be called upon to provide comprehen ive managemem of the fF2 patient.

Due 10 the life-threatening nature of the cere­bello-pomine angle tumor. and the elimination of any res idual hearing by the tran labyrimhjne urgical approach. no aud iological criteria are tipulated. Selection criteria include:

.... Fifteen year · of age or older

.... Diagno i of F2

the electrode array

is extremely

challenging,

particularly in

cases with large

tumors which

cause significant

distortion of the

brainstem

anatomy.

RESULTS Of the 26 patients that have been implanted

to date. all but three u e their device on a dai ly basi . The three non-u ers do not detect ound from their devices \\ hich may renect a le than optimal location of the electrode array. PatientS u ing the ABitypically repon the major bene­fiLS of the device to be: I) feeling in touch with the world of ·ound and communication. through the detection of environmental ound . and 2) enhancement of their lipreading abil i­tie . Quantitatively. orne ABI recipiem al o are able to idemi fy peech in comext or when presented in clo ed et . wi thout lipreading. The majority of patient u ing the multichannel ABT perform at a level that i!. comparable to a

.... Engli h as primary language

.... Medically and p ychologically uitable

.... Pmiem prepared and willing to pan icipate in regular fi t­ting se ion . eva luation . and fo llow-up e ion . a~ ·tipulated by the inve tigational protocol.

The ABJ can only be imp lamed during the tran labyrinthine removal of either the fir t or econd ide cerebello-pontine angle tumor . The tran labyrinthine approach provide. the greate 1 acce to the lateral rece withjn which the electrode i placed. Since bilateral deafne typically i inevitable in the e patientS, implantation during removal of the fir t cerebello-pon­tine angle tumor i allowed in younger patient (on et of ymp­tom prior to 40 year of age) to provide a econd opponunity for implantat ion hould placemem be le than optimal. Fir 1

ide implantation al o allow patiem to adju t to ound from the device as their hearing become progre ively worse in the contralateral ear. Becau e patient implanted on the fi rst tumor ide typically have ome re idual hearing in the contralateral

ear, ini tial u e of the ABI may be limited. Accurate placemem of the electrode array i extremely chal­

lenging. panicularly in case with large tumors which cau e ig­nificam di tonion of the brain tern anatomy. Electrical Auditory Brain tem Re ponse (EABR) are recorded intraoper­atively to confim1 appropriate electrode placement and timula­tion of auditory tructure . Becau e the initial peak of the acou tic ABR arc generated in the auditory periphery, electrical

VOLUME 7 NUMBER 4

ingle-channel cochlear implant. Although one patient has demon trated ignificant open- et word recogni tion when u ing the device without lipreading

The impact of the AB I on the everyday li ve of fF2 patient ha been very po itive, with many patients benefi11ing. particu­larly in their work environment . A more experience i gained. the major chal lenge will be to explore new way to program the e patient with the goal of improving the quality of ound derived from the device. G

REFERENCES Brackmann DE. Hitselberg.er WE. 1el on RA. Moore J. Waring MD,

Portillo F. Shannon RV and Tcli chi FF. ( 1993). Auditory brain­tern implant: I. Is ue in surgical implantation. Otolaryngol.

Head eck Surg. 10 (6). 624-633.

Eldridge R. Parry OM. ( 1992). eurofibromato~is 2: Evidence for clinical heterogeneit) based on 54 affected indi' idual tudied by 1RI '' ilh gadolinium. 1987-1991. In Tos 1. Thomsen J (eds):

Proceedings of the Fir 1 lntemauonal Acou tic 1 euroma Conference, Copenhagen. Denmark. 1991. AmMerdam. :-le'' York: Kugler Publication . pp 01- 0-l.

Evans DG, Huson SM. Donnai D. eal) W. Blair V. Teare D. e\\ tOn V, Strachan T, Ramsden R. Harri~ R. ( 1992a). A genetic ~tudy of type 2 neurofibromatosis in the United Kingdom I. Prevalence. mutuation rate. fitne and confi m1ation of matcmal tran mi ion effect on everity. J. Med. Genet. 29. 84 1-846.

AUDIOLOGY TODAY 11

F ATU E A ICL

E'an' DG.IIu,on \I. Donna• D. "e~ \\ . Blatr\. "\c\\ltln V. llarm R. ( 1992bl. A chmcal 'tud) of neuroftbmmat<N' 2. Q J \fc•cl. 4. 503-51 .

I ht\Cibcrgcr \\. llou\C \\'F. Edge non BJ. \\ lutakcr (19M). Cochlear nucleu-. tmplant. Owlann~ol Hmcl \cd.. ~111'1! 92. 52-5-t.

Lmthtcum FH. Bmd.mann DE. ( 1980). Btlateml acou\liC tumor,. \rclt. Owlaryngo/ I 06. 729-733.

\lanu;a RL. Eltlndge R. ( 19 ). :--eurollbromal0\1\ 2 !bilateral acou-.uc neurolibromato~l\). \ Eng/ J \Icc/ 31 R. 6.'4-6

'Ill ' curolibromato''' Conference tatemcnt ( 19!\ ). ' ational ln,lllute-. of Health Con-en .. u-. De\elopment Conference. In /t. \euml 4-. :r -:1 ·.

Rouleau GA. \larel P. Lutchman \I. an'>on \I. Zucman J. \larineau C. lloang- uan K. Demc\uk D. Deama-.e C. Plouga-.tel B. Pubt ~I. Lenoir G. Btjl\ma E. Fa'>hold R. Dumamki J. de Jon g. P. Pall)

D. Eldridge R. Auria-. A. Delanre 0. Thoma-. G. ( 1993). Ahemuon in a ne" gene encoding a putauve membrane-organll­mg protein cau,e-. neuro-libromato''' t)pe 2. \awrc 363. 515-521.

hannon RV. Fayad J. Moore J. Lo W\ ~1. Ouo R. ' elson RA. O'LeaJ) M. ( 1993). Auditor) brain\tem unplamll. Po~twrgical tswe' and performance. OwlaT)'IIf?IJI lll'ad \c•d. Surg I 08(6). 634-642.

Position Available Audiologist: Audiology/Research Position. Full-time research position on five year NIH project dealing with the development of methods for electrophysiological assessment of speech perception capacity in young deaf children. Requirements: Ph.D. in Speech and Hearing Sciences or related area plus CCC-A certification and experience with event-related potentials. Competitive salary and fringe benefits. Send application and vita to: Prof. Arthur Boothroyd, Graduate Center, City University of New York, 33 West 42nd St., NY, NY 10036, 212-642-2351 , FAX: 212-642-2379.

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12 AUDIOLOGY TODAY JULY/AUGUST 1995

,

ISSUES IN ETHICS

ETHICS AND THE USE OF GRADUATE DEGREES

Th~ Cod~ ol Eth1c' of th~ .\m~ncan Acad~m) of .\ud10log) '"1\ adopted Ill cn.,ure ln ... ofar a' po.,,lbk that

audJOI0£1''' '' ould di ... chargc the1r proli!'­'ional re'[l(ln,IOIIIIIe'> 111 a manner that be'tt rellech the h1gh~'' ... tandard' of profi!..,.,lonaiJ.,m. mtegrit). and eth-

The Ethical Practice Board of the \eadem) lnterprch those \tatement' a' fol­lm,.,: 111 order for gmduatc degree' earned O) member... of the Academ) to be u'ed 111

an) '"pect of the prac11cc of audJOlog).

Prac11ce Board ''Ill pre,ume that degree, granted b): progmm .... dcpanmenh. or 111.,11-tutJon' nm holding rcg1onal accrcdllation at the tunc the degree "a' a\\ Jrded arc not equ1' alent unlc" and un11l the mdl\ 1dual

degree holder 'ubm11' C\ 1dence that the requirement' lor the degree meet the 1111111111al ... tan-ical pnnciph.:.,. , mcc mo\t mcm­

l"ll!r... of the . \eadem) are engaged Ill th~ d1rect pro' 1\ion of clinical ... cr. 1cc. the clinical educa11on ol ... tudent-.. or 111 n.:,earch ac11' 111c' Ill\ oh mg the u'c of human ... ub­ject'>. 11 1' appropriate that the Code of Ethic' addres.., and moni­tor matter... ol profe,.,ional pmpri­et) that putam to Jll a ... pech of ... cr. 1cc and educ.uion.

In an e'en oroader 'cn'>e the Code of Ethic' of the Acadern). a' wi th other profe..,...ional a"ocia­llon,. 1' loot-.ed upon b) the public a ... a' alue ... uucment ... pccif) mg the pnnc1pb under'' h1ch the profc,­'lon of aud1olog) pro' 1dc' lh ... er­' ICC\. Therefore. 11 i-. rea..,onable lor the Code to require that puollc \latement' or announcement' made b) member\ of the Academ) prO\ 1de accurate and adequate inforn1a11on to a ...... i,t the con\umer in reachmg an mformed deci,ion 111 matter... concerning the profe,­'ion of autllolog) and the 'cr. 1cc' rendered O) II\ pmclltioner....

n , i, I\ the llltent of Principle of Ethic' 6. Rule' 6a and 6b. of the \ eadem) Code "hich 'tate:

.. \!ember' 'hall compl) \\llh the eth1cal 'tandard., of the Academ) "11h regard to puol1c \tatemcnt \. lnd1' 1duab -.hall not mi\reprc..,ent their educational

"Members shall comply with the ethical

standards of the Academy with regard to

public statements. Individual shall not

misrepresent their educatiOTlal degrees,

training, credentials, or competence.

Only degrees earned from regionally

accredited illstitutions in which training

was obtaitZed in audiology, or a directly

related discipline, may be used in public

statements concerning professional ser­

vice. Individuals' public statements about

professional services and products shall

not COTltaitZ representations or claims

that are false, misleading, or deceptive."

dard' 'tpcc11icd for the eta ....... e.g .. Ph.D .. doctor of !profc"JOnal field]. and le,el. 1.e .. ma,ter\ or doctoral. of degree requ1red for regional accreditation.

The Ethical Pmcuce Board i~ full) aware that graduate degree' are granted 111 an Uffil) ot dhcl­pline' that add to the undeN;md­ing of normal and d1,ordered commumcat1ve abllll). The Board believe\. nevenhele''· that ris"-' of mi ... reprc,entallon C\i\t "hen doctoral degree' granted in di,ciphnc' unrelated to audiol­og) arc u ... ed 111 puollc announce­ment' \\h1ch arc connected to the practice of the profe\\IOn of audiolog).

