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Advanced Audiology Course

Learning Outcomes

Following the completion of this course, attendees will be able to:

  • Describe how to identify appropriate CI candidates based on aided CNC word recognition.
  • Describe how to qualify CI candidates for insurance coverage using aided sentence recognition in noise.
  • Describe how to identify patients who should be referred for CI candidacy evaluations using the 60/60 rule.
  • Describe the basic features and characteristics of signal coding in a cochlear implant system.
  • List and describe signal coding strategies that are used in modern cochlear implant systems.
  • Describe peer-reviewed research that evaluates the merits of signal processing technology available in modern cochlear implant systems.
  • Describe temporal bone anatomy as applicable to cochlear implant surgery.
  • Identify the Importance of the Medical workup/process: imaging, pediatric considerations, neurological assessment (aging adults), balance, and genetic testing.
  • Summarize the basics of CI Surgery and its variables.
  • Describe upper and lower stimulation levels.
  • Describe input dynamic range, electrical dynamic range, and associated mapping functions.
  • Describe sensitivity, volume control, and channel gain (how these variables affect the mapping functions from IDR to EDR).
  • Describe input vs. output compression (input: ASC & AGC; output: mapping functions including loudness growth, maplaw, and AB’s volume & sensitivity control).
  • Describe voltage compliance and associated variables including electrode impedances, scalp flap thickness, channel stimulation rate.
  • Define and contrast electrode vs. channel.
  • Identify 3 red flags for potential device failure.
  • Describe how to assess significant changes in post op speech perception scores.
  • Describe how to address patient complaints with basic CI parametric manipulation.
  • Describe the physiologic measurement of electrically-evoked potentials, including compound action potentials (eCAP), stapedial reflex thresholds (eSRT), auditory brainstem responses (eABR).  
  • Identify landmarks measured by electrically-evoked potentials, including compound action potentials (eCAP), stapedial reflex thresholds (eSRT), and auditory brainstem responses (eABR).
  • Describe how to evaluate the clinical application of electrically-evoked potentials in programming cochlear implants and relation to cochlear implant performance.
  • List specific examples of how EAS users benefit from preserved residual hearing
  • Describe programming characteristics for EAS programming
  • Describe how to identify candidacy for a patient who should be an EAS candidate
  • Contrast the performance differences between an ABI and cochlear implant.
  • Describe how to identify an appropriate pediatric candidate for an ABI
  • List the available treatment options for an SSD patient
  • Describe the evaluation protocol for an SSD patient
  • List three different hearing assistive technologies relevant to cochlear implant users
  • Describe three important considerations in recommending universal versus manufacturer-specific assistive technology devices in children (infants and young children as well as school-aged children).
  • Describe at least three benefits of collaborative care in providing cochlear implant services to children who are deaf/hard of hearing.
  • Describe at least two different ways a LSLS and AuD can work collaboratively during and between CI programming/audiological monitoring sessions.
  • Explain the role of electrophysiological measures obtained during cochlear implant surgery to optimize patient outcomes.
  • Describe future surgical advances, including robotic assisted cochlear implantation, steroid eluting cochlear implants, and pre-operative imaging to aid in cochlear implant array selection.
  • Explain troubleshooting procedures for each manufacturer
  • Describe how to manipulate mapping parameters