MarApr2009 The magazine of, by, and for audiologists Unbreakable Veteran, Family Man, Audiology Patient OAES: From the Research Bench to the Clinic Interaction of Cognitive and Sensory Systems “Sea Cow” Acoustic Masking Published by the American Academy of Audiology | www.audiology.org Increase your sales to both 1st timers and experienced users IItt’’ss aa bbeeaauuttyy oonn tthhee oouuttssiiddee,, WWee’’vvee ttaakkeenn tthhee iinndduussttrryy’’ss mmoosstt aaddvvaanncceedd pprroocceessssiinngg ppllaattffoorrmm aanndd fifi tt iitt iinnssiiddee oouurr aa sseennssaattiioonn oonn tthhee iinnssiiddee ssmmaalllleesstt,, mmoosstt aattttrraaccttiivvee sshheellll sseett.. •• TThhee uullttiimmaattee ccoommbbiinnaattiioonn ooff aappppeeaalliinngg ddeessiiggnn aanndd oouuttssttaannddiinngg ppeerrffoorrmmaannccee •• FFaannttaassttiicc ssoouunndd qquuaalliittyy wwiitthh SSppaattiiaall SSoouunndd aanndd ffuullll wwiirreelleessss ccoonnnneeccttiivviittyy wwiitthh Oticon Streamer • The perfect tool for reaching both new and experienced users DDuuaall MMiinnnii Dual Connect For more innffoorrmmaattiioonn ppplleease call 1-800-526-3921 or visit - www.oticonusa.com Audiology Today - Dual Ad 12-08.indd 2 12/3/2008 2:44:30 PM Increase your sales to both 1st timers and experienced users IItt’’ss aa bbeeaauuttyy oonn tthhee oouuttssiiddee,, WWee’’vvee ttaakkeenn tthhee iinndduussttrryy’’ss mmoosstt aaddvvaanncceedd pprroocceessssiinngg ppllaattffoorrmm aanndd fifi tt iitt iinnssiiddee oouurr aa sseennssaattiioonn oonn tthhee iinnssiiddee ssmmaalllleesstt,, mmoosstt aattttrraaccttiivvee sshheellll sseett.. •• TThhee uullttiimmaattee ccoommbbiinnaattiioonn ooff aappppeeaalliinngg ddeessiiggnn aanndd oouuttssttaannddiinngg ppeerrffoorrmmaannccee •• FFaannttaassttiicc ssoouunndd qquuaalliittyy wwiitthh SSppaattiiaall SSoouunndd aanndd ffuullll wwiirreelleessss ccoonnnneeccttiivviittyy wwiitthh Oticon Streamer • The perfect tool for reaching both new and experienced users DDuuaall MMiinnnii Dual Connect For more innffoorrmmaattiioonn ppplleease call 1-800-526-3921 or visit - www.oticonusa.com Audiology Today - Dual Ad 12-08.indd 2 12/3/2008 2:44:30 PM We make living easier for hearing impaired people Comfort Contego ® HD Our innovative ALD products improve quality of life for hearing impaired people at work, at home and in many different daily situations. For Institutions and ADA Compliance Comfort Contego ® HD Visit us at AudiologyNOW! 2009 Booth No. 1035 See you there! Digital wireless FM-system for Individuals Dispensers to AudiologistsTM | | COMFORT AUDIO INC. 847-656-5450 WWW.COMFORTAUDIO.US Contents General David Petraeus, MarApr2009 Commander of the U.S. Volume 21 No.2 Central Command, with Sgt. Luis Rosa-Valentin. 26 Unbreakable: Interview with Iraq War Veteran sgt. Luis Rosa-Valentin AT recently had the opportunity to visit with Rosa-Valentin, his family, and his audiologist, Gerald Schuchman, PhD, from Walter Reed Army Medical Center. By David Fabry 34 A Journey for otoacoustic emissions—From Research to the Clinic The discovery of OAEs is a good example of combining both scientific and clinical research to steadily advance the profession of audiology. By Brenda L. Lonsbury-Martin and M. Patrick Feeney 42 A Day in the Life of a Visiting Country Audiologist in Australia Flying in and out of rural Victoria, this audiologist spends most of her time with clients—it is basic, first-contact, make-a-difference work. By Janet Doyle 48 Audition Matters More as Cognition Declines: Cognition Matters More as Audition Declines The interaction and codependence of cognitive and sensory systems remains a paramount concern, as we audiologists consider our role in diagnosing and remediating hearing loss, and providing amplification. By Douglas L. Beck and Jackie L. Clark 60 “sea Cow” Acoustic Masking: the Plight of the Manatee The manatee may be unaware of impending danger because it has hearing loss. It may also be unable to hear approaching boats because of “masking” noise in its native environment. By David Fabry 68 Cam Marston Interview: Keynote Presenter at AudiologynoW! on Generational Issues Identify your generation, learn more about the Cover photo: Sgt. Luis opportunity for self-reflection, and gain a clear idea of the differences Rosa-Valentin and his between generations in the workplace. daughter, Milinda M. By David Fabry Rosa. Photo by Dr. Gerald Schuchman. DePARtMents 70 8 PResIDent’s MessAGe A4…Advancing the Profession of Audiology By M. Patrick Feeney 12 exeCUtIVe UPDAte AudiologyNOW!