Thursday, January 30th

8:00 am - 11:00 am

The Ethical Challenges, Risks and Benefits of Professional Relationships

0.3 CEU, Tier 1

Audiologists engage in a complex world of relationships including those with patients, colleagues, professional organizations, and members of industry. Each presents a unique set of boundaries, requirements, circumstances, and challenges. Each has its own set of necessities, rewards, and benefits, along with a distinctive set of ethical considerations.

Research reveals that clinical professionals have greater fulfillment when they have positive relationships with the people and entities with whom they associate. Most codes of ethics and licensure acts dictate principles and mandates related to the ethics of professional relationships.  

Some relationships are more challenging than others, while some are more rewarding. Ultimately, clinicians require the skills of relationship management across a wide array of connections. Ironically, very few academic programs develop and prioritize related training. 

This presentation will address and engage the participants regarding the nuances and ethics of professional relationships, with corresponding challenges, boundary sets, rewards, and risks. Specific scenarios will be presented to create the essential reality around the application of such ethical principles.

Presenter: Michael Page, Au.D.

Michael Page, AuD has served as a member of the Utah Cochlear Implant team, and as president, Utah Speech-Language-Hearing Association, member of the Primary Children's Medical Center Bioethics Committee, and board chair for the Division of Occupational and Professional Licensing.  He has held adjunct faculty positions at Utah State University, Brigham Young University, University of Utah and University of the Pacific. He served as chair and committee member of the AAA Ethical Practices Committee, Manager of Audiology/Cochlear Implant Program at Primary Children’s Hospital (Salt Lake City), as well as various management and executive positions with industry.  He is presently Chief of Clinical Operations for Numana Medical, functioning as a business consultant for audiology and healthcare practices specializing in aspects of ethical practice, professional boundaries, industry relationships, contract negotiations, employee relations, and strategic planning.

11:00 am - 12:00 pm

Your Best Moment Ever: Being Present Amidst the Grind

0.1 CEU

Each new day demands that we get more done. That we dig in, sharpen our focus, and push through all the challenges and distractions crowding around us -- all the while, trying to be present to the moments and people around us. Let's talk about this. How can you stay present while still being effective? In this presentation will discuss methods for minimizing distractions, understanding your grind point, and being ready for your best moment ever.

Presenter: Brian Urban, Au.D.

Brian Urban, AuD, is the President of CounselEAR and a former private practice owner in Evanston, IL. He is a Past President of the Academy of Doctors of Audiology, an Adjunct Faculty member at Rush University, an Advisory Board Member for Salus' Osborne College of Audiology, and a Distinguished Fellow in the Audiology Academy of the National Academies of Practice. He enjoys short walks on the beach and dancing like everyone is watching.  

1:30pm - 3:30pm

Medical Errors for Audiologists to Avoid

0.2 CEU

This 2-hour clinically-oriented presentation focuses on simple steps and systematic strategies for reducing professional liability in the practice of audiology. The lecture begins with a brief overview of the serious problem of medical errors in modern health care. Then, important terms are defined and explained including civil and criminal professional liability. A major portion of the session is devoted to a review of the importance of fol- lowing standard of care and clinical practice guidelines in the delivery of diagnostic and rehabilitative hearing health care. The lecture ends with a summary of tips and strategies to prevent medico-legal risk in audiology. 

Presenter: James W. Hall III, Ph.D.

James W. Hall III, PhD is an internationally recognized audiologist with 40-years of clinical, teaching, research, and administrative experience who has held clinical and academic audiology positions at major medical centers and leadership roles in the American Academy of Audiology. He is the recipient of numerous professional awards and honors and the author of over 190 peer-reviewed publications, invited articles, book chapters and also 10 textbooks.

3:30pm - 4:30pm

The Impact of Consumer-Purchasing Dynamics on Hearing Healthcare

0.1 CEU

Rationale – The landscape of the US healthcare environment has transformed markedly over the past decade. Much of this transformation is being driven by a new generation of idealistic consumers. In hearing healthcare, these consumer-driven demands have and will continue to shape the demand and, ultimately the provider-based supply, of audiological services and technologies.
Discussion –The purpose of this presentation is to enlighten the audience with an understanding of the new age, healthcare consumer. This discussion will include a comparison of the traditional and recently modified segments of service delivery, change in consumer ideology from the medical model to the retail model, and importance of self-efficacy and patient-centeredness.
Conclusion – Provide insights on the practice management opportunities to serve this new genre of listener with impaired hearing.

