- Upcoming Webinar: Communication strategies to support client behaviour change with Jennifer Irwin – June 3rd, 2021
DATE: Thursday, June 3rd – 2 PM ET
SPEAKER: Dr. Jennifer Irwin, Health Behaviourist, The Monarch System, Inc.
Do you ever feel like you are more invested in your clients’ health-related behaviours than they are? Or, that you spend a fair amount of energy trying to convince clients to do what’s in their best interest? Do you wish there were some fairly simple tools to help facilitate your clients feeling and being more invested in their own changes? There are! This brief introductory webinar brings aspects of motivational interviewing, coaching, and health behaviour theory together to focus on some practical, evidence-based communication strategies to help build motivation and transition that enhanced motivation into a strengthened and real commitment to behaviour change.
By the end of this talk, participants should have a basic understanding/review of:
- some evidence-based, effective ways to communicate with clients to foster behaviour change;
- how “not to” communicate with clients, if the goal is behaviour change; and
- how effective communication with clients benefits both clients and providers.
Speaker: Dr. Jennifer Irwin, Health Behaviourist, The Monarch System, Inc.
Dr. Jennifer Irwin is a health behaviourist, motivational interviewing and coaching trainer, multi-award-winning teacher, and widely published researcher. With 100+ peer-reviewed journal articles, 5 books, and 130 invited talks, Dr. Irwin is most proud of her collaborative work with those who are working to make our world a healthier and better place. She is passionate about kindness, collaboration, and each of us doing our part to support one another. Her research focusses primarily on the application of motivational interviewing and coaching on health-related behaviours.
- Upcoming Webinar: Communication Access for Children Via Personal Remote Microphone Systems: What Does Research Tell Us? With Dawna Lewis – June 29th, 2021
DATE: Tuesday, June 29th – 7 PM ET
SPEAKER: Dawna E. Lewis, PhD, Senior Research Associate, Boys Town National Research Hospital, Omaha, Nebraska
The negative effects of noise, distance, and reverberation on children with hearing loss have been well-documented. In many situations, hearing instruments alone are not sufficient to allow communication access for these children across a range of environments. Research also has shown that children with normal hearing and special listening needs can be negatively impacted by poor acoustics. Remote microphone systems are designed to overcome the deleterious effects of noise, distance, and reverberation. In the 1960s, self-contained remote microphone systems using frequency modulation (FM) technology and body-worn receivers were first introduced. Advances in remote microphone technology have continued to improve their flexibility, adaptability, and convenience. Although ongoing advances in hearing-instrument technology also have resulted in improved speech understanding for listeners with hearing loss, use of remote microphone systems remains an important option for speech understanding in complex acoustic environments. This seminar will provide attendees with a discussion of research on personal remote microphone technology for children as it relates to their communication access. Future research needs to continue to advance our evidence base also will be addressed.
- Have knowledge of advances in personal remote microphone technology since its introduction in the 1960s.
- Have knowledge of the impact of remote microphone technology on speech understanding in children with hearing loss and in children with normal hearing who have special listening needs.
- Have knowledge of research findings regarding remote microphone technology.
Speaker: Dawna E. Lewis, PhD, Senior Research Associate, Boys Town National Research Hospital
Dawna Lewis, PhD, is a Sr. Research Associate at Boys Town National Research Hospital in Omaha, Nebraska. She has presented and published on topics involving pediatric audiology/amplification and hearing assistance technologies, including remote microphone systems. Dr. Lewis served on the AAA Task Force on Guidelines for Remote Microphone Hearing Assistance Technology. She is involved in research addressing issues related to amplification and speech perception in children. Recent work has examined the impact of mild bilateral and unilateral hearing loss on children’s speech understanding in complex environments by manipulating acoustic and visual characteristics of the environments and tasks.
- Archived Webinar: Addressing the elephant in the room: sales in a clinical profession with Andreas Seelisch – Aired: April 22, 2021
DATE: Thursday, April 22nd– 1 PM ET
SPEAKER: Speaker: Andreas Seelisch, M.Sc., B.H.Sc. (Hons), Reg. CASLPO , Director of Audiology, Hearing Solutions
Many clinicians enter audiology unaware that sales acumen was something they might need. Whether it’s not an interest, does not come naturally or was wasn’t a part of their formal education, it does remain a very real part of private practice. This evidence based talk addresses some of the aspects of our profession that make many of us uncomfortable such as talking about money, hearing aids being expensive and other common objections we face when counselling with our patients.
This talk will address reconciling what it means to be both a medical professional as well as a salesperson and how that doesn’t need to be a conflict. We will identify a variety of practical tools and strategies for clinicians to choose from that can organically compliment their individual style and ultimately help achieve success in reaching more patients while feeling good about it! Finally it covers what the literature tells us about some of the most common objections and how we can use that understanding to help manage those objections better.
- Help reconcile what it means to be an audiologist as well as a sales professional
- Discuss common objections, what they mean and how to manage them
- Provide tools and strategies that help us better understand and connect to our patients
Speaker: Andreas Seelisch, M.Sc., B.H.Sc. (Hons), Reg. CASLPO , Director of Audiology, Hearing Solutions
Andreas Seelisch is the Director of Audiology at Hearing Solutions, the largest independently owned and operated hearing aid retailer in Ontario. He graduated from Western University with a Masters in Communication Sciences and Disorders in 2008 and completed his thesis work at the National Centre for Audiology on the sound quality impact of frequency compression technology. His current research focus is on clinically applicable topics such as clinical practice guidelines and exploring barriers to hearing aid uptake.
