We are currently interviewing candidates for fourth year placements, two candidates for vestibular services and two candidates for a wider range of audiology services, including hearing and balance diagnostic and treatment services, specialized weekly aural rehabilitation classes, individualized tinnitus treatment protocols with an audiologist who specializes in tinnitus, and cochlear implants. We are also right next door to the county’s largest ENT practice that we are contracted for their diagnostic and treatment services, so our 4th year students receive a large variety of experiences. We have one main location and three satellite offices, with seven audiologists and three audiology technicians, and see a lot hearing aid patients. We are located on the east coast of Florida, four miles from the beach.
For our two vestibular extern spots, we have a full-time balance clinic that is operated by Miller McInnis, Au.D., and Taylor Unger, Au.D., a graduate of the American Institute of Balance. We regularly see a wide variety of vestibular patients including pediatrics, but with a higher emphasis on adults and geriatrics. We currently utilize Otometrics ICS Impulse (vHIT), ABR and ECochG, cVEMPs, tests of postural stability, and computerized dynamic visual acuity. In 2018, we will obtain a the newest model of Interacousics rotary chair, and we have plans for Computerized Dynamic Posturography (CDP). Students will be directly involved in complete vestibular testing, canalith repositioning, and vestibular rehabilitation therapy. Dr. Unger will serve as a full-time clinical and didactic preceptor and Dr. McInnis will serve part-time as a clinical preceptor for the vestibular clinic.
Vestibular externs will be given a set of didactic coursework in addition to their clinic schedule. This coursework is offered by Dr. Unger to establish a complete foundation in the vestibular sciences for the students. The coursework will include principles of vestibular testing, principles of vestibular rehabilitation therapy, general human anatomy and physiology, and general human pathologies. Classes will be offered on a trimester basis and will be graded as a pass/fail. Failure to complete a section will not result in a failure for the externship but will produce further educational remediation. The goal is to help these students, with this targeted, specific interest, be able to finish their extern as leading vestibular specialists, able to operate independently within any site.
We are excited to hearing from any interested, and welcome your questions.
For more information, see our site at atlantichearingbalance[dot]com
Externship site expects the extern to have mastered these skills before they begin their clinical externship:
1. Basic Audiometry 2. Electrophysiology (ABR)
Externship site expects the extern to learn/demonstrate these skills during their clinical externship:
1. Students will be able to perform a full vestibular evaluation on pediatric to geriatric patient populations. This includes VNG, rotary chair, computerized dynamic visual acuity, Hallpikes and positionals, audiometry, VEMPs, vHIT, postural stability tests, and calorics.
2. Students will be able to synthesize case history and clinical findings to differentially diagnose balance and dizziness disorders and will be able to provide appropriate recommendations.
3. Students will be competent at various canalith repositioning manevuers (Gans, Semont, modified canalith repositioning, BBQ, Appiani, Casani).
4. Student will be able to complete a basic vestibular rehabilitation therapy protocol for unilateral, uncompensated peripheral vestibulopathies.
5. Students will be competent at communicating test results and recommendations with referring physicians.
6. Students will complete didactic coursework that supplements clinical experience. Coursework will include general human anatomy and physiology, general human pathologies, principles of vestibular assessment, and principles of vestibular rehabilitation therapy. Coursework will be provided on a trimester basis and will be pass/fail. Failures will not result in a failed externship but will result in remediation.
7. Students interested in dispensing and diagnostic hearing assessments will leave the externship able to perform a complete audiometric assessment, and they will be able to properly recommend and fit amplification devices for adult and geriatric patients.
8. These students will also be competent in aural rehabilitation therapy and tinnitus counseling.
Primary Practice Setting:
ENT group practice Private Practice
Number of Audiology Students each year:
0 1st year AuD Clinical Rotations 0 2nd year 0 3rd year 2 4th year Externships
Does the externship site provide orientation to relevant clinical policies and procedures?
Does the externship site provide instructions about patient's rights and providing patient education?
Does the externship site provide orientation to quality assessment, quality assurance and quality improvement?
