January-February - American Academy of Audiology

The Bulletin of the American Academy of audiology
AUDIOLOGY TODAY
VOLUME 14
NUMBER 1
JANUARY/FEBRUARY 2002
Caring for America’s Hearing
AMERICAN ACADEMY OF AUDIOLOGY • 8300 GREENSBORO DRIVE • SUITE 750 • M cLEAN, VA 22102-3611
JANUARY/FEBRUARY
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
EDITORIAL BOARD
BOARD OF DIRECTORS
Editor
Jerry L. Northern
President
David Fabry
Mayo Clinic, Audiology Sect. (L5)
200 1st Street, S.W.
Rochester, MN 55905
fabry.david@mayo.edu
Vice President, Professional Services, HEARx Ltd.
Editorial Office
2681 East Cedar Avenue, Denver, CO 80209
(303) 777-4300, FAX (303) 744-2677, jnorth1111@aol.com
EDITORIAL STAFF
Sydney Hawthorne Davis
Gyl Kasewurm
Academy National Office
McLean, VA
Professional Hearing Services
St. Joseph, MI
Suzanne Hasenstab
Diane Russ
Medical College of Virginia
Richmond, VA
Beltone Electronics Corp.
Chicago, IL
EDITORIAL ADVISORY BOARD
Lucille B. Beck
H. Gustav Mueller
V.A. Medical Center
Washington, DC
Audiology Consultant
Castle Pines, CO
Carmen C. Brewer
Georgine Ray
Washington Hospital Center
Washington, DC
Affiliated Audiology Consultants
Scottsdale, AZ
Marsha McCandless
Jane B. Seaton
University of Utah
Salt Lake City, UT
Seaton Consultants
Athens, GA
Jane Madell
Steven J. Staller
Beth Israel Medical Center
New York, NY
Cochlear Corporation
Englewood, CO
Patricia McCarthy
Deborah Hayes
Rush-Presb.-St.Luke’s Med. Ctr.
Chicago, IL
The Children’s Hospital
Denver, CO
ACADEMY MEMBERSHIP
DIRECTORY
NOW ONLINE AT
www.audiology.org
President-Elect
Angela Loavenbruck
Past President
Robert G. Glaser
Loavenbruck Audiology, P.C.
5 Woodglen Drive
New City, NY 10956-4237
eartoday@aol.com
Audiology & Speech Associates
15 Southmoor Circle, NE
Dayton, OH 45429-2407
rgglaser@aol.com
BOARD MEMBERS-AT-LARGE
Term Ending 2002
Alison Grimes
Term Ending 2003
Sheila M. Dalzell
Term Ending 2004
Richard E. Gans
Providence Speech & Hearing
1301 Providence Avenue
Orange, CA 92868
alisonaud@aol.com
The Hearing Center, Inc.
2561 Lac DeVille Blvd.
Rochester, NY 14618
sheila-larry-dalzell@worldnet.att.net
American Institute of Balance
11290 Park Boulevard
Seminole, FL 33772
rgans@dizzy.com
Gyl Kasewurm
Gail I. Gudmundsen
Catherine V. Palmer
Professional Hearing Services
3134 Niles Road
St. Joseph, MI 49085
gyl@parrett.net
GudHear, Inc.
41 Martin Lane
Elk Grove, IL 60007
gudhear@aol.com
University of Pittsburgh
4033 Forbes Tower
Pittsburgh, PA 15260
cvp@vms.cis.pitt.edu
Brad Stach
Robert W. Sweetow
Gail M. Whitelaw
Central Institute for the Deaf
4560 Clayton Avenue
St. Louis, MO 63110
bstach@cld.wustl.edu
University of California Medical
Center - San Francisco
400 Parnassus Avenue
San Francisco, CA 94143-0340
rwsweetow@orca.ucsf. edu
Ohio State University
141 Pressey Hall
1070 Carmack Road
Columbus, OH 43210
whitelaw.1@osu.edu
The American Academy of Audiology is a professional
organization of individuals dedicated to providing
quality hearing care to the public. We enhance the
ability of our members to achieve career and practice
objectives through professional development, education, research, and increased public awareness of
hearing disorders and audiologic services.
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VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
3
AUDIOLOGY TODAY
INSIDE THIS ISSUE
•
VOLUME 14, NUMBER 1, 2002
OVERVIEW
Implantable Hearing Devices — Jonathan Spindel
11
CONVENTION 2002
Best Of The Best
Educational Opportunities
Employment Opportunities
Schedule
Technologiy/Networking/Entertainment
Inspiration/Travel
What’s New
Exhibitors
Registration
Golf Tournament
14
15
16
17
18
19
21
22
23
2ND INTERNATIONAL CONFERENCE
A Sound Foundation Through Early Amplification
29
ARTICLE
Sign Up For SoundOff And Make Your Voice Heard
30
AMERICAN BOARD OF AUDIOLOGY
Winds Of Change
31
A M OMENT OF SCIENCE
How Does Cochlear Hearing Loss Affect The Brain?
— Kelly Tremblay & Lisa Cunningham
33
ARTICLE
New Professional Insurance Program For Audiologists
34
INTERVIEW WITH A LEGEND
Marion Downs — Gyl Kasewurm
38
ARTICLES
Audiology “Down Under” To The Land Of Sheep & Mountains — Kate Gordon
42
“Ask An Audiologist” Aids Student From Kenya
46
President’s Message
Executive Update
Letters to the Editor
6
8
10
Washington Watch
News & Announcements
Classified Ads
27
44
47
CHECK OUT THE
Best of the Best
CONVENTION 2002
DON’T DELAY!
Register before February 15, 2002
and get the
Early Bird Discount.
Read more about it on page 22.
4
AUDIOLOGY TODAY
NATIONAL OFFICE
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ext. 202 • mweissman@audiology.org
Delores Willett, CEM, CAE • Director of Expositions
ext. 207 • dwillett@audiology.org
Annette Williams • Convention Coordinator
ext. 215 • awilliams@audiology.org
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ext. 200 • awynkoop@audiology.org
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JANUARY/FEBRUARY 2002
E T H I C S A N D H E A R I N G H E A LT H CA R E
DAVID FABRY
ast year, The American Academy of Audiology Board agreed
not to participate in the America’s Hearing Healthcare Team
Initiative (AHHTI), as introduced by the American Academy of
Otolaryngology-Head and Neck Surgery. One of our primary
concerns is that participation in this “team” would blur the
distinction between the profession of audiology and commercial
hearing aid dealers, an occupation devoted primarily to the sale of
hearing aids. In fact, what differentiates the two is that only professions
involve the rendering of services by persons who are assumed to put
the consumer’s best interest ahead of their own self-interest. That
distinction; however, carries the burden of ensuring that our focus
remains on the needs of the consumer, and forces the evaluation of
critical issues related to the definition of a “professional.”
CONFLICTS OF INTEREST. Perhaps the most fundamental
characteristic of a professional is that when conflicts-of-interest
occur between the practitioner and the consumer, the consumer’s
interests prevail. Within the healthcare system, patients assume that
advice and treatment will be provided that is not influenced by the
practitioner’s self interests. There are arguably no more than 40-50
occupations regarded as professions. This status is earned as a result
of evolving business practices with consumers. Audiologists have
only been involved in the business of dispensing hearing aids since
the late 1970s and the predominant models of service delivery have
evolved from the sales-oriented system used by hearing aid dealers.
SELF REGULATION. A second defining characteristic of a
profession is that society permits a high degree of self governance
by professional organizations. Because professionals are assumed
to put the interests of the public ahead of their own interests, they
—acting through their professional orga n i z a t i o n s—have
traditionally been permitted a large measure of autonomy and self
regulation. That is, members of professions are afforded substantial
freedom to regulate themselves in terms of educational and
professional practice standards, as well as to censure members who
deviate from these standards. The basis of this freedom is the trust
that the public places in the professional — that the consumer’s
interests take precedence over those of the professional in their
business interactions.
CODES OF ETHICS: The usual method by which professions
acknowledge and codify the “trust relationship” between themselves
and the public is through a written code of ethics that is promulgated
by the professional organization. Such a code sets forth the
fundamental principles and rules of behavior for members as a
condition of membership. It is critical that the code of ethics defines
professional practices that are currently accepted and adhered to by
the members of that profession. In effect, a code of ethics represents
enforceable rules of conduct for a profession that have been
established by the members of the profession. Former President
Carter’s words apply equally well to democracies of all kind,
including professional organizations:
“A nation’s domestic and foreign policies and actions should be
derived from the same standards of ethics, honesty and morality
which are characteristic of the individual citizens of the nation.”
Jimmy Carter (1975).
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AUDIOLOGY TODAY
The American Academy of
Audiology’s Code of Ethics (1991,
AT, 3:1) was developed to represent
the accepted and expected conduct
of audiology practitioners, educators
and scientists. In that document, it is
stated in Principle 4 that “Members
shall provide only services and
products that are in the best interest
of those served.” Rule 4c affirms
that, “Individuals shall not
participate in activities that
constitute a conflict of professional
interest.” Additionally, Principle 7
asserts that, “members shall honor
their responsibilities to the public and to professional colleagues.” Rule
7a indicates, “Individuals shall not use professional or commercial
affiliations in any way that would mislead or limit services to persons
served professionally.” Clearly, the Code of Ethics was established to
protect the consumer and to provide a method of self-governance for
the profession, but at issue is whether these guidelines are still current
and relevant to audiologists in 2002.
The Ethics in Audiology Presidential Task Force was formed in
February, 2001, on behalf of the Board of Directors of The American
Academy of Audiology, as a blue-ribbon panel of senior leaders within
the profession of audiology. The Task Force was presented with the
charge to “provide a written report to the Board of Directors that
identifies areas that require updated or new ethical standards in
response to changes that have occurred within audiology, the health
care professions, government regulations and industry during the past
decade. The report should include an analysis of trends within the
profession and related health care professions...and may include
surveys from industry opinion leaders and Academy members.” The
deadline for the report was December, 2001, and the findings will be
disseminated during the Annual convention in Philadelphia by Chair
Brian Walden and his Task Force colleagues (Lucille Beck, Fred Bess,
Gail Gudmundsen, David Hawkins, Patricia McCarthy, Dennis Van
Vliet), scheduled as Featured Session 802 “Ethics in Audiology.” I
hope you will plan to attend this important convention meeting and
discussion. It will assist the Academy Board with development of a
revised Code of Ethics, as it relates to conflicts of interest, business
practices and practitioner/industry relationships, accepted educational
forums and requirements for continuing education and ethical practice
guidelines focused on the current standards and scope of practice for
audiologists.
The responsibility of enforcing the Code of Ethics; however, falls
with individual members of the Academy. As we evolve to a doctoral
level profession, with greater autonomy and independence from other
healthcare professionals and improved ability for independent
reimbursement by third-party payers, we must continue to “walk the
walk” of healthcare professionals. This is what differentiates us from
product retailers and commercial hearing aid dealers and it is critical
to the future of our profession.
David Fabry
JANUARY/FEBRUARY 2002
Executive
UPdate
Laura Fleming Doyle, CAE
American Academy of Audiology Convention and Exposition 2002
CCORDING TO A “BUSINESS TRAVEL SURVEY” conducted by eBrain
Market Research, more than 25% of companies surveyed are looking
for alternatives to reduce business travel, yet 66% of the respondents
are more likely to take a business trip if it includes a regional or
national meeting. The study indicates that professional conventions,
exhibitions and meetings are the most convenient way to accomplish multiple
business goals – education, networking, exhibits – while reducing employer
costs and minimizing employee business travel.
If you only travel once in 2002, The American Academy of Audiology’s 14th
Annual Convention and Exposition is the trip to make. You will be amazed at the
quality of the program this year. In addition, many of you have the advantage of
being within driving distance of Philadelphia. Or better yet, you can take the
train! So spend your travel money wisely. Pick the one major convention where
you can network with the leading audiologists in the country and attend topnotch sessions in your area of special interest, all the while fulfilling your 2002
CEU requirements in only a few days.
The Academy has planned a spectacular program for Convention 2002. The
Program Committee, under the direction of Barbara Packer, has listened to your
concerns regarding previous conventions and has put forth an incredible
program as a result. The program includes more research sessions, posters
placed in a more prominent location (with specific times for the authors to
answer questions} and a new Exhibitor Track comprised of courses developed
A
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AUDIOLOGY TODAY
by the exhibitors and approved by The Academy is Education Committee for
CEUs. The Program Committee is excited that they were able to incorporate
many of your suggestions into this year’s program, thereby making your time
away from the office an even more valuable experience for you.
The Preliminary Program and Registration Book was mailed out late
last year allowing registration and hotel bookings to open in December.
An interactive personal convention itinerary planner, which can be found at
www.audiology.org/convention/2002, has been added to help you manage
your schedule more effectively.
Philadelphia is a great location for our convention. There are a variety of
hotels to choose from, many interesting historical sights to see, and the food is
fabulous! In addition, everything is within easy walking distance of the
Convention Center.
We hope you will agree that this is the one trip to make in 2002. Besides,
this is the perfect opportunity to show your boss (or yourself if you are the
boss) that you are fiscally prudent by going to THE convention for audiologists.
For those of you who join us in Philadelphia, we know you will go home
impressed with what you experienced. If you don’t come, you’ll never know
what you missed but you will hear about it from your colleagues! And the
excitement in their voices as they recount their experience will only confirm
what I hope to convey in this short article: “An investment in time pays the best
interest.” – Ben Franklin
JANUARY/FEBRUARY 2002
Hear Ye…Hear Ye
LETTERS TO THE EDITOR
BÉKÉSY AND THE ELEPHANT
I was especially interested in the AT cover
story about Géorg von Békésy (Sept-Oct,
Vol. 13:5). I have always enjoyed a story
about Dr. Békésy published in an old book
from my father’s bookcase, The Life Science
Library: Sound and Hearing (1965, pg 5758). The story discussed the evolution of
Békésy’s traveling-wave theory and his
unique scientific approach to find evidence to
support his views. It seems that no
mammalian ear was beneath Békésy’s
scrutiny. In 1940, Dr. Békésy read in the
newspaper that an elephant had died in the
Budapest zoo and he immediately requested
the deceased pachyderm’s ears for study. He
ultimately located the elephant’s carcass in a
glue factory with the head still intact. An
assistant was sent to secure the animal’s
hearing mechanisms and he brought back the
two large ears and two big chunks of bone
from the skull – but it turned out that he had
missed the elephant’s inner ears. Békésy sent
him back to the glue factory again and this
time he returned with two huge elephantine
cochleas! To Békésy’s apparent delight, the
traveling-wave phenomenon was clearly
visible in the elephant temporal bones.
—Parker Haberly, Wichita, KS
DO’S AND DON’TS OF
MICROPHONE TECHNIQUE
As a recording and sound engineerturned-research audiologist, I would offer the
following guidelines for microphone use to
round out Jerger’s excellent article on
improving oral presentations (AT, Sep-Oct,
13:5, pg 19). Here are some rules to ensure
that you are giving your listeners the best
opportunity to hear your every word clearly.