- Archived Webinar: Audibility-based hearing-aid candidacy for children with Ryan McCreery – Aired: December 1, 2020
DATE: Tuesday, December 1st -1 PM ET
SPEAKER: Ryan McCreery, Ph.D. Director of Research, Director of the Audibility, Perception, and Cognition Laboratory, Boys Town National Research Hospital
Audiologists often rely on the dB HL audiogram to make decisions about hearing-aid candidacy for children. However, this approach leads to inconsistencies in when hearing aids are recommended, particularly for children with mild or minimal hearing losses. The goal of this presentation is to discuss the rationale and supporting data for a hearing-aid candidacy based on the child’s unaided speech audibility. The presentation will include a review of the variability in outcomes for children with mild bilateral hearing loss in previous research and a clinical protocol for supporting hearing-aid candidacy decisions for children with estimates of unaided audibility.
1. Discuss the limitations of the dB HL audiogram as it relates to estimating speech audibility for children.
2. Implement an audibility-based approach to hearing-aid candidacy for children.
3. Describe the caveats to using an audibility-based hearing-aid candidacy criterion
SPEAKER BIO: Ryan McCreery, Ph.D. Director of Research, Director of the Audibility, Perception, and Cognition Laboratory,
Boys Town National Research Hospital
Ryan McCreery is the Director of Research and Director of the Audibility, Perception, and Cognition Laboratory at Boys Town National Research Hospital in Omaha, NE. Ryan provides strategic leadership to the 6 centers and 26 laboratories that comprise the BTNRH research program. His NIH-funded research examines the effects of hearing loss and cognitive development on speech perception in children with typical hearing and children with hearing loss.
- Archived Webinar: Psychological Factors Associated with Hearing Aid Adoption With Gurjit Singh – Aired: November 24, 2020
DATE: Tuesday, November 24th – 1 PM ET
SPEAKER: Gurjit Singh, PhD, reg. CASLPO Senior Research Audiologist, Phonak Canada, Adjunct Professor, University of Toronto; Ryerson University
Hearing loss is a highly prevalent and significantly disabling health condition, and the most common treatment is the provision of hearing instruments. Despite the availability of evidence supporting positive health outcomes associated with hearing instrument use, hearing aid adoption rates remain low. Why is this the case? Research investigating factors that contribute to hearing aid adoption focuses mostly on the role of personal factors (i.e., degree of audiometric hearing loss, personality, attitude, etc.) and demographic factors (i.e., age, gender, etc.), and only focuses somewhat on the role of external factors (i.e., cost, counselling, etc.). Critically, there has been an under-emphasis on understanding how interpersonal and contextual factors contribute to hearing aid adoption. This is somewhat surprising given decades of research on decision-making processes from other fields such as social and cognitive psychology. This presentation will consist of a brief theoretical review of frameworks relevant to better understand decision-making processes, a review of how modern data acquisition techniques can inform hearing rehabilitation research, a review of several large-scale studies investigating hearing aid adoption and associated hearing rehabilitation outcomes, and several concrete ‘takeaways’ designed to inform clinical practice.
- Attendees will be exposed to information about models of behaviour change.
- Attendees will be exposed to examples of family-centred care practices.
- Attendees will be exposed to research on the role of emotion in hearing rehabilitation
SPEAKER BIO: Gurjit Singh, PhD, reg. CASLPO Senior Research Audiologist, Phonak Canada, Adjunct Professor, University of Toronto; Ryerson University
Dr. Gurjit Singh works as a researcher in the long-term research division of Sonova AG. In addition to being a clinical audiologist, he completed degrees in social psychology focused on decision-making and a PhD in cognitive psychology. His research interests focus on factors that lead to success with hearing rehabilitation.
- Archived Webinar: Measuring and Understanding Tinnitus – including patients views on the ‘Meaning of Life’ With Richard S. Tyler – Aired: November 19, 2020
DATE: Thursday, November 19 -7 PM ET
SPEAKER: Richard S. Tyler, Professor, Tinnitus Clinic Director, Department of Otolaryngology, The University of Iowa
It is important to distinguish the tinnitus from the reactions to the tinnitus. We have referred to this as our “Psychological Model”. The reactions are also influenced by our individual live experiences and our psychological make-up. The tinnitus can be measured with loudness ratings and the minimum masking level. The reactions can be measured with the Tinnitus Primary Functions Questionnaire. Everyone is different, but the common reactions are 1) thoughts and emotions, 2) hearing, 3) sleep and 4) concentration. Tinnitus Activities Treatment addresses these individual differences. We have compared the Meaning of Life in tinnitus and cochlear implant patients.
1. Understand the challenges faced by tinnitus patients
2. Learn strategies to show them you care and want to be helpful
3. Appreciate the significance of hearing difficulties and hearing a sound you have no control over
SPEAKER BIO: Richard S. Tyler, Professor, Tinnitus Clinic Director, Department of Otolaryngology, The University of Iowa
Richard received a B.Sc. (Communication Disorders) and a M.Sc. (Audiology), at the University of Western Ontario. He then received a Ph.D. in Psychoacoustics from the University of Iowa. He is currently a Professor in Otolaryngology and in Communication Sciences and Disorders at the University of Iowa. Richard has been a visiting scholar in China, South Africa, Australia, Sweden, Poland, Germany and France. He was made an Honorary Professor in The Society of Medicine and Natural Science, at the University of Parma, Italy, (2016) for my contributions to the Cochlear Implant field. His main areas of interest include tinnitus, hyperacusis and cochlear implants. He edited, Cochlear Implants: Audiological Foundations, the Tinnitus Handbook, Tinnitus Treatments, and A Consumer Handbook of Tinnitus. Richard has served on several grant review committees for NIH, VA, DOD and others. He has served on committees for the National Science Foundation, the World Health Organization, the Department of Defence, the American Academy of Otolaryngology, and the Veterans Administration. He sees tinnitus patients weekly, and hosts an annual Tinnitus and Hyperacusis Treatment Workshop every June.
