CSD 4301: INTRODUCTION TO CLINICAL AUDIOLOGY (3 SEMESTER HOURS) FALL 2011, MWF 9:05 to 9:55 a.m., NM 226 Catalog Description: Introduction to Clinical Audiology. Hearing sciences and approaches for evaluating hearing: anatomy and physiology of the ear, the decibel, ear pathology, pure-tone audiometry, speech audiometry, and acoustic immittance audiometry. Professor: Jeanne Dodd Murphy, Ph.D. Office: NM 256 Phone: (254) 710-6365 (may leave a voicemail message) Jeanne_Murphy@baylor.edu Office hours: Mon., 10-11:30, 3-4; Tues., 10-12, 2-4; Wed., 10-11:30, 3-4:00; Friday, 10-11:30; also available by appointment at other times Course Text (Required): Bess, F.H., & Humes, L.E. (2008). Audiology: The Fundamentals (4th ed.). Baltimore: Lippincott Williams & Wilkins. Purpose and Philosophy: This audiology course is intended for undergraduate students to introduce students to normal and impaired auditory systems, to behavioral and physiological measures of auditory function and to the audiological and medical management of persons with hearing impairment. Professionals in speech-language pathology and Deaf education need to have a basic knowledge of audiology so that the most appropriate services can be provided to individuals with hearing impairment. Course Outcomes: Students completing the course will 1. be aware of the definition of audiology as a profession, academic and clinical requirements for audiological practice, and employment settings available to audiologists (ASHA III-G) 2. understand the anatomy and physiology of the auditory system (ASHA III-B, III-C) 3. understand the basic components of a typical audiological evaluation and be able to interpret the results at an introductory level (ASHA III-D) 4. identify and characterize various etiologies that cause hearing impairment, including variations across cultural/ethnic populations and basic audiological/medical management strategies (ASHA III-C, III-D) 5. understand principles and methods of audiological screening (ASHA III-D) Class Format: The teaching plan consists of lectures, demonstrations, case studies, and group activities, with observations of audiological evaluations required. In addition, students will participate in a pure-tone screening lab to help apply course concepts. Students are expected to read the text material for each topic before attending the related classes. Web resources applying to particular topics may also be assigned for review. There are a variety of online ‘Quia’ activities designed for most major course topics. These activities allow for immediate feedback that should be helpful to students in learning terminology and basic concepts prior to taking quizzes and/or exams. Mandatory online quizzes will also assist students in preparing for exams. Course requirements: Attendance and participation in class 3 in-class Section Exams Online Quizzes (completed individually) Pure Tone Screening Lab Final Exam Observations (mandatory; not graded) Section Exams: Exam 1 will test knowledge of anatomy & physiology, Exam 2 will be related to audiological evaluation measures, and Exam 3 will assess knowledge of auditory system pathology and disorders. These exams will be a combination of multiple choice questions and short-answer and/or short discussion questions. Exam 1 will also require students to label anatomy figures presented in class. Final: The final exam focus will be on integration of course information throughout the semester. Greater weight will be placed on applied information (particularly course outcome 3 related to interpretation of audiological evaluation results). The final exam is scheduled for Friday, December 9th, from 2:00 to 4:00 p.m. Please put this on your schedule and plan accordingly. Quizzes: Quizzes will be available online and will be due periodically throughout the course (7 quizzes are planned; due dates will be posted on the course calendar on Blackboard). They are designed so that students can assess their knowledge and note-taking and are meant to raise questions so that they can be addressed prior to the exams. The quizzes will have items related both to information presented in class as well as information solely from the assigned readings. These quizzes (done individually) may be completed with the use of the student’s notes and textbook. The quiz score average is worth 25% of the final course grade. Observations: Students will be required to complete and document two observations in the CSD hearing clinic, one of which must be a complete hearing evaluation. In addition, each