Reviewing: S-A-S1-1

Audiovestibular Assessment & Rehabilitation

Information:

Module information

Details

Title
Audiovestibular Assessment & Rehabilitation
Type
Specialist
Module code
S-A-S1-1
Credits
20
Requirement
Compulsory

Aim of this module

To provide trainees with the necessary theoretical background and practical skills to:

  • Safely assess and manage adults who access audiology services with hearing difficulties, without co-morbidities.
  • Assist with the assessment of adults who have balance problems, and to understand the principles behind, and begin to manage, adults who have vestibular disorders.
  • Safely assess school age children who have a suspected or confirmed hearing impairment and assist with the assessment of infants and pre-school children who have suspected or confirmed hearing problems.

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 1 Competency

Receive and process referrals for the following areas:

  • Newborn hearing screening programme
  • Paediatrics
  • Adults
  • Vestibular
 Action View
# 2 Learning outcome 2,3 Competency

Prepare the clinical setting for routine hearing assessments appropriate to the age of the patient, in both adult and paediatric clinics

 Action View
# 3 Learning outcome 2,3 Competency

Perform daily calibration checks on equipment and rooms used for testing and fitting, and troubleshoot as necessary

 Action View
# 4 Learning outcome 2,3 Competency

Prepare the clinical setting for routine adult vestibular assessments

 Action View
# 5 Learning outcome 4 Competency

Take a clinical history and formulate an appropriate hearing assessment strategy for routine adult patients

 Action View
# 6 Learning outcome 5 Competency

Take a clinical history and formulate an appropriate hearing assessment strategy for school-age children without complex needs

 Action View
# 7 Learning outcome 4 Competency

Safely perform and interpret the following standard diagnostic tests on routine adult patients and document the results:

  • Otoscopy
  • Pure tone audiometry
  • Tympanometry
  • Acoustic reflex thresholds
 Action View
# 8 Learning outcome 5 Competency

Safely perform and interpret the following diagnostic tests on school-age children without complex needs and document the results:

  • Otoscopy
  • Play audiometry
  • Pure tone audiometry
  • Tympanometry
 Action View
# 9 Learning outcome 5 Competency

Assist in the selection, safe performance and interpretation of diagnostic tests on preschool-age children and document the results:

  • Otoscopy
  • Visual reinforcement audiometry
  • Performance/Play audiometry
  • Tympanometry
  • Speech testing
 Action View
# 10 Learning outcome 5 Competency

Assist in the safe performance and interpretation of the following diagnostic tests on infants and document the results:

  • Auditory brainstem response testing
  • High-frequency probe tone tympanometry
  • Otoacoustic emissions
 Action View
# 11 Learning outcome 7 Competency

Safely perform and interpret core bedside tests of oculomotor function, vestibular function, functional balance and informal assessment of gait for adults with suspected vestibular deficit and document the results

 Action View
# 12 Learning outcome 7 Competency

Assist in the safe performance and interpretation of the following diagnostic tests on adults and document the results:

  • Videonystagmography, including: static body positional testing and headshake test
  • Caloric testing
  • Video head impulse test;
  • Vestibular-evoked myogenic potential testing (either cervical or ocular)
 Action View
# 13 Learning outcome 4 Competency

Develop, and modify as appropriate, a holistic, individualised management plan for a routine hearing-impaired adult

 Action View
# 14 Learning outcome 4 Competency

Select an appropriate hearing aid, and verify and evaluate the benefit for routine adult patients

 Action View
# 15 Learning outcome 4 Competency

Review the hearing aid fitting for routine adult patients, and provide fine tuning if necessary

 Action View
# 16 Learning outcome 5 Competency

Assist in the development of individualised management plans for a hearing-impaired school-age children

 Action View
# 17 Learning outcome 4 Competency

Write accurate and concise patient records and report for the assessment and management of adult patients

 Action View
# 18 Learning outcome 5,6 Competency

Write accurate and concise patient records and report for paediatric hearing assessments for the following age groups:

  • Infants
  • Pre-school
  • School-age
 Action View
# 19 Learning outcome 4 Competency

Plan and perform telehealth appointments for routine adult patients

 Action View
# 20 Learning outcome 7 Competency

Discuss the key elements of vestibular case history with a qualified clinician and reflect on your experiences performing a basic case history on non-complex patients

 Action View

Assessments

Complete 4 Case-Based Discussions

Complete 4 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Perform stage A calibration and room set-up in preparation for hearing assessment on a pre-school age child.
  • Safely and accurately conduct a real ear measurement.
  • Safely perform tympanomentry and full diagnostic acoustic reflexes on an adult patient.
  • Safely and accurately conduct a pure tone audiogram including air and bone conduction testing and masking.
  • Perform stage A checks on a caloric irrigator.

