Τρίτη 25 Οκτωβρίου 2016

Dose Schedule and Enhanced Conversational Recast Treatment for Children With Specific Language Impairment

Purpose
Dosage has been identified as an important element of treatment that may affect treatment efficacy. The purpose of this study was to examine the role of dose schedule for treatment of grammatical morphology deficits in children with specific language impairment (SLI).
Method
Sixteen 4-to-5-year-old children with SLI participated in a 5-week intervention consisting of equivalent daily Enhanced Conversational Recast treatment (Plante et al., 2014) targeting grammatical morphology. Half of the children received treatment in one 30-min session (massed condition). Half received treatment in three 10-min sessions (spaced condition) within one 4-hr period. Progress was assessed 3 times weekly by probing a child's use of his or her treatment morpheme and untreated morpheme (a maturational control) in untreated contexts.
Results
Pre- to posttreatment morpheme usage differed significantly for children regardless of dosage condition, and pre to post usage of an untreated morpheme was unchanged, demonstrating overall treatment efficacy. There were no differences in treatment effects for the massed and spaced conditions.
Conclusions
The study adds to evidence that Enhanced Conversational Recast can produce positive results in a short period of time for children with SLI. Furthermore, clinicians may have some flexibility in terms of the dose schedule they use to deliver this treatment in an evidence-based manner.

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The Role of Socioeconomic Status in the Narrative Story Retells of School-Aged English Language Learners

Purpose
We examined the relationship between maternal level of education as an index of socioeconomic status (SES) on the narrative story retells of school-aged children who are English language learners (ELLs) to guide interpretation of results.
Method
Using data available from the Systematic Analysis of Language Transcripts database (Miller & Iglesias, 2012), we were able to compare the language samples of 907 ELL students in kindergarten and 2nd grade whose parents had different levels of education. We used a simple linear regression to see if maternal level of education was predictive of measures of vocabulary, syntax, and narrative structure in Spanish and English narrative story retells.
Results
There were no differences in language measures between children from different SES backgrounds for the Spanish language samples. There were differences with the English language samples in four of the five measures for the kindergarten sample and only three of five measures for the older children, with a smaller percentage of the variance explained.
Conclusion
Despite common knowledge that SES has a negative influence on language, the actual influence on the narrative productions of school-aged ELLs was less than anticipated for English and absent for Spanish. The implications for assessment are discussed and concluded.

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Telling Tales: Personal Event Narratives and Life Stories

Purpose
Speech-language pathologists know much more about children's development of fictional narratives than they do about children's development of personal narratives and the role these personal narratives play in academic success, social–emotional development, and self-regulation. The purpose of this tutorial is to provide clinicians with strategies for assessing and developing children's and adolescents' personal narratives.
Method
This tutorial reviews the literature on (a) the development of autobiographical event narratives and life stories, (b) factors that contribute to development of these genres, (c) the importance of these genres for the development of sense of self-identity and self-regulation, (d) deficits in personal narrative genres, and (e) strategies for eliciting and assessing event narratives and life stories.
Implications
To promote development of personal event narratives and life stories, speech-language pathologists can help clients retrieve information about interesting events, provide experiences worthy of narrating, and draw upon published narratives to serve as model texts. Clinicians can also address four interrelated processes in intervention: reminiscing, reflecting, making coherent connections, and signaling the plot structure. Furthermore, they can activate metacognitive awareness of how evaluations of experiences, coherence, and plot structure are signaled in well-formed personal event narratives and life stories.

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Exciting Changes Coming to LSHSS ! You Are Invited to Participate!

Purpose
In this editorial, the Editor of Language, Speech, and Hearing Services in Schools (LSHSS) describes important changes coming to LSHSS and all ASHA journals and calls for readers to voice their opinion regarding important topics and formats they would like to see included in future LSHSS volumes.

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Strategies for Teachers to Manage Stuttering in the Classroom: A Call for Research

Purpose
This clinical focus article highlights the need for future research involving ways to assist children who stutter in the classroom.
Method
The 4 most commonly recommended strategies for teachers were found via searches of electronic databases and personal libraries of the authors. The peer-reviewed evidence for each recommendation was subsequently located and detailed.
Results
There are varying amounts of evidence for the 4 recommended teacher strategies outside of the classroom, but there are no data for 2 of the strategies, and minimal data for the others, in a classroom setting. That is, there is virtually no evidence regarding whether or not the actions put forth influence, for example, stuttering frequency, stuttering severity, participation, or the social, emotional, and cognitive components of stuttering in the classroom.
Conclusion
There is a need for researchers and speech-language pathologists in the schools to study the outcomes of teacher strategies in the classroom for children who stutter.

