George S. Osborne College of Audiology
International Doctor of Audiology (AuD) Degree Bridge Program
*Subject to Change
Faculty: Robert V. Harrison PhD, DSc
General Objectives: his course will provide a detailed description of the structure and function of the auditory system. The course will cover basic mechanics and physiology of auditory detection and transduction at the level of the cochlea, as well as important aspects of central auditory processing. The classes will cover details of normal cochlear function as well as pathophysiology. Details of various animal models of hearing loss will reveal underlying deficits in clinical (human) hearing loss of cochlear origin. This will help in defining the etiology of hearing disorders, and in turn allow consideration of optimal habilitation strategies. The course will include detailed consideration of the early development of the cochlea and central auditory pathways, as well as age related plasticity in the auditory brain. These concepts will be linked to issues relating to cochlear implantation, and hearing aids in children and in adults. Special topics of clinical relevance will include basic science studies of otoacoustic emissions, auditory neuropathy spectrum disorder (ANSD), the intimate linkage between peripheral and central auditory processing problems, etc. In general, the basic science concepts will be related to clinical issues in audiology, as a way of providing insight into underlying deficiencies, and thus providing insight into improved diagnosis and treatment.
Faculty 1: Sherman G. Lord, AuD
Faculty 2: Manikandan Rajappa, MS
General Objectives: This course will introduce the basic principles of computer applications and its relevance and application in audiology. This course will review how information sciences and computer technology can be applied to enhance current trends in audiology and its usefulness in the practice of hearing healthcare delivery. The technology utilized by audiologists in the evaluation of the auditory and balance system requires the use of precision test instrumentation. The importance of ensuring that these instruments are in proper calibration is essential to completing an accurate assessment of function and thereby arriving at a correct diagnosis. This course will address the issue of equipment calibration by covering fundamental concepts and principles of electricity, acoustics, sound measurement and system components. A review of the design and application of the core instruments in an audiology clinic (audiometer, immittance instruments, otoacoustic emissions analyzers, auditory evoked potential equipment and hearing aid/real ear analyzers) and the calibration of each will be covered. Standards promulgated by the American National Standards Institute (ANSI) and the International Standards Organization (ISO) will be reviewed. At the conclusion of the course, the students should have a thorough understanding of hearing and balance testing equipment calibration and preventive maintenance procedures.
Faculty: Harry Levitt, PhD
General Objectives: The course will examine sound transmission in normal and abnormal ears. This will include sound transmission from the sound field to the entrance of the ear, transmission through the ear canal, conversion of the acoustic signal to mechanical vibrations at the eardrum, transmission of these vibrations through the middle ear to the cochlea and processing of these signals by the cochlea. The effect of hearing loss at each of these stages will be discussed. Concepts such as reflectance, admittance, group delay and resonance will be explained in terms relevant to audiology. After successful completion of this course, the student will have acquired a working knowledge of sound transmission from the sound field to the cochlea and the effects of hearing loss at each stage of the sound transmission path.
AU-ACD-105 Evidence-based Audiology: Transitioning from Research to Clinic and Adoption of Best Practices in Audiology
Faculty: Radhika Aravamudhan, PhD
General Objectives: Evidence-based practice (EBP) is the use of current best evidence in making decisions about individual patients. It involves formulating a question, searching for information, appraisal of the literature, implementation and subsequent audit. This course is designed to provide students with the knowledge of EBP and its principles and how it is used in everyday clinical decision making in audiology.
Faculty: Brian Fligor, ScD
General Objectives: This course will review the fundamental principles in behavioral audiometric assessment of young children and patients with developmental delay/cognitive impairment. The cross-check principle, incorporating aspects of objective test measures with results of behavioral testing, will be used to help students develop clinical decision-making skills for pediatric patients with hearing loss. Clinical case examples will be provided as a tool to illustrate clinical practices. After successful completion of this course, the student should acquire a working knowledge that will facilitate the successful behavioral evaluation of hearing in children.
Faculty: Brian Fligor, ScD
General Objectives: This course will review the fundamental principles of Early Hearing Detection and Intervention. Knowledge of public health and a systems approach to EHDI wil be highlight, and will be used to help students develop clinical decision-making skills for identifying infants with hearing loss. Clinical case examples will be provided as a tool to illustrate clinical practices. After successful completion of this course, the student should acquire a working knowledge that will facilitate the successful implementation of a universal newborn hearing screening program (UNHSP) and diagnostic evaluation of infants who refer on newborn hearing screening
Faculty: Ali Danesh, PhD
General Objectives: This course will address human genetics terminology and basic concepts of genetics, including gene design and pedigree construction, chromosomal basis of inheritance and Mendelian inheritance, cell division types - mitosis and meiosis and physiological models, interpretation of DNA and RNA transcription, chromosomal structure and human karyotype, chromosomal defections and structural alterations and their inheritance, transmission genetics and different categories of inheritance (dominant, recessive, X-linked, Y-linked, mitochondrial, etc.), audiologic characterization of genes for hearing loss, different varieties of non-traditional inheritance (e.g., mitochondrial, uni-parental, etc.), and genetic susceptibility to aminoglycoside ototoxicity. In addition students will learn to describe and distinguish GJB2-based hearing loss, review case histories with respect to audiologic manifestations of genetic hearing loss and syndromic and non-syndromic hearing losses, and discuss gene therapy and its application for audio-vestibular system and ethical issues in use of genetic information.