THE LAPEL MICROPHONE. Clip the
lapel microphone 8 to 10 inches below your
chin to your lapel or clothing on the side to
which you will be turning when you look at
the projection screen. All too often, the lapel
mic is placed on one side when the screen is
on the presenter’s opposite side. When the
presenter looks at the screen or turns to use a
pointer, the presenter is looking well away
from the microphone. This “off-mic”
situation can cause a 10-dB drop in the
sounds transmitted and possibly not heard by
the audience. If you have to hold a lapel mic
with your hand, never hold it near your
mouth. Lapel mics were designed to be
placed a few inches below the chin otherwise
10
AUDIOLOGY TODAY
every other word will sound like you are
spitting due to bursts of air overloading the
mechanism of the microphone.
THE PODIUM MICROPHONE. Podium
microphones are almost always directional
mics. Point the mic toward your mouth, from
below and in front. In general the pick-up
angle (+/-3 dB) of these mics is +/-60 degrees
relative to the primary axis of the mic. Try to
achieve that angle whenever possible.
Position the mic 6 to 8 inches from your
mouth. The low-frequency output of a
directional microphone increases with
decreasing distance. If you’re too close, you
have a bass boost – and we all know about
the upward spread of masking...
Never use both a lapel mic and a podium
mic at the same time. Different wavelengths
(frequencies) will arrive at each mic in
different phases, causing a “comb-filter.”
Your voice will sound like it’s in a barrel. If
you are using a lapel mic and there is also a
podium mic, point the podium mic toward
the side away from the podium before
beginning your talk.
Feedback in public address systems is due
to the same problem as in hearing aids:
amplified sound is picked up by the
microphone and re-amplified, again and
again, until oscillation occurs. As with
hearing aids, this situation is caused by a
combination of excessive gain and reflected
sound. If you hear feedback do not put your
hands over the microphone. Instead of
reducing feedback, this action is likely to
cause additional feedback by temporarily
obscuring the directional ports of the mic.
Temporarily move away from the podium (or
hold the lapel mic away from you), thereby
reducing the reflections from your body into
the mic. Have the gain adjusted before reassuming your position and resuming your
talk. If the feedback is minor, or “suboscillatory” causing only momentary
ringing, you may be able to fix the problem
simply by adjusting the position of your torso
relative to the podium. Again, keep in mind
the goal of reducing reflections into the
microphone.
Even a well-prepared talk may fail to
achieve its full impact because of poor
microphone technique on the part of the
presenter. Adherence to the guidelines
presented above will be fully appreciated by
everyone listening to your presentation.
—Lawrence Revit, Brownsville, VT
Audiology Today welcomes letters from readers. The AT Editorial
Advisory Board offers the following guidelines. All letters are
subject to editing for brevity and clarity. Letters should be limited
to one subject or theme. Letters should not exceed 175 words.
Publication priority will be given to letters that present new
information or viewpoints. Invective and derogatory comments
will not be published.
Send letters to Audiology Today Editorial Office, 2681 E. Cedar
Ave., Denver, CO 80209; FAX 303-744-2677 or email:
jnorth1111@aol.com.
LOOKING FOR THE
CONTINUING EDUCATION CALENDAR?
The Continuing Education Calendar continues to grow and now contains more information
than ever before! In order to keep this information timely and absolutely up-to-the-minute,
we’ve moved the CE Calendar to its permanent home on The Academy’s web site. If you
are in search of continuing education opportunities, you’ll find everything you need at
www.audiology.org/professional/ce/
Plus, you’ll find:
• Continuing Education Registry Forms
• Information on how your organization can become a CE Provider and offer
Academy CEUs at your courses and workshops
• Journal of the American Academy of Audiology Self-Study Program
information
www.audiology.org/professional/ce…
BOOKMARK IT!
JANUARY/FEBRUARY 2002
An Overview:
I M P L A N TA B L E H E A R I N G D E V I C E S
Jonathan Spindel,
T
Departments of Integrated Science & Technology and Communication Sciences &
Disorders, James Madison University, Harrisonburg, VA
ODAY’S HEARING HEALTH CARE PROFESSIONALS
are all too familiar with the challenges inherent in treating
their patients with conventional acoustic hearing aids. With
issues ranging from background noise and distorted sound
quality to poor fit and comfort, these traditional devices
have been met with a significant level of non-use and dissatisfaction
by those suffering from mild to moderate hearing loss. The development of direct drive implantable hearing devices (IHDs), which
directly stimulate the ossicular chain, promises to provide potential
users with a new treatment option that mitigates against these
common drawbacks from hearing aids.
Hearing device researchers have been working diligently for
years to develop IHDs and several companies are in the process of
developing direct drive devices to treat sensorineural hearing loss.
Last year, Symphonix Devices, Inc. introduced the first implantable
middle ear hearing device (IMEHD) commercially available in the
United States. The device, called the Vibrant® Soundbridge™, was
cleared by the Food & Drug Administration in August 2000.
Symphonix is not alone in recognizing the importance and value
of this market. A second company, Soundtec, Inc., received FDA
approval for its IMEHD in September of 2001. Three other
industrial IHD ventures, Otologics LLC, Implex AG, and St. Croix
Medical, Inc., and several academic research programs, have also
set goals along similar lines. These research and development
efforts have resulted in devices in varying stages of development,
from concept testing and early stage clinical trials to availability for
commercial implantation in Europe. Industry and research are also
currently involved in, or working towards, clinical trials in the
United States.
The introduction of these devices into the marketplace provides
audiologists an opportunity to offer patients a novel, high tech
hearing solution which may address many of the unsatisfactory
issues that arise from the use of conventional acoustic amplification.
The following sections present valuable information for those
considering introducing this new treatment into clinical practice.
THE FUNCTIONALITYOF ACOUSTIC HEARING AIDS
VERSUS DIRECT DRIVE IHDS
Acoustic hearing aids and direct drive IHDs function very
differently. Conventional acoustic amplification requires a tight fitting
ear mold to reduce the likelihood of acoustic feedback. This
requirement results in the potential for distortion of the acoustic signal
and creates a device where comfort is compromised. While new
technologies have strived to reduce these concerns through signal
processing and device miniaturization, these issues still exist and can
compromise performance when higher levels of amplification are
required. Direct drive IHDs, on the other hand, address these inherent
problems by replacing amplified acoustic transduction to the ear by a
method to directly drive the ear vibrationally.
Vibrational transduction may be accomplished by either a coilmagnet system or a piezoelectric vibration source. The coil-magnetic
system operates in a manner similar to the vibrational transduction
VOLUME 14, NUMBER 1
found in a home stereo speaker. The piezoelectric vibration source
uses the properties of a piezoelectric material (a substance that can
convert electrical energy into mechanical energy and vice versa) to
produce vibrational output. The devices found in musical greeting
cards represent a common example of a piezoelectric system. In either
case, the amplified vibrational energy is delivered to one of the mobile
structures of the ear, bypassing the need to drive the ear by sound.
This approach significantly reduces issues related to feedback. With
most IHD designs, the ear canal, remains open and free from
occlusion. While these devices share similarities though their use of
vibrational transduction, they differ greatly in the application.
Appreciation of these differences is necessary to fully evaluate the
different device approaches, ultimately determining utility and
potential limitations.
SYMPHONIX DEVICES, INC.
Symphonix Devices, Inc. was first to win regulatory approval and
market its direct drive IMEHD device, the Vibrant Soundbridge shown
in Figure 1. More than 600 of these devices have been implanted
worldwide. The Vibrant Soundbridge is a partially implantable device
using a “float mass transducer” (FMT) attached to the incus. The FMT
is essentially a spring-mounted magnet encased within a 2 millimeter
canister. The drive
coil surrounds and Figure 1 - Symphonix Devices
attaches to this canister. As the coil drives
the magnet within the
can the FMT moves,
taking the incus along
with it. Since the coil
and magnet are in
alignment by design,
coil-magnet coupling
issues are avoided.
Additionally,
the
transducer is not referenced to a fixed point
as compared to piston
approaches, so impact on residual hearing is minimal and the structure
of the middle ear is not disarticulated or otherwise compromised.
Placement of the subcutaneous electronics package for the Vibrant
Soundbridge and the FMT is accomplished through a post-auricular
surgical approach. A skin surface device couples to the implanted
device to supply signal and power. The Vibrant Soundbridge surgery
is somewhat invasive; however, the approach is well characterized and
not considered unreasonable from the surgeon’s perspective. The
surgery is moderately priced and relatively easy to perform. To date,
objective and subjective data obtained from clinical trials and
commercial sales surveys are quite impressive with greater than 90
percent level of patient satisfaction and an improvement of 94 percent
satisfaction over hearing aids. The company reports no significant
adverse events.
AUDIOLOGY TODAY
11
An Overview: Implantable Hearing Devices, continued
SOUNDTEC, INC.
Of all the IHDs, the simplest and least invasive is the Soundtec
Direct Drive Hearing System (DDHS) shown in Figure 2. The DDHS
utilizes a small sealed magnet surgically placed onto the icudostapedial joint. The
driver coil for this Figure 2 - Soundtec
magnet is housed in a
carefully measured,
deep-insertion
earmold. This earmold does not seal the
ear as in a conventional aid, but is
rather used to precisely align the coil
with the implanted
magnet. An attached
electronics unit housing the microphone
and amplifier is located in a behind-the-ear shell. With its nonacoustic, magnet drive delivery system, the DDHS can deliver highfidelity vibrational energy to the ear with minimal risk of feedback.
While the current behind-the-ear device is large, the company reports
that an in-the-ear and in-the-canal device is in development. Overall,
the strengths of this device are in the minimal invasiveness of the
surgery, minimal complexity of the implant and a relatively low
potential cost to the patient as compared to other implant units. Its
downside is that it still requires an earmold to be in place within the
ear canal and its current configuration requires the presence of a
highly visible external component. In addition, placement of the
canal coil and alignment with the implant magnet must be precise and
stable to ensure consistent and maximized output of the DDHS.
Many of these issues, however, may be reduced significantly in the
release of the next stage of device development. The company reports
a successful clinical trial of its device and received FDA approval in
September of 2001.
OTOLOGICS, LLC
The Otologics MET shown in Figure 3, also ensures a proper
magnet-coil alignment through an electromagnetic piston transducer.
In this system the
Figure 3 - Otologics
magnet, located within
the coil, transfers its
vibrational energy to
the ear using a drive
shaft coupled to the
incus. Placement of the
driver and a subcutaneous electronics package is accomplished
through a post-auricular
surgical approach. A
skin surface electronics
package carrying the
microphone, battery
and processor is held in place by a positioning magnet. This external
component transmits the signal to the implant electronics which
power its operation. From the standpoint of the transducer, the closelycoupled, coil-magnet driver used in the MET combined with the hard
attachment to the ossicular chain should make this device an excellent
12
AUDIOLOGY TODAY
candidate for sending high amplitude vibrational energy to the ear. A
potential downside to this approach however, is that the relatively
large MET piston attached to the incus could act as a “mass-load” to
the middle ear. This effect may impact residual hearing in that ear and
create a potential risk to the middle ear’s ability to respond to sudden
pressure changes. Otologics has reported good findings with the
device in clinical trials.
IMPLEX AG
Using a similar piston approach, the Implex TICA IHD utilizes
a piezoelectric transducer to drive the middle ear. Unlike most
devices the TICA, shown in Figure 4, is designed to be a completely
implantable device. A microphone is surgically implanted below
the skin of the ear canal and supplies the signal to an implanted
electronics package located in the post-auricular bone.
Rechargeable batteries provide power for the device. While elegant
in implementation, the
TICA has suffered from Figure 4 - Implex
significant technical
difficulties. Placement
of the microphone within the ear canal resulted
in an acoustic feedback
path secondary to vibrational energy transmitted from the incus
through the eardrum.
Feedback occured in all
patients implanted with
this device. Several possible solutions were
proposed, but the only apparent effective response proposed by
Implex required the surgeon to disarticulate the middle ear at the
level of the malleus. Obviously this solution significantly impacts
residual hearing in the implanted ear. This problem, when combined
with reports of low functional gain, has required Implex to put the
TICA device on hold for the present. No immediate plans have been
announced for reinitiating use of this device.
ST. CROIX MEDICAL, INC.
The Envoy system from St. Croix Medical, Inc., shown in Figure 5,
represents the most ambitious and invasive of the devices under
development. This device uses two sets of
Figure 5 - St. Croix Medical
piezoelectric biomorphs, the first for
driving the stapes and
the second for detecting movement of the
eardrum. The latter
component serves as
the signal input to a
fully implantable electronics package. Application of the Envoy
system requires complete disarticulation of
the middle ear system. The vibrational pickup is attached to the
malleus and the vibrational transducer is attached to the stapes neck.
Clearly, the impact on residual hearing by this device is significant.
JANUARY/FEBRUARY 2002
An Overview: Implantable Hearing Devices, continued
However, the company believes the device offers enough improvement
to warrant this effect. The Envoy is powered by a non-rechargeable
implanted battery that St. Croix claims will last several years before
requiring replacement. The company reports that several human
implants have been performed. However, no in vivo data have been
reported to support the overall functional performance of the device
available to support claims for the Envoy’s battery life at this time.
JAMES MADISON UNIVERSITY
Beyond the corporate ventures, several academic research and
development teams continue to investigate and evaluate different
approaches to IHD
Figure 6 - James madison University
d eve l o p m e n t . I n
Dresden, Germany, a
device has been proposed which uses a
fluid-filled tube to
d e l iver vibrational
energy to the inner
ear. Other teams have
investigated the use
of mic ro-electromechanical-systems
(MEMS) in the development of an
IHD. Of more immediate interest, however, is the round window electromagnetic (RWEM)
device shown in Figure 6. The RWEM approach, under development
at James Madison University, proposes delivery of vibrational energy
through the round window membrane of the inner ear. While this
approach remains in the experimental phase, studies have shown that a
device based on this concept could provide enhanced energy coupling
to the inner ear. Additionally, since such a device inserts its vibrational
energy distal to the eardrum, the reverse transfer of energy to the ear
canal and the resulting risk of feedback would be minimized. A round
window device could serve as the basis for developing a high-gain IHD
for the rehabilitation of severe to profound hearing loss.