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Do Adolescents With Specific Language Impairment Understand Driving Terminology?

Purpose
This study examined if adolescents with specific language impairment (SLI) understand driving vocabulary as well as their typically developing (TD) peers.
Method
A total of 16 adolescents with SLI and 16 TD comparison adolescents completed a receptive vocabulary task focused on driving terminology derived from statewide driver's manuals.
Results
The SLI group understood fewer driving-related terms when compared with the TD comparison group. Although both groups performed comparably in understanding simple noun driving terminology, the SLI group had greater difficulty comprehending compound noun and verb driving terms.
Discussion
The decreased understanding of terms found in driver's manuals for adolescents with SLI has implications for how they access necessary information for learning the driving rules, regulations, and procedures important for securing a driver's license.

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Assessing the Reliability and Use of the Expository Scoring Scheme as a Measure of Developmental Change in Monolingual English and Bilingual French/English Children

Purpose
The Expository Scoring Scheme (ESS) is designed to analyze the macrostructure of descriptions of a favorite game or sport. This pilot study examined inter- and intrarater reliability of the ESS and use of the scale to capture developmental change in elementary school children.
Method
Twenty-four children in 2 language groups (monolingual English and bilingual French/English) and 2 age groups (7–8 years, 11–12 years) participated (6 in each subgroup). Participants orally explained how to play their favorite game or sport in English. Expository discourse samples were rated for 10 macrostructure components using the ESS. Ratings were summed for a total score.
Results
Inter- and intrarater reliability was high for the total ESS score and for some but not all ESS components. In addition, the total score and ratings for many ESS components increased with age. Few differences were found in use of macrostructure components across language groups.
Conclusions
The ESS captures developmental change in the use of expository macrostructure in spoken discourse samples. It may be beneficial to take into account the lower reliability found for ratings of some ESS components in clinical practice. Due to the small sample size, these results should be considered preliminary and interpreted with caution.

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Bilingual and Home Language Interventions With Young Dual Language Learners: A Research Synthesis

Purpose
The purpose of this systematic review was to determine what bilingual or home language interventions have been found to be effective for 2- to 6-year-old dual language learners who have language impairment (LI) or are at risk for LI.
Method
We conducted ancestral searches and searches of electronic databases, hand-searched article bibliographies, and searched 19 journals for experimental, quasiexperimental, or single-subject studies.
Results
The review yielded 26 studies that were coded for quality, frequency and duration of the intervention, number of participants, location of intervention, interventionist, language(s) of intervention, and reported or calculated effect sizes. Studies were grouped by those that focused specifically on at-risk populations and those that focused on children with LI. Emerging trends provide support for bilingual and/or home language interventions for both children with LI and those at risk for LI.
Conclusions
There were relatively few studies that met inclusion criteria, and the average quality rating for a study was 6.8 out of 9.0 possible points. More high-quality research is needed, particularly with populations that speak languages other than Spanish. Clinicians need more evidence-based recommendations to improve the language and literacy outcomes of the diverse range of dual language learners served in the United States and abroad.

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Dose Schedule and Enhanced Conversational Recast Treatment for Children With Specific Language Impairment

Purpose
Dosage has been identified as an important element of treatment that may affect treatment efficacy. The purpose of this study was to examine the role of dose schedule for treatment of grammatical morphology deficits in children with specific language impairment (SLI).
Method
Sixteen 4-to-5-year-old children with SLI participated in a 5-week intervention consisting of equivalent daily Enhanced Conversational Recast treatment (Plante et al., 2014) targeting grammatical morphology. Half of the children received treatment in one 30-min session (massed condition). Half received treatment in three 10-min sessions (spaced condition) within one 4-hr period. Progress was assessed 3 times weekly by probing a child's use of his or her treatment morpheme and untreated morpheme (a maturational control) in untreated contexts.
Results
Pre- to posttreatment morpheme usage differed significantly for children regardless of dosage condition, and pre to post usage of an untreated morpheme was unchanged, demonstrating overall treatment efficacy. There were no differences in treatment effects for the massed and spaced conditions.
Conclusions
The study adds to evidence that Enhanced Conversational Recast can produce positive results in a short period of time for children with SLI. Furthermore, clinicians may have some flexibility in terms of the dose schedule they use to deliver this treatment in an evidence-based manner.