- Archived Webinar: Therapeutic Techniques for Counseling Complex Patients with Hearing Challenges and Their Families With Michael Hoffman – November 12, 2020
DATE: Thursday, November 12th – 7 PM ET
SPEAKER: Michael Hoffman, PhD, Pediatric Psychologist, Nemours/AI duPont Hospital for Children
This presentation will review counselling techniques that can be used during interactions with complex patients and their families. This includes specific techniques taught to psychologists that can increase patients/family engagement, elicit additional information, and facilitate problem-solving for common difficulties, including limited hearing aid usage, adjustment to a new diagnosis of hearing loss, and family disagreement with medical recommendations. Time will also be spent reviewing the role of diversity, multicultural identity, and cultural humility during patient interactions. Finally, strategies such as motivational interviewing will be modeled during case examples to highlight the counselling techniques. Overall, this seminar will provide attendees with clear, specific ways to navigate complex patient interactions and potentially facilitate better outcomes.
1. Review specific techniques that can be used to increase patient satisfaction and engagement during appointments
2. Present a model for considering the role of multicultural identity and its impact on patient interactions
3. Highlight therapeutic techniques using case examples
SPEAKER BIO: Michael Hoffman, PhD, Pediatric Psychologist, Nemours/AI duPont Hospital for Children
Dr. Michael Hoffman is a Pediatric Psychologist at Nemours/AI duPont Hospital for Children who specializes in working with children with chronic medical conditions. Dr. Hoffman’s clinical work centers on children with hearing differences, related hearing disorders, and cleft palate/craniofacial differences. This includes meeting with families who receive a new diagnosis of hearing loss, those going through the cochlear implant evaluation process, managing challenges related to anxiety, depression, and deaf identity, and reducing barriers to limited device usage. Dr. Hoffman’s research focuses on integrating psychological services into Audiology/ENT clinics and improving quality of life in children and adolescents with hearing differences. Dr. Hoffman is also a deaf individual, utilizing one cochlear implant and one hearing aid.
- Archived Webinar: Hearing and Balance: Impact and Outcomes of Dual Sensory Impairments in the Pediatric Population With Sharon Cushing – October 20th, 2020
DATE: Tuesday October 20 -7 PM ET
SPEAKER: Sharon L. Cushing MD MSc, FRCSC, Otolaryngologist, Hospital for Sick Children
Sensorineural hearing loss (SNHL) in children occurs in 1-3% of live births and acquired hearing loss can additionally occur. This sensory deficit has far-reaching consequences that have been shown to extend beyond speech and language development. Thankfully there are many therapeutic options that exist for these children with the aim of decreasing the morbidity of their hearing impairment. Of late, focus has shifted beyond speech and language outcomes to the overall performance of children with SNHL in real world environments. To account for their residual deficits in such environments, clinicians must understand the extent of their sensory impairments.
Increasingly, SNHL is considered to commonly co-exist with other sensory deficits such as vestibular loss. It is known that vestibular impairment is exceedingly common in children with SNHL with nearly half of children exhibiting vestibular end-organ dysfunction. These deficits naturally lead to impairments in balance and delay in motor milestones. However, this additional sensory deficit likely leads to further impairment in the performance of these children. Attendees of this webinar will come away with a better understanding of the sensory contributions that impact outcomes in the children we care for with hearing loss.
- Defining the co-existence of vestibular impairment in children with SNHL and cochlear implants (CI)
- Describing screening methods aimed at identifying vestibular dysfunction in children with SNHL
- Understanding the functional implications of this dual sensory impairment
- Exploring possible rehabilitative strategies to minimize the impact of vestibular impairment in children with SNHL
SPEAKER BIO: Sharon L. Cushing MD MSc, FRCSC, Otolaryngologist, Hospital for Sick Children
Dr. Sharon Cushing is a full time paediatric otolaryngologist at The Hospital for Sick Children in Toronto, Canada, and an Associate Professor and Clinician Investigator in the Department of Otolaryngology Head and Neck Surgery at the University of Toronto. She is the Director of the Cochlear Implant Program at the Hospital for Sick Children. Dr. Cushing has a clinical and surgical interest in disorders of the external, middle and inner ear, including hearing loss and vestibular dysfunction. Her research interest include vestibular and balance function and dysfunction in children, and its association with hearing loss and cochlear implantation.
Dr. Cushing completed her undergraduate degree at Queen’s University in Kingston, followed by Medical School and Residency training in Otolaryngology Head and Neck Surgery at the University of Toronto. In addition, Dr. Cushing completed a Master’s in Science degree examining vestibular function and balance in children with hearing loss through the Surgeon Scientist Program at the University of Toronto. She completed her fellowship training in Paediatric Otolaryngology at Seattle Children’s Hospital prior to returning to Sick Kids in Toronto.
- Archived Webinar: Personal Protection Equipment and Individuals with Hearing Loss: The Impact on Communication – June 23rd, 2020
Aired: Tuesday, June 23
Speaker: Dr. Dave Gordey, Past President of CAA, Oticon
Abstract: COVID-19 has prompted the use of face masks and shields in community spaces. For individuals with hearing loss, the impact of face masks on communication can be very challenging. When combined with imperfect listening environments, the use of face masks and shields may further degrade the speech signal and restrict access to visual cues. Research has shown face masks/shields can impact audibility for those who wear hearing technology, behaving like a filter for high frequencies (Goldman, Weinstein & Shiman, 2020). For children with hearing loss returning to school, it is likely they may encounter teachers and other school-based professionals who will be using personal protective equipment (PPE). The aim of this project was to evaluate the effect of different PPE on audibility for students with hearing loss.
