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SLHS 582A – Disorders of and Room 203 Mondays 1:00-3:45 pm

Description of Course This course is designed to provide evidenced-based information about peripheral and central auditory/ disorders and the clinical implications of those disorders. Consideration of audiological and medical tests involved in the differential diagnosis of pathologies as well as audiologic, medical and surgical management options will be discussed. Instructor and Contact Information Instructor: Diane E. Smith, Au.D., CCC-A Office: Room 207D Email: [email protected] Office Hours: Mondays 12:00-12:50 pm (by appointment only) D2L page: SLHS 582A - Disorders of Hearing and Balance

Course Format and Teaching Methods This course’s format will include lectures, assessments, group projects, learning activities, in-class discussions, and web-delivered content. Course Objectives 1. Students will gain a foundational, evidenced-based understanding about peripheral and central disorders of the auditory and vestibular systems, to include disorder epidemiology, pathophysiology, diagnostic procedures, treatment, management, rehabilitation, and research needs; 2. Students will be able to synthesize and apply gained knowledge to aid in the differential diagnosis of hearing and balance disorders; 3. Students will be able to function as teams by designing and presenting two formal presentations; 4. Students will be able to create effective active learning activities, to help their colleagues gain a deeper understanding of disorders. Expected Learning Outcomes Upon completion of this course, students will be expected to:

1. Describe and define commonly encountered disorders of hearing and balance; 2. List the causes of various hearing and balance disorders and provide current citations in the literature that are relevant; 3. Summarize the pathophysiology, epidemiology, and symptoms of hearing and balance disorders; 4. Discuss and provide research findings related to the causes of hearing and balance disorders; 5. Discuss and demonstrate familiarity with medical diagnostic procedures for hearing and balance disorders; 6. List and describe the audiologic and vestibular diagnostic procedures, including electrophysiologic and psychophysical (behavioral) tests, and patterns of results associated with hearing and balance disorders; 7. Describe the medical and/or surgical management for hearing and balance disorders with current citations from the literature for efficacy of these practices; 8. Describe the management and rehabilitation procedures for the hearing and balance disorder with current citations from the literature for the efficacy of these practices; 9. Discuss the major research needs relating to each hearing and balance disorder. Course Communications Online communication will be conducted through official UA e-mail and D2L. Required Texts and Readings REQUIRED: Pensak, M. & Choo, D. (2014). Clinical Otology, 4th Edition. New York: Thieme. ISBN-10: 9781604067538

REQUIRED: Musiek, F., Baran, J., Shinn, J., and Jones, R. (2012). Disorders of the . San Diego: Plural Publishing. ISBN-10: 9781597563505

Class handouts and readings will be made available on D2L, as necessary. Assignments and Examinations 1. Weekly Quizzes: Quizzes are to be completed at the beginning of each class. Content will include information from previous lectures and/or assigned readings.

2. Group Presentations: Students will work in groups to prepare and present two lectures on an assigned disorder along with a creative learning activity for each disorder. Groups and disorders will be randomly assigned. Email Dr. Smith your presentation no later than one week before your presentation date. Your final presentation will be submitted on the day of your presentation. Lectures and presentations will be recorded using Zoom technology. These recordings are only for participants in the class and should not be viewed by anyone outside the course itself. Videos will not be used in any subsequent semester.

3. Final Examination Final Examination The final exam will take place on 05/11/2020 from 1:00-3:00 pm. For more information on the University’s Final Exam Regulations and Final Exam Schedule, please see, https://www.registrar.arizona.edu/courses/final-examination-regulations-and-information , and http://www.registrar.arizona.edu/schedules/finals.htm. Grading Scale and Policies Final grades will constitute the regular grading system (90-100% = A; 80-89% = B; 70-79% = C, etc.) and be based upon a percentage of three graded components, listed below. There will be no extra credit opportunities. University policy regarding grades and grading systems is available at http://catalog.arizona.edu/policy/grades-and-grading-system. 1. Weekly Quizzes: 25% No make-up quizzes if you are absent or miss the quiz-taking period – no exceptions. However, writing opportunities will be available for quizzes earning below 80% (three maximum). Must achieve 100% on writing opportunity (no re-grading) and meet deadlines to earn 80% quiz credit. 2. Group Presentations: 40% Presentations will be graded as a group, with all group members sharing the same grade. Presentation requirements and grading criteria will be made available the first day of class. 2

3. Final Examination: 35% Incomplete (I) or Withdrawal (W) Requests for incomplete (I) or withdrawal (W) must be made in accordance with University policies, which are available at http://catalog.arizona.edu/policy/grades-and-grading-system#incomplete and http://catalog.arizona.edu/policy/grades-and-grading-system#Withdrawal respectively.