Faculty: Marlene Bagatto, PhD
General Objectives: This course is designed to provide students with an understanding of contemporary, evidence-based audiology practice for fitting amplification in infants and children. The structure of the course follows conceptual models of the hearing instrument fitting process comprised of the following sequential stages: assessment, selection, verification, validation and counseling. Students will be expected to participate in discussion and question/answer periods, as well as complete appropriate clinically-relevant assignments. After successful completion of this course, students should be able to use their skills and knowledge to provide services to infants and children with hearing loss and their families.
Faculty: Thierry Morlet, PhD
General Objectives: This course will discuss the fundamentals of otoacoustic emissions (OAEs) generation, recording and interpretation. The course will address the following specific topics: cochlear physiology, types of OAEs, OAEs in clinical populations, recording techniques, interpretation, and inclusion in clinical protocols. Clinical cases will be provided to illustrate the role of OAEs in hearing loss diagnosis. After successful completion of this course, the student should acquire a working knowledge to properly use and successfully interpret OAEs in clinical populations.
Faculty: Richard S. Saul, PhD
General Objectives: The general objective of this course is to provide students with an understanding of diagnostic procedures and management strategies for auditory processing disorders (APD). The emphasis will be on the neurobiological basis of APD, differential diagnosis, and management. After successful completion of this course, students should be able to use their skills and knowledge to develop auditory processing services to children and adults.
Faculty: Jace Wolfe, PhD
General Objectives: This course will focus on advances in the application of electrophysiological techniques in the measurement of auditory function. Recent advances in the assessment of hearing using auditory evoked potentials across all age ranges and various evoked potentials measures will be discussed. After successful completion of this course, students will have learned both basic and applied techniques in the measurement and interpretation of the neurophysiological and electrophysiological methods that are currently used to assess auditory function in adults and children.
Faculty: Richard S. Saul, PhD
General Objectives: The general objective of this course is to provide students with an understanding of the electrophysiological basis for auditory processing disorders (APD). The emphasis will be on neurobiological, neurological, and neuro-maturational correlates.
Faculty: Thierry Morlet, PhD
General Objectives: This course will discuss the fundamental principles involved in the diagnosis and management of auditory neuropathy spectrum disorder (ANSD) in the pediatric population. The course will address the following specific topics: physiology of the peripheral auditory system, clinical presentation of ANSD, behavioral presentation of ANSD, genetic of ANSD, clinical procedures utilized in the proper diagnosis of ANSD, patient variation, management tools and guidelines. Clinical cases will be provided to illustrate diagnosis "rules" and procedures commonly utilized in management. After successful completion of this course, the student should acquire a working knowledge to properly diagnose and successfully manage infants and children with ANSD.
Faculty: Jace Wolfe, PhD
General Objectives: This course is designed to provide students with a clear understanding of the scientific principles and a review of advances in technology of cochlear implants (CI) and other implantable devices including the bone-anchored hearing aid (BAHA), active middle ear implants (AMEI) and auditory brainstem implant (ABI). This course will review history of cochlear implants, regulatory role of cochlear implants and other implantable devices and overview of components and function of these devices. Students will learn basics of electrical stimulation and signal processing strategies used in implantable devices, behavioral and objective assessment techniques, candidacy criteria and factors affecting outcomes, measurement tools for children and adults.
* Subject to Change
Faculty: Bre Myers, AuD
General Objectives: This course will provide a detailed description of the structure and function of the vestibular system. The course will cover basic mechanics and physiology of angular and linear motion detection and transduction at the level of the peripheral vestibular system as well as important central vestibular pathways. The course will cover details of normal vestibular function as well as pathophysiology. The course will include consideration of the early development of the peripheral and central vestibular reflexes, as well as age related adaptation mechanisms. These concepts will be linked to issues relating to various vestibular pathologies. In general, the basic science concepts will be related to clinical issues in the evaluation of the vestibular system, as a way of providing insight into underlying deficiencies, and thus providing insight into improved diagnosis and treatment.