® A Look Behind the Scenes By Cheryl Kreider Carey 16 LetteRs to the eDItoR Article Reprints for Patients | Background on 30-day Trial Period 18 KnoW-hoW How to Build and Grow Your Practice’s Brand | Electronic Medical Records: The Legal Implications | Selecting an Internet Hosting Provider 22 CALenDAR Academy and Other Audiology-Related Events and Deadlines 24 AUDIoLoGy.oRG What's New on the Academy's Web Site 70 A MoMent oF sCIenCe Cotherapy to Reduce Cisplatin-Induced Ototoxicity By Tiffany G. Baker and Lisa L. Cunningham 73 stUDent sPotLIGht From NAFDA to SAA By Brian Vesely 74 ABA Celebrating 10 Years and Looking Forward to the Next 10 76 ACAe Thoughts on Accreditation By Doris Gordon Academy News 78 GoLD stAnDARDs sUMMIt 2009 Highlights of the Inaugural Event By Therese Walden AuD Program Survey By Christine Yoshinaga-Itano 85 ACADeMy honoRs The Academy Is Proud to Recognize the 2009 Honorees 92 AAAF UPDAte Marion Downs Presentation and Events at AudiologyNOW!® 94 WAshInGton WAtCh Audiologist SOC Adopted in Final Notice Issued by OMB 95 ACADeMy UPDAtes Homeland Security…and Audiology? | Founding Academy Member Don W. Worthington Retires | Academy Invited to Walk for Hearing | In Memoriam: Judy Gravel 98 Meet the PRoFessIonAL stAFF Getting to Know the Academy Staff eDItoRIAL MIssIon The American Academy of Audiology publishes Audiology Today (AT) as a means of communicating information among its members about all aspects of audiology and related topics. AT provides comprehensive reporting on topics relevant to audiology, including clinical activities and hearing research, current events, news items, professional issues, individual-institutional-organizational announcements, and other areas within the scope of practice of audiology. Send article ideas, submissions, questions, and concerns to [email protected]. Information and statements published in Audiology Today are not official policy of the American Academy of Audiology unless so indicated. CoPyRIGht AnD PeRMIssIons Materials may not be reproduced or translated without written permission. For permission to photocopy or use material electronically from Audiology Today, visit www.copyright.com or contact the Copyright Clearance Center, Inc. (CCC) at 978-750-8400. CCC is a not-for- profit organization that provides licenses and registration for a variety of users. © Copyright 2009 by the American Academy of Audiology. All rights reserved. COME VISIT US WHILE YOU ARE AT THE CONVENTION! WE WILL BE AT BOOTH 2312. ASK ABOUT OUR AVAILABLE POSITIONS Newport Audiology is one of the leading providers of Audiology services throughout the nation. Since 1970, we have been dedicated to enhancing the quality of people’s lives by improving their ability to communicate. Now accepting 4th year externs!!! This is a great opportunity for Au.D. candidates who are interested in specializing in dispensing hearing aids after graduation. We have diagnostic centers available to provide 4th year students with broad clinical experience. This experience includes basic audiological evaluation, Immittance, emissions, ABR and ENG/VNG. Your supervisors are ASHA accredited. This is a paid twelve month or last site rotation placement. THE NEWPORT ADVANTAGE   Competitive Salary Patient Centered Atmosphere   Outstanding Bonus Plan High Quality of Patient Care   Generous PTO and Paid Holidays High Caliber of Staff   401(k) Plan Low Staff Turnover   Relocation Assistance On-Going Training   Licensing