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The Role of Socioeconomic Status in the Narrative Story Retells of School-Aged English Language Learners

Purpose
We examined the relationship between maternal level of education as an index of socioeconomic status (SES) on the narrative story retells of school-aged children who are English language learners (ELLs) to guide interpretation of results.
Method
Using data available from the Systematic Analysis of Language Transcripts database (Miller & Iglesias, 2012), we were able to compare the language samples of 907 ELL students in kindergarten and 2nd grade whose parents had different levels of education. We used a simple linear regression to see if maternal level of education was predictive of measures of vocabulary, syntax, and narrative structure in Spanish and English narrative story retells.
Results
There were no differences in language measures between children from different SES backgrounds for the Spanish language samples. There were differences with the English language samples in four of the five measures for the kindergarten sample and only three of five measures for the older children, with a smaller percentage of the variance explained.
Conclusion
Despite common knowledge that SES has a negative influence on language, the actual influence on the narrative productions of school-aged ELLs was less than anticipated for English and absent for Spanish. The implications for assessment are discussed and concluded.

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Telling Tales: Personal Event Narratives and Life Stories

Purpose
Speech-language pathologists know much more about children's development of fictional narratives than they do about children's development of personal narratives and the role these personal narratives play in academic success, social–emotional development, and self-regulation. The purpose of this tutorial is to provide clinicians with strategies for assessing and developing children's and adolescents' personal narratives.
Method
This tutorial reviews the literature on (a) the development of autobiographical event narratives and life stories, (b) factors that contribute to development of these genres, (c) the importance of these genres for the development of sense of self-identity and self-regulation, (d) deficits in personal narrative genres, and (e) strategies for eliciting and assessing event narratives and life stories.
Implications
To promote development of personal event narratives and life stories, speech-language pathologists can help clients retrieve information about interesting events, provide experiences worthy of narrating, and draw upon published narratives to serve as model texts. Clinicians can also address four interrelated processes in intervention: reminiscing, reflecting, making coherent connections, and signaling the plot structure. Furthermore, they can activate metacognitive awareness of how evaluations of experiences, coherence, and plot structure are signaled in well-formed personal event narratives and life stories.

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Exciting Changes Coming to LSHSS ! You Are Invited to Participate!

Purpose
In this editorial, the Editor of Language, Speech, and Hearing Services in Schools (LSHSS) describes important changes coming to LSHSS and all ASHA journals and calls for readers to voice their opinion regarding important topics and formats they would like to see included in future LSHSS volumes.

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Strategies for Teachers to Manage Stuttering in the Classroom: A Call for Research

Purpose
This clinical focus article highlights the need for future research involving ways to assist children who stutter in the classroom.
Method
The 4 most commonly recommended strategies for teachers were found via searches of electronic databases and personal libraries of the authors. The peer-reviewed evidence for each recommendation was subsequently located and detailed.
Results
There are varying amounts of evidence for the 4 recommended teacher strategies outside of the classroom, but there are no data for 2 of the strategies, and minimal data for the others, in a classroom setting. That is, there is virtually no evidence regarding whether or not the actions put forth influence, for example, stuttering frequency, stuttering severity, participation, or the social, emotional, and cognitive components of stuttering in the classroom.
Conclusion
There is a need for researchers and speech-language pathologists in the schools to study the outcomes of teacher strategies in the classroom for children who stutter.

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Do Adolescents With Specific Language Impairment Understand Driving Terminology?

Purpose
This study examined if adolescents with specific language impairment (SLI) understand driving vocabulary as well as their typically developing (TD) peers.
Method
A total of 16 adolescents with SLI and 16 TD comparison adolescents completed a receptive vocabulary task focused on driving terminology derived from statewide driver's manuals.
Results
The SLI group understood fewer driving-related terms when compared with the TD comparison group. Although both groups performed comparably in understanding simple noun driving terminology, the SLI group had greater difficulty comprehending compound noun and verb driving terms.
Discussion
The decreased understanding of terms found in driver's manuals for adolescents with SLI has implications for how they access necessary information for learning the driving rules, regulations, and procedures important for securing a driver's license.

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Assessing the Reliability and Use of the Expository Scoring Scheme as a Measure of Developmental Change in Monolingual English and Bilingual French/English Children

Purpose
The Expository Scoring Scheme (ESS) is designed to analyze the macrostructure of descriptions of a favorite game or sport. This pilot study examined inter- and intrarater reliability of the ESS and use of the scale to capture developmental change in elementary school children.
Method
Twenty-four children in 2 language groups (monolingual English and bilingual French/English) and 2 age groups (7–8 years, 11–12 years) participated (6 in each subgroup). Participants orally explained how to play their favorite game or sport in English. Expository discourse samples were rated for 10 macrostructure components using the ESS. Ratings were summed for a total score.
Results
Inter- and intrarater reliability was high for the total ESS score and for some but not all ESS components. In addition, the total score and ratings for many ESS components increased with age. Few differences were found in use of macrostructure components across language groups.
Conclusions
The ESS captures developmental change in the use of expository macrostructure in spoken discourse samples. It may be beneficial to take into account the lower reliability found for ratings of some ESS components in clinical practice. Due to the small sample size, these results should be considered preliminary and interpreted with caution.