Faculty: Ken Henry, PhD
General Objectives: The purpose of this course is to gain knowledge regarding vestibular and balance assessment techniques and treatment options for a variety of vestibular and balance disorders
Faculty: Paul Kileny, PhD
General Objectives: This course will review principles and application of brainstem evoked potentials, somatosensory evoked potentials, motor evoked potentials, Electromyography and electroencephalography in Intra-operative conditions
Faculty: Rich Tyler, PhD
General Objectives: This course will address tinnitus and hyperacousis, including psychological and physiological models, symptoms, diagnostic methods and treatment options. This course will facilitate the ability to offer tinnitus and hyperacousis management in a clinical practice
Faculty: Shilpi Banerjee, PhD
General Objectives: This course will discuss several signal processing strategies commonly used in modern hearing aids. The specific topics to be addressed include: compression/expansion, directionality, noise reduction, feedback cancellation, frequency translation, and wireless technology. Within each topic, students will learn the fundamental principles underlying the strategy, various approaches to obtaining a common objective, benefits and weaknesses of the technology, and methods for assessing efficacy and effectiveness. The course will involve lectures, problem-solving cases (with discussion), and literature review. After successful completion, students should feel comfortable in prescribing, fitting, evaluating and troubleshooting the signal processing strategies covered in this course.
Faculty: George Lindley, PhD
General Objectives: his course will focus on all aspects of the selection and fitting of amplification. Candidacy, pre-fitting measures, real-ear measures, speech testing, and outcome measures will be addressed. Particular focus will be placed on matching patient characteristics and needs with appropriate technology. Best practice guidelines will be reviewed. After completion of this course, students should be able to identify patient specific characteristics that are critical in the fitting process, efficiently identify solutions, and conduct verification and outcome measures to ensure that maximal benefit is obtained by the patient.
Faculty: Prudence Allen, PhD
General Objectives: This course will discuss behavioral measures of auditory function and how they may be affected by hearing impairments. It will address methodology, indices of spectral, temporal and binaural processing, and how these processes relate to the perception of complex stimuli. After successful completion of this course, the student should acquire a working knowledge of the supra-threshold auditory processes that impact hearing function in normal hearing listeners and those with hearing impairments.
AU-ACD-123 Cognition, Speech Perception and Sensorineural Hearing Loss in Adults: Implications for Amplification
Faculty: Don Schum, PhD
General Objectives: This course will examine the nature of how we understand speech, especially in complex, challenging listening environments. We will draw from the field of Ecological Acoustics and Gestalt Psychology. We will look at the effects of SNHL from the perspective of how it disrupts the normal organizational processes involved in speech understanding. In addition, we will examine the effects of normal aging on cognitive function, with an eye towards the combined effects of SNHL and cognitive changes. Hearing aid technologies will be reviewed within the context of how they can support normal cognitive organizational processes. Finally, the role of non-technology rehabilitation will be studied.
Faculty: Lisa Lucks Mendel, PhD
General Objectives: This course will focus on advances in audiologic rehabilitation as they relate to children and adults with hearing loss. We will explore the role of aural rehabilitation in audiologic practice and consider the effect that psychosocial and cultural factors have on the patients with whom we work. Current rehabilitation strategies and techniques used for children and adults will be discussed along with outcome measures that are available to help audiologists assess their patients’ success and function. Advances in hearing assistance technology will be reviewed and discussed with regard to incorporating such technology into audiologic practice.
Faculty: Cheryl DeConde Johnson
General Objectives: This course will discuss the unique features of audiology that apply to school-based audiology services. Topics include demographic and educational characteristics of children with hearing loss, management of hearing identification and hearing loss prevention programs, classroom listening and assessment beyond the sound booth, classroom acoustics, hearing assistive technology, current issues in deaf education, regulations and case law, IFSP/IEP/504 Plans, self-advocacy and transition from school to work, and school program management considerations. A problem-based learning approach will be used to illustrate issues and to develop potential solutions. After successful completion of this course, the student should acquire a working knowledge that will facilitate the successful implementation of a school-based audiology program.
Faculty: Tracy Offerdahl, PharmD
General Objectives: This course will provide a survey of the general principles of pharmacology and the application of these principles to patient care situations. Evidence-based medicine practice is weaved through the above areas where available and appropriate. This course will cover an introduction to pharmacology and receptors, pharmacokinetic and pharmacodynamics basic principles, processes of drug development and a description of governing bodies for pharmaceutical agents. The course will also include information on the mechanisms of action behind known/suspected ototoxic agents
Faculty: Rich Tyler, PhD
General Objectives: This course will address the hazards of noise and risks from noise exposure on hearing in all age groups. Students will learn noise measurement techniques, screening programs to identify noise-induced hearing loss, noise abatement strategies in workplace as well as in various social spaces and regulatory requirements to occupational hearing loss.
Faculty: Brian Fligor, ScD
General Objectives: This course will address the specific hearing loss prevention and intervention needs of musicians, as well as music consumers. Music as a desired signal balanced against injury risk will be vetted with respect to established tenets of hearing loss prevention programs.
Faculty: Christopher Schweitzer, PhD
General Objectives: This course is designed to present the rehabilitative aspect of audiological care from a Signals and System perspective. It is intended to enrich the understanding of audiology students in the relevant Principles of Information Theory, Telecommunication, Speech Acoustics, Speech Perception theory and Signals and Systems engineering. It will illustrate how these principles operate routinely in the background of clinical treatment decisions for the mitigation of communication challenges that result from, or are worsened by, auditory pathologies.