The Board is ... tmtlarl} cog­nizant of m ... titut1on' 111 the United tate\. a\ \\ell a' 111 Other countric\. that a\\ard non-,tan­dard ad\ anced degree' for quali­fication' con'1'ting of lmlc more than proof ol "ort-. e\penence and ... ubmi ... ~lon of a narrative 'iummar) describing participa-tion in the profeS\ionallicld. The Board belie, c-. that the puohc u-.c of non-,tandard doctoml dcgrcc' b) members of the ,\mcncan Academ) of r\ud1olog) 111 con-

degree,, Lrain111g. credential .... or compe­tence. Onl) degree' earned from rcg1onall) accredned ln,tnullon' 111 "h1ch trainmg "a' obta111ed 111 audiolog). or a d1rectl) related d1scipiJ nl'. ma) be U\Cd in public '>tatcmenh concerning profe..,,1onal \CI"\ 1cc. lndi' 1duat-.: public 't<llcmcnh about prob­-.ional ... cmce.., and produch ... hall not con­tam repre.,entation.., or cla1ms that are fa be. mi,leadmg. or decepti\·e:·

Conccn ed and "ritten b) Dane/ H R elmck "hen he \\ <b Chmr of the Ethical Pracuce' Board. The EPB 1' grateful to Dr. Re\nict-. for hi' cont inued 'uppon and for recent re' 1'1on., to Lhi . document.

VOLUME 7. NUMBER 4

compliance \\ ith the Code ol Ethic\ requ1res ( I ) that the degree be granted b) a reg1onall) accred11cd institullon. or (21 that the degree be detcrmmcd to meet equi\ a­lent standard ....

Degree., from accredited m'tllullon' mean-. tho'e :t\\ arded b) po..,t-secondar) educational 111\tllutions accrcdned b) n.:g1onal accrcd1tmg agencie' rccogmLcd b) the Lnitcd tate' Depanment of Education. or the Council On Po ... t- econtlaf) \ccrcdllation. The \ onh Central ,\"ocmtlon of College. and chool' and the \Vc\tern ,\.,-.ociation of chuol' and Colleges are e.\ttmples of accred11 mg agcn­c IC\ \O recogn w!d.

\ ' a matter of procedure. the Ethical

nect ion "11h their practice i .... at the \Cf) minimum. mi,lcatling to

the con ... umcr of profc....,ional 'en 1ce,. tated another "a). to be in compliance

"1th the Code of EthiC\. Academ) member... ma) u'c m public \tatemcnh onl) graduate tlcgrec' earned from regional!) accredited 111\tllullon' (or their ettuhalem) 111 \\h1ch trautmg "a obtained 111 audiolog) (or a d1rectl) related d1~c1plmel. Puhhc 'tatc­mcnt\ mclude. but are not hm11ed to. '>la­lloncf). busine's card .... catalog .... ad,·en 1\C­mcnh (including telephone d1rectof) h't· mgsl. directories. program'. announce­ments. mart-.eting matenat.... '1gn .... or othcr puhh,hed matenals "here member ... arc 1dentilied for proles'>ional purposes. G

AUDIOLOGY TODAY 13

AAA ANNOUNCEMENT

AAA APPROVALED TO OFFER CONTINUING EDUCATION PROGRAM

The American Academy of Audiolog) is pleased to announce thee tabli hmem and initiation of our O\\ n continuing edu­cation program. AAA has been authorized to be a provider

of continuing education units (CEU-;) as a new member of the International

tie enable audiologi L to increase their knO\\ ledge bru;e and gain competence with the late t development\ in technolog) in order to beuer erve their patients and client ·. Of the -B tates

that nO\\ requi re licen ure for audiolo­

s ociation of Continuing Education and Training (IACET). FeliO\\ of the Academy will now be able to earn AAA CEU. by par­ticipating in approved continuing education activitie . The AAA Continuing Education Progran1 "ill be admini tered through our national office in Arlington. VA . Previously. Academy Fellow who required CEU had only AS HA or IHS approved continuing education progran1 from which to earn credits.

CONTINUING EDUCATION

gt t~ . 26 'itates have a 'itatute \\ hich require. continuing education. The AAA Board of Director · has long noted the irony of the fact that although the Academ) i noted for spon or hip of out tanding educational acti\ itie . we have been dependent upon CEU approval from other organizations. With trong feeling about the impor­tance of continuing education for audi­ologi t . the Board will soon be consid­ering the i ue of po . ibl) mandating required CE for AAA Fellows to db maintain membership in the Academ).

The International Association of Continuing Education and Training (IACET) i a well-recognized organiza­tion in the field of adul t and cont inuing education. Member organization mu t adhere to pecific criteria in their continu­ing education acti\ itie. . IACET ha developed ten criteria that serve ru; a mod­el of effecti \ e continuing education prac­tice . These ten principle are detai led and

AMERICAN The Academy Board of Director · i

commiued to having audiology accept­ed as an independent and reimbur able hea lth care profes. ion. Third-party reimbur ·ement agencie ·,as well a out­patient and client . e.\pect audiologi. ts to provide quali ty co !-effective hearing

ACADEMY OF AUDIOLOGY

discus ed in the new AAA Continuing Education Manual.

In adhering to IACET ten criteria. each AAA approved continuing education acti\ it) " ill require a et of teaming out­come developed by program planne~ and in tructors. Learn­ing outcome· are written ~tatement of what participants are expected to team and accomplish as a re ult of participating in the educational activity. AAA cominuing education partici­panu v. ill be required to demon trate a11ainment of tated learn­ing outcome through a variet} of technique . e.g .. completing a brief written as e ment of the activi ty, di cus ing implemen­tation of what was learned. etc.

In delivering continuing education activities, course faculty members will fo llow guideline et forth by the Academy to en urc that participants receive the highe t quality of in true­lion po ible. At the conclu ion of all e ion . participants will be reque ted to fi ll out an evaluation form to help the Academy Continuing Education Commi11ee determine which element of the CE program are working well and where improvements are needed.

Rationale and Background. The American Academy of Audiology wa founded. in part. on the premi e that it i e en­tial for audiologi ts to participate in cominuing education to a ure profe ional competence. Continuing education acti vi-

By Sharon Fujikawa. Chair. Education Committee. Orange. CA and \'a/erie Deir:, AAA Education Coordinator. ational Office. Arlington. VA.

14 AUDIOLOGY TODAY

care that can be judged in tern1s of acceptable hearing care with predictable

outcomes. For the e purpo e , it is critical for audiologists to ta) current through continuing education. Our commitment to

continuing education rna) be viewed as a measure of compe­tence to as ure optimum practice tandard .

Fellows of the American Academy of Audiolog) practice within a clearl) identified cope of practice. meeting ethical and clinical tandard . The Academy is LTUctured to rigorou ly monitor membership compliance with the e tandard . While thi monitoring proce . may be accompli hed be t within the context of tate Iicen ure board , we recogniLe that audiolog) licensing acts are not con i tent in their requirements aero · the tate , and that we till have 7 tates without profe ionallicen­ure for audiologi t . Development of tandard of practice i

perceived a an ongoing proce. that attempt to as ure that the quality of audio logic hearing care i generally equivalent aero. the United State .

TheAAA Board of Directors has accepted respon ibility for provi ion and documentation of Academy approved continu­ing education offering attended by our FeiiO\\ . Specific fund from the Academy operating budget were allocated at the March Board of Director meeting to hire a Continuing Education peciali t to work full-time within the tructure of the ational Office taff. and in clo e as ociation '' ith the AAA Continuing Education Committee. to develop and implement thi ne\\ national program.

Participant may be awarded CEU for AAA' continuing educat ion activitie . The CEU i defined by IACET a! ten con-

JULY/AUGUST 1995

AN ou C ME T

tact hour. of participation in an organized continuing education e\perience under re pon..,ible ponsor hip. capable direction, and qualified instruction. A worl..­shop. for example. that i. 7 hour.., long would be worth .7 CEU . or if one accumulated 22 hour' of in truction at the AAA convention. thi '' ould be the ame a 2.2 CEU.. It i important to note that the

CE is the manner in '' hich I CET member admini~ter credit for continuing education program . and that thi. i equivalent to clock houn, or contact hour. . All are ex pre ions of participation in con­tinuing education event . Since licensure agencie). typically state their continuing education require­ment in hour , the academy will is.,ue confiml<t­tion of attendance in CEU and clocl.. hours.

Recently. AAA has contacted evel) tate licens­ing agenc) for audiologist and hearing aid di pens­ing board'> that have mandatOI)' continuing educa­tion to announce our tatu a a CEU provider through IACET. The Academy i. applying to these <,tate. to become an official provider of continuing education for audiologi t . In tum. audiologists would be able to use their AAA CEU~ toward-. their . tate licen'iure requirements. As we get approval from various states. announcements \\ill be made in Audiology Today. So far. the Academy has been approved by:

c.~NTIN8rN,lb~~~~cr:~ 'S ~Part•c•pants' EU records 11 ill b . . ROGRAM

I he CE Registrv. Partie' e mamtamed ~I ;.~ headquarter with through December 1996. R~~ fl pay a 1 reg~try ~ee" hich is good renewal or ent directlv to the A;\A~a.' ~e paid lnt.h member hip Bank Lock Box PO Bo~ 097_ M Le ucatJon oordmator at AA

• • ' ' • • ~. 1 c an, 22109-0975. ~Participants must satisfactorily com I . .

it,\ in order to receive E . · pete lhe conhnumg education actii·-

~Actil·e imolvement b r . . . cessful learning. y con mumg educatiOn participants i key to uc-

~Participant till out a Continuin Ed . . elusion of the ion. g ucaiJOn Evaluation form at the con-

~ Attendance "ill be verified at each . ~ JOn. ~Pa~ticipant "ill be i ued a letter fl II . . .

activity tating the number of CE ~Conmg each contmumo educa tion letter are available at a co I of 10 fl on tact hour ea~·n ed . dditional Only individua l who have paid tl ~r ~ember ' .30 for nonmember . lett er . leJr annual reg• tr.v fee 11 ill be ent

~Tran cripts are a1 ailabl · 15 for two. An E\ ress e ~~~~n '~'ntt.e~ request for a fee of 10 for one,

script, 30 for two. p ce IS al adable at a co t of 25 for one tran-

~Arkan ·as Board of Examine~. Speech Language Pathology and Audiolog):

AAA Continuing Education Regi try. The rcgi try contain records of each individuar continuing education acth itie for a minimum of ·even years. All participants on the regi lr) will be i ued verification letters after evel) continuing education activit) . rating the title of the activity. dates. and number of CEUS/clock hour earned. Those who join the regi try now pa) $15 which is good until the end of 1996. In order to receive AAA CEU from other organiLations that pon or program through the academy. one mu t al o be on the regi try. 0

~California Speech Language Pathology and Audiolog) Examining Committee:*

~Florida Board of Speech Language Pathology and Audiology

~The lllinoi · Department of Public Health as of January I. 1996:

~Kansas Board of Hearing Aid Examiner :*

~Mi i ippi State Department of Health. Profe ional Licen urc:

~State of Mis ouri Council for Hearing Aid Dealer and Fitter :*

~South Dakota Department of Commerce and Regulation. Board of Hearing Aid Dispen ers:*

~State of Utah. Department of Commerce, Divi ion or Occupational and Prole ional Licen ing:

~State of Wa hington Department of Health. Heal th Profe ion Quality A urance Divi ion.