Presenter: Amyn M. Amlani, Ph.D.

Amyn M. Amlani, PhD, is Director of New Practice Development at Audigy. Prior to this position, Dr. Amlani was an academician for nearly two decades, where he pursued scholarly activities in the areas of: (1) economic and marketing trends within audiology, particularly with respect to evolving/disruptive technologies (direct-to-consumer hearing tests and amplification technologies), (2) consumer purchasing models, (3) provider service-delivery models, (4) hearing conservation for musicians, and (5) room acoustics.

4:30pm - 5:30pm

Student Presentations

Friday, January 31st

8:00am - 9:00am

Information about Auditory Processing Contributes to Effective Audiological Management of Older Adults 

0.1 CEU

In assessing adults for possible hearing loss, most audiologists rely almost exclusively on the findings of air- and bone conduction pure tone audiometry and measures of speech thresholds and speech recognition in quiet. This dated assessment approach fails to identify clinically important auditory problems in adults, problems that disrupt communication and significantly impact quality of life. Comprehensive audiological assessment should routinely include measurement of auditory processing, especially in patients at risk for central auditory dysfunction. The rationale, and a clinical protocol, for assessing auditory processing in adults is presented with an emphasis on how test findings can contribute to more effective management and better patient outcome. 

Presenter: James W. Hall III, Ph.D.

James W. Hall III, PhD is an internationally recognized audiologist with 40-years of clinical, teaching, research, and administrative experience who has held clinical and academic audiology positions at major medical centers and leadership roles in the American Academy of Audiology. He is the recipient of numerous professional awards and honors and the author of over 190 peer-reviewed publications, invited articles, book chapters and also 10 textbooks.

9:00am - 10:00am

Practicing Preventive Audiology ... Promoting Healthy Hearing

0.1 CEU

There is mounting evidence that good hearing is related to healthy living. A healthy diet, regular vigorous exercise, not smoking, and consistent use of hearing protection during sound exposure may prevent hearing loss. Hearing impairment in adults is associated with a long list of common chronic diseases. This session includes a review of an evidence-based protocol for auditory diagnosis, and the role of diet and risk factors in hearing loss and tinnitus. Collaborating closely with primary care physicians, audiologists can mitigate development of hearing loss over the lifespan. 

Presenter: James W. Hall III, Ph.D.

James W. Hall III, PhD is an internationally recognized audiologist with 40-years of clinical, teaching, research, and administrative experience who has held clinical and academic audiology positions at major medical centers and leadership roles in the American Academy of Audiology. He is the recipient of numerous professional awards and honors and the author of over 190 peer-reviewed publications, invited articles, book chapters and also 10 textbooks.

9:00am - 9:45am

Natus Medical: Introduction to Otoscan – the Digital Ear Scanning System

0.075 CEU

Otoscan is a comprehensive ear scanning solution that provides a new, safe and easy way to make digital impressions for custom in-the-ear pieces such as earmolds and hearing aids. The scanning software transforms ear scans into digital image files that are ready to be used in 3D modeling production.
The human ear is a complex component of the human anatomy.  As such, creating a digital scan of the ear which includes a dark and potentially curvy and narrow ear canal can be a significant technical challenge. Otoscan provides a solution to the barriers of a successful ear scan but its application does require a basic understanding of how Otoscan works as well as hands-on practice to master the scanning technique.  This course provides the opportunity to address both requirements.

In addition to the validated patient benefits, we will review the overall operational and business benefits that Otoscan can provide to a clinic.  For instance, a new workflow to the patient evaluation path could lead to increased business efficiencies and patient satisfaction.  Compared to the traditionally passive silicone impression process, digital ear scanning could be converted to an active counseling tools that could help optimize the hearing aid selection and purchase process

As we get further into the course, participants will get to know the different hardware pieces that make up the Otoscan application including the scanner, the scanner cradle, a dedicated Otoscan laptop and a practice ear.  In addition, the participants will gain an understanding of how the different Otoscan lasers and cameras work together to create a scan and how these components influence scanning technique.  Scanning workflow will also be discussed.
In addition to a demo of live ear scanning, a brief overview of the Gamified in-depth training software and the applications used to scan and order products will be reviewed.

Presenter: Keeley Moore, Au.D.

Keeley Moore, AuD, is a Field Clinical Trainer with Natus. She is a USMC Veteran with more than 20 years of clinical experience in pediatric diagnostic and fitting audiology; as well as educational audiology, newborn infant hearing screening and early intervention.  Dr. Moore provides presentations on 3D Ear Scanning, vHIT, and Real Ear.  

