(ABR/ASSR) Assessment Workshop: Jason Smalley

09.00- 10.00 Pre reading

10.00- 11.00 Common principles of Auditory Brainstem Response (ABR) and Auditory Steady State Response (ASSR) Tests

11.00- 11.30 ABR and ASSR Stimuli: Tones, Pips, chirps and clicks

11.30-12.30 Interpreting the ABR/ASSR response: Clear Response, Response Absent, inconclusive. Exercise: ABR and ASSR responses

12.30- 13.00 LUNCH

13.00-13.45 ASSR and ABR techniques: 2 channel recordings, CROS hearing and masking. Exercise: ABR masking

13.45-14.45 Strategy, how to use the best test to get you the quickest answer

14.45-15.00 Refreshment break

15.00-16.00 Cochlear Microphonics and Auditory Neuropathy Spectrum Disorder

16.00-16.10 Refreshment break

16.10-17.30 Case studies and difficult cases

Learning outcomes:

1. Anatomy and physiology of peripheral and central auditory system with respect to ABR and ASSR

2. Patient preparation and stimulus parameters and why we do things the way we do

3. Good strategy including patient exercises

4. What does normal and abnormal look like? Clear Response, response absent and inconclusive followed by case exercises

5. Masking in ABR

6. Cochlear microphonic and ANSD testing with case studies

7. What to do next exercise

Jay Jindal, Au.D.

9:00 – 10.00 Pre – reading / viewing (afternoon material): 1 hour

10.00 – 11.00 Advanced ear examination: a review of outer and middle ear pathologies and differential diagnosis with ear examination

11.00 – 12.00 Scientific principles of tympanometry and otoacoustic emission measurement and how to use distortion product OAE in monitoring hearing profile.

12.00 – 12.30 OAE Demo and close

Learning outcomes:

1. Delegates will understand how to use ear examination for diagnosing ear pathologies and making onward referrals

2. Delegates will have a review of tympanometry and acoustic reflex testing

3. Delegates will learn about the parameters, method, interpretation, and clinical use of transient evoked and distortion product otoacoustic emission testing.

17th May 2021: Paediatric Assessment Workshop

Josephine Marriage, Ph.D.

13.30 – 13.45 Zoom Start time: Introduction and Polls 1-3

13.45 – 14.30 Reinforcement Theory (RT) for hearing assessment in children

14.30 – 14.45 Quiz and Break

14.45 – 15.30 VRA study, signals and judging responses

15.30- 15.45 Quiz and Break

15.45 – 16.30 Application of reinforcement theory to conditioned play audiometry (CPA)

16.30 – 17.00 Case study with discussion groups

17.00 – 17.30 Delegates complete Survey Monkey appraisal form and finish

Learning outcomes:

1. Delegates will understand foundations of reinforcement theory (RT) and how it relates to behavioural testing with visual reinforcement audiometry (VRA)

2. Delegates will become familiar with 2 theories of developmental delay and deviance in testing hearing in children

3. Delegates will understand how they can embed these theories into their clinical practice for hearing assessment and management of hearing loss in children

Marlene Bagatto, Au.D., Ph.D.

11:05am– 11:15am Introduction to paediatric hearing aid fitting

11.15am -11.30am Review of using ABR threshold estimations to fit hearing aids for infants

11:30am – 12:10am Revisiting RECD basics and applications with demo

12:10am – 12:25am Common principles of the Desired Sensation Level Method

12:25am – 12:50am Infant-friendly hearing aid verification -Considerations for open fittings

12:50am – 1:05pm The Speech Intelligibility Index (SII) as a tool with hearing aid fitting

1:05pm – 1:30pm BREAK

1:30pm – 1:45pm Verification Demonstration

1:45pm – 2:30pm Noise reduction in paediatric hearing aid fittings

2:30pm – 2:45pm Verification Demonstration

2:45pm – 3:15pm Frequency lowering in paediatric hearing aid fittings

3:15pm – 3:30pm Verification Demonstration

3:30pm – 3:45pm BREAK

3:45pm – 4:00pm Considerations for fitting bone conduction hearing devices to children

4:00pm – 4:30pm Outcome measures for infants and young children who wear hearing aids

4:30pm – 5:00pm Case studies

5:00pm – 5:15pm BREAK

5:15pm – 5:45pm Managing mild bilateral hearing loss in children

5:45pm – 6:15pm Profound unilateral hearing loss: Fitting CROS/BiCROS hearing systems for children

6:15pm – 6:30pm Discussion and wrap-up

Learning Outcomes:

1. Understanding the scientific principles underlying the common verification and validation techniques in paediatric amplification

2. Understanding how to use speech intelligibility index in optimising amplification

3. Setting and verifying frequency lowering in paediatric fittings

4. Learning about the best practices in managing children with mild and unilateral hearing loss