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Bilingual and Home Language Interventions With Young Dual Language Learners: A Research Synthesis

Purpose
The purpose of this systematic review was to determine what bilingual or home language interventions have been found to be effective for 2- to 6-year-old dual language learners who have language impairment (LI) or are at risk for LI.
Method
We conducted ancestral searches and searches of electronic databases, hand-searched article bibliographies, and searched 19 journals for experimental, quasiexperimental, or single-subject studies.
Results
The review yielded 26 studies that were coded for quality, frequency and duration of the intervention, number of participants, location of intervention, interventionist, language(s) of intervention, and reported or calculated effect sizes. Studies were grouped by those that focused specifically on at-risk populations and those that focused on children with LI. Emerging trends provide support for bilingual and/or home language interventions for both children with LI and those at risk for LI.
Conclusions
There were relatively few studies that met inclusion criteria, and the average quality rating for a study was 6.8 out of 9.0 possible points. More high-quality research is needed, particularly with populations that speak languages other than Spanish. Clinicians need more evidence-based recommendations to improve the language and literacy outcomes of the diverse range of dual language learners served in the United States and abroad.

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Dose Schedule and Enhanced Conversational Recast Treatment for Children With Specific Language Impairment

Purpose
Dosage has been identified as an important element of treatment that may affect treatment efficacy. The purpose of this study was to examine the role of dose schedule for treatment of grammatical morphology deficits in children with specific language impairment (SLI).
Method
Sixteen 4-to-5-year-old children with SLI participated in a 5-week intervention consisting of equivalent daily Enhanced Conversational Recast treatment (Plante et al., 2014) targeting grammatical morphology. Half of the children received treatment in one 30-min session (massed condition). Half received treatment in three 10-min sessions (spaced condition) within one 4-hr period. Progress was assessed 3 times weekly by probing a child's use of his or her treatment morpheme and untreated morpheme (a maturational control) in untreated contexts.
Results
Pre- to posttreatment morpheme usage differed significantly for children regardless of dosage condition, and pre to post usage of an untreated morpheme was unchanged, demonstrating overall treatment efficacy. There were no differences in treatment effects for the massed and spaced conditions.
Conclusions
The study adds to evidence that Enhanced Conversational Recast can produce positive results in a short period of time for children with SLI. Furthermore, clinicians may have some flexibility in terms of the dose schedule they use to deliver this treatment in an evidence-based manner.

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The Role of Socioeconomic Status in the Narrative Story Retells of School-Aged English Language Learners

Purpose
We examined the relationship between maternal level of education as an index of socioeconomic status (SES) on the narrative story retells of school-aged children who are English language learners (ELLs) to guide interpretation of results.
Method
Using data available from the Systematic Analysis of Language Transcripts database (Miller & Iglesias, 2012), we were able to compare the language samples of 907 ELL students in kindergarten and 2nd grade whose parents had different levels of education. We used a simple linear regression to see if maternal level of education was predictive of measures of vocabulary, syntax, and narrative structure in Spanish and English narrative story retells.
Results
There were no differences in language measures between children from different SES backgrounds for the Spanish language samples. There were differences with the English language samples in four of the five measures for the kindergarten sample and only three of five measures for the older children, with a smaller percentage of the variance explained.
Conclusion
Despite common knowledge that SES has a negative influence on language, the actual influence on the narrative productions of school-aged ELLs was less than anticipated for English and absent for Spanish. The implications for assessment are discussed and concluded.

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Telling Tales: Personal Event Narratives and Life Stories

Purpose
Speech-language pathologists know much more about children's development of fictional narratives than they do about children's development of personal narratives and the role these personal narratives play in academic success, social–emotional development, and self-regulation. The purpose of this tutorial is to provide clinicians with strategies for assessing and developing children's and adolescents' personal narratives.
Method
This tutorial reviews the literature on (a) the development of autobiographical event narratives and life stories, (b) factors that contribute to development of these genres, (c) the importance of these genres for the development of sense of self-identity and self-regulation, (d) deficits in personal narrative genres, and (e) strategies for eliciting and assessing event narratives and life stories.
Implications
To promote development of personal event narratives and life stories, speech-language pathologists can help clients retrieve information about interesting events, provide experiences worthy of narrating, and draw upon published narratives to serve as model texts. Clinicians can also address four interrelated processes in intervention: reminiscing, reflecting, making coherent connections, and signaling the plot structure. Furthermore, they can activate metacognitive awareness of how evaluations of experiences, coherence, and plot structure are signaled in well-formed personal event narratives and life stories.

