Work-based content

Competencies

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

Document all aspects of patient contact in accordance with record keeping procedures

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# 2 Learning outcome 1 Competency

Undertake and document calibration checks of all necessary equipment used in paediatric assessment, including:

  • audiometer (AC and BC; headphones and insert earphones), tympanometers
  • sound field VRA system,
  • ABR and OAE equipment, which may be performed by external agencies
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# 3 Learning outcome 1,2 Competency

Prepare the room and equipment set-up in order to meet the needs of the consultation

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# 4 Learning outcome 1,2 Competency

Formulate a consultation plan utilising the relevant information available

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# 5 Learning outcome 2 Competency

Interview a variety of parents, carers and children, if appropriate, with different communication needs and levels of understanding to gain relevant clinical and social information

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# 6 Learning outcome 1,2 Competency

Formulate a plan identifying the relevant tests to be performed to aid diagnosis

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# 7 Learning outcome 2 Competency

Perform with a senior paediatric audiologist tests that are age and development appropriate for a child aged 6–24 months, which may include: sound field/insert phone/BC visual reinforcement audiometry (VRA),distraction testing

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# 8 Learning outcome 1 Competency

Perform, under supervision with a paediatric audiologist, appropriate tests for a child with a development age of 24–40 months, which may include VRA, as above, speech discrimination tests, performance sound field, headphone, BC audiometry

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# 9 Learning outcome 1 Competency

Perform appropriate tests for a child with a development age of 5 years, which may include VRA, toy discrimination tests and pure tone audiometry (AC and BC)

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# 10 Learning outcome 1 Competency

Perform otoscopy and tests to assess middle ear function in all age groups as listed above

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# 11 Learning outcome 2,3 Competency

Interpret individual test results

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# 12 Learning outcome 2,3 Competency

Under the guidance and supervision of a senior paediatric audiologist formulate an initial diagnosis

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# 13 Learning outcome 2,3,4 Competency

Under supervision, debrief the parent/carer on the assessment outcome and the management options available

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# 14 Learning outcome 4 Competency

Under supervision, agree and document individual management plan

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# 15 Learning outcome 2,3,4 Competency

Produce a report on investigations suitable for all relevant professionals and the family

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# 16 Learning outcome 1 Competency

cases of hearing aid fitting over 5 years of age, under supervision of a senior paediatric scientist, instruct and take an ear mould impression

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# 17 Learning outcome 1 Competency

Perform objective electroacoustic tests

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Assessments

You must complete:

  • 3 case-based discussion(s)
  • 2 of the following DOPS/ OCEs:
Set up paediatric clinic room appropriately for patient activity/test procedure DOPS
Perform stage A and stage B calibration checks DOPS
Prepare a consultation and clinical test strategy DOPS
Under the supervision of a Paediatric Audiologist take a detailed and relevant patient history DOPS
Perform an objective assessment of hearing using OAE and/or ABR test DOPS
Perform a hearing assessment of a 6 - 24 month aged child DOPS
Perform a hearing assessment of a >36 month child DOPS
Prepare a detailed report of a paediatric assessment DOPS
Recognise the psychosocial and communication implications of an acquired hearing impairment of the child's everyday life DOPS
Review patient notes and referral letter to obtain all relevant clinical information OCE
Introduction of clinician and set appointment time/goals/answer any relevant patient and/or parent concerns OCE
Obtain consent for procedures from parent/guardian OCE
Inform carer/child of procedures using appropriate language OCE
Explain different procedures to a parent/guardian and child OCE
Give carer/child results of tests and discuss in relation to patient issues and explain next steps OCE
In conjunction with an experienced Paediatric Audiologist agree an individual management plan with carer/child OCE
Discuss the results of the procedure with a patient and the implications for their treatment OCE

Learning outcomes

  1. Perform any subjective and objective development and age-appropriate hearing tests within the field of paediatric audiology and rehabilitation
  2. Interpret test results and consolidate these in relation to all other relevant information obtained
  3. Make informed decisions concerning the diagnosis and management options
  4. Plan future rehabilitative care for hearing impaired children and their families