UCSF Audiology Amplification Update XI
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Division of Audiology, Department of Otolaryngology University of California, San Francisco School of Medicine presents UCSF Audiology Amplification Update XI November 1– 2, 2013 Holiday Inn, Fisherman’s Wharf San Francisco, California Course Chair Robert W. Sweetow, PhD University of California, San Francisco University of California, San Francisco School of Medicine Acknowledgement of Commercial Support This CME activity was supported in part by educational grants from the following: Oticon, Inc Starkey Hearing Technologies Exhibitors Audiology Systems Inc. – an Otometrics partner CaptionCall Cochlear Americas Elite Hearing Network Health Care Instruments (HCI)/Audiometrics Fuel Medical Lyric by Phonak MED EL Neurotone Oticon Medical Oticon USA Phonak ReSound Siemens Hearing Instruments Starkey Hearing Technologies Unitron Widex Table of Contents Educational Objectives .......................................................................................................5 Accreditation .......................................................................................................................5 General Information ............................................................................................................6 Linguistic Competency Information .................................................................................. 7 Course Faculty ....................................................................................................................9 Disclosures ........................................................................................................................ 10 Course Program ................................................................................................................ 11 Friday, November 1, 2013 Evidence base for hearing aid features, the 'What, How ..........................................12 -30 and Why' of Technology Selection, Fitting, and Assessment J. Andrew "Drew" Dundas, PhD Evaluating New Technology ........................................................................................31 -57 Ruth Bentler, PhD Cochlear Implants: Where we’ve been; where we are ...............................................58 -70 Colleen Polite, AuD Basal Ganglia Neuromodulation for Tinnitus Suppression ...................................... 71-78 Steven W. Cheung, MD Saturday, November 2, 2013 Assessment and Interventions for Hearing Loss-related Fatigue ............................ 79-83 Benjamin W.Y. Hornsby, PhD Techniques and Challenges Related to Participation and ..................................... 84-103 Compliance with Aural Rehabilitation Robert W. Sweetow, PhD Pediatric Bone Anchored Implants: Protocols and Strategies ............................. 104-123 Lisa Christensen, AuD Registrant List .......................................................................................................... 124-126 University of California, San Francisco School of Medicine Presents UCSF Audiology Amplification Update XI This course is designed as a state-of-the-art course is designed as a state-of-the-art update of contemporary audiological practice, including evidence-based fitting and verification of hearing aids, pediatric use of bone anchored implants, listener effort and fatigue from amplification, as well as techniques and challenges associated with aural rehabilitation, tinnitus, and cochlear implants. Although it is intended as a course for practicing audiologists, professionals engaged in hearing aid dispensing, audiology graduate students, physicians, and others involved in the management of adults and children with hearing disorders will also benefit. The program consists of four primary components: lectures presented by renowned faculty from around the country, moderated question and answer periods at the conclusion of each morning and afternoon session, moderated panel discussions, and updates on new technology presented by manufacturer representatives. Educational Objectives An attendee completing this course will be able to: • Compare evidence-based research for current hearing aid fitting and verification; • Assess information regarding listener fatigue and how to minimize it; • Distinguish best practice guidelines for pediatric bone anchored implants; • Illustrate new strategies for cochlear implant patients; • Analyze recent research findings on the generation of tinnitus; • Practice new approaches to aural rehabilitation; • Solve challenges to participation and compliance in auditory rehabilitation. Accreditation University of California, San Francisco is a Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SLPAHADB) approved provider for continuing professional development courses. This live activity meets the qualifications for 12 hours of continuing professional development credit for audiologists as required by SLPAHADB for hearing-aid related and non-hearing aid related. Provider #PDP313. This educational activity is approved for up to 1.2 CEUs and up to 1.2 Tier 1 CEUs from the American Academy of Audiology: Program number 13UCA-100. General Information Attendance / Sign-In Sheet / Certificates Please return your Attendance Verification Record (AVR) form by the end of the course along with your evaluation. Certificates will be mailed to you, at the address you registered with, in approximately 3-4 weeks post course. Each participant is required to sign-in and claim the number of credits in order to receive a certificate. The sign-in sheet will be located at the UCSF Registration Desk. Evaluation Your opinion is important to us. Please complete and return the course evaluation as it is important to future course planning. The evaluation is the colored sheet you received with your course syllabus. Please turn in the evaluation with your AVR form. Security We urge caution with regard to your personal belongings. Please do not leave any personal belongings unattended in the meeting room during lunch or breaks or overnight. Exhibits Industry exhibits will be available outside the ballroom on the Mezzanine level during breakfasts and breaks, and lunches. Course Reception: Friday, November 1 A course reception will be held directly after the lecture on Friday, November 1 from 5:30 pm -7:00 pm on the Mezzanine level. This is open to all attendees. Final Presentations PowerPoint presentations will be available on our website, www.cme.ucsf.edu, approximately 3 – 4 weeks post course. Only presentations that have been authorized for inclusion by the presenter will be included Federal and State Law Regarding Linguistic Access and Services for Limited English Proficient Persons I. Purpose. This document is intended to satisfy the requirements set forth in California Business and Professions code 2190.1. California law requires physicians to obtain training in cultural and linguistic competency as part of their continuing medical education programs. This document and the attachments are intended to provide physicians with an overview of federal and state laws regarding linguistic access and services for limited English proficient (“LEP”) persons. Other federal and state laws not reviewed below also may govern the manner in which physicians and healthcare providers render services for disabled, hearing impaired or other protected categories II. Federal Law – Federal Civil Rights Act of 1964, Executive Order 13166, August 11, 2000, and Department of Health and Human Services (“HHS”) Regulations and LEP Guidance. The Federal Civil Rights Act of 1964, as amended, and HHS regulations require recipients of federal financial assistance (“Recipients”) to take reasonable steps to ensure that LEP persons have meaningful access to federally funded programs and services. Failure to provide LEP individuals with access to federally funded programs and services may constitute national origin discrimination, which may be remedied by federal agency enforcement action. Recipients may include physicians, hospitals, universities and academic medical centers who receive grants, training, equipment, surplus property and other assistance from the federal government. HHS recently issued revised guidance documents for Recipients to ensure that they understand their obligations to provide language assistance services to LEP persons. A copy of HHS’s summary document entitled “Guidance for Federal Financial Assistance Recipients Regarding Title VI and the Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons – Summary” is available at HHS’s website at: http://www.hhs.gov/ocr/lep/ . As noted above, Recipients generally must provide meaningful access to their programs and services for LEP persons. The rule, however, is a flexible one and HHS recognizes that “reasonable steps” may differ depending on the Recipient’s size and scope of services. HHS advised that Recipients, in designing an LEP program, should conduct an individualized assessment balancing four factors, including: (i) the number or proportion of LEP persons eligible to be served or likely to be encountered by the Recipient; (ii) the frequency with which LEP individuals come into contact with the Recipient’s program; (iii) the nature and importance of the program, activity or service provided by the Recipient to its beneficiaries; and (iv) the resources available to the Recipient and the costs of interpreting and translation services. Based on the Recipient’s analysis, the Recipient should then design an LEP plan based on five recommended steps,