Assistance Providing Services since 1970   4th Year Au.D. Externship Warm, Friendly Workplace   Peer Interaction and Support Full Administrative Support For more information: Visit our website:www.newportaudiology.com, or call (800)-600-7118 or email [email protected] BoARD oF DIReCtoRs PResIDent M. Patrick Feeney, PhD University of Washington [email protected] The American Academy of Audiology promotes quality hearing and balance care by advancing the profession of audiology through leadership, advocacy, education, PResIDent-eLeCt Kris English, PhD public awareness, and support of research. University of Akron [email protected] PAst PResIDent Alison Grimes, AuD UCLA Medical Center Content editor executive editor [email protected] David Fabry, PhD | [email protected] Amy Miedema | [email protected] BoARD MeMBeRs-At-LARGe editorial Advisors Managing editor Bopanna B. Ballachanda, PhD Premier Hearing Centers Shilpi Banerjee, PhD Joyanna Wilson [email protected] Craig Champlin, PhD senior Graphic Designer E. Kimberly Barry, AuD Bruce Edwards, AuD Department of Veterans Affairs Suzi van der Sterre Brian Fligor, ScD Medical Center [email protected] Craig Kasper, AuD editorial Assistant Deborah L. Carlson, PhD Therese Walden, AuD Kevin Willmann University of Texas [email protected] editor emeritus Web Manager Lawrence M. Eng, AuD Jerry Northern, PhD Jamie Stutt Golden Gate Hearing Services [email protected] Advertising sales Christy Hanson | [email protected] | 703-226-1062 Karen A. Jacobs, AuD AVA Hearing Center [email protected] Gary Jacobson, PhD AMeRICAn ACADeMy oF AUDIoLoGy oFFICes Vanderbilt University Medical Center [email protected] Main office Capitol hill office 11730 Plaza America Drive, Suite 300 312 Massachusetts Avenue, NE Patricia Kricos, PhD Reston, VA 20190 Washington, DC 20002 University of Florida Phone: 800-AAA-2336 | Fax: 703-790-8631 Phone: 202-544-9334 [email protected] Thomas Littman, PhD Factoria Hearing Center [email protected] AMeRICAn ACADeMy oF AUDIoLoGy MAnAGeMent Georgine Ray, AuD executive Director Cheryl Kreider Carey, CAE | [email protected] Affiliated Audiology Consultants [email protected] Deputy executive Director Edward A. M. Sullivan | [email protected] senior Director of Finance and Administration Sandy Bishop, CPA | [email protected] Audiology Today (ISSN 1535-2609) is published bi-monthly by the American Academy of Audiology, 11730 Plaza America Drive, Suite 300, Reston, VA 20190; Phone: 703-790-8466. senior Director of Government Relations Melissa Sinden | [email protected] Periodicals postage paid at Herndon, VA, and additional mailing offices. senior Director of education Victoria Keetay, PhD | [email protected] The annual print subscription price is $112 for US institutions ($134 outside the US) and $54 for US individuals ($102 outside senior Director of Meeting services Lisa Yonkers, CMP | [email protected] the US). Single copies are $15 for US individuals ($20 outside the US) and $20 for US institutions ($25 outside the US). For subscription inquiries, telephone 703-790-8466 or 800-AAA- senior Director of Communications Amy Miedema | [email protected] 2336. Claims for un delivered copies must be made within four (4) months of publication. Director of Reimbursement Debra Abel, AuD | [email protected] Publication of an advertisement or article in Audiology Today does not constitute a guarantee or endorsement of the qual- ity, safety, value, or effectiveness of the products or services Director of Industry services Shannon Kelley, CMP | [email protected] described therein or of any of the representations or claims made by the advertisers or authors with respect to such prod- Director of education Meggan Olek | [email protected] ucts and services. To the extent permissible under applicable laws, no respon- AAA Foundation Director of Development Kathleen Devlin Culver, MPA | [email protected] sibility is assumed by the American Academy of Audiology and its officers, directors, employees, or agents