AAA progrJITI!> ''ill be approved on an indi' idual basi .

Anyone wi hing to be recognized for attending AAA continuing education activitie to ubmit for licen ure mu t be on the

VOLUME 7 NUMBER 4

Tht'> fall there are two C\Citing AAA continuing education el'entl>. Join Ul> in Columbu'>, OH for the ~tidwest Audiolog) Conference Pre-Conference \Vorl.. hop co pon ored b) the Collaborative Marketing Campaign on October 5th. The topic will be "Con umer Sati faction with Hearing Aid : Bridging the Gap Between Laboratory and Clinical Practice" featuring David A. Fabry. Craig W. ewman. and Barbara E. Weinstein. The work hop will be followed by the Midwe t Audiology Conference pon. ored b) the Ohio Academy of Audiology on October 6th and 7th. On November 4th. AAA and the California Academy of Audiology present peaker Charle Berlin and Karen Jo Doyle for the ~ewport Beach Fall Program. In addition to these two offering . the acadcm} will sponsor a peaker. Frank Musiek. at the Academy of Di pen ing Audiologi ts convention in \1) rtle Beach. SC on October 19th. For more information on an} of the e continuing education offering. contact Valerie Deitz at AAA headquarter . (800)222-2336.

AUDIOLOGY TODAY 15

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VIEWPOINT

THE VOLUNTEER AUDIOLOGIST

The lllinob foundauon of a nauonall) !..no,,n ...erv1ce club recent!) initialed a ~tale\\ ide communll) heanng loss

detection program forch1ldren Oto 3 )e.m of age. All ~creening (lesungl 1s done b) Ia) \Oiumeers from the foundauon c:mplo) mg d1siOn10n product emiSSIOns (DPOAE) as the ~creening in~trument. According 10 an announcement mailed 10 audiologists in the \ tate. each volunteer. ··ha' hl:cn thorough!) trained at a major uni\Crsity located in Chicago b~ cenified audiologiSts on the the­oreucal and practical apphcauons of OAE me~ures m children:· !Xspllc this some­'' hat remarkable educauonal ach1evemem. the 'olumeers are not allo" ed to judge ''hcther the infant or chi ld p<L\Ses or fai ls the DPOAE test. All records are -.cntlo Chicago 10 the un ive~il) for llllerpretauon b~ an aud1olog1sl. The child \ legal guardmn recc1ves a postcard '' 1th results and recom­mendations. an imcrcs11 ng exerci'>C in dl~­tance diagnosi'>. The program I\ being con­ducted under the ausp1ccs ol the Dcpanmcm of OtolaJ) ngolog) of the umversit).

At lirst glance. this sccmmgl) \\e ll mtcmioned cffon 10 help 1dcn11 f} hearing los' in children deserves the full 'uppon of the audiolog} communit) . In rn) 'IC\\, ho\\C\er. and <bide from a number of sen­ous problems "uh the design ol the project. the program "s hea'} reliance on Ia) volun­teers to do direct testing ' ' 1th mfanh and 'Cf) ) oung children raises a number of ba.,ic que tions that \\ ammt candid and. if possible. disp~s1onatc re\"le''· l11is is espe­ciall) true nO\\ \\ llh the prollfcrauon or OIOaCOUSIIC emiSSIOns eqUJpmeOI that advenisc ea_se ol opem11on (a 'olumeer can do it) as a maJor \elling pomt. \ ly rcserva-11011'> arc not about the need to 1demif} hear­mg. lo . in children. but the ,.,. ay such an effon 1s conducted. At the ri\1.. of \Ounding uncaring. I \\Ould li !..e to c\press m) reser­' at ions about the concept ol hearing 'creen­mg repre ented b) th1s sen 1ce organiza-11on \ DPOAE hearing \Creenmg progr.Jm.

\ I) fiN concern 1-. \lmpl) about the cl inical validit) of mounting a state'' ide mass child hearing los\ detection program util i; ing otoacoustic emissions. \\ hether distonion product or trans1en1. a'> the creening in trument. Despite literall )

do; cns of published \ludics on the cl in ical usc of transiem otoacoustic emissions <TEOAE). a univer<iall) acceptable and val-

ubm111ed b) La.do Ste111. onh,, cstcm Unhcrsi ty. Evanston, IL

VOLUME 7. NUMBER 4

1datcd cnteria for pas~ or fa ll I) medical ~OCICiles 10 "ith infant~ ha.! not been rcal-17cd (White & Behrcn .... 1993: Bra\\. \\'at !..in-. & Kemp. 199-t: \ hitchead. Jimcnc;. tagner. et ill. 1995 ). Far less

clear 1s the is.,ue of" hat con­~l i tutc" a pass or fai l or. for that mauer. a technica ll ) acceptable recording of DPOAE " ith infam' and young children. There 1\ hn lc or no infonnation a'i to hO\\ man) children bet\\ecn the ages 0 and 3 might be e\pect­ed to pa'~ or fa il DPOAE te\t­mg. The high incidence of otiti '> media in children in tim age mnge. or just plain din) ear-,. may mean that large numbe~ of children "111 fai l s1mply because an OAE can­not be recorded due to ob\truction and not to heanng loss. On a more '>imple level. "e do not even !..nO\\ if a 1" o­ycar old \\i ll sit '>1111 long enough 10 obtam a 'ahd DPO .\E mea ure. The ab ence of controlled data on \\h1ch 10 ba.-,e guidelines for te .. t admtmstrauon or cntcna upon \\ h1ch to judge "hcthcr the test i~ a pass or a lall makes any mass screcnmg

The identifica­

tion of hearing

loss itz an infant

or young child is

probably the

most important

and challenging

clinical diagnos­

tic function we

cando as

audiologists. Yet

it is tlze one we

give upmost

readily.

ensure that only those mdi­' iduah licensed b) the state to perfonn such tests .tre mvoh·ed. t:.g .. nur-.cs. mcd­tcal technKians. or other allied health profcs'>lonals. The I louse of Delegates of the AMA ( 197 1) on the i\Suc of mullipha-,ic health tc.,ting establi-,hed guidelmcs that mclude: mu luphas1c tes11ng program' should meet applicable liccn,mg rcqUJrc­menh and be appropriate!) evaluated for quality con­trol: the opera11on of allmul­tipha.,ic le\l111g program'> must be 'iUj)Cf\ i<,cd b) qual­ified ph) s1cians at the test­ing cemer: and. the program should pro' ide lorconlidcn­tial ity of patiem data. l11cse ame guideline-, might well

appl) to any hearing 'crccn­ing program.

When we a'> audiologist" abdicate our rc-,pon"biht) and agree 10. mdccd facili­tate. the U'>C of Ia) \'Olun­teer-. 10 screen (test ) the heanng of babie' and ) oung children.\\ e g1' e up our pro­fes 10nal nghts. Th1s 1s not a trh ial 1ssuc. Profe-,.,lons exist. through 1hc1r soc1c11e efl"on using lay volunteers not

on!) poor clinical science. hut pos'>ibl} hannful rather than helpful. l11e hann is that large numben. of ch1ldren may be false­!) passed or fai led creating Ull\Htrranted parental an·<iel) and costmtenns of foliO\\ ­up examinations.

\1y -,econd and major concern 1s one of professional re ponsibi luy. One 1s hard pre~sed to find in tances \\here Ia) volun­teer creen medical conditiOn'>. Vi ton screening i'> one most frequcmly mcn11oned but I "ould argue there is absolutely no compari . on bet\\een a\l..mg a school-age chlld to indicate " h1ch \\a) the .. E .. on the chan point and the screening of hearing in a I\\ o or three year old. As a mancr of fac t, most 'ision screening i-, done through the schoob using trained and super\ 1sed school pcr-,onnel. An inquir) 10 the American ~ lcdical Association revealed that health screening by lay individual' I'> con'lidered safe and appropriate on!} if the testing is b) over-the-counter "test !.. i1,··. Communi!) health fairs arc generall ) overseen b) coun-

or JS\ociations. to in'>i't thai standards of care not be compromised for elccmo') naf) or monetaf) reasons. Prote.,s1ons are also establi'>hed 10 distinguhh tramcd and licensed or credentialed prac1111oners from lay person'>. We no longerdescf\c to list our occupation a.s a profes\ion "hen person' "ith no panicular credentials are held to be able 10 do \\ hat we do as \\ell or beuer.

The argument ''ill qut kl) be made that Ia} 'olumeers that ubstitutc a' audiologl'>h areal\\ ays under the upen i'>ion of an audi­ologist "hen perfonn ing the1 r ,·olunlaf) good deed . The pomt is compelling. but va lid only if such super\ ision I'> litcrall ) one on one '' ith the audiologi\1 close b) and available 10 con tantl) monitor. and. if nece"saf). correct or reign in the actions of the volunteer. Too often the 'olunteer is "thoroughly trained .. and then allowed 10 proceed to operate more or less on h1s or her O\\ n. Thi~ cenainl) \eem~ to be a po~., ibili -1) in the case of the volunteers 1111hc Il linois program '' ho \\ill be \Cauercd throughout

AUDIOLOGY TODAY 17

the \tate with the re~pon ible audiologi ts possibly hundreds of miles a\\ a) in Chicago. An added risk when supervision becomes remote i~ that the enterprising volunteer may bit b) bit expand his or her ini­tial lbt of respon~ibilitie~. In the case of hearing creening. the fine line bet"een judging whether a record is technical!) correct or whether it should be interpreted a a pas or a fai l may become blurred. im ilarly. a neighbor volunteer obtaining hi. tory informa­tion or data collection may ea ily. albeit inadvenently. cross the line of patient confidentiality.

