American Speech-Language-Hearing Association

Audiology Competencies

The practice of audiology may include the following competencies:

Assessment

  • Identify, assess, diagnose, manage, and interpret test results related to disorders of human hearing, balance, and other neural systems
  • Conduct and interpret behavioral, electroacoustic, or electrophysiologic methods used to asses hearing, balance, and neural system function
  • Supervise and conduct newborn hearing screening programs
  • Measure and interpret sensory and motor-evoked potentials; use and interpret results of electromyography, and other electrodiagnostic tests for purposes of neurophysiologic intraoperative monitoring and cranial nerve assessment
  • Assess the candidacy of persons with hearing loss for cochlear implants and provide fitting, programming, and audiologic rehabilitation to optimize device use
  • Screen speech-language, the use of sign language, and other factors affecting communication function for the purposes of audiologic evaluation and/or initial identification of individuals with other communication disorders
  • Evaluate and manage children and adults with central auditory processing disorder

Treatment

  • Perform otoscopic examination and external ear canal management for the removal of cerumen in order to evaluate hearing or balance, make ear impressions, fit hearing protection or prosthetic devices, and monitor the continuous use of hearing aids
  • Provide hearing care by (a) selecting, evaluating, fitting, facilitating adjustment to, and dispensing prosthetic devices and hearing aids and (b) recommending sensory aids, hearing assistive devices, alerting and telecommunication systems, and captioning devices
  • Provide audiologic rehabilitation—including speech reading, communication management, language development, and auditory skill development—and counseling for psychosocial adjustment to hearing loss for persons with hearing loss and their families/caregivers
  • Perform assessment and nonmedical management of tinnitus using biofeedback, masking, hearing aids, education, and counseling

Consultation

  • As members of interdisciplinary teams, consult with educators regarding communication management, educational implications of hearing loss, educational programming, classroom acoustics, and large-area amplification systems for children with hearing loss
  • Consult regarding, and provide rehabilitation to, persons with balance disorders using habituation, exercise therapy, and balance retraining
  • Consult about accessibility for persons with hearing loss in public and private buildings, programs, and services
  • Act as a consultant to individuals, public and private agencies, and governmental bodies regarding the effects of hearing loss and balance system disorders, as well as relevant noise-related considerations; act as an expert witness regarding legal interpretations of audiologic findings
  • Provide case management and serve as a liaison for consumers/clients and their families and agencies in order to monitor audiologic status and management and to make recommendations regarding educational and vocational programming
  • Consult to industry on the development of products and instrumentation related to the measurement and management of the auditory or balance function
  • Participate in the development of professional and technical standards

Education

  • Prevent hearing loss and conserve hearing function by designing, implementing, and coordinating occupational, school, and community hearing conservation and identification programs
  • Design and conduct basic and applied audiologic research to increase the knowledge base, develop new methods and programs, and determine the efficacy of assessment and treatment paradigms; disseminate research findings to other professionals and the public
  • Teach in and administer audiology graduate and professional education programs
  • Measure functional outcomes, consumer satisfaction, effectiveness, efficiency, and the cost–benefit of practices and programs in order to maintain and improve the quality of audiology services
  • Supervise professional and technical personnel who provide support functions to the practice of audiology

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