9:45am - 10:30am

Convenient Fittings with autoREM in Oticon Genie2 

0.075 CEU

Real-ear measurement is a vital component of successful hearing aid fittings. Many clinicians feel that the time involved in doing measurements adds stress to their fittings. It is possible to reduce the time and stress involved in conducting these measures by using autoREM in the Oticon Genie2 software with compatible Audioscan, MedRx, Interacoustics, and Otometrics systems. This session will provide an overview of the autoREM feature in the Oticon Genie2 software and allow participants to practice “hands on” experience with conducting autoREM to promote comfort with the procedure. 

Presenter: Virginia Ramachandran, Au.D., Ph.D.

Darrin Worthington, AuD, has been a member of the Audiology team at the Captain James A. Lovell Federal Health Care Center since its inauguration in 2010, and with the North Chicago VAMC from 2008-2010. He is a clinical audiologist and manages the hospital’s TeleAudiology and Aural Rehabilitation Programs. Dr. Worthington received his B.S. in Hearing Speech and Language Sciences with a minor in Music and Psychology from Ohio University in 2004 and his Doctorate in Audiology from Northwestern University in 2007.

10:00am - 11:00am

TeleAudiology Fundamentals and 21st Century Applications

0.1 CEU

Modern advances in technology and mass communication infrastructure have made healthcare more accessible to more people in more places than ever before. Audiology as a profession has been at the forefront of integrating technology into high quality hearing healthcare. In this talk, past, present, and potential future teleaudiology practices will be explored. Research pertaining to clinician satisfaction, patient satisfaction, and patient outcomes when comparing the traditional healthcare delivery model with remote or telehealth modality of healthcare will also be examined. Of particular interest, how does the use of teleaudiology compare to a traditional face-to-face visits in regards to patient outcomes and satisfaction?

Presenter: Darrin A. Worthington, Au.D.

Darrin Worthington, AuD, has been a member of the Audiology team at the Captain James A. Lovell Federal Health Care Center since its inauguration in 2010, and with the North Chicago VAMC from 2008-2010. He is a clinical audiologist and manages the hospital’s TeleAudiology and Aural Rehabilitation Programs. Dr. Worthington received his B.S. in Hearing Speech and Language Sciences with a minor in Music and Psychology from Ohio University in 2004 and his Doctorate in Audiology from Northwestern University in 2007.

10:30am - 11:15pm

ReSound Tinnitus Management – Expanding Patient Control for the Digital Age

0.075 CEU

The audiologist and patient are vital partners in the patient’s tinnitus treatment journey.  Realizing the importance of this relationship, and of patient-centered strategies, ReSound has further expanded the features and functionality in their latest implementations of the ReSound Smart3D software, ReSound Smart3D app, and ReSound Relief app.  The expanded control is designed to provide the audiologist and patient with additional flexibility for facilitating the treatment of tinnitus.  This presentation will provide a demonstration of these innovate, patient-centered features. 

Presenter: Jack Scott, Ph.D.

Jack Scott, PhD, is a Senior Audiologist in Global Audiology at GN Hearing. Prior to joining GN Hearing, he held education and training positions in both academia and industry.  He earned his Master of Arts degree in Audiology from The University of Texas at Austin, and his Doctor of Philosophy from The University of Texas at Dallas.

11:00am - 12:00pm

Latest Research in oVEMP Studies

0.1 CEU

The Ocular Vestibular Myogenic Evoked Potentials (oVEMP) is a short latency response from the utricle which is measured from the inferior oblique muscle in response to bone conduction, acoustic or galvanic stimulation.  Current research on the methods necessary to obtain an oVEMP response remains in a state of flux due, in large part, to the plethora of recording techniques that are available. Variability in recording techniques make collection of normative data difficult and stresses a critical need to create a standardized collection protocol. This presentation will take the audience through a brief summary of currently available research then expand on the topic by highlighting work being conducted at Northern Illinois University to standardize the oVEMP recording techniques and develop normative data.

Presenter: Blythe Kitner, Au.D.

Blythe Kitner, Au.D. is an assistant Clinical Faculty at Northern Illinois University since 2012. She has worked in a variety of settings including Neurology private practice, hospitals and University.  Her current research area is vestibular diagnosis and treatment in adults and children. She has over 25 publications in the areas of pharmacology, genetics, pain and pain pathways and audiology. 