Speaker Bio: Dave Gordey, Ph.D., Past President of CAA, Director, Oticon A/S
Dave Gordey has been a pediatric audiologist for twenty-seven years. Dave previously worked in a pediatric clinic and hospital in Victoria and North Vancouver. Dave is the director of pediatric audiology and research for Oticon A/S in Copenhagen, Denmark, and is the past president of the Canadian Academy of Audiology. Dave has taught at York University and at the University of British Columbia. Dave’s current research projects include pediatric hearing aids, bone conduction devices and children, unilateral hearing loss, the social and emotional development of children with hearing loss, and knowledge translation and implementation science in pediatric audiology.
- ARCHIVED WEBINAR: Employment Law Considerations for Employers Re-opening their Audiology Business Post COVID-19 with Anthony Panacci – June 4th, 2020
CAA Members watch the recording now
CAA Members Read the Article – Employment Law Considerations for Employers Re-opening Your Audiology or Hearing Health Business
Aired: Thursday June 4th at 12 pm ET
Speaker: Anthony Panacci, Lawyer, Filion Wakely Thorup Angeletti LLP, presents Employment Law Considerations for Employers Re-opening their Audiology Business Post COVID-19 Webinar.
ABSTRACT: While provinces continue to operate under a state of emergency, audiology businesses are proactively planning for the resumption of business operations and the return of workers to the physical workplace. Businesses need to plan for the “new normal” in a post-pandemic era. We invite you to join us for a webinar that will help employers identify, and effectively manage, issues related to the reopening of the economy amidst the ongoing threat of COVID-19.
The webinar will address:
- Ongoing health and safety obligations related to COVID-19
- Recalling employees to work, in both unionized and non-unionized workplaces
- Managing employees who will not or cannot return to work when scheduled
Speaker: Anthony Panacci, Lawyer
Anthony Panacci is a lawyer with Filion Wakely Thorup Angeletti LLP, is one of Canada’s leading management-side labour and employment law firms. Anthony provides advice to both unionized and non-unionized organizations on all aspects of the employment relationship. This includes helping employers with the hiring process, terminations, health and safety matters, and employment policies. He regularly advises employers and defends employers in legal proceedings.
Host: Salima Jiwani
- ARCHIVED WEBINAR: eAudiology Webinar – Privacy and Practicality with Bill Campbell and Erica Zaia- April 30th
Watch the Recording Now
Aired: Thursday, April 30th at 1 pm ET
Speakers: Bill Campbell, Audiologist and Erica Zaia, Audiologist
eAudiology as a tool to reach patients who may find it challenging to access an audiology clinic in person has gained notoriety recently, due in part to the coronavirus crisis. Clinicians who wish to implement eAudiology components in their practice are challenged by the confusing tangle of layered privacy legislation. Gaining a complete understanding of relevant privacy legislation and how it applies to eAudiology is a challenge even for those who have access to legal advice and other resources. The legislation as it exists today is said to be outdated, layered, and often contradictory. The degree of responsibility and liability for the clinician is dependent on outside factors.
Additionally, there are a myriad of possible solutions for eAudiology service delivery. There are videoconference and data-sharing platforms designed for eHealth, for business, and for social communication. Some are available at no cost, while some have significant fees for use. As well, some platforms are easily accessed and understood by patients, where some may be cumbersome to use. Platforms that are based in other countries may or may not be compliant with applicable Canadian privacy legislation.
This webinar is intended to assist hearing health care clinicians in navigating the privacy ‘fog’ and to make informed decisions to ensure patient confidentiality. As well, real world practical experience and solutions will be discussed. Attendees will learn:
- A completely new and different way to view your roles and responsibilities as a clinician.
- Practical suggestions for video conference and data-sharing solutions.
- Real world experience in delivering rehabilitation counseling remotely.
Speakers: William (Bill) Campbell, MCISc, eEHDI Advocate & Activist, Audiologist, a Past President of CAA and Erica Zaia, MSc, Audiologist, CAA Board Member
Host: Dr. Salima Jiwani, a Past President of CAA
All CEU webinars are valid for one CEU.
- A.T. Still University’- 20% discount
A.T. Still University’s Post-Professional Doctor of Audiology is reminding our professional organization partners that qualifying members may receive a 20% discount in tuition for non-degree seeking courses.
Courses offered May 25, 2020-June 21, 2020:
AUDP 8410 Advanced Acoustic Immittance
AUDP 8420 Otoacoustic Emissions: Scientific Foundations and Clinical Applications
AUDP 8430 Tinnitus and Hyperacusis: Theories, Evaluation and Treatment
AUDP 8440 Occupational and Environmental Hearing Conservation
Courses offered July 13, 2020-September 13, 2020:
AUDP 7200 Pathologies of the Auditory and Vestibular System
AUDP 7300 Pharmacology & Ototoxicity
AUDP 7500 Genetics and Hearing Loss
AUDP 8200 Amplification: Assessment, Fitting, and Verification
AUDP 8210 Implantable Devices
AUDP 8220 Counseling, Aural Rehabilitation and Assistive Devices
AUDP 8600 Assessment and Management of (Central) Auditory Processing Disorders
AUDP 8700 Hearing Loss and Healthy Aging
For course descriptions, tuition, and online application, please visit our Post-Professional Doctor of Audiology Program Non-Degree Seeking website at https://www.atsu.edu/post-professional-doctor-of-audiology-non-degree#requirements
- ARCHIVED WEBINAR: eAUDIOLOGY: For right now and for the future webinar with Bill Campbell – April 2, 2020
Watch the recording now CEU credits will be issued via email in early May.