1 would ugge tthat <m appropriate committee of the AAA exam­ine the que~tion of .. volunteer audiologi ts ... The charge to the com­miuee would be to addre s whether the use of volunteers i appropri­ate in the direct te.ting of hearing in children and adult . If deemed appropriate. under what circumstance. ? Perhap volunteer activitic ~hould be limited to ho~pi tal settings where profe ional re pon ibil­it) and supervbion would be mandated and limitations impo ed by ho pita! regulations? Should there be age limitations with children. only school-age and older for example? What creening in trumems or method~ arc appropriate for use by volunteers? What would con­~titute "thorough!) trained and supervi. ed"? What about licen ure laws? Licensure laws in many tates (Illinois as an example) specif­ically Mate that ''the pmctice of audiology is the application of non­medical method and procedure for the idemilication. measurement. testing. apprai al. prediction. habilitation. rehabil itation. or in true­lion related to hearing. and hearing di. order . . ·· fn theory then. only an audiologi~t under the Speech-Language Pathology and Audiology Practice Act is empowered to test hearing (physician. are e>.empted a\ are cenilied audiometric technician for the purpo e of indu •trial hearing con. ervation and audiometric creening technician cenified by the Illinois Department of Public Health). In practice, how do we challenge the employment of EEG Technician u ing ABR or OAE to creen hearing in a pecial care nursery when we permit volunteers to do the ·ame?

I hope the e remarks are not con trued as again tthe need for pro­granls to crcen infant and children for hearing lo . 1 or do I mean to minimize or disparage the comribution lay volunteer have made in various roles to hearing crcening progran1 . What r do want to convey i that with the boost the l H Consen us Repon gave to the u e of otoacou tic emi ion as the universal creening tool and the ru ociated interest in u. ing volunteers to creen (te I) the hearing of babie! and young children becau e OAE are . uppo edly o easy to u e. thi may be an appropriate time to a !)CS!) the profe ional is ue involved in the u e of lay volunteer . We now have what i e . en­tiall) a nonpolicy. The identification of hearing lo in an infant or young chi ld i probably the most imponam and challenging cl inical diagno ·tic function we can do as audiologist . Yet. it i the one we giv~ up mo t readily. 0 ~

R EFERENCES Bra:. . D .. Watkin:,. P .. & Kemp. D. A se mcnt of an implementation of

a narrow band neonatal otoacou!>tic ~crecning method. Ear and Hearing 15:467-475. 1994.

Multiphasic Health Testing. Proceeding House of Delegates. American Medical Association. Nov.2 -Dec. I. 1971.

White. K .. & Behrens. T. (Eels) The Rhode Island Hearing A:.ses mcnt Project: Implications for Univer..al ewbom Hearing Screening. Seminars in Hearing 14. 1993.

Whitehead, M .. Jimenez. A .. Stagner. B .. et al. Time-windowing to improve ignal-to-noi c ratio of click-evoked otoacoustic emis ion in adults. Abstract . . Assoc. Research in Orolaryngol. 1995.

18 AUDIOLOGY TODAY

WE SAVE YOU MORE THAN

PEANUTS

IF YOUR PROFIT MARGINS ARE BEING

SO' IEEZED CALL US FOR RELIEF

AUDIOLOGY CO-OP

2717 South ARLINGTON Road Unit C · AKRON , OHIO 44312-4711

800-228-0050

JULY/AUGUST 1995

The Pioneer pmt ''Ill lead over -l.OOO AudiOiogt'>l\ to ah Lake Cit} for the th Annual Comentlon. April I -21. 1996. the on I} conventiOn and exposition exclustvel) for the profe~sion of

Audiolog). If you didn't make it to Dalla.s in 1995. you won· , want to mi . this year\ event. Here· \\hat ''e heard from a fe,, Dalla attendees:

"My first AAA convention ... it won't be my l<l!>t! Thank you for the \\Onderful profes ional meeting ...

"A b. olutcly excellent - course~ & se ston of highe. t quality. A great learning experience. wonderful social events- excellently planned and implemented."

"While I mts~ the mtimaq po'>~ible from small stze at earlier con­\Cntions, u' a real and intense thrill to be urrounded b) such quanti­tie!> of direct colleagues."

With each convention, AAA trives to give the attendees something umque. a ne\\ ''' ist on an old theme. In Salt Lake Cit\. vou ''ill eain kno'' ledge and e\perience from" ~th tho!>C -that have come before and tho'e that ''ill come after. Thi year\ pectal Ptoneer e~sions ''ill high­light some of the pioneers that helped e tabli h the foundation for our current clinical practices.

The th Annual Convention ''ill also provide additional opponumties for panictpatlon from our international guests through everal new event. and activities. You will find an expanded Job Placement Center and additional tudent act1vit1~. If you ''ere impressed and amazed by the exhibu hall in Dalla,, watt until you <;ee the expanded hall we have resef\·ed tn the Salt Palace! We expect over 150 exhibiting compantc~ to provide attendees "ith mformation on their late<,ttcrhnolog) and \Cr­' tees. \\.e ha\e also e\panded the Po terSe ion hours to aiiO\\ for more nextbthtj and exposure to current research.

You ASKED fOR IT, WE' VE BROUGHT IT To You! The feedback received from the Dalla!> Convention O\emhelmml!-

1) mdicated a need for a ne\\ format \\htch \\Ould a.ssi'>I pantctpants in

organizing the more than 200 educational program-.. offered over the four da) convention. The th Annual ConventiOn program ''Ill be di\ tded Into Eight Educational Tracb to a stst attendees m choosmg the program they mo. 1 want to attend:

' Rehabilitation/Cochlear Implant\ " Diagno~tics \ Heanng Con ervatlon \ llearing Science

\ Amplification \ Profe,stonal J,.,ue-. \ Practice \1anagcment \ Vestibular A~~e~smcnt &

Management

Concurrent Sessions. Instructional Courses. Poster es.,IOn~ and Special Se ions ''ill all be categorized into one of these tmcks. All potenual in tructors are <l!>ked to choo!>C one of the above tracks ''hen

submitting their course propo~al .

SALT LAKE CITY HOUSI NG Infom1ation on housmg m alt Lake Cit) was mailed m earl} June. If ~ou ha'e not recet,ed the hou,mg brochure. plca'e contact 1-\AA head­quaners at 1- 00-AA,\-2336 for mformatlon. Hotel re. ef\atlons mu.,t lx made on the official housing form. through the alt Lake Cit) Hou ing Bureau.

PRE-CONVENTION SKI BASH The Amencan Academ) of Audiolog) mvites

you to put no\\ under your feet at one of the world\ great '>ki moun­tams. Join fellow audiologi ts the weekend before the AAA convention and take your sktmg experience to ne\1 hetghts at the incredible Sno\\ btrd ki Reson! To make your resef\ auons call nO\\ btrd Reservations direct)) Jt 1- 00-t5J-3000. Be sure to tdentl f) )OUr.>elf as an ..\mencan Academ) of Audtolog) attendee.

Watch your m:ul and future IS~,Ues of \utlwlol/v Tndu\ for funher updates on the th Annual Convention. The Salt Lake Convention Commmee looks forward to hosting )OU ne\1 pnng m the beautiful Wa!>atch ~lountruns.

CALL FOR INSTRUCTIONAL COURSES AND FACULTY DEADLINE FOR SUBMISSION: SEPTEMBER 25, 1995

The Amencan Academ) of Audiology i. plea..,ed to announce.· the call for in tructlonal course facult\ for the 8th Annual Convention Program. Course proposal· hould be mstructlonal

m nature and profile an ru.pcct of cl inical audiolog). ba..,Ic sctence. or related area.

All members of the Academ) or related profes.,ionals are im ned to -.ubmn m~tructional cour;e proposal for the convent ton program.

Time Frame: 1o 1 course will be one hour m length and rna) l'le co-in tructed. A limned number of nine!\ minute courses \\Ill be con idered. -

Submit ) our pre entation propo. al~ po tmarked no later than eptember 25. 1995. Please end originals \\ ith II copie' to:

J. Mtchael Dennis. Ph.D., Chairman. AAA ln'>tructlonal Course Commlllee 00 '.E. 13th Street, 6 P522

Oklahoma Cit). OK 73104 Phone: (405)27 1-8<U6; Fax: (405)271-8127

VOLUME 7 NUMBER 4

The Evaluation Proc Members of the AAA Ln trucuonal Course Commmec ''Ill C\aluate

the Instructional course ab tracts on four cntena. o Overall Quaht) o \\'ell-defined focus o Educational ObjeCtl\e o Timeliness of topic Committee !ember.: Chnstopher Bauch. Ruth Semler. Tami

Bodeman. Kathleen Campbell. \IIchael Ce\ctte. C~nthta Compton. ~ IIchael Gorga. Thomas Littman. Da\\n '\eJ,on. Terre) Oh,er Penn.

Audio' isual up port of Your ourse All Instructional cour;e., ''ill be \et up '' nh the foliO\\ ing audio­

' isual equipment: o Overhead Projector o He<td Table. :1!> needed o Projection creen o Lectern. lli> needed o La\'aliere Microphone • Electric Pomter • 3 -mm I ide Projector" ith one Carou,el and Remote Control

ote: Any additional audio' isual rcque'h not stated abo' e. ''ill be reviewed for appropriateness b) the IC Committee.

AUDIOLOGY TODAY 19

INSTRUCTIONAL COURSE PROPOSAL FORM (MUST BE TYPED) DEADLINE FOR SUBMISSION: SEPTEMBER 25, 1995

Lead In tructor #I \rune: ________________________________________________________________________________ ___

no Academ) \!ember Affiliation: ---------------------------------------Addre..,.,: ________________________________________________________________________________ _ Cit~ : __________________________ State: ____ Zip: _______ _

Telephone: ( __ ) Fa\: ( __ )------------------­*Please attach a eparate heel ror additional in tructor . Educational Objecth c. After the coup,e i'> completed. participant\ ''ill be able to: (. _____________________________________ _ , ____________________________________________________________________________________ __

Educational Program Track: (please ched. the one tracJ... '' hich be'>t reprc.,ent~ your cour ... e content) Rehabilitation/Cochlear Implant'> Hearing Con,en ation Amplification Practice \lanagement Diagno-.tic Hcanng cience Profe~'> tonall-.-.ue.. e~tibular A,,e.,,ment , \ lanagement

lm.tructional Level: lntroductof) lntem1ediate dvanced ubmit up to a 200 '' ord ln, tructional Cour ... e .,ummar) in the ..,pace pro' ided bclo''· Do not \end '>upplcmentaf) material.

Cour ... e Title: 160 thar.KI~r limn)

ummaf) :

(.., there a ma\imum number of participant-. mthe cour-.e'? Ye., If ye'. ho'' man) ?__ \ o pecial Audio/Vi<>ual Requirement : (re\ IC\\ pre\Ct A package) ------------------------------------------­

Note: Late requ u ror additional V equipment cannot be con idered. A., the lead in'>tructor of thi.., propo cd in-.tructional cour-.c. I agree to prc~cnt the cour;,e up to two time., on the assigned datc!'l bet\\ een April I -20. 11.)96. tf accepted. I hcrcb) ackno\\ ledge the right of the American Academ~ of Audiolog) to profe.,, ionall~ record and '>ellthi'> pre\entauon on audio-cav .. ene.