Number of Audiologists at the site:
2 FTE Masters Degree 4 FTE Au.D. 0 FTE Ph.D. 0 FTE Other Doctorate (ScD) 2 FTE professional support staff (technicians/audiometric assistants) 3 FTE Clerical Support Staff
Clinical opportunities that will be given to the extern:
Pediatric evaluations: infant/toddler
Pediatric evaluations: school-age
Adult hearing evaluations
Auditory processing evaluations
Evoked potential assessments
Intra-operative monitoring cases
Hearing aids dispensed
Hearing aid selection/fitting
Audiologic rehabilitation (group or individualized)
Cochlear implant evaluations
Cochlear implant rehabilitation
Yes We will be preparing to partner with universities and other private practices to publish data on a novel canalith repositioning manevuer.
Continuing education opportunities?
Yes Students will be encouraged to attend professional conferences such as ADA, AudiologyNow!, and American Balance Society.
Travel to satellite centers required?
Yes Two offices: 1175 DUNLAWTON AVENUE, Port Orange FL 32127 and 1050 W GRANADA BLVD, Ormond Beach FL 32174. The primary office is our Port Orange clinic where students will spend the majority of their time. The balance clinic is next door in Port Orange.
Consortium or collaborative arrangements with other sites?
How frequently will the externship site communicate with the university during the externship?
Communication or other support do expected or required from the university during the externship:
Periodic phone conversations and site visits as needed.
Letters of Recommendation Resume Phone interview Letter of request/intent 2 letters of recommendation, preferably from audiology faculty, resume/CV, and letter of intent.
Students will then have a Skype/online interview followed by an in-person interview, if possible. We are flexible as to times and dates.
Steps for the student/university to follow in the application process:
Submit required application documentation. We will contact you to arrange a follow-up online interview.
Contact Person: (preceptor, supervisor or extern coordinator)
Dr. Unger began his undergraduate coursework at the University of Georgia. He then completed his Bachelor of Science degree in Chemistry with an emphasis in Biochemistry and a minor in Biology at Augusta State University in 2005. Following graduation, Dr. Unger was a nuclear chemist at Plant Vogtle for Southern Nuclear Operating Company and Georgia Power. After leaving the nuclear power industry, ...Dr. Unger began his Doctorate in Audiology (Au.D.) at Nova Southeastern University (NSU) in Fort Lauderdale, Florida. In 2016, he graduated top in his class, with highest honors, and he was awarded the Marc Trychel Future Leader Award at the Florida Academy of Audiology, the Dean’s award at NSU, and he was inducted into the Alpha Upsilon Delta and Alpha Eta honors societies.
Following graduation, Dr. Unger was a faculty member of the highly esteemed American Institute of Balance (AIB) in Largo, Florida under the tutelage of Richard Gans, Ph.D. During his time at AIB, Dr. Unger trained and certified hundreds of medical professionals including physical therapists, occupational therapists, audiologists, neurologists, and otolaryngologists in the assessment and treatment of vestibular disorders. He also developed a unique treatment protocol for the management of posterior canal benign paroxysmal positional vertigo (BPPV), which includes the Unger Side-lying Maneuver and the Unger Repositioning Maneuver (URM). Dr. Unger also assisted in the publication of a novel horizontal canal BPPV treatment method, the Kurtzer Hybrid Maneuver. Additionally, he has edited textbook chapters on the topic of BPPV. In 2016, Dr. Unger presented at the American Academy of Audiology on the topic of the biochemistry of BPPV. He is currently preparing additional presentations on vestibular disorders at future professional conferences, and he is actively engaged in developing further research studies in his field.
In August 2017, Dr. Unger joined the staff at Atlantic Hearing and Balance; he is developing the only full-service vestibular laboratory in Volusia County, Florida. His goal is to provide gold-standard care in the assessment and treatment of vestibular disorders for pediatric, adult, and geriatric patient populations. He holds state licenses to practice Audiology in both Florida and South Carolina. Dr. Unger is also a member of the American Academy of Audiology, he is Board certified by the American Board of Audiology, and he was awarded the Certificate of Clinical Competence in Audiology (CCC-A) through the American Speech-Language-Hearing Assoication (ASHA).