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Exciting Changes Coming to LSHSS ! You Are Invited to Participate!

Purpose
In this editorial, the Editor of Language, Speech, and Hearing Services in Schools (LSHSS) describes important changes coming to LSHSS and all ASHA journals and calls for readers to voice their opinion regarding important topics and formats they would like to see included in future LSHSS volumes.

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Strategies for Teachers to Manage Stuttering in the Classroom: A Call for Research

Purpose
This clinical focus article highlights the need for future research involving ways to assist children who stutter in the classroom.
Method
The 4 most commonly recommended strategies for teachers were found via searches of electronic databases and personal libraries of the authors. The peer-reviewed evidence for each recommendation was subsequently located and detailed.
Results
There are varying amounts of evidence for the 4 recommended teacher strategies outside of the classroom, but there are no data for 2 of the strategies, and minimal data for the others, in a classroom setting. That is, there is virtually no evidence regarding whether or not the actions put forth influence, for example, stuttering frequency, stuttering severity, participation, or the social, emotional, and cognitive components of stuttering in the classroom.
Conclusion
There is a need for researchers and speech-language pathologists in the schools to study the outcomes of teacher strategies in the classroom for children who stutter.

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Do Adolescents With Specific Language Impairment Understand Driving Terminology?

Purpose
This study examined if adolescents with specific language impairment (SLI) understand driving vocabulary as well as their typically developing (TD) peers.
Method
A total of 16 adolescents with SLI and 16 TD comparison adolescents completed a receptive vocabulary task focused on driving terminology derived from statewide driver's manuals.
Results
The SLI group understood fewer driving-related terms when compared with the TD comparison group. Although both groups performed comparably in understanding simple noun driving terminology, the SLI group had greater difficulty comprehending compound noun and verb driving terms.
Discussion
The decreased understanding of terms found in driver's manuals for adolescents with SLI has implications for how they access necessary information for learning the driving rules, regulations, and procedures important for securing a driver's license.

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Assessing the Reliability and Use of the Expository Scoring Scheme as a Measure of Developmental Change in Monolingual English and Bilingual French/English Children

Purpose
The Expository Scoring Scheme (ESS) is designed to analyze the macrostructure of descriptions of a favorite game or sport. This pilot study examined inter- and intrarater reliability of the ESS and use of the scale to capture developmental change in elementary school children.
Method
Twenty-four children in 2 language groups (monolingual English and bilingual French/English) and 2 age groups (7–8 years, 11–12 years) participated (6 in each subgroup). Participants orally explained how to play their favorite game or sport in English. Expository discourse samples were rated for 10 macrostructure components using the ESS. Ratings were summed for a total score.
Results
Inter- and intrarater reliability was high for the total ESS score and for some but not all ESS components. In addition, the total score and ratings for many ESS components increased with age. Few differences were found in use of macrostructure components across language groups.
Conclusions
The ESS captures developmental change in the use of expository macrostructure in spoken discourse samples. It may be beneficial to take into account the lower reliability found for ratings of some ESS components in clinical practice. Due to the small sample size, these results should be considered preliminary and interpreted with caution.

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Bilingual and Home Language Interventions With Young Dual Language Learners: A Research Synthesis

Purpose
The purpose of this systematic review was to determine what bilingual or home language interventions have been found to be effective for 2- to 6-year-old dual language learners who have language impairment (LI) or are at risk for LI.
Method
We conducted ancestral searches and searches of electronic databases, hand-searched article bibliographies, and searched 19 journals for experimental, quasiexperimental, or single-subject studies.
Results
The review yielded 26 studies that were coded for quality, frequency and duration of the intervention, number of participants, location of intervention, interventionist, language(s) of intervention, and reported or calculated effect sizes. Studies were grouped by those that focused specifically on at-risk populations and those that focused on children with LI. Emerging trends provide support for bilingual and/or home language interventions for both children with LI and those at risk for LI.
Conclusions
There were relatively few studies that met inclusion criteria, and the average quality rating for a study was 6.8 out of 9.0 possible points. More high-quality research is needed, particularly with populations that speak languages other than Spanish. Clinicians need more evidence-based recommendations to improve the language and literacy outcomes of the diverse range of dual language learners served in the United States and abroad.