11:15am - 12:00pm

Starkey Thrive: Welcome to the Mobile App Revolution

0.075 CEU

Starkey’s Thrive mobile app provides users with an intuitive way to interact with their Livio AI and Livio devices. Thrive is a multi-functional app providing access to hearing aid, healthable and information features. This session will provide an overview of Thrive functionality, including the latest updates.

Presenter: Gregory Smith, Au.D., CCC-A

Gregory Smith, AuD, has served as a Field Technology Specialist with Starkey Hearing Technologies for the past 8 years. He came to Starkey with over 10 years of experience as a clinical audiologist and is currently based in St Louis, MO.

1:30pm - 2:30pm

The Effects of Subconcussive Impacts on Auditory P3b In Athletes

0.1 CEU

Objective: The auditory P3b response, measured using a 2-back auditory n-back task, was investigated as an index of change in cognitive function resulting from exposure to subconcussive impacts in contact/collision sports over a single season.
Methods: P3b responses were examined in ten contact/collision sport athletes at three different time points (pre-, mid-, and post-season). Comparisons were made to a control group of ten non-contact sport athletes.
Results: No differences in P3b amplitude or latency were found in pre- versus post-season data when comparing across groups. However, contact/collision sports athletes exhibited significantly smaller amplitudes, but no difference in latencies, at mid-season measurement.
Conclusions: Preliminary results suggest subtle alterations in cognitive abilities may progressively develop over a single season of head impact exposure, as measured by P3b response amplitude. The lack of a difference between groups at post-season measurement suggest an element of recovery may be present; however, additional research is necessary before definitive conclusions can be drawn.

Presenter: Matt Wilson, Ph.D.

Matthew Wilson, PhD, is an Associate Professor at Northern Illinois University. His research agenda includes: 1) to examine ways that the field of auditory electrophysiology can be applied to the study of brain injury, specifically concussions and 2) to raise awareness about the issue of concussions as a whole through community outreach.

1:30pm - 4:30pm

Raising the Bar in the Diagnosis and Treatment of Benign Paroxysmal Positioning Vertigo (BPPV)

0.3 CEU

In this presentation providers will be educated on the most recent, best practices for the diagnosis and treatment of Benign Paroxysmal Positional Vertigo (BPPV). This session will be divided into didactic and hands on in this 3-hour presentation. While many audiologists have previous knowledge of how to diagnose and treat BPPV of the posterior canal, diagnosing lateral canal BPPV and anterior canal BPPV are more challenging. Furthermore, far fewer audiologists are equipped with the knowledge and skills to successfully treat BPPV according to new guidelines and research studies. In this presentation, we will guide those with basic vestibular knowledge to understand the complexities of BPPV, its variants, and provide those who have been performing videonystagmography for years with the knowledge needed to expand their practice and treat BPPV with the equipment they already have. An integral part of treating will be information on best practices, management of complex cases through case studies, billing and coding as this is well within the scope of practice of Audiology. To help cement the didactic portion a hands-on canalith repositioning treatment (CRT) session will be provided so that clinicians will leave feeling confident that they can perform CRT in their clinic and have the tools and resources they need to be successful. Furthermore we will highlight new research in the area of BPPV, so that as a field of Illinois Audiologists, we are raising the bar in providing accurate, effective, and evidence based testing and treatment for BPPV.

Presenters: Heather E. R. Kamath, Au.D. and Blythe Kitner, Au.D.

Heather Kamath, AuD, developed and leads the vestibular program at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. She has coauthored publications in the area of Vestibular Evoked Myogenic Potentials and co-authored a chapter in the Balance Function Assessment and Management textbook (Plural First Edition). Dr. Kamath has focused her career on the clinical aspects of diagnosis and treatment of vestibular disorders, and provision on hearing aid services to Veterans, Active Duty and their dependents.

2:30pm - 3:30pm

Tinnitus and Hyperacusis Activities Treatment: Counseling for adults and children

0.1 CEU

Patients with tinnitus and/or hyperacusis are often distressed and need our help. However, as audiologists, we are not always sure of where to begin. This presentation will describe Tinnitus and Hyperacusis Activities Treatment, a program that provides intervention to patients with tinnitus and/or hyperacusis and has been in use for over 30 years. For tinnitus, we will discuss the four common reactions to tinnitus and demonstrate how picture-based counseling materials and partial masking sound therapy can be used to treat tinnitus. We will demonstrate how to incorporate validated questionnaires and goal setting to measure the effectiveness of therapy. For hyperacusis, we will focus on the problems associated with hyperacusis, the influence of hyperacusis on daily life, and describe the types, causes, and theories for hyperacusis. Additionally, we will introduce treatment options for hyperacusis such as sound therapy, medications, and relaxation exercises. Lastly, we will review difficult clinical cases involving adults and children with tinnitus and hyperacusis to illustrate how Tinnitus and Hyperacusis Activities Treatment can be implemented in clinical practice. 