student must have his or her own hearing tested and documentation of the evaluation must be completed. Written guidelines for the observations will be available and details, including scheduling, will be discussed in class. The observation time (including the time for your own evaluation) will be entered on an observation clock hour sheet and must be signed by the audiologist in charge of the evaluation when it is completed. All observations must be completed and a copy of the signed time sheet turned in by the beginning of class on December 2, 2010. Failure to complete the observations or to turn in complete, accurate documentation by the deadline (including documenting the student’s own evaluation) will result in a deduction of 10 points from the final course grade. Pure tone screening lab: Students will participate in a lab experience in groups of 5 or 6 where each student will have the opportunity to perform a brief listening check of a portable audiometer and conduct pure tone screenings on several classmates. Each student will complete a form giving the results of the screenings and submit the form along with a document reflecting on the screening setting and experience. Guidelines and forms will be posted on Blackboard. Participation/Attendance: The attendance policy of the College of Arts & Sciences states: “To earn course credit in the College of Arts and Sciences, a student must attend at least 75% of all scheduled class meetings. Any student who does not meet this minimal standard will automatically receive a grade of “F” in the course. Any University-related activity necessitating an absence from class shall count as an absence when determining whether a student has attended the required 75% of class meetings. Furthermore, departments and individual faculty members may establish more stringent requirements regarding attendance, punctuality, and participation.” NOTE: In this course, 11 absences (excused or unexcused) will result in failure of the course. CSD Major – Attendance Policy: Students are expected to attend all classes. In the event you are unable to attend a class session, it is your responsibility to obtain (a) class notes and/or handouts from another student, and (b) any class administrative changes (e.g., changes in schedule). You are also expected to take tests on time. If you are ill, it is your responsibility to notify the instructor prior to the time of the test. If you miss a test without prior approval from your instructor, you will be subject to receiving a zero for the test. When returning from the illness, it is the student’s responsibility to take the makeup exam within 3 days or the student will automatically receive a zero for the test. Class attendance is particularly important for this course; it requires that students learn a large amount of new terminology and integrate specialized information from diverse topics. I expect students to attend class every day and to participate actively and in a professional manner (sharing discussion points with the entire class instead of having side conversations, voicing questions, comments and opinions in a respectful way, and focusing on the information being presented whether it is presented by video, the instructor or guest speaker, or by classmates). Sending text messages during class is not allowed; cell phones should be turned off or silenced and put away out of sight. If it is necessary for you to receive a call during class time, please step outside the classroom to take the call. A seating chart will be used to assist with tracking attendance. Students will be responsible for ensuring that the records are accurate. One point will be deducted from the final course grade for every absence over 4 during the semester (whether excused or unexcused). Frequent instances of arriving late, leaving class early or leaving during class will also result in a deduction of points from the final course grade. Please let me know if there are extraordinary circumstances that affect your ability to attend class or participate. I am happy to be flexible when I am given ADVANCED notice by the student in need of accommodations. Late work on assignments will be accepted and makeup exams scheduled only if an extension for the deadline has been arranged in advance. Announcements will be posted throughout the course on Blackboard and exam dates and quiz deadlines will be posted on the Blackboard course calendar. Students will be responsible for checking Blackboard frequently to keep up-to-date on class announcements and deadlines. Do