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Five Things Not to Miss in San Diego from Nov. 10-13

San Diego is not only the venue for this year's ADA convention but also a city filled with culture, history, and, surprisingly, beer! We at The Hearing Journal have hand-picked a few seasonal and ongoing activities for those who will be in town for AuDacity 2016 to check out.   

sandiego.jpg

1. San Diego Beer Week

The San Diego Brewers Guild will host its 10-day annual event to promote local craft beer as well as the city's robust brewing community from Nov. 4 to 13. San Diego is home to not only over 120 breweries but also the long-standing San Diego International Beer Festival, which featured a public tasting event and competition with beers from 28 states and 14 countries this year. The city has a reputation for brewing award-winning beers around the world. At this year's Craft Brewers Conference, also known as the "World Beer Cup," San Diego won 14 medals compared with the seven claimed by the U.K. and the 17 by Germany.

Each day of the San Diego Beer Week features a different event, with the most noteworthy being "The IPA Lounge," "Battle of the Guilds," and "Barrel Aged Day." There are some repetitions on the schedule but not many. Definitely check out the sessions you are interested in and plan ahead!

The general admission tickets in advance are $40 and $50 if you purchase on the day of. You can find out more about the event at the event's website.

2. Opening Day of the Bing Crosby Season

The Del Mar Thoroughbred Club is opening its fall season on Nov. 11 with a special program that harkens back to the old-school Hollywood glamor embodied by the race track's iconic founder Bing Crosby. On that day, participants are invited to enter the Star & Stripes Fashion Contest by dressing up in patriotic colors, as classic American icons like Rosie the Riveter and Lady Liberty, or as past or modern-day celebrities to win up to $3,000 in prizes.

In honor of Veterans Day, the club is hosting the Veterans Day Salute party in collaboration with the American Legion, a national nonprofit dedicated to serving wartime veterans. The celebration will feature a concert by country musician Coffey Anderson to support veterans-owned businesses. Proceeds from the party will go to Save Our Legion, the Semper Fi Fund, and other local military charities.

General admission to the Veterans Day Salute is $25, which includes admission to the party, the racetrack, and a barbeque, and to go to the concert only is $10. More information on tickets to the party and opening day in general is available on Del Mar's website.

3. Art: "DeLIMITations: A Survey of the 1821 United States-Mexico Border"

The current presidential race's focus on U.S.-Mexico border relations makes this exhibit at the Museum of Contemporary Art in San Diego especially timely. Artists David Taylor and Marcos Ramírez, who also goes by "ERRE," set out in 2014 to trace the original boundary between the two countries when Mexico first gained its independence from Spain in 1821, which, up to that point, existed only as a reference in historical documents. They installed 47 metal obelisk-shaped markers along the border and documented the whole journey from Brookings, OR, to Port Arthur, TX, in pictures and film, which is available for viewing at the exhibit.

Taylor told TIME that one of their goals for the project was to demonstrate the transitory and ephemeral nature of borders. Part of the exhibit is devoted to showcasing the changes brought about by historical events like the Mexican-American War and government treaties to the U.S.-Mexican frontiers. "We live with borders all the time and we depend on their permanence," Taylor said. "But in fact, history does not support them as static phenomena, they move around all the time."

DeLIMITations is on display until Nov. 27 at the downtown location of the Museum of Contemporary Art. Adults could enter at $10 and bring along those 25 or under for free. Other information about the museum can be found online.

4. Musical: "Miss You Like Hell"

Perhaps it's not surprising that Quiara Alegría Hudes, who won a Pulitzer Prize for her play "Water by the Spoonful" and co-wrote the Tony Award-winning musical "In the Heights" with Lin-Manuel Miranda from the smash hit "Hamilton," chose San Diego for the world premiere of her latest work. "Miss You Like Hell" tells the story of a Latina mother struggling to connect with her estranged daughter during a seven-day road trip before her potential deportation.

Hudes said parts of this original musical were inspired by what she witnessed at San Diego's Friendship Park on the U.S.-Mexico border in an interview with San Diego Magazine. "It was moving to see people who have been separated reunite at that location," Hudes said. "After that, we rewrote a scene that takes place there. We found big-time inspiration."

You could sample a song from "Miss You Like Hell" through a video made by Daphne Rubin-Vega, who portrays the lead character in the musical, of "Over my Shoulder" for the New York Times. The show runs with almost daily performances until Dec. 4 at the La Jolla Playhouse and tickets range from $25 to $73.

5. Gaslamp Quarter Architecture and History Tour

Gaslamp Quarter, listed as an historic district in the National Register of Historic Places, houses more than 90 Victorian buildings that have been standing in San Diego since the 1800's. Part of this 16-and-a-half-block strip was once a red light district named the "Stingaree," because sailors believed it was easier to get "stung" (robbed or abducted) in the area than it was in the surrounding ocean full of stingrays. Many historical buildings like Hotel Lester and the Spencer-Ogden Building were once home to sites of debauchery, such as brothels and opium dens, and bear the seedy history that used to characterize this part of town.

