CSDS 361 Introduction to Audiology and Health Sciences Department of Communication Sciences and Disorders Longwood University Fall 2009 3.0 Credit Hours Class time: Mondays 6:15-9:00 p.m. in Hull 246 Instructor: Dr. Kimberly Andresen, Au.D., CCC-A, FAAA Email: andresenkj@longwood.edu Office Hours: Mondays 9:00-9:30 p.m. Chat hours: Tuesdays 7:30-8:00 p.m. Office in Lynchburg: 434-528-4245 Home in Lynchburg: 434-841-6809 Course Description: Introduction to the profession of audiology, the physics of sound, and diagnostic audiology. Also includes the anatomy, physiology and common pathologies of the auditory system, impact of hearing loss, types of characteristics of hearing loss, conventional procedures used to assess hearing, interpretation of audiological test findings, and criteria for initiating audiological referrals. (Pre-requisite: CSDS 313 or consent of the instructor) Upon successful completion of this course, students should be able to: 1. Understand the history and direction of audiology as a profession. (CFC 4) 2. Describe the basic physical and psychological attributes of sound. (CFC 4, KASA III-B) 3. Identify the anatomy and function of the peripheral and central auditory pathways. (CFC 4, KASA III-B) 4. Identify different types of hearing loss, including their impact on speech and language. (CFC 4, KASA III-C) 5. Discuss principles related to different audiometric test procedures. (CFC 3 & 4, KASA III-C &D) 6. Perform a basic audiometric test (screening) procedures and interpret test results. (CFC 3 & 4, KASA III-D) 7. Discuss common causes of hearing impairment in children and adults. (CFC 4, KASA III-C) Required Text with CD ROM: Martin, Frederick N., and Clark, John Greer. (2009). Introduction to Audiology (Tenth Edition). Boston, MA: Allyn and Bacon. Course Requirements: 1. Attendance and class participation. Attendance will be taken each week. It is imperative to attend class to ensure full comprehension of the weekly course objectives. According to Longwood University’s class attendance policy, the instructor may lower any student’s grade by one letter if the student misses 10% of the scheduled class meetings (3 in number), and a grade of “F” may be assigned if a student misses 25% of the scheduled class meetings (7 classes). Attendance, tardiness and student participation will be taken into consideration when grades are assigned. a. Absences should be discussed with the instructor prior to the time of absence, if possible. Absence on a test day without prior discussion with the instructor will result in a grade of zero. 1 2. Response to Student Communication or Assignment: Responses to e-mails will be provided by the instructor within 48 hours during the business week. Communication via e-mail or telephone messages sent after noon on Fridays, weekends or holidays may not be addressed until the next business day. The instructor will submit grades within ten business days of the received assignment or examination; however, holidays and weekends are not counted as business days. a. As the instructor will not be on-campus, except Mondays, message boards and chat times will be arranged with the students via Blackboard. Please see the Announcements section for further details and times, which will be posted weekly. Remember to utilize Internet Explorer (not Netscape, Mozilla, etc.) to access Blackboard. b. You may call my home/cell number to ask questions that need immediate attention; however, if they are during the private practice work hours in Lynchburg (8:00 a.m. to 12:00 p.m. and 1:30 p.m. to 4:30 p.m.), the call may not be answered. Only in an emergency (not attending an exam, presentation or class) where discussion with the instruction is necessary are students allowed to call the work number. 3. Honor Code and Plagiarism: Students are expected to abide by the Longwood University Honor Code. ALL assignments and examinations must be pledged. If any assignment or exam is submitted without pledging, points will be subtracted from the grade for the exam or assignment. The instructor shall investigate any suspicion of Honor Code infraction and University procedures will be followed. a. Longwood University’s Student Handbook 2008-9 (specifically pages 27-32): http://www.longwood.edu/judicial/Handbook.pdf ****iPods, text phones, and other technical devices not specifically required for classroom activities will not be permitted during class time. Text messaging during class time will be grounds for asking the student to leave