The Mailman Center for Child Development at the University of Miami has one opening for three pediatric audiology externs starting July 1, 2018. The Mailman Center is a University Center of Excellence in Developmental Disabilities. The training curriculum is part of the LEND (Leadership Education in Neurodevelopmental and related Disabilities) training program at the Mailman Center.
Curriculum and Training Content: The curriculum will have six elements that include didactic and internet presentations on pediatric audiology and interdisciplinary diagnostics/interventions; participation in special clinics including Cleft Palate Clinic, special immunology, genetics, and the Interdisciplinary Diagnostic and Evaluation Service; participation in the hospital-based universal newborn screening program; participation in the outpatient clinical services; participation in an educational audiology environment in the Debbie School, and leadership training. The clinical opportunities will include:
Newborn Hearing Screening:
In-hospital newborn screening for both otoacoustic emissions and evoked potentials
Outpatient follow-up of children who fail the initial screen using otoacoustic emissions, evoked potentials, tympanometry, and parental involvement
Outpatient Clinical Services:
infants and toddlers referred for speech delay, otitis media, and other auditory concerns
elementary and high school students referred for central auditory processing
Hearing aid selection, fitting, and programming for infants, toddlers, and adolescents
Repair and servicing hearing aids, earmolds, and accessories
hematology/oncology consultations for children with glioblastoma, acute lymphoblastic leukemia, astrocytoma, and other disorders requiring chemotherapy
pulmonology consultations for patients with cystic fibrosis who are receiving aminoglycoside or an investigational antibiotic treatment
special immunology consultations for children suspected of having hearing loss and/or auditory processing disorders secondary to HIV
genetics consultations for children with diagnosed syndromes that may have hearing disorders as co-morbid conditions
classroom hearing aid, FM, and cochlear implant monitoring
diagnostic audiometric evaluations of classroom children including behavioral testing and evaluation of hearing aid function (behavioral and real ear measurements)
participation in IEP meetings
hearing aid reprogramming
Cleft Palate Clinic
Interdisciplinary Diagnostic and Evaluation Service
Genetics Hearing Loss Clinic
In addition to the clinical opportunities listed above, the following components will also be integral to the training of each audiology student.
Didactic Instruction and leadership activities:
web-based interdisciplinary course
Completion of a LEND course on "The Family Perspective".
Conferences with interdisciplinary presentations from Mailman Center disciplines and invited speakers
Attendance at Otolaryngology Grand Rounds at the University of Miami Ear Institute on topics of relevance to pediatric audiology
Completion of an advocacy project and presentation to Mailman Center faculty and trainees (the topic may be of the student's choice subject to review and approval)
Interprofessional collaboratives focusing on telehealth, neurodevelopmental services, and neurodevelopmental discovery
genetics and otolaryngology conferences on various topics of interest to audiology
Participation in webinars, in collaboration with other LEND programs, that will be available to all trainees and faculty
Clinical trial of aerosol medication treatment of cystic fibrosis symptoms
Genetic markers of delayed onset hearing loss
Audiometric findings of Zika infected and exposed infants
Weekly Audiology Conference:
Informal conference to discuss interesting cases seen during the previous week
Each trainee will also rotate through the Department of Otolaryngology’s cochlear implant program to participate in candidate selection, audiological diagnostics, and post-operative cochlear implant programming.
This curriculum is quite distinct from that of a regular Doctor of Audiology academic training curriculum in several ways including newborn hearing screening and learning the operations and management of a nursery screening program; selection, fitting, and programming of hearing aids for young infants less than six months of age; coordinating the care and intervention of infants and toddlers with medical/surgical specialists, educational specialists, and therapists; developing diagnostic strategies for very difficult to test children such as those with autism spectrum disorder, cerebral palsy, and auditory neuropathy disorder; developing competency in family-centered care to empower families toward becoming full partners in the decision-making process; developing competency for appropriate responses to a variety of cultural perspectives on disabilities and the impact on the family unit; and understanding the contribution of pediatric audiology in the large world of disabilities. In addition to focusing on developmental disabilities, pediatric audiology trainees will gain experience with acquired disabilities associated with anti-cancer treatments, head injuries, and late acquired disease processes. The MCCD is uniquely situated to provide trainees experiences in all of these areas by virtue of the referral sources of developmental pediatrics, otolaryngology, hematology/oncology, pediatric neurology, psychology, and the nurseries of Jackson Memorial Hospital. The greater Miami area is a tremendous multicultural region with families from many different countries of the Caribbean, Central and South America, Europe and the Middle East. The experiences gained in this training opportunity greatly exceeds that of audiology training programs not associated with LEND programs. The advocacy project will be their opportunity to contribute technical assistance to the MCCD program. The training program begins on July 1, 2017 through June 30, 2018.
1. Bachelor's degree
2. Enrollment in an accredited Doctor of Audiology program
3. Eligible for a Provisional Audiologist license from the State of Florida
Externship site expects the extern to have mastered these skills before they begin their clinical externship:
* Basic experience with auditory evoked potentials* Experience with conditioned play audiometry and visual reinforcement audiometry* Basic experience with otoacoustic emissions* Hearing aid programming and fitting techniques* Basic knowledge of auditory processing
Externship site expects the extern to learn/demonstrate these skills during their clinical externship:
* Mastery of behavioral test procedures (CPA, VRA, standard audiometry, APD)* Mastery of ABR in young children* Mastery of distortion product otoacoustic emissions* Demonstration of operational knowledge of a newborn hearing screening program* Demonstration of interdisciplinary/inter-professional team collaboration* Ability to program and fit hearing aids to infants and toddlers
Primary Practice Setting:
University medical center
Number of Audiology Students each year:
0 1st year AuD Clinical Rotations 0 2nd year 0 3rd year 4 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:
1 FTE Masters Degree 1 FTE Au.D. 1 FTE Ph.D. 0 FTE Other Doctorate (ScD) 1 FTE professional support staff (technicians/audiometric assistants) 2 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 Aerosol administration of aminoglycoside medication and audiometric patterns in Zika infected infants and toddlers.
Continuing education opportunities?
Yes Seminars that take place at the Mailman Center as part of the series "Medical Issues and the Growing Child"; ENT and Pediatrics grand rounds; other special programs.
Travel to satellite centers required?
Consortium or collaborative arrangements with other sites?
Yes Joe DiMaggio Children's Hospital in Ft. Lauderdale for a cochlear implant rotation.
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:
Communication regarding the student's university's expectations of our center and the grading requirements.
April 1, 2018
Letters of Recommendation Resume Transcript Personal Review Phone interview Letter of request/intent Initial interview can be via Skype
Steps for the student/university to follow in the application process:
Send 3 letters of recommendation, cover letter of interest, resume, and unofficial transcript via email to firstname.lastname@example.org or regular mail to Robert Fifer, Ph.D., University of Miami, 1601 NW 12th Ave., Room 5063, Miami, FL 33136.
Contact Person: (preceptor, supervisor or extern coordinator)
The Mailman Center for Child Development is a University Center of Excellence in Neurodevelopmental Disabilitie. It offers audiology externships for 4th year AuD. students using an interdisciplinary training experience. Each student will be part of the Leadership Education in Neurodevelopmental Disabilities trainee and will receive experience in pediatric audiology that goes beyond the realm of audiology alone.