Cyber Security Advisory – Zoom
Aired: Thursday, April 2nd, 2020 – 2 pm – 3 pm ET
Speaker: William (Bill) Campbell, MCISc, eEHDI Advocate & Activist, Audiologist, a Past President of CAA
During the COVID-19 pandemic, hearing health care clinics are either closed or providing significantly reduced services. Clinics are struggling with financial viability and will be facing appointment backlogs once normal services resume. Many audiologists are wondering if eAudiology strategies can enable them to assist patients during this difficult time. eAudiology solutions facilitate patient service with no physical contact, allowing clinicians to interact with patients to address immediate/urgent concerns, to continue patient services and to reduce future of services.
eAudiology solutions vary widely depending on clinic, patient needs and resources. Not every solution will work in a given clinic situation. It is important for audiologists to be familiar with the options available and limitations of current circumstances to choose appropriate solutions and strategies that will work for their clinic and their patients. eAudiology practices must be compliant with patient confidentiality, data security, privacy laws and infection control needs related to the pandemic.
The presentation provides a broad overview of eAudiology strategies and offers practical solutions to specific needs. Attendees will learn:
- Privacy, security, and patient confidentiality concerns and solutions.
- Three groups of eAudiology solutions and the viability of each solution in a given situation.
- Strategies for evaluating eAudiology solutions and continued use once normal clinic operations resume.
Watch the recording now
Date: Thursday, April 2nd, 2020 – 2 pm – 3 pm ET
Speaker: William (Bill) Campbell, MCISc, eEHDI Advocate & Activist, Audiologist, Past President of CAA
Bio: Voted “Most Likely to Invent Something” by his graduating audiology class at Western University in 2000, Bill Campbell has been involved in eAudiology since 2008. A regional program coordinator and audiologist for the Ontario Infant Hearing Program in Thunder Bay Ontario, Canada since 2001, Bill has worked to solve access to services barriers in remote northern Canadian communities. He has collaborated with the National Centre for Hearing Assessment and Management (NCHAM) in developing a resource guide supporting teleaudiology. Bill has also collaborated with the University of South Dakota in developing their infant teleaudiology and related training program. Although recently retired from a successful private practice in Thunder Bay, Bill continues to consult with the Ontario Infant Hearing Program on protocol development and their remote infant ABR assessment program. He is also an active member of Phonak’s “expert circle”, presently focusing on eAudiology awareness.
- ARCHIVED WEBINAR: Understanding Cases of Tinnitus with a Normal Audiogram: Is Hearing Loss Undetected with Brandon Paul – June 9th, 2020
Aired: Tuesday, June 9th at 12 pm ET
Speaker: Brandon Paul, PhD., Sunnybrook Health Sciences Centre
ABSTRACT: The majority of individuals with subjective chronic tinnitus exhibit shifts in the clinical audiogram that signal a degree of hearing loss. These observations support the idea that damage to structures in the ear precipitate a cascade of neuroplastic changes in the brain that give rise to the sensation of phantom sounds. However, 10–15% of individuals with tinnitus have normal hearing thresholds in both ears up to 8 kHz.
This presentation will consider potential reasons that some individuals with tinnitus have hearing thresholds within normal limits. For instance, audiometric shifts may be present but are missed by conventional testing, or damage may have occurred to sensory cells in a manner that does not affect thresholds. An emphasis will be placed on the topic of cochlear synaptopathy, a form of “hidden hearing loss” describing damage to synaptic connections between inner hair cells in the cochlea and auditory nerve fibers. The webinar concludes by describing physiological measures that may reveal synaptopathy, as well as the hurdles that remain before these tests can be used in clinical practice.
- Standard audiometry may miss threshold shifts that are present in tinnitus sufferers, namely at frequencies above 8 kHz, or at several interoctave frequencies.
- Cochlear synaptopathy, or “hidden hearing loss,” may be present in individuals who have normal audiograms (even to 16 kHz) but chronic tinnitus.
- Detecting cochlear synaptopathy has proven difficult in humans, and thus the relationship between tinnitus and synaptopathy is unresolved.
Speaker: Brandon Paul is a Postdoctoral Fellow at Sunnybrook Research Institute and the Department of Otolaryngology within Sunnybrook Health Sciences Centre in Toronto. His research interests concern tinnitus, cochlear implant outcomes, cognitive consequences of hearing loss, and neuroimaging using electroencephalography (EEG). His research has been funded by the Natural Sciences and Engineering Council (NSERC) of Canada, and the American Tinnitus Association.
- ARCHIVED WEBINAR: Applying Person-Centered Care (PCC) in the Appointment with Cherilee Rutherford – May 27, 2020
Watch the recording
This webinar will translate person-centered care from theory into practice. The Calgary-Cambridge Guides and the Four Habits provide the framework of the session. The webinar will focus on the importance of applying person-centered care throughout the appointment and the research that demonstrates the reality of what happens when it comes to “walking the talk” of PCC.
Key learning points
- Review the concept of person-centered care and define the key components of person-centered communication in hearing care and rehabilitation.
- Revisit the Calgary-Cambridge Guides and introduce The Four Habits to facilitate a person-centered interaction.
- Review key communication skills that are fundamental in any hearing care or rehabilitation scenario.
Speaker: Cherilee Rutherford, Ida Institute
Cherilee is the senior audiologist at the Ida Institute. Her professional qualifications include a Bachelors degree in Speech-Language Therapy and Audiology (University of Stellenbosch), a Masters of Health Science and a Professional Doctorate in Audiology (Nova Southeastern University (Florida) as well as Postgraduate Certificates in Teaching and Learning for Higher Education (UCL, London) and Online Facilitation (University of Cape Town). Before joining Ida, Cherilee was the course director for the MSc in Advanced Audiology programme at University College London and lectured at the University of Cape Town in amplification technology and aural rehabilitation.
The Ida Institute is a non-profit organization founded in 2007 by a grant from the William Demant Foundation.
Our mission is to build a community that embraces person-centered care and empowers people to get the hearing care they need. We work with clinicians, academics, and people with hearing loss to create resources that help people develop the knowledge, skills, and confidence to better manage hearing loss.