Signature. Lead Instructor Date To a'oid 1canng page,. plea.'~! cop) lonna' needed.

20 AUDIOLOGY TODAY JULY/AUGUST 1995

CALL FOR POSTER PRESENTATION & STUDENT RESEARCH FORUM PROPOSAL

DEADLINE FOR SUBMISSION: NOVEMBER 3, 1995 (ALL FOR POSTER PRESENTATION ABSTRACTS haron . Lesner. Ph.D.

Member., are encouraged to submit propo al for poster., '>Um­marizing ba'>ic and applied research. information on materials and method'>. instruments having clinical relevance. etc. Poster., will be displayed for two full days during the convention in a prominent public area. A t110-hour block'' ill be allocated for author' to be at their po~ter' to di'>cu~s their work.

Po ter 11 ill be 1>eer re1 iewed b.l a committee chaired by Robyn \1. O\ .

ommitlee member are: Frederick Britten. Alben DeChicchi'>. Jo-,eph Hall. Ill. Franci'> Kuk. Carol ammeth. and Jean ullivan.

Please note: Po~ters 11 ill be . .rx ·. 1l1e academ) 11 ill 'iUppl) the pu'>h pin\.

(ALL FOR STUDENT RESEARCH fORUM PROPOSALS ,l aster~ and Doctoral level students and recent ~rmluates in

Audiology are invited to submit proposals for presentation of their original research completed while a graduate '>tudcnt in Audiolog).

election of propo.,al., will be on a competiti1 e ba.,is. Propo-,ah that are elected 11ill recei1 e a cash award of 500. Pre.entations will be delivered or.tll) in a showca'ie of ~tudent research.

Time Frame: Please note that student presentation. \\Ill be lim­ited to 15 minute\.

"ill be re1 ie11 ed b.l a committee chaired b)

ubmiUing )OUr Po ter Presentation or Research Forum: Pleru;e '>ubmit the following 11 ith each '>Ubnl!Ssion for poster pre­

entation or 'itudent research forum: I. Submit the completed type11 ritten Call for Poster/Student

Research Co1 er form included in this JOurnal. Student Research Forum: Indicate "hich author 1s the primaf) research advi-.or/mentor.

2. ubmit a t) pcwriuen. double paced ab'>tract not to exceed 75 word . Include the title. author;· names and affiliation at the top of the page.

3. Submit a 1) pc11 ritten. double '>paced -.ummaf) of up 10 200 '' ord. including the title. a brief l.tatement of the purpose of the tud). methods. results. and conclusions. Inclusion of up to

two tables and/or figure is . trongl) encouraged. Provide title. authors· names. and affi liation at the top of the page. Completed 'ubmis~ion must be received by November 3. 1995.

Materia l~ received after thi date or those that do not confom1 10 the above inwuction\ wi ll be returned 10 the fir~ t author ~~ithout revie~. Due to the po sibility of poor qualit). faxed submi~sion~ ''i ll not be accepted.

Author.., 1vill be notified of the result.., of the revie,.,. b) December :w. 1995. Detai led im,tructions for pre~entation of accepted ~ubmiss1011.., will be sent w llh notification.

CALL FOR POSTER PRESENTATION AND CALL FOR STUDENT FORUM PROPOSALS COVER FORM (MUST BE TYPED)

DEADLINE FOR SUBMISSION: NOVEMBER 3, 1995 Please indicate the t~ pe of submi sion: (indicate one catcgof) only)

Po ·tcr Presentation Student Re..,earch Forum: IS minute oml platfonn pre~entauon: category limlled to research completed \\ h1le a graduate student m AudJOiog). •

Title: ______________________________________________________________________________________ _ Firt uthor ________________________________________________________________________________ __

~arne~grce: ________________________________________________________________________________ _

Amencan Academ~ of Audiolog) member Yes ">o Affihauon: __________________________________________________________________________________ __ Addre~s: ____________________________________________________________________________________ _

Cit):---------------------------Telephone: ------------------------------------------------­*Please auach a ~cparate ~heet for additional authors. Educational Program Track:

the contelll of your pre entation)

tate: _____ Zip:----------------

(please check the one track 11-h1ch best represent = Rehabilitallon/Cochlear Implants ......., I tearing Conserl'ation - Amplification = Practice 1anagement = Diagno..,ucs Hearing cience = Profe-.sional bsue~ Ve\tibular Asses~ment & \1anagement Student Adv1sor (Student Research Forum onl} ): -----------------------------------------------------------

ubmit up to a 200 Word ummar~ along" ith a 75 Word \b tract ubmitted on a eparate page. Do not end upplementar) material. ** tandard audio' 1sual equipment for the tudem Re earch Forum: lcctem. microphone. electric poi mer. 35mm slide projectOr. and screen. For tudent R earch Forum end original and si\ C6) cop1es to: haron A. Le~ner. Ph.D .. School of Communicati ve Disorders

1l1c Uni1mity of Akron. Akron. OH -1--1315-300 I For Po ter Pre ·entation Send original and six (6) copies to: Robyn I. Co\. Ph.D .. c/o American Academ) of Audiolog)

1735 onh L) nn Street. uite 950. Arlington. VA ~:!209-1012

VOLUME 7 NUMBER 4 AUDIOLOGY TODAY 21

CALL FOR ACADEMY HON

~ominatiom, rna) no'' be submined for honor' in an) of the categone~ de,cribed bdO\\. \ omtnallom. ''ill be con-.idered andre' ie"ed b) the Academ} Honor\ Commiuee. and a\\ard., to 'elected rectpienh ''til be made at the AAA Con\'enllon in alt Lal,e Cit). Ltah. Apnl 18-21. 1996.

MECHANISM FOR SELECTION OF HONOREES omination' can be '>ubmiued b) any Academ) fellow and

mu~t provide -,ufficient documentation as 10 ho" the nominee meet\ the '>pcci fied cri teria. Abo. an up-to-date CV of the nom­inee mu ... t accompan) the nomination. '!Otninations for a\\ ard'> abo ma) be made b) member' of the llonor. Commiuee at the time of their deliberation'> and/or b) an) member ot the Board of Director,. A II nom mall on' ''ill be considered b) the lion or\ Comminee and a" ard' ''ill be made to quahlied candidate' v.ho recct\e a maJorit) \Ote of the \Oting member' of the Honor' Commiuee pending final appro\ al of the Board of Director,.

\ ot al l of the award.,'' ill be gi"cn each year. It i\ antictpat­ed that onl) one or l\\0 award., ''ill be presented each year m. appropriate honoree' arc identified.

DEADLINE FOR NOMINATIONS IS OCTOBER 15, 1995

\ ommation\ ~hould be addrc) ed to Jane A. Baran. Chair. AA Honor-. Committee. Department of Communication Disorder'>. Lni,·er,it) of \1assacllU\Cll\. Bo\ 30-HO. Amhel'\1. \ lA 0 I 003-0-t I 0.

CAREER AWARD IN HEARING Thi\ award i'> gt\'en for '>ignificam pioneering accompli~h­

mem-. (research. clinical or teaching). '' ithin the field ot hear­ing. Tht' a" ard • ., not re,tricted to audiologi,b. but ma) be gi'­en to an) indt\ idual '' ho ha-. had a di,tingui,hed career tn hear­ing. Candtdate 'hould ha\ e at lca't 20 ) car' e\pcrience 111 a field related to hearing. Candtdate \hould ha\'e devoted hi..,/her life to clinical or laboratof) rc,earch. teaching. and mentoring ) oung people in the field'> related to hearing and/or eli meal \Cr­"ice in hearing related endea,or\. Previou-. Awardee: Leo Doerner. 199-1.

lAMES F. JERGER CAREER AWARD FOR RESEARCH IN AUDIOLOGY

This a\\ard i-. for a '>entor le,el audiologt-.t \\tth a dl'>tin­gui\hed career in audtolog). Candidate mu'>t ha\'e at lea'>t 20 year' of n.:search producti\ II) Ill audio(Og) (not in J rdated field). and ha'e made '>tgnificant contnbutJon' to the practice and/or teachmg of audiolog). Pre' iou\ A'' ardees: Jame-. Jerger. 1993: Charb Berltn. 1995.

R ESEARCH ACHIEVEMENT AWARD Thi-. award i., pre ... ented to an audiologi-.t m recogni11on of a

recent major re~earch accompli'>hment in audtolog). Re,earch mu'>t pro' tde ne'' in-.ight~ into the mechani'>m'> of nom1al or abnom1al hearing and ha\ e a ignificant impact on clinical practice. The accompli-.hment for" hich the candidate i<. being

22 AUDIOLOGY TODAY

recogni7ed mu t be original and pro' ide "ome unportant ne'' infonnation on some facet of audiolog).

PROFESSIONAL ACHIEVEMENT AWARD TI1i a\\ ard i gi' en for a recent maJor profes.,ional acti\ it)

... uch a.'> the de,·elopment or a '>ignificam clinical program or other type of profe ional achievement. Candidate mu. t have created. developed. implemented and/or directed a ne'' pro­gram of t.he highe'>l cal iber for the primary purpose of prO\ id­ing either clinical ervice. clinical research. or teaching of audi­ol og~.

HUMANITARIAN AWARD Thi-, a\\ard i gi,en to an indindual ''ho has made a direct

humanitarian contribution to ociet) in the realm of hearing. TI1i-. award could fit a broad categof) of -.tgnificant '>Cf\ ice ori­ented activitie . Candidate -,hould ha' e demon'>trated direct and out tanding en·ice to humanit) in '>Ome " 'a) related to hearing. hearing handicap. or dcafne-.-.. Candidate ..,hould ha' e demon\trated ignificant and con'>i'>tent humanitarian contribu­tions. preferabl) in matter\ related to hearing. Pre' iou~ A\\ardec: Daniel Schumaier. 199:.

CHAIRED PROFESSORSHIP THE UNIVERSITY OF TEXAS AT DALLAS

CHAIRED ASSOCIATE OR FULL PROFESSOR The Universtty of Texas at Dallas. School of Human Development has an opentng for the Margaret Fonde Jonsson Professorshtp tn the field of Heanng We are seekmg a person wtth an outstanding and well­recognized record of laboratory and/or cltntcal research relevant to pathologtes of hearing and related communtcation disorders The facilities of The University of Texas at Dallas Callier Center for Communtcation Disorders offer support for a vanety of laboratory and chntcal work and prov1de opportuntty for contact wtth large pattent populations The Callier Center 1s adJacent to The Untverstty of Texas southwestern Medtcal Center through whtch access to other research populations and resources ts posstble Please send a letter of tnterest. curnculum vttae and names of three references to Academtc Search #559, The Untverstty of Texas at Dallas. P 0 Box 830688 MP12 Rtchardson. TX 75083-0688 Revtew of applications wtll begtn August 1, 1995 and continue until the pos1t1on ts filled lndtcat1on of sex and ethntctty reqUired The Untverstty of Texas at Dallas ts an EEO/AA employer

JULY, AUGUST 1995

TENNESSEE TO MERGE LICENSURE BOARDS

The Tcnne ee Academy of Audiology. in cooperation with the Tenne see A ·socation of Audiology and Speech Language Pathology and the Tenne see Hearing Aid Societ). have pas ed legi lation to form the new "Board of Communication Di order and Science ...