SUMMARY
In the summer of 2000, the FDA ushered in the next significant
technological stage in the field of hearing rehabilitation by granting
approval of the first implantable hearing aid for commercial sale in
the United States, the Vibrant Soundbridge from Symphonix
Devices, Inc. This device, along with the newly approved Soundtec
device and others following in their footsteps, represent a point of
departure for the hearing industry. With only 10 percent of all hearing
impaired persons using amplification, and only a 60 percent level of
satisfaction among hearing aid wearers, a clear need for alternatives
to conventional hearing aids exists.The work of Symphonix,
Soundtec, Implex, Otologics, St. Croix and others interested in
developing real world solutions to the problem of hearing loss is
essential in addressing the needs of these patients. While the devices
marketed and under development may not answer every problem
faced by the hearing device wearer, these ventures push the
technological envelope and represent a real and significant step
towards providing better solutions for hearing rehabilitation.The
challenge for the audiology community is to quickly understand what
is available, what types of patients are the most appropriate
candidates, and how to fit IHDs into their ongoing practice.
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
13
AMERICAN
ACADEMY
OF
AUDIOLOGY •
C O N V E N T I O N
PHILADELPHIA
2 0 0 2
Best of the Best!
Best of Educational Opportunities
presenters will discuss outcomes and
quality of life information specific to the
Marriott Hotel Wednesday, April 17,
fitting of sensory aids and behavioral
9am-3pm
treatment of adults and
State leaders are invited
children with hearing loss.
to attend the second Philadelphia Marriott
annual workshop and
Ethics in Audiology
luncheon that will offer
Report from the
an opportunity to netPresidential Task
work and build relaForce
tionships for successful
Brian Walden, Lu Beck,
advocacy. The goal of the
Dennis Van Vliet, Gail
workshop is to strengGudmundsen, Patti
then the voice of audiMcCarthy, David Hawkins,
ology by linking state
Fred Bess
and national organizaThursday, April 18,
tions into a mutually
8-9:30am
supporting netwo r k.
A dynamite slate of preNationally recognized
senters will discuss ethical
speakers will offer inconcerns of the practicing
sight into current efforts
audiologist. The Ethics in
to address audiology
Audiology Presidential Task
issues among state and national leaders. Force, formed by President David Fabry on
Lunch will be followed by a question and behalf of the Board of Directors of the
answer period. Attendance at this workshop American Academy of Audiology, has
and luncheon is by invitation only. If you are investigated practice trends within
a state leader or starting a new state affiliate audiology and compared those to the
and are interested in attending this practice standards of the profession, as
exceptional workshop, contact The Academy well as those of other healthcare
staff before February 15, 2002.
professions. The Task Force will report
some
of its findings in this interactive
FEATURED SESSIONS
session that will involve participation by
Auditory Rehabilitation: Measuring the attendees.
State Leaders Workshop & Luncheon
Outcome & Quality of Life
Sheila Pratt, Harvey Abrams, Ruth
Bentler, Susan Erler, Linda K.
Thibodeau, Pat Kricos
Thursday, April 18, 8-9:30am
Escalating demands on healthcare and
educational resources have resulted in a
greater need to justify and validate our
professional activities. Correspondingly,
administrators, oversight groups and
insurance companies are increasingly
requesting treatment outcomes and quality of life data. In this session, panel
members will discuss issues associated
with the selection and application of
treatment outcomes and quality of life
measures. In addition, these high energy
14
AUDIOLOGY TODAY
Tales from the Crypt: Middle
Ear Cell Proliferation &
Recovery
Allen Ryan
Friday, April 19, 8-9:30am
Using in vivo and in vitro model
systems, we have identified several
growth factors that participate in the
middle ear’s response to otitis media. We
have also confirmed the widespread
occurrence of apoptosis during mucosal
recovery and identified some of the
signaling pathways that participate in
these responses. Growth factor and
apoptotic cell signaling pathways
involved in otitis media are potential
targets for pharmacological agents that
may help to ameliorate this condition.
What’s that Baby Doing in my
Clinic? Pediatric Fittings
Kathryn Laudin Beauchaine, Jeffrey
Simmons, Leisha Ruth Eiten
Saturday, April 20, 10-11:30am
The goal of this course is to provide
audiologists with a thoughtful and realistic
approach to fitting amplification on infants.
This course will review research related to
fitting amplification on very young
patients. These research findings and
clinical experiences will be applied to a
practical fitting protocol. Case studies will
be used to illustrate the goals of the
protocol and some of the challenges of
working with this population.
INSTRUCTIONAL COURSES
New Perspectives in NoiseInduced Hearing Loss
Donald Henderson, Kelly Carney,
Eric Bielefeld
Thursday, April 18, 10-11:30am
This presentation will feature recent
developments in the escalating incidence
of noise induced hearing loss. The union
of biochemical and hearing research has
opened new frontiers and created hope
for future possibilities of identifying
individuals who are susceptible to noise
induced hearing loss, and possible therapeutic drug interventions. The cochlea
undergoes a complex set of pathological
changes following a noise exposure. The
basic mechanical, psychoacoustic and
biochemical changes that occur following
a noise exposure will be discussed and
the clinical implications of this information will be developed.
Managing APD: Advanced
Perspectives & Practices
Jane Baran, Frank Musiek
Friday, April 19, 8–9:30am
This session will provide an overview of
recent advances in the management of
auditory processing disorders (APD).
JANUARY/FEBRUARY 2002
AMERICAN ACADEMY OF AUDIOLOGY • PHILADELPHIA CONVENTION 2002
The presenters will identify several
challenges facing audiologists involved
in working with children and adults with
APD and will offer strategies for meeting
these challenges. Topics will include the
role of brain plasticity in auditory
training, formal and informal intervention programs, the efficacy of deficitspecific intervention plans and strategies
for working with patients with comorbid
peripheral hearing losses.
DSP Hearing Aids:
an Updated Report Card
Sharon Sandridge, Craig Newman
Friday, April 19, 10-11:30am
Back by popular demand! The fitting
flexibility and high-faced validity of
digital signal processing (DSP) hearing
aids are appealing to both consumers and
clinicians. Last year these exceptional
presenters provided a critical review of
the benefit from, satisfaction with, costeffectiveness of and user preference for
DSP hearing aids. This session will
summarize previously reported results
along with current information discerned
from scholarly articles published during
the past year.
Adverse Drug Reactions &
Patient Management
Robert DiSogra
Saturday, April 20, 3-4:30pm
This fascinating and pertinent topic was
recently featured in a special edition of
Audiology Today! Adverse drug reactions
directly impact subjective, electrophysiological and vestibular tests. They can affect
auditory/vestibular rehabilitation and hearing aid management. Audiologists must
recognize that there is a multitude of FDA
approved drugs that are not just ototoxic
but have adverse side effects that can lead
to a misdiagnosis or less-than-effective
rehabilitation plan. This course will
address these clinical issues to achieve
better (and more effective) patient management when a patient’s current drug
regimen is reviewed.
Best Employment Opportunities
Employment Service Center
Looking for a job or interested in hiring a new employee? What better place to find them than the largest gathering of audiologists on
earth? The American Academy of Audiology’s Employment Service Center is gearing up to offer audiologists as many employment
opportunities as possible at Convention 2002. This year’s center will provide great opportunity to interview or to be interviewed by the
best and brightest in the field of audiology. We’ll be extending services to job seekers, employers, and those looking to sell or buy
practices. The Employment Service Center will have different hours and a separate location from the exhibit hall this year. Through
our services, we are hoping to give audiologists the opportunity to gain new employment, fill a position, or even buy a private practice.
Here is what the Employment Service Center has to offer:
• Job opportunities listed by location
• Résumés on file for prospective employers to review
• Practice for Sale postings
• AuD externships placement assistance
• Scheduling of interviews at the convention
• Private interviewing areas
• Résumé distribution
• Current database of job seekers and job posters
• Academy website links to employment opportunities
• Guidelines for résumé writing and interview skills
• Employment Service’s own message center
• Relocation guides and discount offers from various
moving affiliated services
Job Seekers: Register with Employment Services
Last year, there were well over 250 job openings listed and this year we are expecting many more. Historically, many
audiologists find jobs during the convention or through Academy employment services. The services offered are
comprehensive and capable of meeting your employment needs. Even if you’re not actively seeking a job, it could be
important to know what’s currently available in the job marketplace.
Employers: Register your positions with Employment Services
Through The Academy’s Employment Service Center, you can increase the chances of wisely selecting the right
candidate for your facility. At the convention you will also have the opportunity to effectively interview prospective
candidates without the expense of interviewing on your home turf. By registering with Employment Services, your
position will be posted at the convention employment area for all convention attendees to review. You will have the
ability to examine the resumes of those seeking employment through the Employment Service Center and follow up as
necessary. We are here to help you!
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
15
AMERICAN ACADEMY OF AUDIOLOGY • PHILADELPHIA CONVENTION 2002
EDUCATION EXPLOSION PHILADELPHIA!!
THE EDUCATION EXPLOSION CONTINUES AT CONVENTION
2002 WITH…
INSTRUCTIONAL COURSES
WEDNESDAY, APRIL 17
7:30am –
9:00am –
9:00am –
5:00pm –
6:00pm –
5:00pm
3:00pm
5:00pm
6:00pm
8:00pm
Registration
State Leaders Workshop & Luncheon
Pre-Convention Workshops
Student Volunteer Orientation
Opening Night Reception
THURSDAY, APRIL 18
8:00am – 9:30am
10:00am – 11:30am
12:00pm – 6:00pm
12:00pm – 6:00pm
6:00pm – 7:30pm
7:30pm – 9:00pm
9:00pm –
??
Educational Sessions
General Assembly
Exposition 2002
Employment Service Center
International Reception
AAA Foundation/Academy Honors
Fun on your own in the
historic city of Philadelphia
FRIDAY, APRIL 19
7:00am – 8:00am
8:00am – 9:30am
8:00am – 9:30am
8:00am – 11:30am
9:00am – 5:00pm
10:00am – 5:00pm
11:30am – 1:00pm
1:00pm – 4:30pm
7:00pm - ??
Academy Business Meeting/Breakfast
Research Posters
International Featured Session
Educational Sessions
Employment Service Center
Exposition 2002
Student Research Forum & Luncheon
Educational Sessions
Variety of Manufacturer-Sponsored
Open Houses
SATURDAY, APRIL 20
8:00am – 9:30am
8:00am – 11:30am
9:00am – 5:00pm
10:00am – 4:00pm
12:00pm – 12:50pm
1:00pm – 4:30pm
4:30pm – 6:30pm
6:30pm – 8:30pm
16
AUDIOLOGY TODAY
Research Posters
Educational Sessions
Employment Service Center
Exposition 2002
Round Tables
Educational Sessions
Trivia Bowl
University and State Open Houses
• Considerations in the Design of Directional Hearing Aids
• The Overlooked Dynamic Features of Attack/Release
Times
• Advanced Non-linear Technology for Severe & Profound
SNHL
• The Cochlear Dead Spot Concept: An Explanation
• Assessment & Management of Auditory Processing
Disorders
• What Do I Do Now??: A Take-Home Message for
Parents
• Tympanogram Interpretation: Knowing More Than Just
Your ABCs
• Adverse Drug Reactions & Patient Management
• Assessment of Middle Ear Complaints Not Related to
Hearing Loss
• Business Metrics: Measuring Your Practice Performance
• Strategies & Devices for Protecting Musicians
• Clinical Research in Audiology
• The Hearing Care Profession: A System in Transition
• Unbiased Counseling in a Multicultural World
• Online Audiologic Rehabilitation
• Tools & Strategies For Developing On-Line Educational
Courses
• Impact of Hearing Loss on the Entire Family
• Pseudohypacusis: Psychosocial Aspects And More...
• A Comparison of Patient & Spousal Hearing Aid
Expectations
• The Third Party’s Role in Hearing Aid Acceptance
• Reliability of Hearing Aid Expectation Responses
• A Measure of Subjective & Objective Speech
Intelligibility
• The Effects of Expansion in Digital Hearing Aids
• Destroy the Frequency Response or the Feedback?
• Adaptation: Automatically Changing Gain Over Time?
• Low Compression Threshold & Speech Performance In
Children
• Evaluation of a Binaural FMV Beamforming Algorithm
in Noise
• Benefit From Spectral Subtraction & Directionality In
BTEs
• High-Frequency Hearing, HINT Performance, &
Multiple Microphones
• Different Test Equipment & Signals Can Affect Results
• Hearing Aid Field Testing Measures: Which One Should
You Use?
• The Effects Of Age & Hearing Loss Utilizing NAM
• Acceptance Of Background Noise & Loudness Tolerance
• Auditory Processing & Time-Compressed Speech
• Research Podium Presentations and Poster Sessions
And so many more...
JANUARY/FEBRUARY 2002
AMERICAN ACADEMY OF AUDIOLO GY • PHILADELPHIA CONVENTION 2002
Best of the
Technology
Explosion
Exposition 2002
Convention Center April 18-20
Thursday 12-6pm, Friday 10am – 5pm,
Saturday 10am – 4pm
More than 200 companies will be on
hand to exhibit the latest innovations and
inventions designed to make your
practice setting more efficient and effective! Wondering what new equipment is
available, wanting a demonstration of the
latest hearing aid technology, or desiring
the most recent assistive listening
devices? Visit Exposition to find all this
and more!
On-line Itinerary Planner NOW!!
Get on-line and plan your convention
experience. No more sorting through
pages and pages to find out what courses
best fit your schedule. Registrants can
search all educational sessions by
educational track or by date and then
simply click on a session to add it to their
itinerary. This new tool will be instrumental in helping you organize your time
at what is expected to be the largest
Convention in Academy history! So
much to do and so little time. Go to
audiology.org and make the most of your
Convention experience.
Best of Networking
Student Volunteer Orientation
Convention Center April 17 Wednesday 5pm-6pm
Over 300 student volunteers from around the country are expected to contribute
a few free hours of their time while at the Convention to participate in the
Student Volunteer Program. Candidate Members of The Academy who are
selected to be volunteers will be required to spend half a day assisting by
distributing handouts, helping with audio-visual equipment, and providing
support at the registration booth. As a “thank you,” the volunteer will receive
complimentary registration to the 14th Annual Convention and Exposition. All
Student Volunteers are required to be in Philadelphia to attend the Student
Volunteer Orientation that will be held on Wednesday from 5-6pm. Extend the
festivities by attending the Opening Night reception that immediately follows.
First Timer’s Breakfast
Convention Center April 18 Thursday 7-8am
Awake with the dawn and enjoy a sumptuous breakfast compliments of The
Academy! For the second year, The Academy will feature a breakfast especially
for those who are new to Convention. Come and discover the most valuable and
fun ways to spend your time in the educational sessions and on the exhibit floor.
Indulge in a few delectable morsels while you meet and get acquainted with
other Convention neophytes. Be prepared to learn about the many opportunities
The Academy can provide its members for professional and personal growth.
Academy International Reception
Marriott Hotel April 18 Thursday 6-7:30pm
What better opportunity to network and collaborate with other colleagues
visiting from abroad? The International Reception is open to all participants,
especially those attendees from outside the United States. The reception also
provides a wonderful chance to get acquainted with the leadership of the
American Academy of Audiology as well as to become familiar with highlights
of the Convention. This year the International Award recipient will be honored
during the reception and will make a few brief remarks that are certain to
inspire enthusiastic attendees.