Observed Clinical Event Titles

  • Explain the results of a routine hearing assessment to an adult patient.
  • Discuss a potential patient referral with a colleague from the multidisciplinary team.
  • Explain the caloric test procedure to a patient and obtain verbal consent to proceed.
  • Explain the functions of a hearing aid to a patient/parent/carer.
  • Guide a patient through completion of an appropriate patient reported outcome measure.

Learning outcomes

# Learning outcome
1

Describe the commissioning framework for audiology services.
2

Apply the principles of calibration for all types of equipment and rooms used in audiology.
3

Apply the principles of infection control within audiology services.
4

Assess and manage hearing function in adults, without co-morbidities.
5

Assess hearing function in school age children and assist in the hearing assessment of infants and pre-school children using a range of standard diagnostic tests.
6

Practice in partnership with the multidisciplinary team in the management of common hearing disorders in school age children without complex needs.
7

Practice in partnership with the multidisciplinary team to perform balance function assessments in adults, using a range of core diagnostic tests.

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 detailed understanding of the principles of patient-centred care and multidisciplinary working to the development of holistic management plans for routine adult audiology patients.
  2. Critically evaluate the evidence base for different audiological diagnostic tests and management approaches for routine adult patients and school-aged paediatric patients.
  3. Devise appropriate assessment plans and synthesise test results across audiological test batteries.
  4. Critically evaluate the evidence base surrounding care on the patient journey from referral to holistic, transdisciplinary management.

Indicative content

Learning Outcome Indicative content
Apply detailed understanding of the principles of patient-centred care and multidisciplinary working to the development of holistic management plans for routine adult audiology patients
  • Adaptations of history-taking for different populations
  • Patient-reported outcome measures
  • Individual management plans
Critically evaluate the evidence base for different audiological diagnostic tests and management approaches for routine adult patients and school-aged paediatric patients
  • Pathophysiology of common audiological conditions across the lifespan
  • Performance and clinical application of objective test techniques including, but not limited to:
    • Tympanometry
    • Diagnostic acoustic reflex thresholds
  • Performance and clinical application of behavioural test techniques including, but not limited to:
  • Pure tone audiometry
  • Play audiometry
  • Adaptation of testing procedures for different populations
  • Selection, verification and validation of hearing devices for routine adult patients
  • Hearing device technology options and advancements
Devise appropriate assessment plans and synthesise test results across audiological test batteries
  • Test result interpretation
  • Synthesis of the test battery results
Critically evaluate the evidence base surrounding care on the patient journey from referral to holistic, transdisciplinary management
  • Commissioning and funding of audiology services
  • Principles of rehabilitation
  • Safeguarding
  • Patient-reported experience measures
  • Local, national and international policies, guidelines, position statements, consensus, and best practice

Clinical experiences

Important information

Clinical experiential learning is the range of activities trainees may undertake in order to gain the experience and evidence to demonstrate their achievement of module competencies and assessments. The list is not definitive or mandatory, but training officers should ensure, as best training practice, that trainees gain as many of these clinical experiences as possible. They should be included in training plans, and once undertaken they should support the completion of module assessments and competencies within the e-portfolio.

Activities

  1. Attend an Audiology patient focus group.
  2. Complete a short (2-3 day) observational secondment with a regional cochlear implant programme.
  3. Attend a multidisciplinary team meeting to appreciate the requirements to present a case.

Module assigned to

Specialties

Specialty code Specialty title View
Specialty code SPS2-1-23 Specialty title Audiology [2023] Action View
Specialty code SPS2-1-24 Specialty title Audiology [2024] Action View
Specialty code SPS2-1-25 Specialty title Audiology [2025] Action View
Specialty code SPS2-1-22 Specialty title Audiology [2022] Action View
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