Module information

Module details

Title
Adult Audiology
Type
Specialist
Module code
S-A-S2
Credits
10
Phase
3
Requirement
Compulsory

Aim of this module

To provide trainees with the necessary theoretical background and practical skills to safely and assess and manage a range of complex audiological deficits in adults, including those with significant co-morbidities.

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 2,3,4 Competency

Manage the concerns of the patient, significant other(s) and/or carer(s) during routine adult appointments using an Audiology-led counselling approach

Action View
# 2 Learning outcome 1,2,3,4 Competency

Assess and manage patients who require tinnitus and/or hyperacusis support in a routine adult clinic

Action View
# 3 Learning outcome 1,2,3,4 Competency

Assess and manage patients with conductive or mixed hearing loss

Action View
# 4 Learning outcome 1,2,3,4 Competency

Assess and manage patients with severe-to-profound hearing loss or deafness

Action View
# 5 Learning outcome 1,2,3,4 Competency

Modify hearing assessment and management plans for patients with related healthcare needs or diagnoses, including:

  • Dual sensory impairment
  • Physical disabilities/difficulties
  • Mental health conditions
Action View
# 6 Learning outcome 1 Competency

Adapt or modify a routine assessment for patients with intellectual disabilities or cognitive impairments, including those with:

  • Normal age-related cognitive decline
  • Mild cognitive impairment (MCI)
  • Dementia
  • Learning disability
Action View
# 7 Learning outcome 2,3,4 Competency

Manage care delivery for patients with the following intellectual disabilities or cognitive impairments, using appropriate modifications management techniques:

  • Normal age-related cognitive decline
  • MCI
  • Dementia
  • Learning disability
Action View
# 8 Learning outcome 1 Competency

Safely conduct appropriate assessments using additional diagnostic techniques for patients with complex audiological presentation, including:

  • Single-sided deafness and significant asymmetrical hearing loss (≥30dB difference on four-frequency average)
  • Flat, “cookie bite” and reverse-sloping hearing loss
  • Steeply-sloping hearing loss
  • Hearing difficulties with a normal audiogram
  • Suspected non-organic hearing loss
  • Progressive hearing loss
Action View
# 9 Learning outcome 2,3,4 Competency

Create management plans for a patient with complex audiological presentations, including:

  • Single-sided deafness and significant asymmetrical hearing loss (≥30dB difference on four-frequency average)
  • Flat, “cookie bite” and reverse-sloping hearing loss
  • Steeply-sloping hearing loss
  • Hearing difficulties with a normal audiogram
  • Suspected non-organic hearing loss
  • Progressive hearing loss
Action View
# 10 Learning outcome 5 Competency

Conduct a local population needs assessment and present a business case for service improvement from your findings

Action View

Assessments

Complete 2 Case-Based Discussions

Complete 2 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Safely perform verification and validation of a hearing aid fitting for a patient with mixed or conductive hearing loss.
  • Perform a cochlear implant referral candidacy assessment.
  • Safely carry out a modified hearing assessment to suit the needs of a complex patient.

Observed Clinical Event Titles

  • Counsel a patient’s family, carer(s), or significant other(s) around cognitive decline and its interaction with hearing loss.
  • Used shared decision-making to involve a patient’s family in joint goal-setting for their management plan.
  • Discuss provision of alternative listening devices to hearing aids.

Learning outcomes

# Learning outcome
1

Use a range of tests to safely assess the extent and nature of auditory problems in adults, including those with complex aetiologies, complex audiological configurations and comorbidities.

2

Apply shared decision-making to develop an individualised management plan and counselling for adults with hearing loss and other auditory difficulties, taking into account differing cultural and social attitudes to hearing care.

3

Evaluate individual patient outcomes and safely manage a range of routine and complex hearing losses.

4

Practice within their own personal and professional scope, identifying where onward referral is appropriate.

5

Evaluate the provision of local adult Audiology services and initiate service improvement to ensure they meet the needs of the local population.

Clinical experiences

Important information

Clinical experiences help you to develop insight into your practice and greater understanding of your specialty. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. While Clinical Experiences are not assessed, reflections and observations from your experiences can be used to support evidence for competencies to demonstrate your awareness and appreciation of your specialty and it’s impact on patient care. You may find it helpful to capture thoughts from your experiences in your reflective log.

Activities

  1. Assist in performance of annual ‘Stage B’ calibration checks of audiological equipment.
  2. Observe a wax removal or aural care clinic.

Academic content (MSc in Clinical Science)

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning outcomes

On successful completion of this module the trainee will be able to:

  1. Apply integrative understanding of the principles of patient-centred care to the development of assessment plans and holistic management plans for patients with additional needs.
  2. Apply extended understanding of the medical aetiology of various hearing-related disorders to selecting, modifying, interpreting, and synthesizing test results.
  3. Critically evaluate the evidence base for management options beyond hearing aid technology.
  4. Appraise audiology policies and guidelines related to the assessment and management of adult audiology patients.
  5. Critically appraise a business case for audiology-related patient services.

Indicative content

Learning Outcome Indicative content
Apply integrative understanding of the principles of patient-centred care to the development of assessment plans and holistic management plans for patients with additional needs
  • Application of different counselling approaches
  • Awareness of age-related issues (e.g. dexterity, polypharmacy)
  • Awareness of the needs of those with additional needs including, but not limited to, those with:
    • Dementia
    • Learning disabilities
    • Mild cognitive impairment
    • Normal age-related cognitive decline
    • Autism
    • History of significant stroke
    • History of traumatic brain injury
    • Syndromic hearing loss
    • Dual sensory impairment
    • Physical disabilities/difficulties
    • Mental health conditions
  • Patient-centred care approaches for patients, significant others, and carers
  • Selection, verification and validation of hearing devices for those with additional needs
  • Technological options or adaptations for those with additional needs
Apply extended understanding of the medical aetiology of various hearing-related disorders to selecting, modifying, interpreting, and synthesising test results
  • Pathophysiology of tinnitus and hyperacusis
  • Performance and clinical utility of objective test techniques including, but not limited to:
    • Aided and unaided evoked response audiometry
    • Diagnostic otoacoustic emissions
  • Performance and clinical utility of behavioural test techniques including, but not limited to:
    • Aided and unaided speech testing;
    • TEN test
    • Stenger test
  • Test result interpretation
  • Synthesis of the test battery results
  • Non-organic hearing loss
  • Pathophysiology, assessment and management options for patients with complex audiological profiles including, but not limited to, those with:
    • Single-sided deafness and significant asymmetrical hearing loss
    • Flat, “cookie bite” and reverse-sloping hearing loss
    • Steeply-sloping hearing loss
    • Hearing difficulties with a normal audiogram
    • Progressive hearing loss
    • Cerebellopontine angle tumours
    • Cochlear dead regions
    • Auditory neuropathy spectrum disorder
    • Auditory processing disorder
Critically evaluate the evidence base for management options beyond hearing aid technology
  • Awareness of hearing therapy approaches
  • Management approaches for tinnitus and hyperacusis
  • Interagency support
  • Sources of support for complex adult populations (including government, charities, and other agencies)
Appraise audiology policies and guidelines related to the assessment and management of adult audiology patients
  • Reflective practice
  • Local, national and international policies, guidelines, position statements, and best practice relating to complex adult populations
Critically appraise a business case for audiology-related patient services
  • Epidemiology of hearing-related disorders in adults
  • Legislation relating to hearing
  • Hearing protection and prevention of hearing-related disorders
  • Patient-reported outcome measures
  • Patient-reported experience measures
  • Cost-benefit analysis

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS2-1-22 Specialty title Audiology [2022] Action View