Aside from the preserved and restored buildings, Gaslamp Quarter today bears almost no resemblance to the Gaslamp Quarter in 1850. The Gaslamp Quarter Historical Foundation offers a glimpse into "the transformation of a desolate wasteland to the birth of 'New Town' that eventually merged with Old Town to become the city of San Diego" through 90-minute tours.

The groups depart on Thursdays and Saturdays from the Davis-Horton House the organization's headquarters and the oldest standing structure in downtown San Diego. Reservation is strongly recommended for these tours. For those who can't make it to the scheduled tours or prefer to travel at their own pace, a free self-guided audio tour of 30 major architectural landmarks in Gaslamp is available through the Geotourist app.

Photo credit: iStock/Ron Thomas

Tags: San Diego, audiology
Published: 10/24/2016 10:30:00 AM


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AuDacity 2016 Panel to Tackle PCAST, NASEM Recommendations

​The debate sparked by the 2015 PCAST report and recent NASEM recommendations finds yet another showground at the upcoming AuDacity 2016. In the much-anticipated panel, "Innovation & Disruptive Service Delivery Models," hearing health professionals and industry leaders will discuss the driving forces behind these groundbreaking reports, as well as the work of the Institute of Medicine (IOM) on accessible and affordable hearing health care.

"Regarding the drivers behind the activities at the national level, we will present an overview of the social, economic, physical, and psychological ramifications of untreated hearing loss and the increasing prevalence," explained Barbara Weinstein, PhD, who will serve as one of the panelists.

"The main goal is to provide audiologists with tools to continue to thrive in the face of the innovations thrust upon the profession," she stressed.

The two-part panel session will highlight issues of accessibility, affordability, and innovation—key concerns advanced in the PCAST and NASEM reports, which stirred opposing responses from audiologists and patients alike. Much of the lingering argument is on the recommendation for the FDA to create a separate over-the-counter category for "basic" hearing aids to boost access and expand the range of hearing aid options for those with mild to moderate hearing loss.

"We will discuss innovative ways to reach the people with mild hearing loss who do not avail themselves of our services which is an important and large customer base we should be reaching," said Dr. Weinstein on the panel's goal to address the different barriers to hearing aid access.

This discussion is in line with the NASEM recommendation to promote best practices and core competencies across the continuum of hearing health care, which includes examining, developing, and implementing quality metrics to improve patient outcomes.

Innovations in hearing screening and objective measurement will also be part of the agenda.

"We will recommend expanding the test battery to include screening for multi-morbidities linked to hearing loss such as fatigue, falls, cognitive decline," Dr. Weinstein explained to The Hearing Journal. On this note, she also confirmed that the panel will address the yet unproven direct link between hearing aid use and cognitive decline.

Improving patient-physician communication on hearing-related technology and services is also at the core of the NASEM recommendations.

"We will review how to administer screening tests of cognitive function and how to counsel [patients] about the outcome of the screen," Dr. Weinstein added. 

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:20:00 AM


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Recipe for Audiology Practice Success at AuDacity 2016

The ADA cooked up a promising line-up of practice management sessions designed to 'dare' audiologists and practice managers 'to succeed.' At the upcoming AuDacity 2016, conference participants will have a taste of creative and innovative strategies to address business challenges in today's increasingly competitive and digital health care environment.

"Cookbook" Approach to Management

"Given the landscape of reducing reimbursements and a crowded dispensing field, it is imperative that our practice owners do two things: diversify what they offer and how they provide those products and services, and proactively work on their practices in an organized & knowledgeable way," shared Sheri Weiner, AuD, who will lead the session, "The Practice Kitchen: Clinical Audiology Practice Management."

Running the business side of a private practice has always posed a challenge to audiologists. "Many of us come into this industry ill-prepared to run a practice—what to do when, what the numbers mean, how to read a balance sheet, and how to evaluate the health of our practice," said Dr. Weiner. "Now that I'm no longer actively seeing patients in a clinical setting, I have the opportunity to help other providers do what I did—plan, track, analyze, adjust, and breathe."

"I am commonly asked 'how do you know what to do when?' and 'how do you keep from getting overwhelmed?'" To these queries, Dr. Weiner stressed the importance of hands-on and systematic practice management—a "cookbook method" that is necessary to facilitate multiple tasks. 

"I teach that we group practice management oversight into four 'buckets'—Operations, Finance, Marketing and Metrics—and then routinely manage the practice using a repeatable system with consistent tools (reports and forms) and ingredients (formulas and questions) that are straightforward.  It's what is done with those ingredients that makes some recipes (practices) shine and others fail," she explained.

