Doctor of Audiology (Au.D.) Externship Information
The audiology department at The Texas Hearing Institute (THI) (formally known as Center for Hearing and Speech) is seeking one to two Doctor of Audiology (Au.D.) students to complete a challenging and exciting pediatric externship. The ideal candidate will be highly motivated, a strong team player, be flexible with a strong self-initiative, and have a desire for a career as a pediatric audiologist. Chosen applicants will have completed their university coursework related to pediatrics, be competent in performing diagnostic audiologic procedures, and have completed clinical placements that offered experience with pediatric testing and habilitation.
THI is recently relocated to world-renowned Texas Medical Center, in the heart of Houston. Externs will have the pleasure of working alongside and learning from the top pediatric audiologists in the area. THI has built a brand new building from the ground up that was designed by their current audiologists to help best fit their day-to-day practice. THI audiology department has an excellent lay-out with brand-new state of the art audiology equipment and sound booths.
PEDIATRIC HEARING ASSESSMENT
At THI, we specialize in identifying and treating children with hearing loss. As a Doctor of Audiology 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 testing skills on difficult to test children with hearing loss using Behavioral Observation Audiometry, Visual Reinforcement Audiometry, Conditioned Play Audiometry, as well as natural-sleep and sedated auditory brainstem response evaluations.
PEDIATRIC HEARING TREATMENT AND INTERVENTION
At THI, you will have the opportunity to follow children from birth to twenty-one years of age through the evaluation process to the treatment process, and beyond. Patients at THI are fit with traditional hearing aids, bone conduction hearing aids, osseointegrated devices, and cochlear implants. You will have the opportunity to fit, troubleshoot, and adjust these devices to help ensure your patients are hearing adequately. 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 AND FM SYSTEMS
THI offers a unique experience not only for our broad range of patients you will encounter on a day-to-day basis but also due to our Melinda Webb School (MWS) that is located on-site. The MWS is an auditory-oral school for 18 months through 6 years of age that serves children with and without hearing loss. During the externs time at THI, they will be at MWS on a daily basis to help program, verify, and troubleshoot FM systems and ensure that children in MWS are hearing appropriately.
The THI audiology department works closely with our speech therapists/auditory-verbal therapists, teachers of the deaf, educational liaison, ear, nose and throat physicians, educational audiologists, and more who work with children with hearing loss. You will have opportunities to participate in multi-discipline meetings where we work together to ensure our patients achieve their listening and speaking goals and reach their maximum potential.
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, the extern will have the opportunity to apply academic principles within a clinical practice and learn to work as part of a multidisciplinary team. With a team of eight audiologists and several who are certificate holders of audiology preceptor (CH-AP), the extern is sure to have a positive year full of challenging cases with consistent support and feedback from their supervisors.
A stipend may be available for the 2022-2023 externship year; however, is contingent upon board approval of the budget. The Texas Hearing Institute will also cover the cost of your Texas audiology intern license and fingerprinting. The extern will also have 12 holidays off as well as receive an extra 10 days off to use, contingent upon the extern’s current hours towards graduation.
Complete the Texas Hearing Institute Au.D. externship application located at: https://www.centerhearingandspeech.org/media/files/page/a0f1d88d/thi-externship-website-application_dBekfGN.pdf and submit no later than September 3, 2021.
The chosen extern must have passed the national Praxis exam prior to their projected May 30, 2022 start date of the externship.
Obtain a provisionary Texas state intern license.
All paperwork must be completed through the State of Texas prior to beginning your externship. The responsibility of obtaining an externship license will be that of the extern.
Prior to the projected May 30, 2022 start date an affiliation agreement between Texas Hearing Institute and the university must be signed.
Extern must have liability insurance through their university.
Primary Practice Setting:
Community speech and hearing center Educational audiology/school setting Other Non-profit multi-disciplinary clinic
Number of Audiologists at the site:
0 FTE Masters Degree 8 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
Number of Audiology Students each year:
0 1st year AuD Clinical Rotations 0 2nd year 1 3rd year 2 4th year Externships
Stipend Other – Please Describe The extern will be reimbursed for their Texas licensure and fingerprints.
The calendar's year budget is voted on by the board members which is when the extern(s) stipend is voted and approved on.
Will interview travel be compensated?
Continuing education opportunities?
May 30, 2022
Expected hours/days a week:
Travel to satellite centers required?
Yes Some travel is required to participate in school hearing screenings however mileage is eligible for reimbursement.
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:
1. Experience in completing diagnostic hearing evaluations , including otoscopy, tympanometry, acoustic reflexes, and otoacoustic emissions in the pediatric population. 2. Have some experience completing pediatric hearing assessments using BOA, VRA, and CPA techniques. 3. Have experience in completing diagnostic natural-sleep Auditory Brainstem Response Evaluations. Externs should have familiarity with ABR protocol to rule out Auditory Neuropathy Spectrum Disorder (ANSD). 4. Independently complete listening checks on hearing aids and able to complete hearing aid troubleshooting. 5. Be familiar with how FM systems work and how they can help improve listening in noise. 6. Be familiar with how cochlear implants work and basic candidacy criteria. 7. Be comfortable making earmold impressions.
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 objective measures using standard and pediatric testing methods. 2. Independently perform natural-sleep Auditory Brainstem Response evaluations. 3. Conduct community/school 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.
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
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 projected May 30, 2022 start date, an affiliation agreement between Texas Hearing Institute and the extern's university must be signed.
September 3, 2021
Letters of Recommendation Resume Transcript Phone interview Letter of request/intent Other Please visit https://www.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 https://www.centerhearingandspeech.org/audiology-externship// for more details. Applications are due by September 3, 2021. Once your application materials have been received, you may be contacted for a phone interview. An extern or externs will be selected by October 1, 2021.
Contact Person: (preceptor, supervisor or extern coordinator)
Additional Salary Information: The externship has been provided a stipend in all previous years; however, the stipend or the amount is never guaranteed and the extern should allow for financial aid if need be.
About Texas Hearing Institute
Texas Hearing Institute (formerly known as The Center for Hearing and Speech) is the only full-service resource in Houston to teach children with hearing loss to listen and speak. Since 1947, THI has helped thousands of Houston-area children gain listening, speaking and literacy skills. We welcome all families with all communication modes as well and help each child reach their maximum potential.
Texas Hearing Institute is based out of Houston, Texas, and annually serves thousands of children throughout Texas and beyond via its campus in the Texas Medical Center, virtual platforms, and school-based hearing screenings.
Simply put, we stay up to date on the latest advancements in the hearing loss field, and use any means possible to give every child who comes to us the gift of sound and communication. Our highly skilled staff, passion for helping children, and dedication to changing lives have made Texas Hearing Institute a gold standard for comprehensive pediatric hearing loss services.
Texas Hearing Institute is a United Way agency and provides all services on a sliding fee scale.
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