the class even if an assignment, activity, or assessment is not yet completed. The student will receive a grade of “0” on that unfinished assignment or assessment. b. Although this may seem like common sense, the content of articles, whether online, in textbooks, or in journals is the intellectual property of the author. You may NOT cut and paste from Internet websites or other written texts. You may NOT reword only a few words or sentences in paragraphs and state that the work is your own. This is stealing. Should the instructor be suspicious of the given assignment, Longwood University’s antiplagiarism software “Turn it In” will be utilized. Should the student’s work prove to be plagiarized, a “0” will be given as the graded assignment and may result in an “F” in the course and investigation of the Honor Board. Students will be expected to follow APA guidelines for citation and referencing of all written work (including reports and presentations). Should the student have any questions regarding how to cite, paraphrase, quote or reference content in any way, please visit the below website: http://www.indiana.edu/~wts/pamphlets/plagiarism.shtml#wwwplagiarism 4. Two examinations and a final exam will be administered this semester. The examinations shall consist of a mixture of multiple choice and short answer questions. Time restrictions will be given the day of the exam, whether in-class or if proctored by another faculty or staff member at the university. 2 5. Pure Tone Audiometry Lab: a. Each student must complete the HIPAA examination earning a passing grade of 90% or higher prior to be eligible to sign out an audiometer. A HIPAA quiz is based on a video shown at the first or second class. A quiz will be available via Blackboard. b. Audiometers may be obtained from Ms. Carolyn Higgins, Office Manager at the Longwood Center for Communication, Literacy and Learning (Corner of Third and Main Streets, Third Floor). Two portable audiometers will be available for check-out and use for 90 minute periods. c. Working in groups of three students, each student will complete a pure tone audiogram (air and bone conduction) on at least two live listeners. Thus, each student will submit two audiograms. You will complete one test on a “normal” listener, and the second exam on a student wearing a foam earplug in one ear, simulating a conductive hearing loss. Using your text CD, download and print out the audiogram form recommended. Neatly complete the audiogram using the appropriate colors of red ink (right ear) and blue ink (left ear). When submitting your test results, including your interpretation, your results should include: i. Presence or absence of hearing loss ii. Severity or degree of hearing loss iii. Description of configuration, and iv. Type or classification of hearing loss (if present) 6. Paper and Oral Presentation: a. Paper: Each student shall submit a concise three to five page (double spaced) paper on an auditory pathology or syndrome associated with hearing loss, which will include a minimum of four references. At least two peer reviewed journal references must be used (see examples of journals Greenwood Library possesses below). Note: Wikipedia or World Wide Web resources ending in “.gov” or “.edu” do not meet this requirement! A list of topics will be provided by the instructor under the “Activities” section of Blackboard. Please notify the instructor of the topic chosen to be presented, as the same subject may not be researched by two students. Each student must submit their chosen topic with references (in APA format) to the instructor one month prior to the paper being due, which is no later than September 28th. However, should a student wish to write on a subject not listed, s/he should contact the instructor for approval. Should the student be unable to attend class the day the written presentations are due, they must be submitted via e-mail prior to the scheduled class time. b. Oral Presentation: Each student shall present a five to ten minute presentation on their paper. As part of their presentation, each student will provide handouts (with references) for all attendees, which should list and describe important details regarding the auditory pathology/syndrome, the etiology, diagnosis, type of hearing impairment(s) associated and treatment options. Should the student not be able to present on the assigned day without prior approval (48 hours notice) of the instructor, a grade of “0” may be assigned. 