In 199-L the ·cope of practice for licensed audiologi IS was amended and expanded to include the ··fiuing and elling" of hearing aids. At that time. the Audiology community agreed to di ·cu. s the merger of Licen ure Board. for Audiologi l!. Speech­Language Pmhologi t . and Hearing In trumem SpeciaJi IS.

Re earch of model · developed b) other profe ion such as Denti try. ur ing and Medicine revealed orne unique approache for licen ing educationally trained profe · ional \\ ith individuals v. ith le · didactic training who may hare por­tions of a scope of practice. Following ex ten. ive di cu ion with di pen ers and legi lator . the bi ll was pas ed and igned into law in June. 199-.

OME OF Til E U /QUE ASPECT OF T/JE N£\1" B OARD I CLUD£ :

The name of the Board. Communication Di order and Sciences. does not include the name of the licen ed profe ion­at.. Thi avoid. any confusion to consumers about the profe · .. . ion or the licen ee:

The Board is comprised of audiologists. speech-language pathologists, a con umer. and a phy ·ician:

Hearing lnstrumentSpeciali IS'' ill be governed by a Council within the Board knov. n as the Council for Licen ing Hearing Instrument SpeciaJi ts. This Council will be admini tratively attached to the Board of Communication Di ·order and

ciences and rule relating to hearing instrument peciali IS hall be initiated b) the Council and must be approved by the Board:

e'' applicant5 for Hearing fn trument Speciali t mu t have two yem of college-level courseworl. and mu 1 complete ixt) (60) etas room hours of cour ework during their one year apprentice hip.

According to Gene Bratt. "llli\ legi lation lay the founda­tion for a worl.ing relationship between audiologist and di. -pen ers. It ''ill pem1it audiologi IS to move ahead '' ith legi la­tion that \\ill promote profe ional i ue uch a reimburse­ment and autonom) ...

ILLINOIS ACADEMY OF AUDIOLOGY The ll linoi Academy of Audiology held its econd annuaJ

convention from Januaf) 26-2 . 1995. Half-day work hops were pre emed b) Richard Seewald (DSL) and lan Windmill (OAE ·). The program al o included pre entations on middle latency re pon c and mi match negativity ( ' ina Krau e). Audiology Awarene Campaign (Lu Beck). Worker· Compen ation Form ulae (Tom Thunder). Infection Control (Bob Kemp), Community-Sa. ed OAE program (David Brown). CICs (Sherry Billing) and a tutorial on Making Sen e of Compre . ion (Steve Am1 trong). A Medical Grand Round ession was coordinated by Bi ll Yacullo. Gra root lobbying

VOLUME 7 NUMBER 4

and the legislative process were discus. ed b) the LL-AA lobby­i ·t. David Iarsh.

The highlight of the convention wa the Great Uni,ersal Hearing Screening Debate moderated by Mead Killion. Participant. were I arion Do" ns and Charles Berlin vs. Fred Bes and lichael Ranin. The debate wa: \ ideotaped and can be purcha ed from the IL-AA for r. (70 ) -93-0570.

Colorado Gol'lmwr Roy Romt•r .11!/11111.1/ \udiolo!ly RI'!/I.Wratiou /Jill (}IIIII? -. /995 ).

REGULATION FOR COLORADO HEARING HEALTH CARE PROVIDERS

On June 5, 1995. Colorado Go,·emor Ro) Romer signed into law Hou ·e Bill I 0 II which v. ill regulate Audiologi ts and Hearing Aid Dealers. Colorado has been the only ~tate which does not license or register either group of hearing health care provider . TI1i · ha resulted in Colorado ha' ing a national repu­tation for attracting untrained and 'ometimes unscrupulous indi­viduals. man) of whom have had disciplinar) action taken again t them in other . tate~.

TI1e ne'' Ia\\ ,.,.a, 'pearheaded by the Colorado Academy of Audiolog) <md endorsed b) the Colorado Hearing Aid ociety. elf Help for Hard of Hearing People ( HHH). and AARP in an

effort to otTer protection to Colorado re idem against unquali­fied and unscrupulous individuals. The law require~ audiolo­gi. t. and hearing aid dealers to prove minimum qualification and regi ter v. ith the State of Colorado b) January I. 1996. The Director of Regulation c<m deny regi tration to any individual who has had a licen e. certification or regi lration u pended or revoked in another state or to an) individual who has discipli­nary action taken against them in any state.

Audiologi ts will need to hold a Master' or Doctoral degree in audiolog) and have obtained a certificate of competency in audiology from a nationally recognized certification agenc). Audiologi ts licensed for work in the public chool · are exempt from regi~tration and audiologist who di pen e hearing aid do not have to al o regi~ter as a Hearing Aid Dealer. Audiologi t who provide ervice · to patients mu 1 ha"e malpractice coverage.

Hearing aid dealers wi ll need to have pa ·. ed an examination conducted under the au piccs of the ational Board for Certification in Hearing In trument cience . or an equivalent examination. Heari ng aid dealer mu'>t al!lo ecure a five thou­sand-dollar urety bond.

AUDIOLOGY TODAY 23

·-- -~-

WASHINGTON WATCH SENATOR COCHRAN INTRODUCES NEW BILL

We arc very pleased to announce that on Ma) 15. 1995. Senator Thad Cochran (R) of Mi l.i\ ippi introduced S. 800. a Sen~ue companion bill to H.R. 1057. The two bills arc identical: the} "ould guarantee federal employees direct access to audi~logi\ts for hearin!! care. '' hen ~uch care I'> co,·ercd under ; Federal Emplo}ces Health Bcnefih Program (FEHBP) insurance plan.

The introduction or a companion bill i~ oood news for audiologist'>. Having a bill in both hou~es of Congress provides '>omc dcoree of"wcinht .. to the proposal and may en~ourage pot; ntial ~upponer::. in both the Hou e and the Senate to ~ign on a co-spon­·ors. In addition. the appropriate subcom­millees in both hou es can begin con. idcra­tion of the bill. a-. the} detcm1ine i' appro-priate. . .

AAA member~ have been cnthusmsllc and committed thus far in contacti ng your officials in the House of Rcprc entat ivcs. It is no'' equally impo11ant to write to your state\two Senator., in support of . 800 and 10 ash. them to co-spon or the bill. (For tho e of you ,, ho e Senator~ previ~u~ ~) indicated the) would keep H.R. I 0) 7 111 mind when it came before the Senate. let them knO\\ now is the time to co-~ponsor S. 800!) Please also write to the Chairme_n of the enate Comminee and Subcommlltce with FEHBP jurisdiction. Sen. Will iam V. Roth. Jr. (R-OE) and en. Ted Ste,ens !R­AK). respecti,·el). A model lct~e r to a Senator appears in the accompan) mg box. However. please personaliLe your lener as much as po~sible to educate your Sena~ors about you and your audiolog} practice. You hould also be ure to ment ion that an identical bill to S. 800 i. pending in the Hou\e of Representatives. (Please ~end copies of your leners to AAA. · o we can follow up in person " ith your en_ators.) .

A alway . the most imponantJOb attlm point is to write!

CONSUMER SUPPORT IS ESSENTIAL

In addition to the trong support ofAAA members. it is absolutely crucial that your Senators and Repre entat i,es be contacted b) fedeml employees and other consumers of hearing care in support of S: 800/H._R. !057. AAA i'> working toward thl'>end '' llh

Contributed b): Marshall L. Mw:. Esq .. Christ inti M. Markus. Esq .. Olsson. Franh. and Weeda. P.C.. Wa hington. D.C.

24 AUDIOLOGY TODAY

SI-IHl-1 and certain other national groups that represent con~umers. Each of you \hould encourage \tate or local con\un~er

group~ and your own patient\ also to ' Olce their \ trong support. (Remember: The leg­i ~ l ation l;ould mah.e it ea~ier and le~~ expcnsi ,·e for federal employee. to obtmn hearing care.)

variou~ AAA member~ " ho "rotc to Chainnan John L. ilica (R-FL). of the Civil_ Sen ice ubcommittee in the I lou -~ ~I Representatives. have re~c i ved a preh~l­nari ly re\ponse regard1ng H.R. ~ 0- 7. Chaimmn J\ lica appears to be open-mmded toward the leeislation. and plm1'> to hold an FEI-IBP oven:-ight hearing later t hi~ year. at ,, hich H.R. J057 may be considered.

1-lO\\e\ Cr. Chairman llica indicated that ~he Office of Personnel Management ( ' ' h1ch admini. ter\ the FEHBP) has gen~ r~lll )

oppo ed mandating additional pract1l i0~1-

er . among other reason~ . because "\'ery l_n­tle evidence of consumer demand for increasing the coverage in FEHBP e.x ists ... We need 10 -;h0 ,, Chaimmn Mica and other member!> of Congre~s that consumer~ desire direct access to audiolog) \en i ce~.

CIVICS 11REFRESHER COURSE11

In connection '' ith AAA' legislative effom. at the Dalla~ convention se,·er<~l­audiologist reque ted a .. refresher cou~e 0 11 the f~deral legi s lat i ve proce · . Th!' pro-_ vides a brief and very simple overview ol

[DRAFT LETTER TO SENATORS] June I. 1995

The Honorable ___ _ U.S. enate W<hhi ngton. D.C. 20510

Re:S. 800

Dear enator _ _ _ _

On behalf of the American Academ} of Audiolog) (AAA). of which I am a mem­ber. and the more than 2-+ mill ion Americans with hearing lo s. I an1 ' ' riting to express 111) strong suppon for . 800 ( ponsored b} Senator Cochran of Mi issippi ). and to request that you co-<;ponsor the bill.

S. 800 would amend the . tatute governing the Federal Employee\ Health Benefit Program {FEHBP). to guarantee direct acce ·s to. and rcimbur ement for. aud iologi t­pro\ ided hearing care when hearing care is CO\'ered under an FEH BP health plan. This bill would make it easier and le~s expensive for federal ci,'ilian employee!> to obtain hearing care.

The propo eel amendment \\Ould not mandate the provision of an~ new benefits: thu-;. it would not increa'e health care costs. On the cont rary. the bill would reduce the cow, of hearing care by facilitating direct access to the health care provider& "ho are uniquely qualified and generally used to diagnose the extent and cau. es of hearing loss. In this regard. the amendment would simply put audio logi~ts on par with other non­phy. ician health care profe sionab . ·uch a!> optometrisLs. clinical psychologi t . and nur e-midwive~. who are already exprel.sly recognized by the FEI-IBP statute.

