The Audiology program at Boston Children’s Hospital offers three fourth-year externships lasting from early June until early May of the following year. Externs will receive approximately 11 months of patient care experience under the supervision of licensed audiology preceptors. Applicants should be driven to pursue a career in pediatric audiology following completion of their tenure at Boston Children’s Hospital.
Externs are provided with supervision by a range of experienced pediatric audiologists. All staff hold either the ASHA CCC-A or ABA Board Certification in Audiology in addition to the Massachusetts state license in audiology. Many staff have the ABA Pediatric Specialty Certificate, Cochlear Implant Specialty Certificate or both. Most staff members have completed the Certificate Holder-Audiology Preceptor (CHAP) training program. Supervision from an audiologist with the CCC-A is not guaranteed.
Externs rotate between three sites in our audiology program. Externs will be exposed to all aspects of pediatric audiological evaluation and case management, including all behavioral audiometry techniques and objective test measures, selection of hearing assistance technology, and determination of educational accommodations for children with hearing loss. The externship year begins with focused training on diagnostic services in our Boston, Waltham and Weymouth locations. Subsequent rotations focus on hearing aid fittings and inpatient services (Boston) and cochlear implant mapping (Waltham).
We expect that externs will come with substantial pediatric audiology experience and have basic competence with all behavioral test techniques. Applicants should also have an understanding of and exposure to frequency-specific threshold ABR assessment on infants and young children. Upon completion of training, we expect the extern to be competent in providing detailed assessment and audiologic case management of complex pediatric patients.
Applicants should submit their letter of intent, curriculum vitae, graduate transcripts (official or unofficial) and three Boston Children’s Hospital recommendation forms. We recommend that at least one of the recommendations be from an audiologist who supervised a pediatric placement and can speak to your relative strengths in this area. Additionally, applicants must submit a one-page, single-spaced response to the following: “Describe a clinical situation that you have observed or participated in that will have a lasting impact on you professionally”. Application materials should be submitted electronically to the following website:
1 FTE Masters Degree 30 FTE Au.D. 2 FTE Ph.D. 2 FTE Other Doctorate (ScD) 3 FTE professional support staff (technicians/audiometric assistants) 6 FTE Clerical Support Staff
Number of Audiology Students each year:
0 1st year AuD Clinical Rotations 0 2nd year 2 3rd year 3 4th year Externships
Will interview travel be compensated?
To be discussed
Continuing education opportunities?
Yes Audiology externs are also enrolled in the LEND (Leadership Education in Neurodevelopmental Disabilities) Fellowship program through the Institute for Community Inclusion. This leadership training is one day per week from September to May and involves social policy and public health training. Please see their website for more details (www.communityinclusion.org/project). Continuing education events are held on occasion within the department. Opportunities may also arise in the community.
Expected hours/days a week:
40 hours/5 days
Travel to satellite centers required?
Yes Our Waltham center is approximately 10 miles from the main Boston hospital campus. It is accessible by hospital shuttle van. Our Weymouth center is approximately 16 miles from the main campus and is accessible by public transportation.
Local students preferred:
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?
Externship site expects the extern to have mastered these skills before they begin their clinical externship:
The ideal candidate will meet the following criteria: •Substantial experience in all facets of pediatric audiometric evaluation including VRA, CPA, tympanometry and DPOAE. •Academic background and experience with frequency-specific threshold ABR. •Academic background and experience with pediatric hearing aid fitting utilizing the DSL fitting protocol and on-ear test measures. •Academic background and interest in pediatric cochlear implants. •Professional interpersonal skills with parents, children, and preceptors.
Externship site expects the extern to learn/demonstrate these skills during their clinical externship:
During the externship, the student will develop the following skills and knowledge: •Proficiency and independence in all facets of the diagnostic process including testing, interpretation and counseling. •Approaches to working with children with complex medical conditions and diagnoses. •Approaches to working with children and families from other countries and cultures. •Approaches to working in multi-disciplinary teams. •Proficiency with hearing aid fitting, hearing assistance technology and educational recommendations for children who are deaf or hard of hearing. •Understanding of maternal and child health policies and laws, multi-cultural and disadvantaged families and social policy through the LEND (Leadership Education in Neurodevelopmental Disabilities) Fellowship program.
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 As part of their participation in the LEND program, Audiology externs are expected to perform a research or community project that culminates in a poster presentation at the annual EHDI meeting. Additional research opportunities may be available for students with interest in research pending the availability of supervision.
Consortium or collaborative arrangements with other sites?
Yes To augment the 4th year experience, regular virtual meetings with other area externship sites are planned. Meetings will focus on case studies and literature review.
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:
Universities must have an educational training contract on file with Boston Children's Hospital prior to the start of the externship. Upon being offered an externship, students should put the clinical coordinator for the university in contact with our Specialty Audiologist for Education and Training.
During the externship, communication with the university along with required evaluation forms will occur as needed and required.
September 15, 2020
Letters of Recommendation Resume Transcript Personal Review Phone interview Letter of request/intent Other Applicants must submit three Boston Children's Hospital recommendation forms in lieu of personal letters. This form is available for download from the application website:
We recommend that at least one recommendation come from a clinical preceptor who can speak to your skills and experiences in pediatrics.
Applicants must include a maximum one-page, single-spaced response to the following: "Describe a clinical situation that you have observed or participated in that will have a lasting impact on you professionally."
Applicants who pass the initial review of their application materials will be scheduled for a video interview the week of September 21, 2020. Following the video interviews, a select group will be invited for a full day video interview on Monday September 28. (date fixed). It is anticipated that externship offers will be extended at the end of the September 28th interview day.
Steps for the student/university to follow in the application process:
Once the applicant has been offered and accepted the externship position, the university clinical coordinator should contact our Specialty Audiologist for Education & Training to assure a training contract is either active or can be negotiated in advance of the extern's start date.
Contact Person: (preceptor, supervisor or extern coordinator)
Boston Children's Hospital is a 415-bed comprehensive center for pediatric health care, recently named for the 7th straight year as the Number One Pediatric Hospital by U.S. News and World Report. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age. We have approximately 25,000 inpatient admissions each year and our 200+ specialized clinical programs schedule 557,000 visits annually.