Back Module: S-A-S3

Paediatric Audiology

Module information

Module details

Title
Paediatric Audiology
Type
Specialist
Module code
S-A-S3
Credits
10
Phase
3
Requirement
Compulsory

Aim of this module

To provide trainees with the necessary theoretical background and practical skills to assess hearing loss in children of all ages, including those with complex needs, and to provide holistic management for those of a school age, including support for their parents/guardian.

Work-based content

Training activities

# Learning outcome Training activity Type Action
# 1 Learning outcome 1 Training activities

Take detailed patient histories for each of the following patient groups (including those with more complex needs):

  • Newborn hearing screening programme
  • Infants
  • Pre-school children
 Type ETA Action View
# 2 Learning outcome 2,3 Training activities

Safely perform and interpret the following diagnostic tests on  infants and document the results:

  • High-frequency probe tone tympanometry
  • Diagnostic otoacoustic emissions
  • Auditory brainstem response testing
 Type ETA Action View
# 3 Learning outcome 2,3 Training activities

Select, perform and interpret the following diagnostic tests on pre-school age children, including those with complex needs, and document the results:

  • Behavioural observation assessment
  • Distraction testing
  • Visual reinforcement audiometry
  • Performance/play audiometry
  • Otoscopy
  • Tympanometry
  • Speech testing
  • Diagnostic otoacoustic emissions
 Type ETA Action View
# 4 Learning outcome 2,3 Training activities

Select, perform and interpret the following diagnostic tests on  school-age children with complex needs, and document the results:

  • Behavioural observation assessment
  • Distraction testing
  • Visual reinforcement audiometry
  • Performance/play audiometry
  • Otoscopy
  • Tympanometry
  • Speech testing
  • Diagnostic otoacoustic emissions
 Type ETA Action View
# 5 Learning outcome 4,5 Training activities

Develop, discuss and amend with a family an individual management plan for hearing-impaired children in each of the following age groups:

  • School age child, including those with complex needs
  • Pre-school child, without complex needs
  • Infant
 Type ETA Action View
# 6 Learning outcome 6 Training activities

Safely take ear impressions and select appropriate earmoulds for  pre-school and school-age children

 Type ETA Action View
# 7 Learning outcome 6 Training activities

Select and safely verify  hearing aids for  school-age children and report the findings to the relevant professionals

 Type ETA Action View
# 8 Learning outcome 6 Training activities

Evaluate/validate  hearing aid fitting in for school-age children and report the findings to the relevant professionals

 Type ETA Action View
# 9 Learning outcome 7 Training activities

Identify candidacy and discuss referral with  children and their families for at least two of the following:

  • Surgical interventions
  • Investigations/support for speech and language concerns
  • Onward investigation/support following a diagnosis of permanent hearing loss (e.g., Paediatrics, Teachers of the deaf, or speech and language therapy)
  • Cochlear implants and other implantable devices
 Type ETA Action View
# 10 Learning outcome 5 Training activities

Develop and discuss a transition plan for adolescents moving from the paediatric to adult audiology service

 Type DTA Action View

Assessments

Complete 2 Case-Based Discussions

Complete 2 DOPs or OCEs

Direct Observation of Practical Skills Titles

  • Safely perform visual reinforcement audiometry.
  • Safely perform soundfield and headphone performance/play audiometry.
  • Safely record an RECD from a school-age child.

Observed Clinical Event Titles

  • Explain a diagnosis of hearing loss due to otitis media with effusion to a family (and child) with signposting/onward referrals to other resources and professionals.
  • Explain hearing aid set up to parent(s)/guardian(s) of a hearing-impaired child.
  • Explain the results of a speech test to parent(s)/guardian(s) of a hearing-impaired child.

