The audiology department at The Center for Hearing and Speech (CHS) is seeking a Doctor of Audiology (Au.D.) student to complete a challenging and exciting 12-month pediatric externship. The ideal candidate will be highly motivated, a strong team player, and have a strong desire for a career as a pediatric audiologist. Applicants will have completed their university coursework related to pediatrics, be competent in performing diagnostic audiologic procedures on adults, and have completed clinical placements that offered experience with pediatric testing and habilitation.
Pediatric Hearing Assessment
At The Center for Hearing and Speech, we specialize in identifying and treating children from birth to eighteen years of age with hearing loss. As an Au.D. extern, you can expect to apply your previous pediatric clinic experiences and classroom knowledge to assess a diverse pediatric population, including children with multiple disabilities. You will perfect your skills identifying difficult to test children with hearing loss using Behavioral Observation Audiometry, Visual Reinforcement Audiometry, Conditioned Play Audiometry, as well as electrophysiologic measures.
Pediatric Hearing Treatment and Intervention
At CHS, you will have the opportunity to follow our patients from the evaluation process on to the treatment and management stages. Patients at CHS are fit with traditional hearing aids, bone conduction hearing aids, osseointegrated devices, and cochlear implants. You will have the opportunity to fit, troubleshoot, and program these devices to help ensure your patients are hearing optimally. You will also have the opportunity to work closely with families as they adjust to a diagnosis of hearing loss and face the day to day challenges of consistent hearing aid use.
Melinda Webb School (MWS) and FM Systems
During your time at CHS, you will also work closely with MWS, the Listening and Spoken Language school housed within CHS. You will program, verify, and troubleshoot FM systems, as well as perform daily listening checks of amplification and cochlear implants.
The CHS audiology department works closely with our in-house teachers of the deaf, speech-language pathologists, and licensed professional counselor. You will have opportunities to participate in multi-disciplinary meetings where we work together to ensure our patients achieve their listening and speaking goals.
The goal of this educational externship is to provide a variety of clinical experiences to develop the skills necessary for a career as a pediatric audiologist. As an extern, you can expect to receive intensive training and mentoring from an experienced staff of clinical audiologists. During the placement, you will have the opportunity to apply academic principles within a clinical practice and learn to work as part of a multidisciplinary team.
1. Complete The Center for Hearing and Speech Au.D. Externship application and submit no later than September 29, 2017.
2. Pass the national Praxis exam and submit your score to CHS.
3. Obtain a provisionary Texas state intern license.
a) The responsibility of obtaining an externship license will be yours. All paperwork must be completed through the State of Texas prior to beginning your externship.
4. Prior to the June 4, 2018 start date, an affiliation agreement between The Center for Hearing and Speech and your university must be signed.
5. You must have liability insurance through their university and private health insurance.
Externship site expects the extern to have mastered these skills before they begin their clinical externship:
1. Independently complete diagnostic hearing evaluations in adults and teenagers, including otoscopy, tympanometry, acoustic reflexes, and otoacoustic emissions.2. Independently determine need for masking and adequate masking level in adults and teenagers.3. Have some experience completing pediatric hearing assessments using BOA, VRA, and CPA techniques.4. Be familiar with the anatomy and physiology, as well as pathophysiology as it pertains to completing an ABR.5. Display familiarity with ABR protocol to rule out ANSD and to estimate hearing sensitivity.4. Independently complete listening checks on hearing aids.5. Independently complete AGC runs on hearing aids and interpret findings.6. Be familiar with how FM systems work and how they can help improve listening in noise.7. Be familiar with how cochlear implants work and basic candidacy criteria.8. Be comfortable making earmold impressions on children five and up.
Externship site expects the extern to learn/demonstrate these skills during their clinical externship:
The extern will be able to demonstrate the following skills by the end of his/her externship:1. Perform diagnostic hearing evaluations including tympanometry, acoustic reflexes, pure-tone and soundfield threshold measurements, as well as word recognition testing using standard and pediatric testing methods. 2. Independently perform otoacoustic emissions, Auditory Brainstem Response (click and tonebursts).3. Conduct community hearing screenings.4. Independently complete pediatric hearing aid evaluations and fittings.5. Independently perform listening checks on hearings aids, cochlear implants and personal FM systems.6. Develop skills and knowledge in identifying pediatric candidates for cochlear implantation.7. Assist in the cochlear implant evaluation, mapping and rehabilitation of children who receive implants.8. Independently program FM systems and verify their function.9. Become competent at describing audiological test results to families, patients, and other professional team members in language that can be easily understood.10. Understand and inform parents in an unbiased approach to their communication options.11. Develop knowledge and skills in team management of children with hearing loss and their families enrolled in an auditory-verbal therapy model, a total communication approach or in our spoken language pre-school program.11. Consult with school personnel and speech therapists in regards to audiologic finding and their implications in the classroom.
Primary Practice Setting:
Community speech and hearing center Educational audiology/school setting
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:
0 FTE Masters Degree 7 FTE Au.D. 0 FTE Ph.D. 0 FTE Other Doctorate (ScD) 0 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
Stipend Other – Please Describe The extern will be reimbursed for their Texas licensure
Continuing education opportunities?
Yes Continuing education is available to externs when hearing companies and/or cochlear implant manufacturers provide continuing educations on site.
Travel to satellite centers required?
Yes Some travel is required to participate in school hearing screenings however mileage is eligible for reimbursement.
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:
Prior to the June 4, 2018 start date, an affiliation agreement between The Center for Hearing and Speech and the extern's university must be signed.
September 29, 2017
Letters of Recommendation Resume Transcript Personal Review Phone interview Letter of request/intent Other Please visit http://centerhearingandspeech.org/audiology-externship/ for a complete description of application requirements.
Steps for the student/university to follow in the application process:
Students who are interested in applying for the fourth year externship position should visit http://centerhearingandspeech.org/audiology-externship/ for more details. Applications are due by September 29, 2017. Once your application materials have been received, you may be contacted for a phone interview. Phone interviews will be scheduled on CST. An extern or externs will be selected by November 3, 2017. The student will have one week to accept or decline the position.
Contact Person: (preceptor, supervisor or extern coordinator)
The Center for Hearing and Speech (CHS) is the only full-service resource in Houston, TX that teaches children with mild to profound hearing loss to speak rather than use sign language. With the aid of advanced technology, highly trained staff and its listening-based approach to developing communication skills in the hearing impaired, CHS has helped thousands of children develop listening, speaking and literacy skills needed to succeed in the mainstream hearing world.