Title Fluctuating deafness in children including otitis media with effusion
Type Stage One
Code HPS205
Requirement Compulsory

Module objective

By the end of this module Clinical Scientists in HSST, with respect to fluctuating deafness in children, including otitis media with effusion, will be able to analyse, synthesise, evaluate and apply knowledge and perform a specialist assessment and treatment of patients demonstrating the attitudes and behaviours necessary for the role of a Consultant Clinical Scientist within a patient focused service and in particular will be able to detect, investigate, diagnose and manage fluctuating deafness, including otitis media with effusion, in children.

Knowledge and understanding

By the end of this module Clinical Scientists in HSST will analyse, synthesise, evaluate and apply their expert knowledge required with respect to:

  • the signs and symptoms of fluctuating deafness including otitis media with effusion.
  • the aetiology of fluctuating deafness including otopathology and its pathogenesis, immunology, allergy, genetics and genomics..
  • the impact of otitis media with effusion on emerging speech and language skills and behaviour, and its management.
  • the impact of fluctuating hearing loss on education, emotional and social development.
  • evidence based and appropriate audiovestibular and other investigations of fluctuating deafness including otitis media with effusion.
  • current best evidence for medical, audiological and surgical management of fluctuating deafness, including local and national guidelines.
  • the indications, benefits, limitations and side effects of medication that can be used for fluctuating deafness.
  • possible hereditary and genomic causes.
  • when to refer for further medical or surgical opinions and to other allied health professionals.

Technical and clinical skills

By the end of this module Clinical Scientists in HSST will be able to demonstrate a critical understanding of current research and its application to the performance and mastery of a range of technical skills whilst critically reflecting and applying in practice a range of clinical and communication skills to advise and communicate effectively with children and their families, carers and other healthcare professionals and will:

  • take an accurate history and undertake an accurate, reliable and relevant clinical examination as appropriate in the role of Consultant Clinical Scientist .
  • select, guide and interpret appropriate audiovestibular investigation.
  • select and interpret appropriate other investigation.
  • identify underlying causative factors, either from the history or investigation and take appropriate action.
  • counsel the child and parents or carers on adoption of hearing tactics and lifestyle changes required.
  • refer appropriately to other professionals e.g. otologists, audiovestibular physicians, paediatricians, psychologists, as indicated dependent on the cause of the fluctuating deafness.
  • select, advise and guide intervention through amplification
  • assess benefits and problems of intervention correctly.
  • reflect on the challenges of applying research to practice in relation to these areas of practice and suggest improvements, building on a critique of available evidence.

Attitudes and behaviours

By the end of this module Clinical Scientists in HSST will be expected to evaluate their own response to both normal and complex situations demonstrating the professional attributes and insights required of a HSST Clinical Scientist working within the limits of professional competence referring as appropriate to senior staff and will:

  • recognise and respond to the evolving information needs of children and their parents or carers.
  • respond to meet the information needs of parents or carers who seek alternative approaches to otitis media with effusion.
  • be aware of relevant national and local guidelines, pathways and protocols, recognising their benefits and limitations
  • recognise the impact of fluctuating deafness on the child’s development and behaviour and provide appropriate advice.
  • recognise the value of multidisciplinary management and audit.


Code Title Action
HPS2-1-1-20 Audiological Sciences (Adult) [v1] View
HPS2-1-2-20 Audiological Sciences (Paediatric) [v1] View