Dr. Gans and the American Institute of Balance providers have had 38 fourth-year externs to date. The practice focuses on vestibular and balance disorders with a strong medical referral base and interdisciplinary approach. This is a strong private practice setting, allowing students to also gain valuable experience in practice management, as well as physician and managed care relationships. AIB provides the full range of diagnostic vestibular assessment: Computerized Dynamic Posturography (CDP), Rotary Chair, Active Head Rotation, VNG, VEMP, Dynamic Visual Acuity, Postural Stability Tests, etc. Traditional diagnostic audiology, including pediatrics and hearing aid dispensing is also provided. Dr. Gans and staff have performed over 15,000 canalith repositioning maneuvers since 1994 for BPPV treatment, as well as other aspects of Vestibular Rehabilitation Therapy (VRT). AIB is a strategic partner with physical therapy providers who have been certified through AIB training workshops. This provides an excellent opportunity for the 4th year resident to learn and participate in the entire continuum of patient care from diagnosis through treatment. Dr. Gans is a past president of AAA (2004-05) and works with the students to provide professional as well as practice mentorship. Post-4th year career opportunities may also be available.