not expect to receive an in-class reminder about posted information!!! Resources for the class and grades will also be available through the Blackboard course. Evaluation/Grading: Exams 1-3 Final exam Quiz Average Screening Lab 45 % (15% each) 20 % 25 % 10 % Grades are based on the following grading system: A 90 to 100 B+ 87 to 89.99 B 80 to 86.99 C+ 77 to 79.99 C 70 to 76.99 The instructor reserves the right on rare occasions to adjust the grading scale where a student’s grade is on the border between two grade categories. Factors that will be considered in such cases are student attendance and professionalism, the student’s effort in learning the course material as shown by attentiveness and active participation in class, communication with the instructor outside of class, and/or student initiative in taking advantage of learning opportunities (e.g., use of Blackboard resources, quiz attempts, tutoring). In addition, how the final course grade represents the student’s work overall throughout the semester will be considered. Honor Code: Baylor’s Academic Integrity and Honor Code states that ‘Baylor University students, staff, and faculty shall act in academic matters with the utmost honesty and integrity.’ The full policy and procedures may be found using the following link: http://www.baylor.edu/honorcode/index.php?id=44060. Faculty members are required to report violations of the honor code even when a particular instructor handles the matter on her own. Violations of the honor code in this course would include, but not be limited to, collaborating with other students (current or former) in completing the individual online quizzes and misrepresenting attendance records for yourself or for someone else. Requirements for Graduate Students: Graduate students taking the course will meet these additional requirements (explicit guidelines will be posted on Blackboard): 1) Each graduate student will complete and submit a case study assignment. Students will write a brief report describing and interpreting case history information and audiological results; the case information will be available on Blackboard. In addition, students will make basic recommendations for follow up and provide a rationale for their recommendations. 2) Graduate students will prepare for and lead the class in conducting the pure tone screening lab exercise. 3) Graduate students will perform pure tone air conduction threshold measurements on several classmates. CSD 4301 SYLLABUS 2011 (Dates may change depending on the progression of the course) Day/Date Topic(s) M Aug 22 W Aug 24 F Aug 26 M Aug 29 Introductions Course Description/The profession of audiology Profession of Audiology/Anatomy & Physiology overview Outer Ear Anatomy & Physiology (A & P) W Aug 31 *HIPAA training (1st 25-30 minutes of class) F Sept 2 M Sept 5 W Sept 7 F Sept 9 M Sept 12 W Sept 14 F Sept 16 M Sept 19 W Sept 21 F Sept 23 M Sept 26 W Sept 28 F Sept 30 M Oct 3 W Oct 5 F Oct 7 M Oct 10 W Oct 12 F Oct 14 M Oct 17 W Oct 19 F Oct 21 M Oct 24 W Oct 26 F Oct 28 M Oct 31 W Nov 2 F Nov 4 M Nov 7 W Nov 9 F Nov 11 Discussion of Observation Requirement Middle Ear A & P No Class/Holiday Middle Ear A & P Middle Ear A & P Middle Ear/Inner Ear A & P Inner Ear A & P Inner Ear A & P Inner Ear A & P Inner Ear/ Auditory Central Nervous System A & P Auditory Central Nervous System A & P Introduction to Audiological Assessment, Case History Pure tone audiometry Pure tone audiometry Exam 1 Pure tone audiometry Speech audiometry (threshold measurements) Speech audiometry (suprathreshold tests: word recognition score) Speech audiometry /Introduction to Acoustic Immittance Testing No Class (Fall Break) Acoustic Immittance (Tympanometry) Acoustic Immittance Acoustic Immittance Disorders of the Auditory System (Classification, Outer/Middle Ear Disorders) Conductive (outer/middle ear) Disorders Review/catch up Conductive Disorders Exam 2 Sensorineural (Inner Ear and Auditory Central Nervous System Disorders) Sensorineural disorders Sensorineural disorders No Class (NSSHLA conference) Text Reading Chapter 1 Chapter 3 p 53-57 p 57-62 p 62-74 p 74-85 Chapter 4 p. 102-119 p. 122-125 p. 125-131 p. 131-142 Chapter 5 M Nov 14 W Nov 16 F Nov 18 M Nov 21 W Nov 23 F Nov 25 M Nov 28 W Nov 30 F Dec 2 M Dec 5 Fri Dec 9th Sensorineural disorders Review/catch-up Screening Exam 3 No Class, Thanksgiving Break No Class, Thanksgiving Break Screening Screening Lab Case studies Documentation of Observations due at the beginning of class Case study/Review Final Exam 2-4 p.m. Chapter 11