The Ida Institute is based in Denmark and has a community of +16,000 hearing health care professionals worldwide. Read more at idainstitute.com.
- ARCHIVED WEBINAR: The Importance of Vestibular Assessment in Sport-Related Concussions with Jamie M. Bogle, Feb 25, 2020
Date: Tues, Feb 25, at 12 pm ET
Speaker: Jamie M. Bogle, AuD, PhD, Division Chair of Audiology, Assistant Professor of Audiology, Mayo Clinic Arizona
CAA Members Watch Now
Presentation PDF, and Return to Play Stages Handout
(remember to sign in first then select members only links)
Non CAA Members – Webinar Registration – fee $50.00
ABSTRACT: Sport-related concussion is a significant public health concern that requires a multidisciplinary team to appropriately manage. Athletes often report dizziness and imbalance following concussion. Vestibular diagnostics can provide significant information for providing appropriate management to these patients. Identifying underlying deficits related to oculomotor function, gaze stability, and balance help to appropriately refer athletes to appropriate rehabilitation services and education accommodations, but also serve as biomarkers for recovery and when it is safe for the athlete to return to play. The purpose of this presentation is to provide background on the current understanding of concussion on the peripheral and central vestibular system and to describe an abbreviated protocol useful in identification of acute injury and for monitoring recovery.
- To describe the importance of understanding concussion symptoms and clinical presentation
- To analyze current understanding of concussion presentation in the vestibular clinic
- To evaluate current diagnostic capabilities in evaluating concussion and concussion recovery in the vestibular clinic
Speaker: Jamie M. Bogle, AuD, PhD
Division Chair of Audiology, Assistant Professor of Audiology, Mayo Clinic Arizona
Jamie M. Bogle, AuD, PhD, is an Assistant Professor of Audiology at the Mayo Clinic College of Medicine and Science and the division chair of Audiology at Mayo Clinic Arizona. Clinically, Dr. Bogle evaluates children and adults with dizziness and imbalance due to peripheral and central conditions. She is interested in improving the diagnostic tools available for evaluating patients across the lifespan to better understand inner ear function in both typical and disordered patients. Her research interests include the integration of visual and vestibular information in individuals with neurological impairments, including concussion, and the improved understanding of the importance of vestibular gravito-inertial information into overall body function. She earned her Doctorate of Audiology (AuD) and PhD from the University of Colorado at Boulder and was awarded the James and Martha Crawford Endowed Clinical Research Fellowship in Otolaryngology at Mayo Clinic Florida. She was awarded the Outstanding Early-Career Audiologist Award in 2018 and was recently elected to the Board of Directors for the American Academy of Audiology.
CAA Members Watch Now
(remember to sign in first then select members only links)
Non CAA Members – Webinar Registration – fee $50.00
- Archived Webinar: Hearing Healthcare for Infants and Children in Canada: Status of EHDI Programs with Marlene Bagatto, Sheila Moodie (April 10, 2019)
Speakers: Marlene Bagatto, AuD, PhD, Aud(C) & Sheila Moodie, PhD
Presented: Wednesday, April 10th, 2019
CAA Members watch the recording now
Early hearing detection and intervention (EHDI) programs are available worldwide to proactively address hearing health in infants and children. A report card issued in 2014 from the Canadian Infant Hearing Task Force indicated that comprehensive EHDI programs were not available across Canada.
In this presentation, we will describe a status update of EHDI programs in Canada based on information gathered through a 24-item, country-wide survey. Results from this work revealed that, as a whole, Canada remains insufficient in offering comprehensive, accessible and sustainable EHDI programs. Continued action from Canada’s governments, in addition to federal policy leadership, is needed to achieve sufficient and sustainable EHDI programs.
Learning Objectives: Participants of this presentation will be able to:
- Describe the components of a comprehensive EHDI program.
- Explain the status of EHDI programs across Canada.
This webinar is eligible for a CAA CEU. This webinar is for CAA and SAC members only.
Speakers: Marlene Bagatto, AuD, PhD, Aud(C) & Sheila Moodie, PhD
Marlene Bagatto, AuD, PhD, Aud(C)
Marlene Bagatto is a professor at Western University in the School of Communication Sciences and Disorders and the National Centre for Audiology. She is the chair of the Canadian Infant Hearing Task Force and was the president of the Canadian Academy of Audiology.
Sheila Moodie, PhD
Sheila Moodie is an associate professor at Western University in the School of Communication Sciences and Disorders. She is a member of the National Centre for Audiology and the Canadian Infant Hearing Task Force and is the director of the Family-Centred Early Intervention Lab at Western University.
- Archived Webinar: What the Auditory Cortex Does Before and After Hearing Loss with Stephen G. Lomber (May 29th, 2019)
Date: Wednesday, May 29th at 1 pm ET
Speaker: Stephen G. Lomber Ph.D., Professor of Physiology and Psychology, University of Western Ontario
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ABSTRACT: Cortical plasticity is the neural mechanism by which the cerebrum adapts itself to its environment, while at the same time making it vulnerable to impoverished sensory or developmental experiences. Like the visual system, auditory development passes through a series of sensitive periods in which circuits and connections are established and then refined by experience. During these periods, the functional maturation of auditory processing and perception is critically dependent on adequate auditory experience. Unfortunately, in cases of sensory deprivation, such as congenital deafness, this process is arrested. Fortunately, it appears that this situation can be reversed in individuals that receive cochlear prosthetics.