7. Observation of an Audiologist: Each student is required to observe a licensed audiologist for at least two hours this semester, which include testing and rehabilitation procedures. A field trip to Audiology Hearing Aid Associates in Lynchburg, VA, has been scheduled for November 2 during the regularly scheduled class time. A brief (no greater than 2 pages, double spaced) summary of the experience should be turned into the instructor detailing what was learned. 3 8. Grading: a. The final grade in this class is based on performance on three examinations, the completion of the pure tone lab, audiologist observation paper, and auditory pathology/syndrome paper, handout and oral presentation. There are 1000 points possible in this class. At the end of this semester, your individual average will be calculated and fractions will be rounded to the nearest whole number. i. Exam One 200 points ii. Exam Two 200 points iii. Pure Tone Lab 50 points iv. HIPAA Quiz 100 points v. References for Paper 25 points vi. Observation of an Audiologist 25 points vii. Paper 100 points viii. Oral Presentation and Handout 50 points ix. Final Exam 250 points b. Letter grades are determined according to the scale below. i. 980-1000 = A+ ii. 930-979 = A iii. 900-929 = Aiv. 880-899 = B+ v. 830-879 = B vi. 800-829 = Bvii. 780-799 = C+ viii. 730-779 = C ix. 700-729 = Cx. 680-699 = D+ xi. 630-679 = D xii. 600-629 = Dxiii. 0-599 = F c. The instructor will make every effort to grade all work fairly and equitably. Grades are NOT negotiable unless the instructor has calculated a numerical error in computing the grades of the assignments/exams. Students are expected to make every effort in the excellence, timeliness and presentation of their work. d. Extra credit assignments will not be provided to individuals. Such opportunities will only be offered by the instructor to the entire class. 9. Late Work: All assignments are due to the instructor at the beginning of class on the assigned due date. Instructions on mode of submission per assignment not listed in the syllabus will be posted on Blackboard. Work submitted late will be accepted if the student has notified the instructor of a valid reason for the tardiness of the assignment; however, a penalty will be incurred. Five percent of the total work value of the assignment will be lost for each calendar day beyond the required submission date. Please remember that your instructor is only on campus Mondays, so if there are any problems with the assignment, please notify the instructor as soon as possible. 10. Inclement Weather: In the event of inclement weather, students should first check the Longwood website to determine if the University has cancelled classes on any evening that our class is 4 scheduled to meet. If the instructor cannot travel to Longwood the class will be cancelled and posted under the “Announcements” section of Blackboard. 11. Disability Statement: a. The instructor is willing to provide reasonable accommodations for any student’s documented disability. During the first week of class, documentation of the nature of the disability and suggested/appropriate accommodations from Longwood University’s Learning Center (located in Greenwood Library) is to be given to the instructor. Accommodations by the instructor are not retrospective. b. For more information or help from Disability Support Services, contact their office at 434395-2361, stop by their office in the Graham Building, or refer to the LU link: http://www.longwood.edu/disability/DSS_Services.htm Additional Audiology Readings and Resources: (*) Books are available at the Greenwood Library: *Berger, Royster, Royster, Driscoll, and Layne. (2003). The Noise Manual, Fifth Edition. Fairfax, VA: AIHA Press. *DeBonis, D., and Donohue, C. (2008). Survey of Audiology:Fundamentals for Audiologists and Health Professionals. Boston MA: Pearson Allyn. *Katz, F., (ed). (1998). Handbook of Clinical Audiology. Baltimore, MD: Williams & Wilkins. *Musiek, F., and Baran, J. (2007). The Auditory System: Anatomy, Physiology, and Clinical Correlates. Boston, MA: Pearson Allyn. *Northern, J.L. (2004 or 2005). Hearing Disorders. Boston, MA: Little, Brown. Pulec, J.L. and Deguine, C. (2001). Atlas of Otoscopy. Canada: Singular. Roeser, R.J., Valente, M. and Hosford-Dunn, H. (2001). Audiology Diagnosis. New York, NY: Thieme. *Stach, B. Clinical Audiology (1998). San Diego, CA: Singular Publishing. Shprintzen, R.J. (2006). Syndrome Identification for Audiology, an Illustrated PocketGuide. Canada: Singular. *Tyler, R. (2000). Tinnitus Handbook. San Diego, CA: Singular Publishing. Helpful journals available from Greenwood Library include, but are not limited to: Ear and Hearing Journal of the American Academy of Audiology Audiology Today Journal of Speech and Hearing Research ASHA Leader Journal of Speech and Hearing Disorders American Journal of Audiology Hearing Journal Seminars in Hearing Audiology Websites for Professionals: American Academy of Audiology: http://www.audiology.org Academy of Doctors of Audiology: http://www.audiologist.org/ American Speech-Language-Hearing Association: http://www.asha.org Audiology Foundation of America: http://www.audfound.org Audiology Online: http://www.audiologyonline.com Healthy Hearing: http://www.healthyhearing.com Hearing Loss Association of America: http://www.hearingloss.org/ 5 Course Outline: 8/24 9/7 9/14 9/21 9/28 10/5 10/12 10/19 10/26 11/2 11/9 11/16 11/23 Review Syllabus, Chapter 1 “The Profession of Audiology,” Chapter 3 “Sound and its Measurement.” CD Demo: Wave Forms Helpful websites: http://health.howstuffworks.com/hearing.htm http://www.audstudent.com see Acoustics Review http://www.physicsclassroom.com/Class/sound Complete and submit the HIPAA quiz to instructor by Wednesday, September 8. Labor Day. No class. Chapter 2 “The Human Ear and Simple Tests of Hearing” and Chapter 8 “The Outer Ear,” Case History in Chapter 14 “Audiological Treatment” pgs 433-437. CD Demo: Demonstration of Otoscopy/Video Otoscope, Learning Supplement: Anatomical Diagrams In-Class Assignment: Demonstration of Otoscopy by Instructor. Students perform examinations on two fellow classmates. Helpful website for first sound transfer, outer, middle, inner ear info: http://www.cochlea.org Chapter 9 “The Middle Ear.” Helpful websites: http://www.bcm.edu/oto/studs/midear.html Topic with References Due Chapter 10 “The Inner Ear,” Chapter 11 “”Auditory Nerve and Central Auditory Pathways” pgs. 340-354. Exam 1 Chapter 4 “Pure Tone Audiometry” pgs 77-99. CD Demo: Placement of insert/headphones and pure tone audiometry Helpful website: http://www.asha.org keyword: guidelines for audiologic screening Fall break. No class. Chapter 4 “Pure Tone Audiometry” pgs 99-123. Demonstration of PT Air testing in class. Chapter 5 “Speech Audiometry,” Chapter 6 “Beyond Basic Audiometrics” pgs 165-182. Helpful websites: http://audstudent.com for speech testing, tympanometry, and acoustic reflex testing. Pure-tone audiometry assignment due. Continuation of 10/26 materials. Class trip to Audiology Hearing Aid Associates in Lynchburg! Demonstration of basic audiometric battery: pure tone air and bone, speech audiometry, tympanometry and acoustic reflex testing. Also, Drs. Andresen and Wolsiefer will demonstrate electrophysiological test measures, including otoacoustic emissions, auditory brainstem response, and electronystagmography. Observation paper due. Chapter 7 “Hearing Tests for Children” pgs 222-237. Helpful websites: http://www.boystownhospital.org/PatientServices/AudioVest/Audiological/basic.asp http://www.vahealth.org/hearing/parents.htm and click on “resource guide for parents” http://www.infanthearing.org/audiology/index.html http://www.hopkinsmedicine.org/hearing/hearing_testing Continuation of 11/9 materials, including pgs 206-221. CD Demo: electrophysiological testing. Exam 2 Chapter 12 “Nonorganic Hearing Loss” Chapter 11 “”Auditory Nerve and Central Auditory Pathways” 6 Helpful websites: http://www.nidcd.nih.gov/health/voice/auditory.asp http://kidshealth.org/parent/medical/ears/central_auditory.html 11/30 Oral Presentations tonight! Papers are due at the beginning of class. *Chapter 14 “Audiologic Treatment” pgs. 437-473, Audiology Online article “If It’s Not Hearing Loss, Then What? Confronting Nonorganic Hearing Loss in Children” by textbook author, John Greer Clark, Ph.D. http://www.audiologyonline.com/articles/article_detail.asp?article_id=376 *Chapter 13 “Amplification and Sensory Systems” and Audiological Rehabilitation, Helpful Websites: Assistive Listening Devices: http://www.soundclarity.com, Hearing Aids: http://phonak.com, http://widexusa.com, http://www.gnresound.com, http://www.oticon.com, http://www.siemens-hearing.com Cochlear Implants: http://www.cochlearamericas.com, http://www.medel.com/US 12/7 Final Exam * Although treatment for hearing loss (counseling, amplification, assistive listening devices) will be formally addressed at the end of the semester, these topics will be incorporated into each class, if possible. 7