Scheduled Topics/Activities/Readings See page 4 of syllabus. Classroom Behavior Policy To foster a positive learning environment, students and instructors have a shared responsibility. We want a safe, welcoming, and inclusive environment where all of us feel comfortable with each other and where we can challenge ourselves to succeed. To that end, our focus is on the tasks at hand and not on extraneous activities (e.g., texting, social media, online chat, web surfing, online shopping etc.). Students are asked to refrain from disruptive conversations with people sitting around them during lecture. Students engaging in disruptive activity will be asked to cease this behavior. Those who continue to disrupt the class will be asked to leave lecture/discussion and may be reported to the Dean of Students. Additional Resources for Students UA Academic policies and procedures are available at http://catalog.arizona.edu/policies. Student Assistance and Advocacy information is available at http://deanofstudents.arizona.edu/student- assistance/students/student-assistance. Confidentiality of Student Records www.registrar.arizona.edu/personal-information/family-educational-rights-and-privacy-act-1974- ferpa?topic=ferpa. Code of Academic Integrity Students are encouraged to share intellectual views and discuss freely the principles and applications of course materials. However, graded work/exercises must be the product of independent effort unless otherwise instructed. Students are expected to adhere to the UA Code of Academic Integrity as described in the UA General Catalog. See http://deanofstudents.arizona.edu/academic- integrity/students/academic-integrity. The University Libraries have some excellent tips for avoiding plagiarism, available at http://new.library.arizona.edu/research/citing/plagiarism. Selling class notes and/or other course materials to other students or to a third party is not permitted without the instructor’s express written consent. https://academicaffairs.arizona.edu/syllabus-policies. University-wide Policies Links to the following UA policies are provided at https://academicaffairs.arizona.edu/syllabus-policies: • Absence and Class Participation Policies • Non-Discrimination and Anti-Harassment Policy • Threatening Behavior Policy • Subject to Change Statement • Accessibility and Accommodations Policy • Code of Academic Integrity

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SLHS 582A – Disorders of Hearing and Balance

Date Topics Readings Anatomy/Physiology/Diagnostics review: - Introduction & Course overview - Musiek chapters 1-2 - Interpretation of Results - P&C chapters 1-3, 5 Jan 27 - Imaging Basics Imaging: Genetics: - Genetics of Auditory Disorders - Musiek pg 88-100 - Musiek chapter 9 - P&C chapter 7 - P&C chapter 23 - (Dr. S) Feb 3 D2L - Presentation Prep - Systemic conditions (Dr. S) Feb 10 D2L - Presentation Prep Pharma/: Otitis Externa: - Ototoxicity (Dr. S) & Catch-up/Review Feb 17 - P&C chapter 6 - P&C chapters 15-16 - Otitis externa/External conditions - P&C pg 291-295 Otitis Media: : - Otitis media/ETD (mastoiditis) Feb 24 - Musiek pg 109-122 - Musiek pg 123-130 - Cholesteatoma - P&C chapters 18-19 - P&C chapter 20 : Facial Nerve: - Otosclerosis Mar 02 - Musiek pg 138-143 - P&C chapter 29 - Facial nerve disorders - P&C chapter 21

~ S P R I N G B R E A K ~ Glomus tumors: - Glomus tumors (Dr. S) & Review Mar 16 - P&C pg 310-314 - Presentation Prep - Musiek pg 130-138 - Auditory neuropathy (Dr. Cone, 1:00- Auditory Neuropathy: Mar 23 2:30 pm) - Musiek pg 259-267 - Presentation Prep - D2L TB trauma/PLF: NIHL: - Musiek pg 144-152, - Musiek pg 178-187 - Temporal bone trauma/Perilymph fistula Mar 30 170-178, 230-231 - P&C pg 287-289 - Noise-induced - P&C chapter 22 & - D2L pg 358-359 AIHL: Vestibular disorders: - Autoimmune hearing loss Apr 06 - Musiek pg 204-209 - P&C pg 359-368 - Vestibular disorders I (Dr. S) - P&C chapter 30 Vest. Schwannoma: Vestibular disorders: - Vestibular disorders II (Dr. S) Apr 13 - Musiek pg 239-259 - P&C pg 359-368 - Vestibular schwannoma - P&C pg 303-308 Meniere’s Disease: - Meniere’s disease Apr 20 - Musiek pg 194-204 - Imbalance/Falls (Dr. S) - P&C pg 346-358 - Central mass & vascular disorders (Dr. S) Central: Apr 27 - Neurotoxicity & central degenerative - Musiek pg 279-316 disorders (Dr. S) - D2L - Concussion (Dr. S) May 4 D2L - Review

May 11 ~ F I N A L E X A M ~

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