A companion bill to Senator Cochran. legislation - H.R. I o-7- w~ introduced in the House of Repre entatives by Rep. Benjamin Gilman (R- ry ) on February 27. 1995: that bill currently has more than a dozen co-l.pon. ors. I hope you will contact Senator Cochr.u1 to add your name as a co- pon or of S. 800.

TI1anh. you ver} much for your attention to this letter. I would be plea ed to add res an) questions you rna) ha\'e regarding audiology sen' ice . . or you may wish to contact Marshall Matz or Chril> 1\-larku at (202) 789- 1212.

Sincerely.

JULY/AUGUST 1995

hO\\ a bill becomes a Ia''· Once a bill has been introduced b) u

Member of the House of Representati\ e~ (such as H.R. 1057) or a Senator h uch a.\ S. ROO). the hill is referred to the House or Senate commntce and ~ubcommiHec "ith JUnsdicuon over the rele' am t'>sue. Various Congre~sional commiuecs focw, on specif­ic topic\ (e.g .. government alTai~. foreign relation-... finance. 'cteran•,' affair .... en' i­ronmental malic~). \ lallef\ involving the FEIIBP arc addressed b) the Government Reform and 0\er.,ight Commiuce and ib Ci\ il ervicc ubcommiuee in the Hou~e of Repre-..entat ive~. In the Senate. FEHBP maller~ are handled b) the Governmental AITairs Commiuec and ih Po~t Office and Civtl en icc ubcommittee. Among other rea on . AAA approached Representat i\ e Gilman and Senator Cochran as potential sponsors of the audiolog) legislation because the) are mcmbe~ of the commit­tees and subcommiuces \\ith FEH BP juris­diction.

A subcommiuee has the power to mon!. stall. or ... top constderation of a bill. Thus. the initial considcmtion b) a subcommiuee is ke} to a btl!\ fate.

A bill \'vtll t) ptcall) receive us greatest scrutin) at the subcommiHec level. A ... ub­commiucc ma} hold heanng ... 10 obtain the tCsllmOn) of publtc. gO\ernment. or other "itnesses regarding proposed legislation. The subcommiuee ma} amend a btll as n deems appropriate. It ma) al ~o combine a btll with another bi ll into a single piece or legislation.

If a maJOrit) ol subcommiuee members vote favorabl) on a btl I. 11 is sent to the full commincc for considcmtion. A majority of the full commiuec must approve the bill (as pa"ed b) the subcommmee. or '' ith amendmenLs) before it can go to the I louse or Senate noor for debate and a \'Ole.

If the llou.,e or enate passes a bill b) majorit) vote. the bill is then referred 10 the other bod), where it proceeds again through the commillee process.

TI1ere are a vanety of \HI) s for a bill to get held up as it move · through Congre s. Higher priorit) legislation may take prece­dence for con. idcmtion: contro' Cl\ial leg­islation ma) never be rai-.cd for con-.idera­tion in ~ubcommiHce or commi11ec: a bill ma) be lilibu tered during noor debate.

If both the Hou'>e and the enatc pa~\ identical ,·ersion~ of a bill. it i ~ sent to the President for -,ignature into Ia\\. If the Hou'>e and Senate pot>' diiTcrent version of legi, lat ion. however. a conference commit-

VOLUME 7. NUMBER 4

tee (comprised of member:-. of both the House and the Senate) must be convened to work out a compromi'ie bill acceptable 10

both chamber... The House and Senate mu-,t ultimate!} 'ole to enact identical piece-. of legt'>lation before it can be sent to the President.

10-lth Congress< ht Se~ ion). for example. began in Januaf) 1995 and will end at the end of the year: the I ~th Congres (2d

ession) will encompa s legislative activit) in 1996.

If a btllts not 'tgned 11110 Ia'' b) the end of a Congress. 11 die, and mu t be re-mtro­duced in the next Congre:.~ for an) funher con\ideration. Most bilb that arc intro­duced in Congrc-.s do not become Ia\\ becau-,e the) die in '>Ubcommillee. Thu . it i' extreme!) imponant for AAA member~. consumer groups. and other allied organiza­tion:, 10 mount a coordinated elTon in 'iup­pon of II .R. 1057/ . 00 before the current Congre~s. O

Once the President receives a bill. he can sign it into law. Ahemativel).the Pre-.ident can veto the bi ll and return it to Congress "ith hi-, objections. For a vetOed bill there­after 10 become l;m. a two-third!> majorit) of both the llou'e and the Senate must vote to override the veto.

Congress convene-, for a t\\ O-year peri­od. divided into two -,ession~. The current

r----------------------------------------------------------, I I

! AAA POLITICAL ACTION COMMITTEE ! I ' I I : The AA Board of Directors ha agreed to introduce and ~upport legisla-

tion to amend the )tatute governing the Federal Employee Health Benefi ts Program (FEHBP). Mr. Da\ id Le'' i . Chief, Office of In, urance Program'> for the Office of Per. onnel Management. met with AAA Board Member Barry Freeman and AAA attorney. Marshall ~latz and Christina Markus to discu this Jegi.,Jation. According to 1r. Lew b. the FEHBP include 1-t. fee-for-ser­vice health in urance plam covering approximately 9 mi ll ion Americans. Following the meeting, the AAA Board of Directors proposed a '>latement that

1 would require FEHBP insurance carrier-. to guarantee direct acce · to. and reimbursement for. audiologist-provided hearing care. en ice:,.

I I

The AAA Board of Directors ha · establi hed a AAA Political Action Committee (PAC). The Board believes that the AAA-PAC i important to our legi-.lmive agenda to make Audio log} an autonomou profe · ion. Please u ·e the form below to contribute to the PAC.

I would like to \upport the AAA legislative agenda to make Audiology an autonomom. profe~.,ton and ~ynon) mou5 "ith hearing care

...) 20 .J 50 :::J 100 :J 500 ..J OthLr ---------

\arne: _______________________ ___

Address: ------------------------

Phone: -------------

F<LX: --------------

Please make checks payable to: AAA Political Action Commi11ec 1750 ;-.ionh L) nn. Suite 950 Arlington. VA ( o corponue check~ ple<t>e)

L----------------------------------------------------------~

AUDIOLOGY TODAY 25

The first ~tcp in coping'' ith 1\ 0rl..-rclatcd !llrN i' tu identif) the major <;Ire 'or in one' \\ Or!.. cn1 ironment. A. an C\tcn ion of an ongoing rc earch project. the lnh er it~ of Central Florida' Health . cicnce., and Communicath e Oi<,ordcr Department i collaborating '' ith The \ mcrican A eadem~ of \ udiolog) to identif~ the mo t !!Criou., \trc.,<,ur' in the practice of AudioiOI!,\.

Plca'e complete the foliO\\ mg form ami ~tum to the adtlre\\ indil<llcd beiU\\ me result\ or thl\ sun C) \\Ill be publi-.hctlm \udwlo~.l fotlu_\. Timnl-. you for) uur input and a"1stance.

OE\IOG RAPIII . 1\FO R\1 \T IO\ : Gender: F \I : '\umber or fl\!ech & Heanng ProiC\\IIlOJis cmplo)ed Ill your \\Or!-. place: \\urbue [)c,cripuun~ lnil·el'it) chool lndefl\!ndem Pri1 ate PrJcucc lllhpual

EdUl:auonal Lc\d: Ph)sicians Oltlce \1a-.tel'\ Dcgrec-CCC r\

Othcr-=-=-----------------------------------------Ph.D CCC A CFY

Other ________________________________________________________________ __

t\1 cragc 1 umber ol Paucnt-. ccn Per \\'eel-. :------- 1 umber of Year-. In Current Posu10n :. _________ _ '\gc: <:!I 21 -26 31-)5 ~6-10 -t6-50 51-55

T- ~0 -t 1-45 56-60 \lantal Statu': \\ nrl-. Statu': ·\nnual alar) .

mgle~ \tarried Full Tm1e Pan lime 1 __ llour.. fl\!r \\CCI-.)

< . 21XKXI ) I()()(). 35()(KI -t60<Xl S!KXXI 21()()().}5()()() }6()()()-l()()()() 51 ()()(I-55()()() :!(!(XXI l(XXXI -t I OOO-l5CXXI 56<J00-60000

PLE.\ :E IDF.'\TI FY THE Fl\ E \10 . T .'ER IOL: . T RE ' OR ' 11\ VOl R D \I L \'\\ OR K

>(!(XXXI

>60

!. ________________________________________________________________________________ _

, -------------------------------------------------------------------------------------

3. __________________________________________________________________________________ ___

4 _______________________________________________________________________________ _

h ., unponant lO 1dcnllf) the mcd1an profc"•tmal strc.,-,or agam~t "hich all other \lrC\SOJ'\ \\ill be compared. Please select the strC\\Or that \Oll \\Ould consider to he mthc middle nlthc li-.t abo\'e. umber _________________________ ___ Return fn· Riel-. Talbou. l 111\C;.,_Il} of Central Honda-P.O. 25CXXl. Commumcau'c DMrdcrs Depanmcnt- IIPB Ill Orlando. Fl. P.O. 32XIn-2215

26 AUDIOLOGY TODAY

l.:lhoratonl.., 10 (.u,or.u • 'P""Jo:' 1\.tlamJzoo, \It ht~Jn and "c •Ilk ~ .L'hm!:(on \kmlx-r \Jil >n.tl \''o(l(IJ(IOII ol f.mnold whorJtm ., • lk:u~r I k.tnn~ ln,ttiUI~ • \.lttonJII!c:Jnn.~ ton-..:natton ' ''•XtltK>O • lnt.:mJtK>nJIIk:tnnl! "l1\ • \mcnl.tn \udtton Soc•~tv • \JUonJI ~'>OCUunn ol \hNC \kr rurt- · •

JULY/AUGUST 1995

DIRECTOR OF HEARING AID SERVICES ... Department of Otolaryngology - Head and Neck Surgery, The University of Iowa; Senior position providing hearing aid services to all age groups. The services involve counseling, ossistive devices, and could involve rehabilitation. Teaching and research responsibilities. Facilities contain o dedicated sound booth with computer based testing facilities, in­cluding o loser video disc for audiovisual testing. Involvement with Iorge multidisciplinary clinical team, including cochlear implant and hearing aid research program. Ph.D., Au.D., or Moster Degree considered. Hearing aid experience necessary. Please contact Richard S. Tyler, Ph.D. at .319) 356-2471

DISPENSING AUDIOLOGIST I MINNESOTA

Exciting opportunities for personal/ financial growth. Lorge family-owned Bellone dispenser serving 57 Minnesota counties with 15 offices and 60 service centers is seeking growth minded dis­pensing audiologists, who ore ready to earn what you're worth! Excellent potential to own your own business in short time. Contact or send resume to: Jim or Jackie Neve, Bellone, 8001 Highway 7, Minneapolis, MN 55426, (612)931-0555.

