SPA 5304 Principles of Audiologic Evaluation Fall, 2005
Scott K. Griffiths, Ph.D. Class Meets R at 1:55-4:55 Office: Rm. 339 Dauer Hall New Physics Bldg Rm. 1200 Hours: M 1:00 to 4:30 Tel. 392-2113 ext. 248 e-mail: [email protected]
The goal of this course is to provide audiology students with a practical understanding of the diagnostic process in audiology.
Objectives. Students completing this course will be able to: 1) Describe pure tone audiometric testing procedures and results with 90% accuracy. 2) Complete a case history interview and identify significant symptoms with 90% accuracy. 3) Complete the following procedures accurately with minimal assistance: a. pure tone audiometric testing b. speech audiometry c. immittance testing d. tone decay testing 4) Identify the rationale for and the information provided by each of the following tests: a. pure tone air and bone conduction e. acoustic reflex thresholds testing f. acoustic reflex decay b. spondee thresholds g. physical volume test c. word recognition testing (including h. Eustachian tube function test PIPB testing) i. tone decay testing d. tympanometry j. auditory brainstem response testing
Texts Required: 1) Katz, J., (ed.) (2002). Handbook of Clinical Audiology, 5th ed. Philadelphia: Lippincott Williams & Wilkins. 2) Clark, J.G. & English, K.M. (2004) Counseling in Audiologic Practice, Boston: Allyn & Bacon.
Other Readings as assigned.
SCHEDULE OF TOPICS & READINGS:
I. Calibration 8/25 Katz Chapter 4 II. Introduction: Audiologic Practice 9/1 Clark and English Chapters 1-3 Katz Chapters 1, 2, 3, 38 Scope of practice in Audiology
III. Audiometric Basics & Pure Tone Testing 9/8-9/22 Katz Chapters 5, 6 Guidelines: audiometric symbols: Asha 1990, pp 25-30. Guidelines: pure-tone audiometry: Asha 1978, pp 297-301.
IV. Masking 9/22-10/6 Katz Chapter 9 (except Speech Threshold, Word Recognition and ABR-- pgs 137-139) Masking Redux I: An Optimized Masking Method
V.Speech Audiometry 10/13-10/20 Katz Chapter 7 (and pages 137 to139)
VI. Immittance 10/27-11/3
Basics: Katz Chapter 11 Tympanometry: Katz Chapter 12 Acoustic Reflexes: Katz Chapter 13
VII. Site of Lesion Tests 11/10-11/17 Tone Decay: Katz pages 119-121 Otoacoustic Emissions Chapter 22 Electrophysiologic Tests Chapter 14 Auditory Brainstem Response Chapter 16
VIII. Pseudohypacusis 12/1 Katz Chapter 32
IX. Practical Exams 12/9-12/17
GRADING SCHEME: Weight SCALE: 1) Mid-term Exam: (10/20/05) -- 20% A 95-100% 2) Final Exam: (12/16/05, 12:30pm) -- 30% B+ 88-94% 3) Lab Assignments: -- 30% B 82-87% 4) Practical Examination: (Scheduled during -- 20% C+ 77-81% 12/9-12/17) C 70-76% D 64-69% F <64%
Academic Honesty Policy Academic dishonesty in any form will not be tolerated. Students suspected of violating the University’s policies on academic honesty will be dealt with in accordance with procedures outlined by the Office of Student Judicial Affairs. If you have not done so already, please familiarize yourself with the University's policy on academic dishonesty. Cheating. The improper taking or tendering of any information or material, which shall be used to determine academic credit. Taking of information includes, but is not limited to, copying graded homework assignments from another student; working together with another individual(s) on a take-home test or homework when not specifically permitted by the teacher; looking or attempting to look at another student's paper during an examination; looking or attempting to look at text or notes during an examination when not permitted. Tendering of information includes, but is not limited to, giving your work to another student to be used or copied; giving someone answers to exam questions either when the exam is being given or after taking an exam; giving or selling a term paper or other written materials to another student; sharing information on a graded assignment. Plagiarism. The attempt to represent the work of another as the product of one's own thought, whether the other's work is published or unpublished, or simply the work of a fellow student. Plagiarism includes, but is not limited to, quoting oral or written materials without citation on an exam, term paper, homework, or other written materials or oral presentations for an academic requirement; submitting a paper which was purchased from a term paper service as your own work; submitting anyone else's paper as your own work.
Bribery. The offering, giving, receiving, or soliciting any materials, items or services of value to gain academic advantage for yourself or another.
Misrepresentation. Any act or omission with intent to deceive a teacher for academic advantage. Misrepresentation includes using computer programs generated by another and handing it in as your own work unless expressly allowed by the teacher; lying to a teacher to increase your grade; lying or misrepresenting facts when confronted with an allegation of academic honesty.
Conspiracy. The planning or acting with one or more persons to commit any form of academic dishonesty.
Fabrication. The use of invented or fabricated information, or the falsification of research or other findings with the intent to deceive for academic or professional advantage. Special Needs and Counseling Services
The University of Florida, under the guidelines of ADA and 504 federal legislation, is required to make reasonable accommodations to the known physical and mental limitations of otherwise qualified individuals with disabilities.
To help provide the best possible service to students, staff, faculty and visitors, the University of Florida has an Americans with Disabilities Act Office with a coordinator responsible for access for persons with disabilities. The ADA coordinator assists anyone with questions about access. See http://www.ada.ufl.edu/office/ada.htm for more information Other resources:
Campus Alcohol and Drug Resource Center (302 Student Health Center, 392-1161, ext. 4281).
University Counseling Center (301 Peabody Hall, 392-1575)
Student Mental Health Services (245 Student Health Center, 392-1171). Lab Assignments:
Please prepare a short written report for each lab. Appropriate components for your report would include: 1) A description of the procedures used; 2) Any appropriate tables and/or graphs; and, 3) A description of your results.
PURE TONE AUDIOMETRY LAB
A. Complete pure tone air and bone conduction (with all appropriate masking) on the virtual audiology clinic on 5 cases (cases to be assigned individually). Fill out paper audiograms only for these cases.
B. Perform pure-tone testing by air and bone conduction on three volunteers (friends, enemies, or otherwise). Have at least one volunteer use an EAR plug to simulate a hearing loss. You are encouraged to practice as many skills as possible while doing this (i.e., otoscopic inspection, interviewing/case history, giving test instructions). Write a report to accompany each audiogram. DUE 10/3/05*
SPEECH AUDIOMETRY LAB
Please perform the following procedures on two volunteers.
Procedure #1: Obtain SRTs using monitored live voice testing Procedure #2: Obtain a PI-PB function at 40, 60, 80 dB HL. Use an earplug on one ear to simulate a unilateral conductive loss. Be sure to use appropriate levels of masking when necessary. Use stimuli recorded on CD. DUE 10/31/05*
IMMITTANCE LAB
Please perform the following procedures on yourself and three other volunteers.
Procedure #1: Obtain a tympanogram and report all relevant measures. Procedure #2: Measure acoustic reflex thresholds at 500 through 4000 Hz ipsi and contra Procedure #3: Do reflex decay to contralateral stimulation at 500 and 1000 Hz. DUE 11/21/05*
SITE OF LESION LAB
Please perform the following procedures on two volunteers.
Procedure #1: Administer a Tone Decay test at 500 and 1000 Hz in each ear Procedure #2: Administer an ABR on each ear. Use a 75 dB nHL presentation level, and stimulus rates of 9.7, 51.7, and 91.7 clicks per second.
DUE 12/8/05*
* NB: Due dates may be amended to accommodate class progress through the semester.