Best of Entertainment
Trivia Bowl and Reception
Convention Center April 20 Saturday 4:30-6:30pm
This annual tradition pits seasoned veterans, practitioners and
researchers against each other in a ruthless battle of audiology
trivia. If you have never attended this Convention institution,
get some friends together and start a team of your own this year.
Don’t be the weakest link in this entertaining evening of nonstop fun. Challenge your memory and your knowledge while
joining colleagues for drinks and hors d’oeuvres. The
successful student category will once again be offered allowing
students to compete against each other. This event, led by
habitual trivia buffs Jerry Northern and Gus Mueller, is sure to
draw a standing room only crowd, so be sure to make a
VOLUME 14, NUMBER 1
reservation. For more info, contact Siemens Marketing Services
at 800-776-4500 or e-mail cgroetsch@siemens-hearing.com.
University and State Organization Open Houses
Convention Center April 20 Saturday 6:30-8:30pm
Last year, The Academy began the tradition of holding
University Open Houses. The overwhelming popularity of these
events has caused The Academy to invite state organizations as
well as universities to hold open houses. Enjoy a great ending to
the Convention by attending a party sponsored by your alma
mater or state organization and enjoy the company and
stimulating conversation with current and former schoolmates
and colleagues.
AUDIOLOGY TODAY
17
AMER ICAN ACADEMY OF A UDIOLOGY • PHILAD ELPHIA CONVENTION 2002
Best of Being Inspired
General Assembly
AAA Foundation/Academy Honors
Convention Center
April 18 Thursday 10-11:30 am
Previous Conventions have become celebrated for their awe-inspiring keynote
speakers. Well-known singer Huey Lewis,
Secretary of Health and Human Services
Tommy Thompson, Congressman Ed
Whitfield, and Football Hall of Famer
Mike Singletary are just a few of the
renowned speakers that have participated
in previous General Assemblies. This year
is certain not to disappoint attendees! In a
new morning time slot, members will be
treated to visions of exciting things to come
from President Angela Loavenbruck,
bulletins on the most recent happenings in
Washington from our lobbyist, and another
exceptional keynote speaker. The recipients of this year’s Academy Honors and
Awards will also be recognized at this
exciting event. At the close of the
Assembly, participants will view the
unveiling of Exposition 2002 - the largest
display of hearing healthcare technology,
services and products in the world!
Marriott Hotel
April 18 Thursday 7:30-9pm
You are invited to attend this informal
reception, wet your palate with a beverage, and toast those who are being
honored this year. It is always inspiring to
note the accomplishments of individuals
who have made significant contributions
to our profession. By this action, a
profession recalls its history and marks
its progress. These esteemed colleagues
are certain to motivate us towards
achieving greater heights and remind us
of the sacrifices and contributions made
on behalf of the millions of people
suffering from hearing loss.
Academy Business Meeting and
Breakfast
Convention Center
April 19 Friday 7-8am
Rise bright and early on Friday morning
and come enjoy a free breakfast and learn
what The Academy staff and leaders have
accomplished during the past year. This
meeting provides another opportunity to
meet face-to-face with your leaders to
discuss the accomplishments and the
future of The Academy. As a member,
you will want to become informed about
Academy operations and future directions. You might even learn ways that
you can get involved!
Best of What’s to Come
Student Research Forum and
Luncheon
Convention Center
April 19 Friday 11:30-1pm
Take the opportunity to mingle with this
year’s Student Research Award winners
and to hear from some of audiology’s
best and brightest. The Student Research
Forum Luncheon will feature audiology
graduate student winners reporting on
their research projects. Each award
recipient receives a $500 cash award
from The Academy along with a plaque
recognizing the accomplishment.
Planes, Trains and Automobiles - Discounts on Convention Travel!
Association Travel Concepts (ATC) has been selected as the
official travel agency for Convention 2002. As the official
agency, ATC has negotiated discounts with US Airways,
United, Alamo and Avis Rental Car to bring you special
airfares and car rental rates that are lower than those
available to the public. When calling ATC, you will save 1015% off on US Airways and United Airline tickets
purchased more than 60 days prior to the Convention.
AIRLINES
Call ATC at 1-800-458-9383 (US/Canada) Monday–Friday, 9am–8:30
pm (EST) or 858-490-3977 (International) or fax them at 858-5813988. You can also reach them by e-mail at atc@assntravel.com.
Book your travel online at www.assntravel.com.
Call the official carriers directly:
US Airways: 1-877-874-7687 (File #87182167)
United: 1-800-521-4041 (File #556EG)
AMTRAK
For tickets purchased less than 60 days prior, the discounts
will be 5-10% off of the lowest available fares. Some
restrictions and a service fee may apply. ATC will also
search for the lowest available fare on ANY airline serving
Philadelphia. The above discounts apply for travel April
15–23, 2002. You may also call your own agency or the
vendors directly and refer to the I.D. numbers listed.
ATC provides personalized service, advance seat
assignments, special meal requests on airline flights,
frequent flier programs, electronic ticketing, and e-mail
access for convenient booking of your tickets. Take
advantage of these services to save you time and money.
18
AUDIOLOGY TODAY
Call ATC at 1-800-458-9383 (US/Canada) Monday–Friday, 9am–8:30
pm (EST) or 858-490-3977 (International) or fax them at 858-5813988. You can also reach them by e-mail at atc@assntravel.com.
Call Amtrak directly at 1-800-872-7245 and mention fare code
X38T-926 to receive our discount.
RENTAL CARS
Call ATC at 1-800-458-9383 (US/Canada) Monday–Friday, 9am–8:30
pm (EST) or 858-490-3977 (International) or fax them at 858-5813988. You can also reach them by e-mail at atc@assntravel.com.
Call the rental car companies directly:
Alamo: 1-800-732-3232 (ID# 72620 GR)
Avis: 1-800-331-1600 (ID# J990968) or visit the Avis
Web site
JANUARY/FEBRUARY 2002
AMERICAN ACADEMY OF AUDIOLOGY • PHILADELPHIA CONVENTION 2002
Best of What’s New
Consumer Workshop
Wednesday, April 17 3pm-6pm
A new and exciting addition to this year’s Convention will be
a Consumer Workshop offered on Wednesday afternoon,
April 17 th. This workshop will be hosted by local audiologists
and geared toward Philadelphia’s hearing impaired consumers. Early arrivals for Convention are encouraged to
attend this special session. At press time, specific content and
presenters were still to be determined; however, likely topics
include tinnitus, balance disorders, amplification, cochlear
implants/middle ear implants and assistive listening devices.
Bloodmobile
Last year, Tommy Thompson challenged The Academy to do its
part to respond to the need for blood in this country. The
Academy has risen to the challenge and the Red Cross will have
a Bloodmobile set up at the Convention Center to take your
donations. While you are planning your days at Convention this
year, be sure to allot some time to donate a pint a blood. Dates
and times will be announced soon. For further information,
contact Therese Walden at therese.Walden@na.amedd.
army.mil. Be a hero, donate blood!
NEW THIS YEAR
The Academy has offered
organizations the ability to
hold Independent Satellite
Events during the 14th
Annual Convention & Expo.
The following organizations will be holding their meetings on
Wednesday, April 17 at the Philadelphia Marriott.
Association of VA Audiologists (AVAA)
8:30am–4:00pm
The annual meeting of the AVAA will feature continuing education
presentations from guest experts; a report from the National Program
Director, Lucille Beck; information from the AVAA Executive Committee
on issues of importance to the AVAA membership; and a business
meeting that includes updates from The Academy and ASHA as well as
discussion of the proposed Academy of Government Audiologists and
Speech-Language Pathologists. For more information, e-mail
douglas.noffsinger@med.va.gov.
National Association of Future Doctors of
Audiology (NAFDA)
8:00am–5:00pm
NAFDA will welcome more than 300 four year Doctor of Audiology
(AuD) students and over 900 distance-learning AuD students two days
prior to The Academy’s Convention 2002 on April 16 and 17. All NAFDA
members and Academy attendees are welcomed to join NAFDA at an
open meeting 6:00pm on Thursday, April 18, to hear exciting speakers
and discuss the immediate and tremendous growth of the AuD over the
next two years. For more information, e-mail nafda@nafda.org.
National Hearing Conservation Association (NHCA)
8:00am–5:00pm
If you need a refresher on the latest technology in hearing protection
or want to become renewed and re-energized in this growing aspect of
our profession, plan on attending the NHCA Excellence in Hearing
Conservation Seminar. Topics include principles of noise control,
hearing protection, hearing loss prevention, standards, compliance,
etc. The seminar includes case studies and time for networking. For
more information, e-mail nhca@gwami.com.
CONVENTION 2002 PROGRAM COMMITTEE
Opening Night Reception
to be held on Wednesday night!
The official Opening Night Reception will set the tone for the
14th Annual Convention and Exposition. Now on a new night
and time — Wednesday evening from 6-8 pm — meet and greet
old friends among the backdrop of a jazzy sound while you plan
your schedule for the days ahead! The Grand Hall of the
Pennsylvania Convention Center will serve as the backdrop for
an unforgettable evening. Since the reception is conveniently
located in the heart of the city, you will want to continue your
evening at one of Philadelphia’s myriad of award winning
restaurants. Or perhaps you would rather stroll through the
historical district and take a glance at the Liberty Bell.
VOLUME 14, NUMBER 1
Program Chair: Barbara Packer
President 2002: Angela Loavenbruck
Web Site & Audiology Today Editor: Jerry Northern
Employment Service Co-Chairs: Delbert Ault, Don Vogel
Featured Sessions: Gyl Kasewurm
International Events: Bopanna Ballachanda
Instructional Courses: Jill Preminger
Publicity: Craig Johnson
Research Podium/Posters: Teri Hamill
Student Research Forum: Rieko Darling
Student Volunteers: Tom Frank
Pre-Convention Workshops: Wendy Doris Hanks
AUDIOLOGY TODAY
19
AMERICAN ACADEMY OF AUDIOLOGY • PHILADELPHIA CONVENTION 2002
Many thanks to our sponsors!
The Convention Experience
would not be complete
without your generous
and continued support!
PLATINUM
Oticon, Inc.
Phonak, Inc.
Siemens Hearing Instruments
Widex Hearing Aid Company
GOLD
Bernafon, Inc.
HEARx
SONIC innovations
Starkey Labs
Unitron Hearing
SILVER
Maico Diagnostics
DISCOVER CONVENTION 2002
L O
O A
A I
V H
E P
N L
B E
R D
U A
C L
K I
MH
H P
J M
R Y
D A
WB
I X
T X
P Z
W
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N
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F
Q
Q
D
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K
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O
U
D
O
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L
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I
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D
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I
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U
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Find these words in the block above:
BRONZE
Allyn & Bacon
GN Resound
Interacoustics
Newport Audiology Centers
Pediatrix Newborn Hearing Screening Program
Scientific Learning
Telex
AUDIOLOGY
COLLEAGUES
EDUCATIONAL
EMPLOYMENT
EXPOSITION
FOURTEENTH
GOLF
HISTORICAL
INTERNATIONAL
LEGENDS
LOAVENBRUCK
PHILADELPHIA
POSTERS
RECEPTIONS
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SCIENCE
STUDENTS
TECHNOLOGY
TRIVIA
WORKSHOPS
see solution on page 48
Don’t delay!
Register before
February 15, 2002
and get the
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Register Online at
www.audiology.org/convention/2002
20
AUDIOLOGY TODAY
JANUARY/FEBRUARY 2002
AMERICAN ACADEMY OF AUDIOLOGY • PHILADELPHIA CONVENTION 2002
Exhibitors List for AAA Convention 2002
3Shape ApS
AAA Foundation
Academy Center
Academy of Dispensing
Audiologists-ADA
Acoustic Systems
Action Marketing
ADVANCE Newsmagazine
Advanced Bionics
Corporation
All American Mold
Laboratories, Inc.
Allyn and Bacon
American Academy of
Audiology PAC
American Board of
Audiology
American Hearing Aid
Associates
American Overseas Trading
Corporation
American Speech,
Language, Hearing
Association (ASHA)
Audex/Nokia
Audia Technology, Inc.
Audina Hearing Instruments
Audio Energy
Audio Enhancement
Audioscan
Auric Hearing Systems, Inc.
Auricle Ink Publishers
AVR Communications
BC Decker Inc.
Beltone Electronics
Corporation
Bernafon Inc.
Bio-logic Systems
Corporation
Bruel & Kjaer/Listen Inc.
Central Institute for the
Deaf
Central Michigan University
College of Extended
Learning
Cochlear Corporation
COMTEK, Inc.
COSELGI S.P.A.
Dahlberg Sciences Ltd
VOLUME 14, NUMBER 1
Discovery Hearing Aid
Warranties
Dspfactory Ltd
E.L.T. Group
E-A-R
Ear Q Group
Ear Technology Corporation
Earmold Design, Inc.
Eckel Industries
Eckstein Bros., Inc
Egger Otoplastik
Electone Inc.
Elite Physician Services
Emtech Laboratories, Inc.
Energizer
Entific Medical Systems
EPIC
ESCO, Ear Service
Corporation
Etymotic Research
Everest Biomedical
Eye Dynamics, Inc.
Gillette (Duracell Inc.)
GN ReSound
GovStreetUSA
Grason-Stadler/Nicolet
Biomedical
Hal-Hen Company, Inc.
HARC Mercantile, Ltd
Hearing Components
Hearing Health Care News
HEARx
HEI, Inc.
HIMSA
HITEC Group International,
Inc.
Howard Leight Industries
Industrial Acoustic
Company
Insta-Mold Products
Instrumentation Associates
Intelligent Hearing Systems
Interacoustics USA
Interactive Metronome
International & Diversity
Center
Interton/AHS
Intrason
JEDMED
JKR Labs, Inc.
Knowles Electronics
LightSpeed Technologies,
Inc.
Lippincott Williams &
Wilkins
Madsen Electronics/ICS
Medical
Magnatone
Maico Diagnostics
Marcon Hearing Associates
MED-EL Corporation
MedRx, Inc.
Micromedical Technologies
Microsemi Corporation
Microsonic Inc.
Micro-Tech
Microtronic US, Inc.
Midlantic Technologies
Group
Mid-States Labs.
Midwest Hearing Industries
Miracle-Ear
Mosaic
NAFDA
National Association of
Special Equipment
Distributors
National Ear Care Plan
Natus Medical Inc.
NeuroCom International,
Inc.
Newport Audiology Centers
Oaktree Products
Oberkotter Foundation
Optelec, U. S.
Oticon, Inc.
Otodynamics LTD
OZ Systems
Pacific Coast Lab, Inc.
Pediatrix Newborn Hearing
Screen Program
Perfect Seal Labs
Phonak Inc.
Phonic Ear Inc.