Current research is expanding our understanding of cerebral processing and organization in the deaf. In the congenitally deaf, higher-order areas of “deaf” auditory cortex demonstrate significant crossmodal plasticity with neurons responding to visual and somatosensory stimuli. This crucial cerebral function results in adaptive, compensatory plasticity. Not only can the remaining inputs reorganize to substitute for those lost, but this additional circuitry also confers enhanced abilities to the remaining systems. In this presentation, we will review our present understanding of the structure and function of “deaf” auditory cortex using psychophysical, electrophysiological, and connectional anatomy approaches and consider how this knowledge informs our expectations of the capabilities of cochlear implants in the developing brain.
- To learn how anatomical, electrophysiological, and psychophysical techniques can be used to examine the functional organization of the auditory cortex in hearing and deaf subjects.
- To learn how the absence of auditory input during brain development alters the developmental trajectory of auditory cortex and how even short periods of acoustic experience during development can have a major influence on cerebral organization.
- To appreciate how cochlear implants can re-establish an auditory cortical organization similar to that of a hearing individuals.
Speaker Bio: Stephen G. Lomber Ph.D
Stephen G. Lomber, Ph.D. is a Professor of Physiology and Psychology at the University of Western Ontario where he holds the Canada Research Chair in Brain Plasticity and Development. Steve directs the Cerebral Systems Laboratory (www.cerebralsystems.ca) and is a Principal Investigator in the National Centre for Audiology and the Brain and Mind Institute. Dr. Lomber’s lab uses an integrated approach of psychophysics, electrophysiological recording, neuroanatomical techniques, and functional imaging to examine processing in auditory cortex. Work in the lab examines cortical plasticity in the presence and absence of acoustic input, and following the initiation of auditory processing through the means of cochlear prosthetics. He is the Associate Editor of Hearing Research, and a past chair of the Gordon Research Conference on the Auditory System and the International Conference on Auditory Cortex.
CAA Members free registration
Non CAA members – fee $50.00 CDN
- Archived Webinar: New Advances in Tinnitus Assessment webinar with Philippe Fournier (November 20th, 2018)
New Advances in Tinnitus Assessment webinar with Philippe Fournier, Ph.D – November 20th, 2018 at 1 pm ET.
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While masking and residual inhibition (RI) may provide diagnostic and prognostic valuable information, these measures are rarely performed in clinics, as they are not adapted to clinical constraints. This webinar will present a new method for measuring tinnitus masking and residual inhibition by using an acoustic sequence made of pulsed acoustic stimulation of fixed duration and inter-stimulus intervals that may be more suited to clinical constraints. The difference between this new technique and the ‘’classic’’ method will be provided. The results obtained with this new technique from a tinnitus cohort of 64 tinnitus patients will be presented. From the study, it was concluded that, with the new technique, the measurements of tinnitus masking and residual inhibition can be easily, quickly and reliably obtained from a wide variety of patients displaying different hearing loss configurations such as presbyacusis, flat hearing loss and even normal hearing. More so, this approach allows the categorization of tinnitus patients into different sub-groups. The potential of these measures as a prognostic indicator of sound therapy success will be discussed.
- Understand the concept of tinnitus masking and residual inhibition
- Differentiate the new technique using pulse noise from the classic method to measure tinnitus masking and residual inhibition
- Integrate the new minimum masking level and minimum residual inhibition level technique using pulse-noise in their clinical practice
- Integrate those new results with those of other test in their overall interpretation of the tinnitus condition of a patient
The Speaker: Philippe Fournier, Ph.D., Postdoctoral fellow researcher, M.Sc.S., Audiologist, FAAA
Philippe Fournier is currently a postdoctoral fellow at the Centre national de la recherche scientifique (CNRS), Université d’Aix-Marseille, France. He is also the founder, and past CEO and president of the Quebec Association of Speech-language Pathologists and Audiologists (QASLPA) from 2011-2014. Philippe research has been dedicated to improve diagnostic measures and therapy options for tinnitus and hyperacusis. Philippe also has previous experience as a clinician in a private practice setting in Montreal and as audiology clinical instructor for the audiology clinic of the Université de Montréal.
- Archived Webinar: Motivation, Cognition and Listening Effort with Mary Rudner (June 28, 2018)
Motivation, Cognition and Listening Effort
Speaker: Professor Mary Rudner
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Hard of hearing people often find that listening is effortful. This makes listening effort an important phenomenon to study. However, there has been a lack of consensus among the research community concerning both the definition of listening effort and how to measure it. The Framework for Understanding Effortful Listening (FUEL, Pichora Fuller et al., 2016) brings together tools and concepts to form a basis for future work on understanding listening effort. It also provides a scientific definition of listening effort: the deliberate allocation of mental resources to overcome obstacles in goal pursuit when carrying out a listening task. Fundamental to the FUEL is Kahneman’s (1973) model of attention and effort, which describes how available cognitive resources are allocated to on-going tasks. This allocation process can also be understood in terms of working memory. The decision to allocate cognitive resources to a listening task often depends on motivation and the pleasure of hearing significant sounds.
In this CAA webinar, I will describe the FUEL and how it can be used as a tool for understanding effortful listening. I will also provide examples of the way in which the FUEL is driving current research.
1. The role of cognition in listening
2. Understanding the Framework for Understanding Effortful Listening (FUEL)
3. Methods of measuring listening effort
Speaker: Mary Rudner, Professor in Disability Research, Linnaeus Centre HEAD, Department of Behavioural Sciences and Learning, Linköping University, Sweden.
Mary Rudner is Professor of Disability Research specializing in Cognitive Hearing Science at Linköping University, Sweden and guest professor at Lund University, Sweden. At Linköping University, she is Deputy Research Manager at the Linnaeus Centre HEAD, for research on HEaring And Deafness, and Director of Studies of the HEAD Graduate School. Her research interest is in the role of cognition in language and memory. Her work is funded by Swedish Research Council, Swedish Foundation for Humanities and Social Sciences, Swedish Council for Health, Working Life and Welfare and she has received career awards from Linköping University. She collaborates nationally and internationally. Recent work has focused on cognitive representation and cross-modal plasticity associated with deafness.