Learning outcomes

# Learning outcome
1

Collect detailed patient history to inform an individualised test strategy.
2

Perform paediatric assessments adapting the test approach to suit the needs of the child.
3

Perform a hearing tests on children of all ages.
4

Discuss test results with parents/guardian and patients in an appropriate and sensitive manner, taking into account differing cultural and social attitudes to hearing care.
5

Develop individualised management plans for children who have a hearing loss.
6

Provide hearing habilitation for school-age children.
7

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

Clinical experiences

Clinical experiences help you to develop insight into your practice and a greater understanding of your specialty's impact on patient care. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. Reflections and observations from your experiences may help you to advance your practice and can be used to develop evidence to demonstrate your awareness and appreciation of your specialty.

Activities

  1. Observe a paediatric speech and language therapy clinic, or a teacher of the deaf during a school visit.
  2. Attend a local or regional child/family support group for hearing-impaired children.

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. Contextualise childhood hearing loss from the socio-emotional, educational and medical perspective.
  2. Critically appraise policies and guidelines with regard to child health and hearing.
  3. Apply extended understanding of child maturation and development to choosing, interpreting and synthesising the results of different hearing assessment techniques in children.
  4. Critically evaluate the evidence for diagnostic, management and support approaches in a variety of paediatric conditions within and related to audiology.
  5. Evaluate and reflect upon the evidence and value of holistic, family-centred, and transdisciplinary care in paediatric audiology.

Indicative content

Learning Outcome Indicative content
Contextualise childhood hearing loss from the socio-emotional, educational and medical perspective
  •  Impact of paediatric audiology conditions on patients and families
  • Impact of childhood hearing loss on child development
  • Genomics related to hearing loss
  • Embryology and neuromaturation of hearing
  • Aetiological investigations of childhood hearing loss
  • Paediatric history-taking (including medical, developmental, and family aspects)
Critically appraise policies and guidelines with regard to child health and hearing
  • Screening and surveillance programmes
  • Child protection and safeguarding
  • Transition from paediatric to adult services
  • Local, national and international policies, guidelines, position statements, consensus, and best practice
Apply integrative understanding of child maturation and development to choosing, interpreting and synthesising different hearing assessment techniques in children
  • Embryology and neuromaturation of hearing
  • Typical childhood development
  • Performance and clinical utility of objective test techniques including, but not limited to:
    • High-frequency probe tone tympanometry
    • Diagnostic otoacoustic emissions
    • Auditory brainstem response testing
    • Auditory steady state response testing
  • Performance and clinical use of behavioural test techniques including, but not limited to:
    • Behavioural observation assessment
    • Distraction testing
    • Visual reinforcement audiometry
    • Performance/play audiometry
    • Speech testing
  • Adaptation to testing procedures
  • Test result interpretation
  • Synthesis of the test battery results
  • Non-organic hearing loss in the paediatric population
  • Awareness of the needs of those with additional needs including, but not limited to, those with:
    • Down’s Syndrome
    • Autism spectrum disorder
    • Syndromic hearing loss
    • Dual sensory impairment
    • Physical disabilities/difficulties
Critically evaluate the evidence for diagnostic, management and support approaches in a variety of paediatric conditions within and related to audiology
  • Pathophysiology, diagnosis, and management of:
    • Permanent childhood hearing impairment
    • Otitis media with effusion
    • Auditory neuropathy spectrum disorder
    • Auditory processing disorder
  • Holistic management approaches
  • Selection, verification and validation of hearing devices in children
  • Hearing device technology and advancements in the paediatric population
  • Hearing device options and candidacy
  • Outcome measures
  • Interagency support
Evaluate and reflect upon the evidence and value of holistic, family-centred, and transdisciplinary care in paediatric audiology
  • Reflective practice
  • Principles and application of family-centred care
  • Transdisciplinary working and interagency support
  • Sources of support (e.g. government, charities and other agencies)
  • Multidisciplinary/professional working for paediatric audiology:
    • Healthcare professionals
    • Social care professionals
    • Education professionals (with an emphasis on teachers of the deaf)

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS2-1-22 Specialty title Audiology [2022] Action View
Specialty code SPS2-1-23 Specialty title Audiology [2023] Action View
Specialty code SPS2-1-24 Specialty title Audiology [2024] Action View
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