Qualitone
Rayovac Corporation
Renata Consumer Batteries
12/21/2002
Rexton
Rion Co., Ltd
Scientific Learning
Sennheiser Electronic
Corporation
Siemens Hearing
Instruments
Singular Thomson Learning
SonaMed Corporation
Songbird Hearing Inc.
SONIC innovations
SONUS
Soundtec, Inc.
Starkey Labs.
Symphonix Devices, Inc.
TASK Micro-Electronics,
Inc.
TeachLogic, Inc.
TEC, Inc.
Telex
The Audiology Companies
The Children’s Hospital of
Philadelphia
The Organized
Audiologist(tm)
Thieme Publishers
TV EARS, Inc.
Unitron Hearing
University of
Florida/Intelicus
University of Texas Medical
Branch
Utah State University,
National Center
For Hearing Assessment
and Management
VARRID National Center for
Rehabilitative Auditory
Research
VARTA Batteries Inc.
Vivosonic
Warner Technologies
Westone Laboratories
Whurr Publishers
Widex Hearing Aid
Company
Zarlink SemiConductor
AUDIOLOGY TODAY
21
AMERICAN ACADEMY OF AUDIOLOGY • PHILADELPHIA CONVENTION 2002
Registration Fees
& Deadlines
Member
Non-Member
Member Enrolled In
Distance Learning AuD Program**
Candidate Member
Student Non-Member
One Day (includes Exhibits)
Spouse/Guest
Pre-Con. Workshops:
Full Day:
Half Day:
On o
EARLY
On or
Before 2/15/02
ADVANCE
On or
Before 4/3/ 02
ON-SITE
After 4/3/02
and On-Site
$295
$430
$360
$495
$400
$535
$245
$110
$210
$150
$150
$310
$125
$225
$200
$150
$350
$140
$240
$250
$15
Member - $125
Member - $75
Non-Member - $180
Non-Member - $130
Student - $75
Student - $50
**The registration fee for Fellow Members Enrolled in Distance Learning AuD Programs is $50 less than
the Member fee (not the Candidate Member rate as erroneously printed in the Preliminary Program &
Registration Book). To request instructions on obtaining this rate, e-mail convpres@audiology.org
22
AUDIOLOGY TODAY
JANUARY/FEBRUARY 2002
SECOND ANNUAL AAA F OUNDATION G OLF TOURNAMENT AT C ONVENTION 2002 IN PHILADELPHIA
The second annual AAA Foundation Golf Tournament will be
held on Wednesday, April 17th at Limerick Golf Course in
Philadelphia. Golfers who know a challenge know this beautifully
manicured Montgomery County 18-hole championship course. Its
delightfully flat fairways and generous greens make playing the
course a real pleasure. Sand traps on each hole and the tricky backnine provide a consistent challenge for low and high handicaps alike.
Limerick Golf Course is built on rolling terrain and features treelined fairways. The undulating greens are very well maintained and
water hazards come into play on some holes. In addition, a variety of
other natural hazards have been incorporated into the course design.
The clubhouse offers a spectacular view of some of the holes and an
extremely scenic pond.
Buses will collect participants at Convention hotels at 11:00am
and head to the course in preparation for the 1pm four-person
scramble. The fee of $100 will include a box lunch, 18 holes of golf,
cart, transportation to and from the course and free beer, pop and
lemonade at the course. In addition to a variety of prizes, some lucky
participant could win $10,000 in the hole-in-one contest!
Space is limited. Get your reservations in early!! Additional
information on this exciting event and an entry form are available at
www.audiology.org/AAAfoundation or contact Gyl Kasewurm at
616-429-8844 or at gyl@parrett.net.
VOLUME 14, NUMBER 1
AAA Foundation Golf Tournament • Wednesday, April 17, 2002
Name:______________________________________________
Address: ____________________________________________
City: ______________________________________________
State:__________________Zip: ________________________
Phone: __________________________________________
Handicap:_________________
ADDITIONAL MEMBERS OF MY FOURSOME/HANDICAP:
__________________________________________________
______________________________________________
Send this completed entry with a check for $100.00 made
out to the AAA Foundation to Gyl Kasewurm, 3134 Niles
Road, St. Joseph, MI 49085 Telephone (616)429-8844.
OR
Please charge my l VISA l MASTERCARD
CARD #: ________________________________________
Exp. Date: ________________________________________
Signature: _________________________________________
Entries must be received before March 29, 2002
AUDIOLOGY TODAY
23
WA S H I N G T ON WAT C H
MOSTLY MEDICARE
A
s you know, the Health Care Financing Administration
(HCFA) has been officially renamed the Centers for
Medicare & Medicaid Services (CMS). As part of its
makeover, CMS has announced plans to create a more
“open and responsive agency.” These plans include
holding a series of listening forums around the country, publishing
new regulations only once a month and issuing quarterly “provider
updates” that will list all regulations published during the preceding
quarter, as well as regulations and other rulings planned for the
coming quarter. The CMS intent to make the agency more userfriendly for both providers and beneficiaries is certainly a positive
development.
While The Academy applauds the CMS determination to improve
its general administrative procedures, there are a number of specific
Medicare and Medicaid reforms we are seeking. These include:
DIRECT ACCESS TO AUDIOLOGISTS FOR
MEDICARE BENEFICIARIES
The Academy continues to urge CMS to eliminate the physician
referral requirement for Medicare beneficiaries in need of hearing or
vestibular diagnostic tests. Last year, CMS referred this issue to a
sister agency, the Agency for Healthcare Research and Quality
(AHRQ), and AHRQ in turn referred the issue to MetaWorks, one of
its Evidence-based Practice Centers. On October 17, 2001, AAA and
the Academy of Dispensing Audiologists (ADA) met with CMS
officials to discuss the issue. After a very positive meeting, AAA and
ADA decided to submit a formal request for a national coverage
decision to allow Medicare beneficiaries direct access to audiologists
for diagnostic tests. A formal request was made on November 6, 2001.
EXEMPT COCHLEAR IMPLANT
REHABILITATION FROM THE PHYSICIAN
SUPERVISION REQUIREMENT
Effective January 1, 2002, there are new rules governing “incident
to” services. The principal change is that CMS has loosened the
employment requirement for services covered by Medicare as
“incident to” a physician’s services. Now, “incident to” services may
be performed by an employee, leased employee or independent
contractor. An “independent contractor” is defined as an individual
who performs part-time or full-time work for which he/she receives
an IRS-1099 form. Direct physician supervision is still required for
“incident to” services. In comments to CMS, The Academy requested
that cochlear implant rehabilitation (CPT 92510) be exempted from
the physician supervision requirement for “incident to” services
because physicians provide no meaningful supervision of this service.
CMS has not responded to this request yet.
IMPROVE MEDICARE REIMBURSEMENT OF
AUDIOLOGY PROCEDURES
The Medicare Physician Fee Schedule for calendar year 2002
makes a 5.4% cut in Medicare reimbursement across the board by
reducing the Medicare conversion factor. The Academy is supporting
a bill in Congress, the Medicare Physician Payment Fairness Act, that
would restore most of this cut. In addition, The Academy plans to
work with CMS in 2002 to improve the methodology for calculating
Practice Expense Relative Value Units (RVUs) for audiology
procedures. Currently, most audiology procedures are assigned by
CMS to a “zero-work pool,” because these procedures are regarded as
involving no physician work. As a result of this treatment most
audiology procedures have experienced a gradual decline in their
Practice Expense RVUs. However, CMS plans to eliminate the “zerowork pool” and substitute a new methodology for 2003, and The
Academy intends to work with CMS to ensure fair reimbursement of
audiology procedures.
AMEND THE MEDICAID REGULATIONS’
DEFINITION OF “QUALIFIED AUDIOLOGIST”
CMS is planning to publish a proposed rule to amend its definition
of who is a “qualified audiologist.” The proposal is expected to
suggest that the Medicaid definition be made consistent with the
existing Medicare definition defining a “qualified audiologist” in
terms of state licensure. The Academy will let you know when the
proposed rule is published for comment. Please be prepared to write
CMS supporting this change.
MEDICARE AURAL REHABILITATION AND
HEARING AID COVERAGE ACT
Finally, The Academy is monitoring the Medicare Aural
Rehabilitation and Hearing Aid Coverage Act (HR2934), a bill
introduced in the House by Rep. Mark Foley (R-FL) and supported
by ASHA. The bill would provide Medicare coverage of hearing
aids and aural rehabilitation services. The Academy believes the
bill, as currently drafted, has serious flaws including the following:
(1) the bill would provide Medicare coverage of aural
rehabilitation services furnished by physicians even though
physicians are not trained to provide aural rehabilitation; (2) the
bill does not provide for balance billing of hearing aids; and (3) by
covering hearing aids as durable medical equipment, the bill would
subject hearing aids to the Stark law. While the bill is unlikely to
pass the House any time soon and there is no companion bill in the
Senate, The Academy hopes to meet with Rep. Foley to discuss it
in the near future.
Submitted by Marshall L. Matz, Esq., and Robert Hahn, Esq., Olsson, Frank and Weeda, PC, Washington, DC and Craig Johnson, AAA
Governmental Affairs Chair, Baltimore, MD
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
27
HearCareers
A Sound Solution for Your Job Search!
www.audiology.org/hearcareers
If audiology is what rocks your world, there’s only one place for your resume.
HearCareers is the ultimate online career tool that helps you manage your search
and connects you with the top employers in the profession. With HearCareers, you can:
þ Search and apply for audiology jobs online
þ Create a confidential, online resume
þ Search categories specific to the audiology profession
þ Sign up for “Search Agents” that will notify you via e-mail when
new opportunities are posted that meet your criteria
And it’s free…. Whether you’re a recent grad or a seasoned professional,
www.audiology.org/hearcareers can really make your search take off.
HearCareers…Real Audiology Jobs. Right Now.
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Kick your audiology job search into high gear with HearCareers!
28
AUDIOLOGY TODAY
JANUARY/FEBRUARY 2002
2ND INTERNATIONAL CONFERENCE
“A Sound Foundation Through Early Amplification”
T
he Second International Conference, “A Sound Foundation Through Early Amplification,” was held in
Chicago November 8-10, 2001. Following the overwhelming success of the 1st International Pediatric
Conference in 1999, the second conference presented the latest research in infant and child hearing
rehabilitation. Over 500 audiologists and pediatric specialists attended the conference. The conference was
organized by a steering committee chaired by Richard Seewald (Canada) and included John Bamford (UK),
Judith Gravel (USA) and Patricia Stelmachowicz (USA). The committee selected speakers from among the world’s most
distinguished pediatric audiological experts and ensured an interesting mix of subject matter and professional expertise.
Recent developments in pediatric audiology provide for the
accurate detection of hearing impairment in infancy. The current
move towards Universal Newborn Hearing Screening means there are
now a greater number of infants and families requiring effective early
intervention programs. The conference provided information about
intervention strategies for infants. While procedures exist for the early
identification of hearing loss, there is little published material to guide
clinicians who provide intervention and habilitation services.
Provision of amplification for infants offers unique challenges and
parents are faced with an array of options in technology and
communication methods that affect the future of their child. This
conference was the ideal forum to help professionals obtain up-todate information together with clear, practical and procedural
guidelines, according to Richard Seewald, Conference Chair. “With
this conference, we brought together some of the very best scientists
and clinicians from throughout the world of discuss current
developments and issues in pediatric habilitative audiology.”
The program was divided into five main subject areas with varied
presentations in each session: Auditory Development, Audiologic
Assessment, Hearing Instrument Fitting and Verification, General
Management, and Candidacy Issues.
The first session on auditory development was moderated by
Richard Seewald (Canada). This session included the Conference
Keynote Address on development of the auditory system given by
Robert Harrison (Canada). In addition, the session included
presentations on binaural audition and developmental psychoacoustics. The second session, moderated by Judith Gravel (USA),
examined current developments and issues in audiologic assessment.
Potential pitfalls in audiologic assessment were discussed, in addition
to presentations on electrophysiological measures, cross-modality
matching and human auditory steady-state responses.
The third session on pediatric hearing instrument fitting offered
practical protocols for fitting infants and digital signal processing
strategies for children with severe to profound loss. Electroacoustic
verification with high-tech hearing instruments and fitting validation
measures provided the subject material for session four. In addition,
there were two special sessions which covered high-frequency
amplification for children and candidacy issues for hearing
instruments and cochlear implants. The final session on service
delivery focused on management issues and family friendly
audiological service provision. The Conference Endnote Address was
given by Agnete Parving, MD (Denmark).
During the conference, a separate session was held to view the
submitted posters. Researchers from throughout the world presented
their findings relating to the key subject areas presented at the
conference. In addition, immediately after the conference there were
VOLUME 14, NUMBER 1
four workshops on behavioral assessment, hearing instrument verification, real-ear verification of FM systems, and measuring auditory
brainstem responses. International experts in each area gave the
workshops.
Handouts from the presentations can be found at the Phonak
website at www.phonak.com. Proceedings from the conference will
be published in 2002.
“The first conference was a tremendous success and the
published Proceedings is proving even more popular than we had
ever expected” explains Ora Buekli-Halevy, International Coordinator. “The second conference proved to be as exciting and we will
once again publish Proceedings so that people who were unable to
attend the conference can still benefit from the information
presented at this conference.”
AUDIOLOGY TODAY
29
Sign Up For SoundOFF
And Make Your Voice Heard!
S
oundOFF is The Academy’s new Listserv system that
automatically brings lively audiology discussion directly to
your e-mail inbox. When you sign up for SoundOFF, you’ll be
able to participate in a wide variety of audiology topics…or just sit
back and read the comments of your fellow audiologists. SoundOFF
is available for American Academy of Audiology members only. To
get started, go to www.audiology.org/professional/soundoff and
simply check off as many individual categories of interest as you like,
or select ALL Discussions to receive emails on every audiology
topic.
SoundOFF topics are patterned after the educational tracks at
Convention and include:
þAmplification
þAuditory Processing Disorders
þCochlear Implants
þDiagnostics
þHearing Conservation
þHearing Science
þInfant Hearing
þPediatric
þPractice Management
þProfessional Issues
þRehabilitation
þTinnitus/Hyperacusis
þVestibular Assessment & Management
We’ve also included a few more general areas of interest:
þConvention Chat
Get together with other Convention bound audiologists to
discuss the city, the Expo and more. Find out where the good
restaurants are, learn how to “do the convention” from
previous attendees or plan a get together with your new
cyberfriends.
þNational Office Issues
Got a suggestion for Academy Staff? Or maybe an idea for
another SoundOFF topic? This is the place to create your
own buzz.
þInternational Community
Members from around the world can discuss global topics,
get travel suggestions or simply exchange ideas.
þStudent Forum
Wondering how your school compares to other programs?
Looking for advice on an upcoming project? Join this group
for empathy and sympathy from your fellow students.
þGovernment Affairs
This is the place to discuss state issues, CMS and hot topics
that are political or regulatory in nature.
þReimbursement
Relate your reimbursement battle stories or share your sage
advice on dealing with insurance issues large and small.