VACANCY / HAWAII Assista nt I Associate/

Full Professor in Aud i­ology, full time, tenuroble, to begin August, 1995. Duties: Teach two courses per semes­ter, assist in administration, clinical supervision, student

VOLUME 7 NUMBER 4

research, conduct indepen­dent research in area of inter­est and coordinate clinical activities for audiology trainees. Minimum Quali­f ications: Doctorate m Audiology, CCC-A, eligible for Hawaii licensure, demon­strated clinical expertise. Expertise in electrophysiolog­icol techniques and experi­ence in aural rehabilitation. History of scholarly pursuit consistent with level at which applying. To Apply: Send letter of inquiry, vito, and sup­port materials to James T. Yates, Ph.D., Professor and Choir, Division of SPA, 1410 Lower Campus Rood, Honolulu, HI 96822. Closing Dote: August 1, 199 5 or until filled.

UNIVERSITY OF IOWA Research Position on

Cochlear Impla nt. Five year NIH funded grant for the investigation of cochlear implants in children and adults. Expertise in Language , Speech Production, or Aural Rehabilitation required. In­volvement with Iorge multidis­ciplinary clinical team, includ­ing audiologists, psychoo­cousticions, physiologists, psychologists, educators, musicians, physicians, and speech-language patholo­gists. Teaching and clinical opportunities possible. Ph.D. preferable. Deportment of Otolaryngology-Head and Neck Surgery, The University of Iowa, Iowa City, Iowa. Please contact Richard S. Tyler, Ph.D. at (319) 356-2471; FAX: (319) 353-6739; Email: rich-tyler@uiowo.edu.

II elena Cioloclur rcccin•d the ·· \uclwlogt.\t of tilt' >ear" all'ard ji'tllll \ tttliolo(!ical Rnoun t' \.1 wdutio11

Pn 1idcm Cymluu l.ar/c.

\turton Do1111.\ t'IIJII.n U

hirthdur dt•chratwn wah Clmc I. Balm ut

tlu 1//inoi.l \cadcmr of \udiolol!y c·t~nji:rencc.

BAYLOR COLLEGE OF MEDICINE Profe ional Doctoral Training

in Audiolog (Au.D.)

The Divbion of Audiolog\ and peech Pathologv announce a training program leading ro the profe~"ional dottoral degree in audiology (Au.D.). The four-war program inc lude~ cwo vear ... of imemi\·e cour ... e work followed by two year ... of clinical c lerk ship~ and clinical rotation .

The aim of the program i-; ro train individual ... to work as highlY "k illed. autonomou professionab \\ ithin rhe healrh­care system. The unique rrcngth of rhe program lie in the broad diver~it v of clinical environmem · afforded by Baylor· ... affi liated ho pirab and related in ... rirurion~ within rhe world-famou~ Texa~ \lcdical Ccntt>r.

To obrain funher information. write to or call: Dr. j ame. Jerger. Director The Au.D. Program (713) 79 -5916 Dh·ision of Audiolog\ & '>peech Patholog\' Baylor College of Medicine '*'I Baylor Plaza Houston. T 77030

AUDIOLOGY TODAY 27

5th International Tinnitus, cminar .July 12-15, 1995

Ponland. OR. Comact the American Tinnuu~ A"ocration. PO BO\ 5. Ponland. OR 97207-0005 15031 :!.tS-99 5

18th International Congre. on Education of the Deaf .Jul) 16-20. 1995

Tci·AIII, )\mcl: Comact 18th lmemauonal Conurc-., on Education olthc Deal. P.O. Bo' :ooo6. Tel·\~" 61500. J,mcl ~

Otoacouslir Emi ion &. \udi lOr) E1 oked Rcspon e \\ orl.<,hop Jul) 20-23. 1995

\ a,fnrllc. T\: Comact \ anderbrh L n!ICNI) chool ol \ Jcdrcrne. Balance and Heanng Center. 1500 :!J,t \1cnuc. \ :t,hlillc. f \ 37212· 310:! 1615) 343-1117

'ational ) mpo ium on In fan I Hearing: \1arion D011 n<; Children'~ Hearing Foundation \u~u 1 9-13. 1995

\ ail. CO: Contact Colomdo Hearing Foumlarion. Bo' B:!IO .. eoo Eal.t \ imh A venue. D.:nvcr. CO 80:!6:! (303 l :!70. 7X56

Conference on Implantable AudillJr) Pro'iihe<;e.' Augu~t20-24. 1995

Pacrfrc Gm,·e. C \· Comact Hou-.c Ear Jn,llllll<!. 2100 \\ .~rd tr.:c:l. J..o, \ ngclc'. C \ 90057 (213) 353 7086

Internatiunal E1oked Re,ponse Audiomclr) tud) Group AuguM 27-JI. 1995

L)on. rrance: Contact: IER \SG '95. Prol. L. Colle!. Ho,pual Edouard Hcmot. Pavilion L. Place d'Ar..om al. 69-137 Lyon. cede\ 03. Fr.111cc

Hearine id Re earch <llld De1Ciopmen1 'eptcmbcr 11-13. 1995

Bethesda. \ID: Comact \IDCD (301 H%-72-13

Americnn Ncurotolog) 'ociet,1 • eptemher 16. 1995

\e11 Orlean-,. LA: Comact \onhi\C~tcm Ln11cr..uy chool ot \kdicrne. 950 York Road. ullc 10:!. Hrn-,dale. IL605:!1 (7(1,' ,- 9-3110

American cadcm) or Ololar) ngolog) -Head & 'leek urger,1 September 17-20. 1995

l\c11 Orleans. LA: Contact \ leetrng' 01\ !\JOn. \ .\0-11'\ \ ational Offic~. One Prine~ Street. Al~xandria. \ ·\ :!2314 (7031 36-+1+1

Penn~) h:Jnia Academ) of \udiolog_\ econd \nnual \leering , eptcmber 22-23. 1995

Da}' Inn Penn State .. tate College. Pcnn,ylvanra: Contact· Tom Frank !l! I-I) 863.:!1Xl6

Audiolog_\ ·The 'cope or Practice & ;\lis.<,ouri \ eadem) of \udinlog_\ October 12-13. 1995

S1. Lou!\. \10: Conta•t Dougla.' Beck. Drrc,wr of Audiology. 1. Lour' L mvcr..it). 3660 \'1\ta \1 enue. Sl. Loui,, \ 10 63110 !31-1 l 577-6110

Scnll Haug Hill Counlr) Audiulog) Retreat O•tobcr 5-8. 1995

\ u,un. T.X. Contact Ktm Cathcan Rrngcr. PO. So\ 2:!:.'1. \u,trn. T\ 7876}. Cl!tXlHS-1·:!971 ~xl 6960

Language & OeafneS!. Conference Octobcrl l-22. 1995

28

\ cllra.-,ka Cit). \ E. Call for paper.. deadline: Jul) I. 1995. Cunlacl CE ProgrJm. Bo)' TO\\ n \ ,uronal Re,ean:h llthprwl. 55: \ onh ~Oth Strc~t. Omaha. \E6HI~I. 1-lll:!l-1911-6--19

AUDIOLOGY TODAY

JUST FOR THE

''RECORD"

AAZTEC SEMINAR SERVICES is offereing

AUDIO CASSEl' IE TAPES of sessions &om d1e

AMERICAN ACADEMY OF AUDIOLOGY 7th ANNUAL CONVENTION

• Individual tapes Sll.OO each, complete set $1624.00

• Buy 4 tapes and get ONE FREE, buy 8 tapes and get 1WO FREE

• Buy a complete set and receive FREE Storage Albums • Orders taken by phone or fax

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JULY I AUGUST 1995

0 I

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L:nhann:d f:.lct'plarc de~tgn lncrca~cd haHCI) door'" tng radiu-, ~hcrophonc \\ ind .tnd dchn., -.htdd Chcmically-.:rchctl manc ftnt'h ~urfacc

E. ccllOOO - \ n imcgratcd Cl;),., D '}'tt•m \\ tth two Acti\C hltcr.. \lll\ c Lo\\ Cut and \ lit\ c lligh Cur: mooth (.anal or \ lulli \latrix Re.,pon~c~ \t croZOOO - \\ ith \t II\ L' Lcm Cut filter and up to ~ \\l:ek., ba!lcf\ ltfL· on a 10.\ 1.:30 cell. I 'OOO - Low IJi'>l<lnion. lltgh Pm\t:r ctrtutt \\ tth t\\ o \W\ l' Filter..: Aclt\ l' Lei\\ Cut and -\cti\·l' I hgh Cut. -l 10 - Cia-.., D \\ tth tnput or output ~ignal pron:-.-.mg .tnd up to "i"idB gam 1 - rlc:~.thlc duration-ha-,ctl n>mprc-.,ton "tth rd.:a-.c time-. hem ccn

10-100 mtllt-,enmd~ KA\12000 - '11m:c .. wgc K--\ \IP"" t·ompn.:-.w>n dcstgncd to .unpltt\ onl\ salt ..,ounch.

OMNI HEARl 0 SY TIMS

311H \htxot Rl Ro\n • C\RRmno-.;, Tt :x_,, - ;006 • 1-Hoo-sr-m~-2 • <211> 9j 1-2961 • FA .. '\· <211> 991-'8~

Resolution n- is a program­mable ITE using EEPROM non-volatile memory that retains its programmed memory even after the bat­

tery has been removed. A switch located on the face­plate allows the patient to

choose between two pro­grammed settings.

Resolution ll may be set to

a compression instrument. SSPL 90 is programmable in 5 dB steps from 95 to 115 dB SPL Because of output and gain restrictions, avail­able output levels vary with each gain setting.

Resolution IT's frequency response is adjustable in both low and high frequency bands. Increasing the slope setting for Band #1 will decrease the low frequency

response. The range of Band

#1 slope settings is from 10 to 30 dB. Increasing the Band #2 slope setting will result in a decrease of high

frequencies. Band #2 slope settings vary in 5 dB steps

from 20 to 35 dB.

AGC kneepoints are ad­justable in 5 dB steps from

55 to 70 dB SPL When set at high kneepoint values. Resolution [I acts similar to a compression limiting instru­ment; at lower kneepoint settings, it approximates

wide dynamic range com­pression, with available kneepoints varying accord­ing to gain and output selec-

The economical Resolution ll can be programmed for low or high power, linear or