Presenter: Ann Perreau, Ph.D.

Ann Perreau, PhD, is an associate professor in the Communication Sciences and Disorders Department and Audiology Clinic Coordinator at Augustana College in Rock Island, IL. Ann teaches courses on hearing science, audiology, and research methods, provides audiological services to adults and children, and mentors students completing senior research projects. Her research interests include tinnitus and subjective and objective outcomes related to cochlear implant and hearing aid use in individuals with hearing loss.

3:30pm - 4:30pm

Hearing Aid Features’ Impact on Real Ear Measurements

0.1 CEU

As today’s digital hearing aids become more advanced, verification methods are also impacted, in potentially unknown ways.  Some features are better understood due to their longevity in the hearing aid field, but other features may not have been studied regarding verification as extensively. These features are regularly implemented in hearing aids today, so a discussion of their impact with respect to different verification choices is warranted. 
All of this must be placed in the context of the goal of the verification measurements – is it to ensure target gains are met in the best-case scenario, or is it to evaluate what the patient will experience in the real world with all features activated as they walk out the clinic doors?  What are the ramifications of verifying for either purpose? 

This presentation will discuss real-ear measurements obtained in our lab with features systematically examined for their impact on the response curves, over several parameters such as presentation level, stimulus type and stimulus duration. Advantages and disadvantages of activating hearing aid features while verifying will also be explored, in the context of the goals of the verification measurement session.

Presenters: Erica Koehler, Au.D. and Neil Wright, Au.D.

Erica Koehler, Au.D., is a Senior Audiologist within the GN ReSound Global Audiology and User Experience Group.  She began her career at GN ReSound in 2008 in the Research Group and transitioned into Global Audiology in 2010 where she fulfills the role of Lead Fitting Software Audiologist by providing audiologic input during fitting software design and development. 

Neil Wright, AuD is an audiologist in Global Audiology and User Experience at GN Hearing, having joined the team in 2015.  As part of the Global Audiology team, Neil has led projects and clinical research trials, contributing to development of new hearing aid technology.  Neil has previously presented at the World Congress of Audiology, the American Academy of Audiology, the American Auditory Society, and the American Doctors of Audiology.

4:30pm - 5:30pm

The Effects of Linguistic and Non-linguistic Masking on Young and Middle-aged Listeners Speech Understanding Ability: An Auditory Event-Related Potentials Study

0.1 CEU

Objective: The objective of this study was to determine if middle-aged adults were more negatively affected by linguistic than non-linguistic masking compared to young adults based on auditory event-related potential (AERP) evidence, specifically the N400 component.
Methods: Sixteen young adults and 16 middle-aged adults listened to word pairs (reference-probe word paradigm) and determined if the probe word was semantically related or unrelated to the reference word. This task was performed in three listening conditions: Quiet, Linguistic Masking, & Non-linguistic Masking. Behavioral and AERP data were collected and analyzed for all conditions.
Results: Middle-aged adults had more negative N400 amplitudes for semantically related words but less negative N400 amplitudes for semantically unrelated words compared to young adults. N400 amplitudes for semantically related words were more negative in linguistic and non-linguistic masking compared to in quiet; however, amplitudes were similar between linguistic non-linguistic masking. N400 amplitudes for semantically unrelated words were similar between the three listening conditions. N400 latencies were similar for group, listening condition, and semantic relatedness.
Conclusions: N400 amplitudes suggested that middle-aged adults relied more on higher-order linguistic and cognitive processing for related words in linguistic and non-linguistic masking than young adults. Additionally, N400 amplitudes revealed that linguistic and non-linguistic masking had similar negative effects on the processing of related words but did not influence the processing of unrelated words.

Presenter: Nic Stanley, Au.D., Ph.D.

Nicholas Stanley, AuD PhD, is an Assistant Professor in the Department of Communication Sciences and Disorders at Illinois State University. His research interests are in auditory event-related potentials, age-related differences in speech understanding in complex listening environments, and cognitive hearing science. 



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