þEarWax
Heard a good (clean!) joke? Feel the need to wax poetically
on a movie or book? Join EarWax for a good natured chat on
the lighter side.
So what are you waiting for? Sign up and SoundOFF today!
30
AUDIOLOGY TODAY
JANUARY/FEBRUARY 2002
Winds of Change
Members of the American Board of
Audiology Task Force on Advanced
Certification with Specialty
Recognition in Cochlear Implants:
Robert W. Keith
Bill Beck
Constant change is the only predictable pattern in life. This contribution to AT was written in
December for a publication to be published in February. Even in that short time a great deal will
happen in the life of the American Board of Audiology. While details of events that will take place
in the next few months have yet to be developed, what is clear is the direction of the winds of change.
In January members of the American Board of Audiology (ABA) will take the first concrete steps
towards creating specialty certification for audiologists who provide cochlear implant services. We
will meet with representatives of three cochlear implant manufacturers and three audiologists who
are experts in providing services to persons who use cochlear implants. A professional with in-depth
knowledge of professional certification and credentialing, Joan Knapp, PhD, will facilitate the
meeting. The goals of our meeting include the development of:
• A mission/goal statement for specialty certification
• A Scope of Practice and job analysis
Anne Beiter
• Criteria for qualification for CI specialty certification - knowledge, skills and experience
• A plan for determining how candidates for CI specialty certification will be evaluated
Pat Chute
Jill Firszt
Darla Franz
Suzanne Hasenstab
Annelle Hodges
Cheryl DeConde Johnson
• A process for review of Scope of Practice and maintenance of CI specialty certification
• A business plan identifying costs for developing and maintaining a program
Cochlear implants is only one of several specialty certification categories that are being
developed by the ABA. Look for details of these programs in future articles. The Board of
Governors of the American Board of Audiology firmly believes that the development of advanced
certification with specialty recognition will serve many purposes as we create recognition of
audiologists with specialized knowledge and skills. This change will make ABA certification
stronger and enhance the status of those who choose to take advantage of it.
“ . . . In recognition of the Winds of Change . . . the Board voted to
waive the application fee through July 4, 2002.
Patricia Trautwein
Facilitator:
Joan Knapp
Staff:
Marilyn Weissman,
ABA Director of Certification,
Laura Fleming Doyle,
Executive Director,
American Academy of Audiology
VOLUME 14, NUMBER 1
In addition to specialty certification, the Board of the ABA is working diligently to improve
our procedures, decrease the paperwork associated with application and certification renewal and
reduce the financial burden on members. To that end, in recognition of the Winds of Change
and as an inducement to increasing the number of certificants, the board recently voted to
waive the application fee for applications postmarked between March 1 through July 4,
2002. We feel now is a perfect time to choose board certification by ABA. Beyond financial
considerations, additional reasons justify changing our fees. Members must understand that as the
number of board certified audiologists grows, our influence will increase over government
agencies and insurance carriers. Despite the rhetoric, we recognize that other professions are
working to promote programs that are not necessarily in the best interest of audiology. At a time
when our professional future is in the balance, we must establish a stronger presence. Details of
the fee structure and application process will be presented at The Academy convention and in
subsequent articles, mailings and web postings.
In a few weeks we will meet at our annual convention where you will have multiple opportunities
to hear about board certification. We especially urge you to stop by the ABA booth and discuss
details of our application process and fee schedule. In addition, for your convenience, for the first
time the Board will accept your application for certification at the convention. As indicated in
previous messages, the time is now! It is time for audiologists to help ourselves and to enable our
profession to achieve even greater recognition. Application for Board Certification in Audiology is
one tangible way that you can declare your support for audiology as an independent practicing
profession. Winds of change, they are heading our way!
AUDIOLOGY TODAY
31
A
M O M E N T
O F
S C I E N C E
HOW DOES COCHLEAR HEARING LOSS AFFECT THE BRAIN?
Kelly Tremblay and Lisa Cunningham, UNIVERSITY OF WASHINGTON, Seattle, WA
When audiologists speak of hearing loss, we
usually think of hair cell damage within the
organ of Corti. However, sensorineural
hearing loss also affects more central
portions of the auditory system. For example,
hair cells produce both electrical activity and
trophic factors that keep ganglion cells alive.
When hair cells die, spiral ganglion cells
degenerate and demyelinate. Eventually, over
a long period of time without stimulation,
virtually all the spiral ganglion cells will die
(Hardie and Shepherd, 1999).
Spiral ganglion cells are not the only central
auditory cells affected by hearing loss. If
cochlear degeneration occurs early in
development (prior to the onset of hearing),
neurons in the cochlear nucleus die as well.
This loss of cochlear nucleus cells appears to
be caused by a loss of neural activity in the
auditory nerve leading from the cochlea to the
cochlear nucleus (Born and Rubel, 1988).
Furthermore, unilateral hearing loss and agerelated peripheral pathologies also induce
changes along the entire central auditory
pathway, including the superior olivary
complex, inferior colliculus, and the auditory
cortex (Ponton et al., 2001). Together these
deprivation-related changes in the central
auditory system are of clinical concern
because they can slow the transmission of
neural impulses within the auditory system
and result in asynchronous neural firing.
Asynchronous neural activity can contribute
to poor temporal resolution which in turn can
impair speech perception abilities of hearing
aid and cochlear implant users.
Scientists studying deafness-induced
changes in the brains of animals have found
that some of the changes seen in the central
auditory system following deafness can be
prevented by electrically stimulating the
auditory nerve (Hyson and Rubel, 1989).
Electrical stimulation can improve both survival
of spiral ganglion cells and temporal resolution
of inferior colliculus neurons (Snyder et al.,
1995). Furthermore, electrical stimulation can
eventually result in some reorganization of the
auditory midbrain in terms of its tonotopic
organization. These findings reinforce the
importance of early and consistent stimulation
for speech perception in children with
sensorineural hearing loss. This important
research was reviewed in 1998 by N.A. Hardie
in Clinical and Experimental Pharmacology and
Physiology 25:303-309.
BIBLIOGRAPHY
Hardie, NA and Shepherd, RK (1999) Hearing Research
128:147-165.
Born, DE and Rubel, EW (1988) Journal of Neuroscience
8:901-919.
Hyson, RL and Rubel, EW (1989) Journal of Neurophysiology
9:2835-2845.
Ponton C. Juha-Pekka V, Tremblay K, Khosla D, Kwong B, and
Don M. (2001) Hearing Research 154: 32-44
Snyder, R et al. (1995) Journal of Neurophysiology 73:449-467.
9TH ANNUAL CONVENTION & MARKETPLACE
Thursday, January 24th to Saturday, January 26th, 2002
Hotel Inter-Continental, Chicago, Illinois
Join your colleagues at THE Event for Audiologists in the Midwest.
Prominent Leaders in our Profession will address current trends in:
Vestibular Assessment with Neil Shepard
Hearing Aids with Gus Mueller
Middle Ear Implants with Marshall Chasin
Yvonne Sininger and Charles Berlin
will provide an in depth 2 hour program on Auditory Neuropathy.
PLUS MUCH MUCH MORE!!!!
A complete program and registration information is available at www.ilaudiology.org
EARN UP TO 2.0 CEU CREDITS
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
33
New Professional Insurance Program for Audiologists
The American Academy of
Audiology is proud to announce
that Healthcare Providers Service
Organization has been selected as
the endorsed provider of
Professional Liability
Insurance to its members.
Healthcare Providers Service Organization – HPSO – is
the name that Affinity Insurance Services, Inc. uses to
market insurance products and services to audiologists
as well as over 70 allied health professionsals. Affinity
Insurance Services has been providing Healthcare
Professionals with insurance products and services for
over 25 years. Michael Loughran, Senior VicePresident of Affinity, answers questions about HPSO’s
products and services:
What are the main products and services that HPSO
provides to audiologists?
always to their benefit. Under the policy offered through HPSO,
The core product that HPSO provides to audiologists is
insureds are provided dollars for legal representation if they are
professional liability insurance. HPSO offers coverage to both
involved in a disciplinary investigation that is the result of a
employed and self-employed audiologists, audiology students,
medical incident.
investigations without the benefit of legal counsel. This is not
retired audiologists, audiology firms and schools of audiology.
What differentiates your company from the rest?
How much does liability insurance cost?
Policies offered to audiologists and the price of coverage does not
For an employed audiologist who works full-time and carries
vary widely from company to company. However, I believe our
policy limits of up $1,000,000 per occurrence and $5,000,000
service abilities are what separate HPSO from other providers of
annual aggregate, the annual cost is $79. If the audiologist is
malpractice insurance. When an audiologist calls our 800#, the
self-employed, their annual premium is $129. A part-time
call is answered by a licensed insurance agent who knows
discount is available to self-employed audiologists who work
audiologists and who knows insurance. Further, through both the
20 hours a week or less, which lowers the annual premium to
telephone and the internet, our customers are able to access their
$100. Also, first year graduates benefit from a 50% new
own accounts 24 hours a day, seven days a week. Customers can
graduate discount off the full-time premium. For audiology
verify that their policy is active, pay for their insurance policies
firms and self-employed audiologists, HPSO provides
and have a Certificate of Insurance faxed or mailed to them.
$1,000,000 in general liability coverage for an additional
Through our web site, www.hpso.com, audiologists can also
$150 annually.
apply for coverage and can update changes to their names and
addresses right online.
Does HPSO also offer legal representation?
Certainly. If an audiologist is named in a covered professional
liability lawsuit, one of the key benefits of the policy is legal
representation – protecting the audiologist’s interest in the
How does HPSO plan on getting the word out that you
are the new endorsed provider of professional liability
insurance to the Academy?
lawsuit. Audiologists also run the risk of disciplinary charges
In addition to this announcement, we plan to mail an offer to The
by their state boards or regulatory authorities that govern
Academy membership in March. We will also be attending
licensure. Many times an audiologist will participate in these
Convention 2002 in Philadelphia.
34
AUDIOLOGY TODAY
JANUARY/FEBRUARY 2002
Interview With A Legend
A
Gyl Kasewurm,
Marion Downs
St. Joseph, MI
few months ago, AT had the
opportunity to sit down with the
legendary Marion Downs, the
mother of Pediatric Audiology.
While Downs purports to be retired,
her lively schedule is less than convincing. Rising early,
her daily calendar is teeming with activities such as
jogging, tennis, corresponding with colleagues and
friends around the world and even skiing. She continues
to travel the world lecturing and promoting the dream
that has consumed her heart for the past 45 years.
Downs’ vision and enthusiasm remain a driving force
fueling the activities of the Center established in her name,
the Marion Downs National Center for Infant Hearing in
Denver, Colorado.
Known for her efforts in establishing the first protocol for
testing infants and children, Downs has spent her career
promoting the early identification of hearing problems in
children. She has published 100 articles and books on the
subject and has lectured and taught extensively throughout
the United States and in 15 foreign countries. Downs
pioneered the first universal newborn hearing screening
project in the US more than 30 years ago.
Downs received her BA from the University of Minnesota,
an MA from the University of Denver and an Honorary
Doctorate of Human Services from the University of
Northern Colorado. Her honors include two Gold Medals of
Achievement, one from the University of Colorado and one
from the University of Minnesota; the Medal of the Ministry
of Health of South Vietnam; the Honors of the American
Speech-Language-Hearing Association; the American
Auditory Society Carhart Memorial Lectureship Award and
the International Audiology Society Aram Glorig Award.
After interviewing Dr. Downs, it is easy to see why her
stunning personality is celebrated and why her
overwhelming warmth has contributed so much to our
profession and her patients.
38
AUDIOLOGY TODAY
Marion Downs and Gyl Kasewurm
Into the science of
audiology, Marion Downs
brought humanity.
—Lavonne Bergstrom, MD
AT
Downs
What led you to become an audiologist?
Pure serendipity. My children
were in school and I decided I
needed to return to school, too. So I went to
register and the lines were jam packed with GIs
home from WWII who also wanted to go back to
school. The lines were infinitely long in all my
preferences save Speech and Hearing. So I took the
shortest line and that has made all the difference.
AT
Downs
You have spent your entire professional
life promoting early identification of
hearing loss. Where did that passion originate?
When Doreen Pollock and I
started fitting babies with hearing
aids in the early ‘50s. At that time, we already
knew from experience that “the earlier, the better”
and we found others beginning to support that
theory – Lenneberg, Chomsky, Edwards. We
staunchly believed in the concept and became
JANUARY/FEBRUARY 2002
Interview With A Legend
firmly committed to advancing it. There
are a lot of things that I have been wrong
about and admitted it, but I knew this
idea was right and I clung to it like a
bulldog.
We were convinced that finding
hearing impaired babies at birth, and
beginning intervention promptly, was
vital to the babies’optimal development.
Initially, this knowledge was experimental because we were basing the
concept on theory. But no one was
surprised when the “hard data” came in
demonstrating that identification and
intervention must be accomplished well
before six months of age in order for
optimal development to occur.
AT
The need for newborn hearing
screening was suggested over
thirty years ago. Why did it take so long
for the idea to become a reality?
Downs
Actually, it was more
like 40 years ago that
we started screening newborns by
observing arousal responses. It was not a
very reliable way to screen, so in 1969,
we formed the Joint Committee on Infant
Hearing. These were people who shared
the belief that we should develop some
means to identify hearing loss at birth.
However, most of the medical profession
failed to support the idea because they
wanted “hard data” to prove that
screening at birth was beneficial. It took
Christy Itano-Yoshinaga’s studies at the
University of Colorado to convince them.
AT
You once wrote that you blush
when you think of all the things
you used in developing the newborn
screening protocol. Tell us a little about
those early days.
Downs
We experimented with
everything: bells, squeeze
toys, clackers—the whole gamut. I found a
wonderful squeeze toy in the form of a
hamburger that would consistently arouse a
sleeping newborn. It would perhaps arouse
the dead, too. So my colleagues and I took it
to the nursery and began watching the
babies’ responses. We thought we were
making progress when two instrument
companies developed electronic instruments
producing sounds that were filtered and
could be measured.
Of course, these were gross tests
based on subjective judgments, so
VOLUME 14, NUMBER 1
Marion Downs
perhaps as many hearing defects were
missed as were found. Fortunately, even
the controversies over these techniques
raised an awareness of the need to find
hearing loss early. A psychologist and
friend, Graham Sterritt, became involved
and we did a study confirming that two
people could watch independently and
recognize the same response in a baby.
AT
Downs
Did your research inspire
immediate interest for the
testing protocol?
Not immediate, but the
protocol became popular with volunteers and soon we had
every hospital in Denver doing newborn
screening. We found a few babies with
profound losses but obviously missed the
lesser losses. The criticism occasioned
the formation of the Joint Committee on
Infant Hearing, which rejected the earlier
method of screening and opted for a
High Risk Register.