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Non CAA Members – fee $50.00
- Kahneman, D. (1973). Attention and Effort. Englewood Cliffs, NJ: Prentice-Hall, Inc.
- Pichora-Fuller, M.K., Kramer, S.E., Eckert, M.A., Edwards, B.B., Hornsby, B.W.Y., Humes, L.E., Lemke, U., Lunner, T., Matthen, M., Mackersie, C.L., Naylor, G., Phillips, N., Richter, M., Rudner, M., Sommers, M.S., Tremblay, K.L. & Wingfield A. (2016). Hearing Impairment and Cognitive Energy: The Framework for Understanding Effortful Listening (FUEL). Ear and Hearing, 37, 5S-27
- Archived Webinar – An Overview of the Development of the Document, “Vestibular Assessment & Management for Canadian Audiologists: A Scoping Review”
An Overview of the Development of the Document, “Vestibular Assessment & Management for Canadian Audiologists: A Scoping Review”
Presented: Tuesday, May 30 at 12 pm EDT to 1:30 pm EDT
CAA Members: Watch the recording now
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- Archived webinar: Connected Technologies for Improved Access in Global Hearing Care with De Wet Swanepoel (May 22, 2018)
Connected Technologies for Improved Access in Global Hearing Care
Speaker: De Wet Swanepoel, Ph.D., University of Pretoria
Hearing loss is a pervasive chronic disability that affects more than a billion people annually. Unsurprisingly, it is a leading contributor to the global burden of disease. Early access to hearing care is critical for optimal outcomes, but for most of those affected it remains out of reach. Novel solutions, capitalizing on advances in technology and connectivity, demonstrate promise for increasing access and quality of care whilst reducing costs. The penetration and ubiquity of mobile phones, even in developing countries, make connected technologies a powerful potential tool for widespread impact.
This presentation will consider two broad approaches to connected solutions for hearing loss including an end-user consumer model and a point-of-care diagnostic device operated by minimally trained facilitators. The hearZA App – South Africa’s National Hearing Test – was launched on World Hearing Day 3 March 2016 (www.hearZA.co.za). The digits-in-noise test, which is self-administered, is quick and provides a valuable indication of real-life hearing ability – understanding speech-in-noise. The impact of this public hearing health tool will be reviewed along with further developments in accuracy and platform possibilities such as customisable web-apps and freestanding kiosks in community centres.
Targeted community-based hearing tests in contexts such as home visits, schools and primary health care clinics can be facilitated by minimally trained persons using low-cost connected technologies. Our research on Android-based software applications has demonstrated that accurate calibration and real-time noise monitoring is possible on supported devices, which allow for clinically valid pure tone audiometric testing when linked with a calibrated headphone. Connected solutions like these allow new models of service-delivery where minimally trained persons, with support from a cloud-based data management services, can ensure greater penetration, reach and even uptake of hearing health care.
- Participants will be able to describe burden of hearing loss globally
- Participants will be gain an understanding on how mHealth solutions can impact hearing care
- Participants will be able to describe new community-based service-delivery models enabled by connected hearing care
Speaker: Prof. De Wet Swanepoel, is professor in the Department of Speech-Language Pathology and Audiology, University of Pretoria with adjunct positions at the University of Western Australia, and is a senior research fellow at the Ear Science Institute Australia. Prof Swanepoel’s research capitalises on the growth in information and communication technologies to explore, develop and evaluate innovative service delivery models and applied solutions to improve access to early development and health services, particularly in ear and hearing care. He has published more than 140 peer-reviewed articles, books and book chapters and has received numerous national and international awards in recognition of his work. Prof Swanepoel serves as president of the International Society of Audiology and as deputy editor-in-chief of the International Journal of Audiology.
De Wet Swanepoel, Ph.D.
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, Gauteng, South Africa
- Ear Sciences Centre, School of Surgery, University of Western Australia, Nedlands, Australia
- Ear Science Institute Australia, Subiaco, Australia
- Archived Webinar: Speech Understanding in Complex Environments by Children Who Are Hard of Hearing – Sept 25, 2019
DATE: September 25th, 2019 – 1pm ET
SPEAKER: Dawna Lewis, PhD, Senior Research Associate, Boys Town National Research Hospital
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ABSTRACT: There is a substantial body of research demonstrating that speech perception by children who are hard of hearing is negatively impacted by poor acoustics. Much of the previous research in this area has been conducted via laboratory studies using speech-recognition tasks with a single talker and presentation via earphones and/or from a loudspeaker located directly in front of the listener. Real-world speech understanding, however, is affected by interdependent factors including characteristics of the listener, the target speech and background sounds, the acoustic environment, and the message/task. This presentation will address timely issues relative to speech understanding in complex environments, focusing on children who are hard of hearing. We will review relevant research and discuss results in terms of implications for real-world listening and understanding. This discussion will be of interest to clinicians who work with children who are hard of hearing and their families and will provide information that can enhance service provision.
Key Learning Points:
- Have knowledge of the effects of room acoustics on speech understanding.
- Have knowledge of auditory and visual factors that impact speech understanding.
- Have knowledge of the effects of task complexity on speech understanding.
SPEAKER: Dawna Lewis, PhD, Senior Research Associate, Boys Town National Research Hospital
Dawna Lewis, PhD, is a Sr. Research Associate at Boys Town National Research Hospital in Omaha, Nebraska. She has presented and published on topics involving pediatric audiology/amplification and hearing assistance technologies. Dr. Lewis is involved in research addressing issues related to amplification and speech perception in children. Recent work has examined the impact of mild bilateral and unilateral hearing loss on children’s speech understanding in complex environments by manipulating acoustic and visual characteristics of the environments and tasks.