for any injury and/or damage to persons or property arising from any use or American Board of Audiology Managing Director Sara Blair Lake, JD, CAE | [email protected] operation of any products, services, ideas, instructions, proce- dures, or methods contained within this publication. When it comes to his granddaughter, Sam is one tough customer. Sam doesn’t want to miss one word, one laugh, one squeal of joy from his precious granddaughter. For him, one of the new receiver in canal (RIC) hearing instruments might be just the ticket. But, the generic eartips on his new instrument may not be quite right for Sam. If the eartips won’t stay seated in his ears, or he has trouble inserting them properly, hearing instrument performance will be aff ected. And if Sam can’t hear his granddaughter, you’re going to be hearing from Sam. Fortunately, Westone off ers several custom RIC earpieces specifi cally designed to off er ease of insertion, exceptional cosmetic appeal, and the superior retention and comfort only a custom earpiece can deliver. You’ll maximize the performance of virtually any RIC instrument, and allow more patients to enjoy the benefi ts of RIC technology. You’ll also make Sam a very happy customer. westone.com 800.525.5071 email [email protected] ISO 9001:2000 Westone’s Style 89 (canal) is ideal for use with the Oticon Delta, Phonak Savia Art™, ReSound dot™, Vivatone®, and similar RIC instruments. One of many custom-fi t RIC earpieces we off er. PResIDent’s MessAGe A4…Advancing the Profession of Audiology You are one of nearly 11,000 audiologists who has chosen the American of Otolaryngology—Head and Academy of Audiology as your Neck Surgery about a collaborative professional society to advance the approach to hearing health care that profession of audiology. recognizes the unique and important Your message to leadership roles of each of our professions in remains clear and consistent— delivering excellent hearing and bal- autonomy of the profession is the ance services to our patients. number-one priority (Membership The board of directors has identified Survey, May 2008). In the 110th three entities with missions critical to Congress, we realized a doubling of achieving autonomy, and the Academy the number of cosponsors on our has entered into written agreements Direct Access bill, HR1665, for a total (memoranda of understanding) with of 108. At our January 2009 meeting, each: the American Academy of the Academy’s Board of Directors Audiology Foundation (AAAF), the discussed strategies for building on American Board of Audiology (ABA), that momentum to achieve direct and the Accreditation Commission are 10 years old or less, one is over access in the 111th Congress. We for Audiology Education (ACAE). 10 years) has been dubbed A4 by our have also had recent talks with our The partnership represented by executive director, Cheryl Kreider colleagues at the American Academy these four nimble organizations (three Carey, CAE, who devised the graphic oRGAnIzAtIon PURPose MIssIon ACADEMY Professional society To promote quality hearing and balance care by advancing the profession of audiology through leadership, advocacy, education, public awareness, and support of research. AAAF Philanthropy To raise funds and support for programs of excellence in education, research, and public awareness in audiology and the hearing sciences. ABA Voluntary certifica- An autonomous organization, dedicated to enhancing tion for individuals audiologic services to the public by promulgating universally recognized standards in professional practice. The ABA encourages audiologists to exceed these prescribed standards, thereby promoting a high level of professional development and ethical practice. ACAE Accreditation for To serve the public by establishing, maintaining, and AuD programs applying standards to ensure the academic quality and continuous improvement of audiology education that reflects the evolving practice of audiology. 8 Audiology Today | MarApr2009