“There are a lot of things that I have
been wrong about and admitted it,
but I knew this idea (of early
identification) was right and I clung
to it like a bulldog.”—Marion Downs
AT
Downs
How were infants tested before
this time?
Before our behavioral
testing program, many
others around the world were using
similar techniques. Eric Wedenberg used
pure tones at 105-115dB SPL, some used
horns, bells – anything to get a response.
AT
Downs
Was it difficult to find advocates for the screening?
Perhaps the person
who helped us most
was Dr. Aram Glorig, who originated the
idea, “If a baby can wear a diaper, he can
wear a hearing aid.” It was Aram’s belief
in early identification and his constant
support of efforts to fulfill it that kept me
going. We had the Will and we had the
Way and from there on it became a
marketing program.
AT
You were a woman with a
Master’s degree working in a
male-dominated medical school. How
did you excel in that environment?
AUDIOLOGY TODAY
39
Interview With A Legend
Marion Downs
Downs
Downs
It was quite unusual to
get a full professorship
with only a Master’s degree. I must
admit that I worked harder and longer
than anyone else and always tried to help
the residents and doctors in their
diagnoses. An interesting point, the
Chief of Pediatrics at the University of
Colorado Medical Center, who was later
to become the Chair of my Promotion
and Professorship Committee, once said
to me, “Marion, you always dress well
and look like a medical school instructor
should. I like that.” You can draw your
own conclusions on that one!
Perhaps the person who helped us
most was Dr. Aram Glorig, who
originated the concept, “If a baby
can wear a diaper, he can wear a
hearing aid.”– Marion Downs
AT
Downs
Were there any advantages to
working in a medical school?
Oh, most definitely.
As a result of seeing a
tremendous amount of patients, I could
identify trends that led to interesting
research. I saw that transplant patients
were getting hearing loss and this led to
the first report on neomycin toxicity in
transplant patients and the first temporal
bone histopathology. I also noted that
Down’s Syndrome children were turning
up with conductive losses, which led to
our study that was reported in the first
issue of Seminars in Speech, Language
and Hearing published in 1980 and edited
by my longtime colleague, Jerry Northern.
AT
Downs
I understand that you have endured some harrowing experiences while championing your causes.
One was quite an
adventure traveling to
an ASHA Convention where we were to
do a high frequency audiometric survey.
We had just taken off when suddenly the
plane be gan falling out of the sky. The
plane landed hard in a field and swerved
into an electrical power installation and
caught fire. Fortunately, I was in the
front seat, opened up the escape door,
slid down the chute and ran so fast that I
was a block away before the next person
got off. So much for bravery under
pressure! Luckily everyone got off the
40
AUDIOLOGY TODAY
plane. I retrieved my slightly singed
audiometer and burned coat and was off
on the next plane to New Orleans.
The second incident occurred during
the war in Vietnam where we had gone to
teach in the Saigon Medical School. Our
sponsor, the Minister of Health, picked
us up each morning. We had been to the
Prime Minister’s house the night before
to test his hearing and the Minister had
my Rudmose clinical audiometer in his
car. When driving to pick us up,
someone threw a grenade into his car,
killing him and the driver. So, I was five
minutes from death and my audiometer
was a molten mass of metal!
AT
Downs
You actually were honored for
your work in Vietnam.
I received the Medal of
the Ministry of Health
of South Vietnam. My colleagues and I
taught residents and doctors in the
University of Saigon ENT Department,
and they were immensely grateful for
that and for the fact that we had provided
them with many new instruments. My
information is that when the war ended,
the instruments were taken to Hanoi. I
hope they know how to use them!
AT
As a wise woman with years of
experience, what do you foresee
for the future of Pediatric Audiology?
Downs
I believe Pediatric
Audiology will be in
greater and greater demand as newborn
hearing screening becomes universal in
every sense of the word. But the
screening has created a new need for a
new breed of audiologists who are
proficient in early education techniques.
It will be necessary for colleges to
incorporate training for these techniques
into their audiology curriculums or to
establish a separate curriculum for “early
audiologic intervention” which will
include hearing aid fitting techniques.
AT
So, you believe the vision for
Pediatric Audiology will change?
Yes, there may actually be two different
and distinct tracks for the pediatric
audiologist of the future. I hope that both
will not depend on technology to treat
children and encourage audiologists not
to put an instrument between themselves
and the child. Pediatric Audiology
started as an art with a hands-on, one-onone approach. Children and families still
deserve that approach today.
AT
I know you have supported equal
rights for women. What’s this
about you boycotting an ASHA Convention
many years ago? A convention at which
you were to receive the ASHA honors.
Downs
The Convention was
being held in Atlanta
and Georgia had refused to ratify the
ERA Amendment to the Constitution,
calling for equality for women in every
sphere. So, I boycotted the Convention
there to present a solid front for women,
even though I was being honored!
AT
You seem to have done a
wonderful job balancing your
personal and professional lives. You
managed to raise three children and have
an astounding professional life. Do you
have any advice for young women
entering the field of audiology today?
Downs
I take great joy in my
three children, 11
grandchildren, and 19 great grandchildren. My advice to young women
would be, first of all, sacrifice
everything to get a doctoral degree and
secondly, draw on your strengths as a
woman: intuition, compassion, nourishing and radiating love for your fellow
man. You can be all that and still have a
brilliant career.
AT
Downs
You have achieved many things
in your life. What do you consider to be your greatest accomplishment?
My greatest personal
achievement is producing children who are happy and
reasonably well adjusted. Professionally,
it’s having talked and written for over 40
years about early identification of
hearing loss to see it finally come to
fruition in newborn hearing screening.
You can’t imagine the feeling of having a
dream of forty-five years come true!
JANUARY/FEBRUARY 2002
Audiology
“Down Under”
to the Land of
Sheep &
Mountains
Kate Gordon, freelance writer (and a New Zealander)
New Zealand, that little country
“down under” in the south of the
Pacific Ocean, seems to hold quite an
attraction for a growing group of
American audiologists. We hear from
three audiologists who have made the
Tanamara Falls, New Zealand
big move down-under.
According to the New Zealand immigration service, about 2,500
North Americans gain approval for work visas in New Zealand
each year, making up about 10 percent of all nationalities granted
work visas.
2,500 people is barely a blip in the number of Americans
traveling and working overseas annually, but for New Zealand,
the people granted permission to work here will typically bring a
special skill of some kind.
One particular group of specialists who appear to have
formed quite a niche for themselves in New Zealand are UStrained audiologists.
The Bay Audiology group is part of a multiclinic, nationwide
audiology practice and has identified the US as a good source
of fully qualified audiologists for their growing business. The
University of Auckland offers the only audiology qualification in
42
AUDIOLOGY TODAY
New Zealand. The Master’s in Audiology is well regarded but the
numbers of qualified audiologists is still well below demand.
Bay Audiology has clinics in Tauranga, Rotorua and Taupo, which are
major provincial centers in the North Island of New Zealand. Scott
Wright is based in Rotorua and says most North Americans slot
right into the Kiwi lifestyle, especially if they like outdoor activities.
“I’m originally from Kingsburg, California and hadn’t traveled
more than 100 miles from my home town until I went to the
University of California,” says Wright. “With a Bachelor of Arts
behind me and newly married to my wife Alison, we worked and
saved to allow us to travel.
“Alison had traveled to New Zealand as a child and suggested we
visit. We had two whirlwind tours of the country. I really enjoyed
the mountains and range of outdoor activities. I wanted to
continue to study and decided to complete a Master’s of
Audiology at the University of Auckland.
JANUARY/FEBRUARY 2002
“Having visited Rotorua, probably best
known for its steaming mud pools and
Maori culture tourist shows, I was
delighted to be offered a job with Bay
Audiology in the
Rotorua clinic.”
Wright says he and
his family are now
well settled in
Rotorua, and despite
telling their families
eight years ago that
they would be home
in a year, he believes
they have little
intention of
returning now.
American Scott
Wright is now
a New Zealand
Audiologist
Audiology “Down Under”
Drummond says the process of
obtaining a work visa was pretty straight
forward. If required
contacting the New
Zealand embassy in
Washington, obtaining an
application pack, and
returning the application
with a letter from Bay
Audiology. In a few
weeks it was all approved.
Audiology through a promotional flyer she
received about a year ago.
“A friend of a friend took a
similar position in New
Zealand a few years ago and I
talked to him to find out about
the standards of audiology
practiced here. I responded by
email asking for more
information, which Bay
Audiology provided. I wasn’t
ready to move just then, but
met with Anya Andrews at the
AAA conference this year and
found out about this particular
job,” says Neylon.
“Sure, there is the
Cheryl Neylon is
inevitable comparison in
terms of population,”
the latest recruit
says Drummond. “About three
to Bay Audiology
million people in greater
“I was in research in the US, so
Seattle versus about 300,000
moving into a clinical role is
in Christchurch does make a
good
experience
for me. Also I have the
difference. Christchurch is quite quiet but
chance
to
live
and
work in New Zealand. To
has a lot of character, good restaurants and
be
honest,
I
didn’t
know much about the
pubs, as well as being near so many great
country before, but quite a few of my
ski fields.”
friends have been here.”
“I needed something big to move me out of
“Tauranga has some beautiful beaches.
Seattle, as I just love that city, but I always
When I first arrived, Bay Audiology rented
wanted to travel to New Zealand. Everyone
me an apartment on Mount Maunganui
says they liked it here. I’ve moved into a
beach and a car, so I could look around.
‘flat’, a shared house, and everyone has
My boyfriend has joined me. He’s here on a
been so friendly and nice. When they find
In a different region of New Zealand since
tourist visa at the moment and we’re trying
out you’ve just moved here, they want to
June 2001, is Kate Drummond. Kate is
to get him a work visa too.”
help. I’ve been given furniture and taken
originally from Seattle and joined Bay
out at weekends to show me around.”
Audiology in Christchurch, the largest city
“We’ve rented a house in an area called
in the South Island.
Welcome Bay, which is about 15 minutes
Locally, the group of audiologists is quite
drive
to work - this compares to 45-50
small and all know each
With a Bachelor of Science,
minutes
commuting in San Francisco! My
other, says Drummond.
majoring in communications
family
is
happy to have a new vacation
“It’s kind of neat everyone
disorders, Drummond was
destination too!”
knows everyone. Most
completing her Masters in
were trained at Auckland
Science in Audiology and
Neylon says she hasn’t been in New
so their points of view are
needed a two month internship
Zealand long enough to form too many
similar and, technically, are
under the supervision of an
opinions on the country but is looking
well up with international
ASHA-certified audiologist.
forward to the next two years. “The clinical
trends, information and
audiology techniques are very similar as is
products.”
“I hadn’t realized I could
the training background we’ve all been
complete my internship someThe newest recruit for the
through. I think it’s going to be great.”
Kate Drummond Bay Audiology group is
where like New Zealand, but it
turned out really well,” says
is interning in Cheryl Neylon, who joined For more information on employment
Drummond. “I now have a two
the Tauranga clinic in
opportunities in New Zealand please email
Christchurch.
year contract with Bay
September this year,
anya.andrews@bayaudiology.co.nz.
Audiology.”
having first heard of Bay
“There are some great
opportunities here. It’s
not the technical
backwater many Americans may think it is.
It’s probably easier to have a better
balanced lifestyle, especially when you have
a family, and
there are so many outdoor sports within
easy reach. We go mountain biking, deep
sea fishing, fly fishing, hiking through the
redwood forests - all within an hour or
so of Rotorua,” says Wright. “Also, by
law, everyone gets three weeks annual
vacation, as well as the statutory holidays
like Christmas, Easter, etc, so that’s a
bit of a bonus.”
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
43
NEWS&announcements
AAA FOUNDATION AWARDS
AUD SCHOLARSHIPS
Audiology in the Bottom Line
The AAA Foundation, through their “Enable & Assist
Program,” awarded five $1000 scholarships to audiologists
pursuing AuD degrees. The Enable & Assist Program provides
a financial assistance to audiology practitioners for their
pursuit of doctoral level study. The five recipients for Year
2001 are Linda Cox (Central Michigan University), Jennifer
Weber (Pennsylvania College of Optometry School of
Audiology), Beth Alberto (University
of Florida) Kimberly Allred (University of Florida) and Nancy Schehr
(Pennsylvania College of Optometry
School of Audiology). The award
recipients submitted applications to
the AAA Foundation that were reviewed and competitively evaluated
by the AAA Foundation trustees.
The AAA Foundation was established in 1989 to support audiologists
with scholarships in its mission to
support the elevation of the profession to a doctoral level. The AAA
Foundation is actively seeking contributions to continue the Enable &
Assist Program. Enable & Assist contributions are earmarked to help
working audiologists overcome economic barriers that may prevent them
from enrolling in doctoral degree
studies. The AAA Foundation is now
accepting applications for scholarship support from audiology
practitioners until March 15, 2002. Applicants for the Enable & Assist scholarship
funds must be currently enrolled in an accredited academic doctorate program
working toward a doctoral-level degree in audiology. Information and applications
can be obtained by contacting the AAA Foundation on The Academy website at
www.audiology.org/profession/foundation/.
Beth Alberto
Linda Cox
Nancy Schehr
Kimberly
Allred
Jennifer
Weber
COLORADO ACADEMY OF AUDIOLOGY
HOLDS 10TH ANNIVERSARY MEETING
The 10th annual Colorado Academy of Audiology convention was held at the beautiful
Copper Mountain Resort, Oct. 4-6, 2001. Approximately,100 audiologists attended.
The keynote speaker was Brenda Ryals from James Madison University, who presented the
latest information on Hair Cell Regeneration. Other speakers included local Colorado
audiologists, including Christopher Schweitzer-Temporal Processing in Hearing Aids, Julie
Knoll-Vestibular Rehabilitation, Allison Biever-The Changing Criteria for Cochlear Implants, and
Tom Northey-Private Practice Myopia.
The social event of the convention was the annual auction and raffle that raised more than
$2,500 for CAA’s lobbying efforts. The convention adjourned after presentations by Jay Tinglum Assistive Devices, Alan Lipkin - Minimally Invasive Procedures for Meniere’s Disease and Sandy
Bowen-Multicultural Issues in Hearing Loss. Next year’s Colorado Academy of Audiology
convention will be held October 3-5, 2002. If you wish CAA to send you information about the
convention, telephone Nancy Schehr at the University of Northern Colorado at (970) 351-2012.
44
AUDIOLOGY TODAY
The November, 2001 issue of the Bottom Line
- Tomorrow carried a great message about getting
help for your hearing loss by contacting The
American Academy of Audiology. The health
column article included instructions for accessing
our website and using the “Ask An Auidologist”
and “Find An Audiologist” features. In addition the
article listed common signs of hearing problems.
The Bottom Line — Tomorrow edition is aimed at
enhancing the lifestyles of those who are retired or
who are considering retirement.
Seeking Audiology Volunteers for China
A call for audiologist volunteers to help
hearing-impaired children in remote areas of
China has been received by e-mail. A group has
been established to donate hearing aids and
audiometric hearing services to Chinese children
in need for the past seven years. Information about
the project can be viewed on the website at
http://china-hiking.com/audiologist/Shaan
XiD.html which includes photos from previous
projects. Interested audiologists may contact
“Tony” by e-mail at info@china-hiking.com.
The Prehistoric Mammalian Middle Ear
A recent article published in Science (Wang et
al., Vol. 294, 12 October 2001 pg. 357) reports the
examination of ossified Meckel’s cartilage recovered from two early Cretaceous mammals from
China. The middle ear of mammals may have
evolved by transferring bones from the jaw to the
middle ear, but there has been no fossil evidence to
support this hypothesis. In the two well-preserved
pre-historic mammals, Meckel’s cartilage connected
the dentary and the ear and indeed, probably served
as the middle ear in these two mammals. The
authors suggest that the morphology of the skulls
supports the view that the dentary in mammals
enlarged over evolutionary time to enhance
mastication while the postdentary unit decreased to
enhance hearing. Eventually, these features
separated to create two ear ossicles in the braincase
completely separate from the jaw. Just when you
thought there was nothing new in the study of the
middle ear.
PA S S A G E S PA S S A G E S PA S S A G E S
Evelyn “Evie” Cherow, who served as
Director of Audiology and represented audiologists
at the American Speech-Hearing-Language Association National Office in Washington, DC for
more than 20 years (1981-2001), has moved on to
enroll at Harvard University’s Kennedy School of
Government in the Master’s Degree Program.
JANUARY/FEBRUARY 2002
NEWS&announcements
UNIVERSITY OF PITTSBURGH ENROLLS AUD STUDENTS
The University of Pittsburgh announced that the initial class of AuD students will start in the
fall of 2002 in the School of Health and Rehabilitation Sciences, Department of Communication Science and Disorders. For more information about this new four-year program visit
www.shrs.pitt.edu or telephone (412) 383-6540. Two new faculty members will be recruited to
meet the needs of the new program.
The University of Pittsburgh Audiology faculty includes (standing from left) Barbara Vento,
Diane Sabo, Catherine Palmer; (seated from left) John Durrant, Sheila Pratt, Elaine Mormer.
Not included in the photo are faculty members Reva Rossman and Kimberly Uccellini.
AT Special Issue on Adverse Drug Reactions Delivery Delayed
The Audiology Today Special Issue entitled Adverse Drug Reactions & Audiology Practice
prepared by Academy member Robert DiSogra of Freehold, NJ, was unfortunately
mishandled and temporarily lost by our bulk mailing service in Denver. Academy National
Office staff members were concerned that the special issue, dated September 2001, had not
been received by our members by late November. Subsequent investigation resulted in
locating 7,500 copies of the magazine in the bulk mail company warehouse that had never
been labeled or mailed. Hopefully by the time Academy members read this notice, this
important and valuable reference information on adverse drug reaction will have been
received and put to good use by our members. Additional copies of Adverse Drug Reactions
& Audiology Practice are available for purchase by contacting the Communications
Department at the National Office at 800-AAA-2336, ext. 204. We apologize for this
unfortunate delay in delivery of this special issue of Audiology Today.
VOLUME 14, NUMBER 1
AG BELL SEARCHES FOR NEW
EXECUTIVE DIRECTOR
The Alexander Graham Bell Association for the Deaf
and Hard of Hearing is seeking a new Executive Director to
oversee their numerous operations and activities.
Information about the position is available on their website
at www.agbell.org. Donna Sorkin, the previous Executive
Director, has joined Cochlear Corporation as Vice
President of Consumer Affairs. Carol Fraser Fisk, former
Executive Director of The American Academy of
Audiology, is serving as interim Executive Director at the
AG Bell Association until the position search is completed.
AUDIOLOGY TODAY
45
“ASK AN AUDIOLOGIST”
aids student from Kenya
I
n an amazing series of events, the “Ask
An Audiologist” feature of The
American Academy of Audiology
website came to the aid of a young
student with hearing impairment from
Kenya, Africa. The story began when Dennis
Van Vliet, Associate Web Editor and Director
of the “Ask An Audiologist” consumer
question and answer program, received the
following e-mail from the aunt of a 10-yearold, hearing impaired African boy:
[Original Message]
From: Clara To: Ask an Audiologist
<askanaudiologist@audiology.org>
Date: 5/8/01 10:16:15 PM
Subject: Immediate help for my nephew
My nephew James, is 10 years old and lives
in Kenya. He has been wearing hearing aids since
he was 4 years old but none of them have
worked because Kenya receives cheap, poor
quality hearing aids that break down after a
month’s use. The test he received was very poor
and we are certain that the hearing aids he was
given were not fitted. His grandparents have
spent a great deal investing in these cheap,
imported hearing aids that raise the hope of my
nephew only to diminish it 3-4 weeks later.
I want to bring James to the US for the sole
purpose of getting tested and fitted with an
appropriate hearing aid. I am ready to pay for his
transportation, sign any papers saying he is
coming here solely for that purpose so that he
can go back to school in Kenya but the US
embassy in Kenya wants a letter from an
audiologist or a center or an institution or any
health care facility of audiology.
I am not seeking to bring him here to stay but
I cannot sit back and watch a little boy suffer a
great deal when I know there are proper facilities
available in this country that can assist him. He is
becoming more and more depressed because he
continues to miss out on school (which he loves
46
AUDIOLOGY TODAY
very much) and his childhood as a whole
because he has not been properly tested.
Please, I know someone out there can
help one 10-year-old boy from Kenya to get a
chance to be properly tested and
fitted with the right hearing aid.
His family physician has written a letter
addressed to the US Embassy in
Kenya for James’ urgent need. All
that is stopping him from better
health care is a letter from a health
care center or better yet, an
audiologist in this country. Please do
not turn away…I know someone can
help. Thank you.
Dennis Van Vliet, intrigued by
this special “Ask An Audiologist”
request, responded to the child’s aunt
who lives in Peoria, Illinois, seeking
more information about the boy’s
situation and a copy of the child’s
audiogram. Following subsequent correspondence, Van Vliet felt that the child might
do well with a better set of hearing aids and
that bringing the youngster to the US might
yield untold benefit. Van Vliet contacted
Academy Board Member Gail Gudmundsen of Chicago, for help in locating
audiologists who could provide services for
the young African boy. Gudmundsen
identified a group of audiologists in Central
Illinois who stepped forward and volunteered to help on an anonymous basis.
However, visa difficulties in Kenya, extended family health problems and the high
expenses of travel to bring the young patient
to the US, delayed treatment for several
months as indicated by the following e-mail
from the child’s aunt:
We are trying our hardest to find booking for
my nephew. The available seats are charging
well-over $2,000.00 per person which is a little
steep right now because my parent’s treatment is
taking up all our savings. My brother was mis-
informed at his job about the changes in
insurance policy so his dependents outside of the
immediate family have to wait until January for
insurance. This of course delays my father’s heart
valve surgery for another year since he was
already one year overdue.
Anyway, that’s life and we are trying our
best to keep him in good health until the time
he will have surgery. In the meantime, we are
struggling with medical bills and prescription
costs - the usual tale of high cost health care,
especially for seniors.
Well I hope you can get a chance to write or
call to let me know whether I am supposed to
contact the audiologists and what their terms are.
Finally, when all the paperwork was in
order, James and his grandfather left Kenya
with plans to land in Chicago and be driven
to the family home in Peoria. However, the
flight took off on September 11, 2001. The
flight was re-routed through Toronto and it
was a full week later that a tired 10-year-old
boy arrived in Central Illinois. James arrived
wearing one BTE held together by duct tape
and attached to an earmold in sorry
condition. Over a period of several visits,
James was fit with a binaural set of in-theear hearing aids donated by Siemens
Hearing Instruments. Extra earmolds and
one BTE hearing instrument were provided
to him for backup use. The aunt in Peoria
will serve as the “go-between” for James
and the audiologists in the event of
questions, need for repairs, etc. The
audiologists working with James expressed
their satisfaction and pleasure in helping this
child to hear better without interference
from the usual everyday concerns of
insurance carrier paperwork and medical
politics. In their words, “…maybe it is
opportunities like this that remind us why
we chose this field!”
[Photographs courtesy of Robert Handley Photography]
JANUARY/FEBRUARY 2002
Classified Ads Classified Ads Classified Ads
ALEXANDER GRAHAM BELL ASSOCIATION FOR THE DEAF, Washington, DC
Executive Director:
The Executive Director will serve as the Chief Executive Office of the Bell Association with primary
responsibility for providing the leadership, vision and strategic direction needed to grow the Bell Association
and help it to realize its potential. The individual will manage the organization’s day-to-day activities and
operations and will actively participate in overseeing the Bell Association’s programs, working closely with staff
and volunteers. Reporting to the President,Executive Committee and Board of Directors, the Executive
Director will ensure that the organization is fiscally and administratively sound and that its programs,systems
and procedures are efficient and cost effective. The Executive Director will be expected to be the catalyst for
the Bell Association’s fundraising activities and strategies, as well as a spokesperson.
The Executive Director should have the following experience and qualifications: measurable results in having
successfully managed people, operations, and fiscal affairs for a not-for-profit organization; a leader/manager
who preferably has professional or significant personal experience in the field of deafness; demonstrated
record of success in raising funds from major donors, including individuals, corporations and foundations; an
understanding of the dynamics in an association with members and chapters from various parts of the
country; and the ability to represent an organization to a wide variety of constituents. Salary
commensurate with experience. No phone calls please. Application via email is preferable.
For further information or a full position description, please contact:
Leslie Maddin,The Phillips Oppenheim Group, 521 Fifth Avenue, Suite 1802,
New York, NY 11375; Email: lmaddinpog@aol.com
VOLUME 14, NUMBER 1
AUDIOLOGY TODAY
47
Classified Ads Classified Ads Classified Ads
ILLINOIS
AUDIOLOGIST:
Experienced audiologist is needed to
oversee our well-established universal
infant screening program and to provide
parent-infant services for hearing impaired children and their families. Pediatric
experience is necessary. Our program was
one of the first universal screening programs in the nation. Our goal is to provide
comprehensive family-based services beginning with identification at birth and
continuing through habilitation and appropriate educational placement. Eligibility
for an audiology license in the State of
Illinois is required. Please send a letter of
intent and resume listing professional references to: Michael Brown, MS, Licensed
Audiologist, Christie Clinic Audiology, 101
W. University Ave., Champaign, IL 61820,
(217) 366-5001, (217) 366-1220 (fax),
mpbrown@CHRISTIECLINIC.com
NEBRASKA
FACULTY POSITION
ASSOCIATE/ASSISTANT
PROFESSOR:
The Department of Communication
Disorders at the University of Nebraska
invites applicants for a full-time 9-month
(summer negotiable) faculty position in
Audiology. Position is available Summer or
Fall, 2002. Currently, there are 3 PhD Audiology faculty and one clinical supervisor.
Both the SLP and Audiology programs are
CAA approved. The Communication Disorders Department is housed in a spacious
facility with up to date research and
clinical facilities. There is also access to
high speed internet connections. Responsibilities include: teach graduate and undergraduate courses, engage in research/
scholarly activities and supervise students.
Expertise in the areas of vestibular assessment/rehabilitation, hearing conservation
and medical audiology desirable but will
consider other areas of specialization. The
Department has submitted a proposal to
the University for a professional doctoral
program in Audiology. Qualifications
include: 1) earned doctoral degree, 2) CCCA, 3) eligibility for Nebraska state licensure, 4) evidence of teaching and research
experience. Salary commensurate with
qualifications. Excellent benefits. Closing
date for applications is 2/15/2002, or
until position is filled. Applications should
include a letter of interest, curriculum
vita, reprints of publications and other
supporting materials and three letters of
recommendation. Materials sent to:
Stephen J. Boney, PhD, University of
Nebraska-Lincoln, 107D Barkley Memorial
Center, Lincoln, NE 68583-0731, Ph: (402)
472-5734, email: sboney1@ unl.edu.
Website
is
available
at
www.unl.edu/barkley. The University of
Nebraska is committed to a pluralistic
campus community through Affirmative
Action and Equal Opportunity and are
responsive to the needs of dual career
couples. We assure reasonable accommodations under the Americans with
Disabilities Act; contact Dr. Stephen Boney
at (402) 472-5734 for assistance.
NEW MEXICO
AUDIOLOGIST:
Southwestern Ear, Nose and Throat
Associates in Santa Fe, New Mexico has
immediate opening for a certified
audiologist or CF. Full range of diagnostic
duties including ENG and ABR. Excellent
salary and benefits including 401(k),
pension and profit sharing plan, medical,
dental and life insurance. We also offer
professional and educational benefits.
Qualified candidates may contact Rick
Adesso at (505) 982-4848 or fax resume
to (505) 984-1149.
KING FAISAL SPECIALIST HOSPITAL &
RESEARCH CENTER
Riyadh, Kingdom of Saudi Arabia
Urgently Required: AUDIOLOGISTS
We have positions available in the following
areas of interest:
• Cochlear Implant Programming
• Neonatal Hearing Screening
• Fitting of the latest technology in hearing aids
• Electrophysiologic Measures
Benefits:
• Excellent Tax Free Salaries
• Free housing and utilities
•50 days paid holiday per year
• Professional leave with financial assistance
• Opportunity to learn about a new culture and
meet new people
Contact: Kara Bean, MS, CCC-A
Dept of Otolaryngology, Head & Neck Surgery
and Communication Sciences (MBC 47)
King Faisal Specialist Hospital & Research Center
PO Box 3354, Riyadh 11211, Kingdom of Saudi Arabia
Tel: +966-1-464 7272, Ext 32474
Fax: +966-1-442-3437
E-mail: karabean1@yahoo.com
For further information connect to
http://www.kfshrc.edu.sa
NEW YORK
AUDIOLOGIST:
S
O
L
U
T
I
O
N
University at Buffalo SpeechLanguage & Hearing Clinic seeks
audiologist with ASHA CCC, AuD or PhD (or
doctoral degree near completion) to
supervise and teach graduate clinicians
within the University Clinic. Candidates
must be eligible for New York State
license. Minimum of 3 years experience as
a certified audiologist. 12 month full time
position, nontenure track. Position available 9/1/02. Send letter of application,
vita, and three references to University at
Buffalo, Susan T. Roberts, Clinic Director,
Speech-Language & Hearing Clinic, BEB
Room 50, 3435 Main Street, Buffalo, NY
14214 by 2/15/02. The University at
Buffalo is an equal opportunity/affirmative action employer/recruiter.
For information about our website employment sight, HearCareers,
visit www. audiology.org/hearcareers
For information or to place a classified ad in Audiology Today, please
contact Patsy Meredith at 303-372-3190 or Fax 303-372-3189.
48
AUDIOLOGY TODAY
JANUARY/FEBRUARY 2002