Considering the PCAST and NASEM recommendations to make over-the-counter hearing aids available for consumers, and the increasing popularity of hearables, it is evident that audiology practices feel the effects of the shifting hearing health care market. As such, Dr. Weiner encourages audiologist to be proactive. "They need to maximize opportunities, manage efficient operations to reduce waste, and offer an enhanced patient experience." 

The Social Media Ingredient

Social media is another ingredient for success that will be highlighted at AuDacity 2016.

"It's no longer an option to pretend like social media is not necessary, especially for private practitioners," said D'Anne Rudden, AuD, who will discuss the power of utilizing social media in the session, "Recipe for Success: Trends, Takeaways and Tools to Grow Your Practice Revenue."

"Social media is such a great tool for clinicians to communicate with patients and their influencers, and also to advance audiology as gatekeepers of hearing health care," she told The Hearing Journal.

While the other speakers in this session will be talking about different practice tools based on their own research, Dr. Rudden will discuss the benefits of social media and offer simple strategies that can be implemented almost immediately.

"My goal is to help inspire enthusiasm and create an easy and achievable social media strategy for all levels of audiology practitioner—whether it's to give them ways to implement it themselves or avenues for them to get help," she expressed.

In this session, the audience can expect to learn how to create effective online conversations with their audience, whether they are local or not. In fact, Dr. Rudden highlighted the potential of social media to enable practitioners to reach a much wider audience in the hearing health space.

Despite the increasing popularity of social media in the health care industry, Dr. Rudden noted the reluctance of some practice owners and managers to venture off their traditional marketing models. "So my hope is to create an excitement and remove the fear and mystery or barriers that they may believe exists, [keeping them from] adding social media to their current marketing strategy," she explained. "It's not something that need to be feared," Dr. Rudden added. "It's a mutually beneficial avenue of communication for all practitioners, whether they are large practices or small private practices." 

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:14:00 AM


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AuDacity 2016: Back to Basics While Looking to the Future

The Academy of Doctors of Audiology (ADA) is re-energizing their annual convention this year with a new name, "AuDacity," and a program of new events that address the biggest challenges in the hearing health profession today: education, service, and technology.

Rita Chaiken, AuD, president of ADA, said the organization's goal for AuDacity 2016 is to provide practical training and equip participants with skills and knowledge they could use immediately when they return to work the following Monday.

"It's really a challenge to our members and guests who will be there to learn alternative skill sets to how they've been practicing to be successful in this era of so many disruptions," Dr. Chaiken said.

This determination to succeed was the academy's guiding principle in designing this year's event. Stephanie Czuhajewski, CAE, executive director of the academy, said the theme, "Dare to Succeed," represents the fact that audiologists can choose their own destiny as private practice owners or clinicians, and audiology as a profession.

"'Dare' reflects the audacious nature of ADA members and the fact that those who are most successful in the future may be the audiologists who embrace new ideas, new technologies, and new models of care to best serve patients," Czuhajewski said.

Besides continuously enriching their own expertise in the area, audiologists face the challenge of educating patients, especially older adults, and other medical professionals about the impact of hearing loss and the importance of good hearing health care.

A CDC National Center for Health Statistics brief published in 2014 indicated that 19 percent of adults aged 40 to 69 had self-reported trouble hearing without a hearing aid, and the rate was significantly higher for adults aged 70 and older (43.2%). Among people who are 70 or older with trouble hearing, 56.8 percent had seen a doctor or other health care professionals about their problem in the past five years, but only 42 percent had ever used a hearing aid.

The low number of older patients opting to use hearing aids could be attributed to lack of follow-up from their care providers. In a study conducted by Thodi and colleagues, 18 percent of the 3,025 adult participants referred for audiologic/hearing aid evaluation tried a hearing aid, but only 11 percent of those who were fitted with a device was still using them two years later (Am J Audiol 2013;22[1]:183). Participants reported that screening was helpful, but the study found that follow-up with hearing aid treatment among participants was low.

One of Dr. Chaiken's objectives for AuDacity 2016 is to direct audiologists back to the basic — service, which she believes is the cornerstone of audiology and how the profession began.

"We have to differentiate ourselves and differentiate audiology from other areas," Dr. Chaiken said. "There are many opportunities in the audiology profession and where we need to focus is patient care and patient service. We have to define ourselves beyond the hardware and really work to be recognized by patients and the medical community for the valuable services we provide."

Research has shown that other medical practitioners' attitude towards hearing rehabilitation deters patients with hearing loss from seeking screening and treatment. A literature review reveals that one of the barriers to help-seeking for hearing impairment and hearing aid adoption appears to be general practitioners' management of age-related impairment (Int J Audiol 2012;51[2]:66). Although medical practitioners acknowledged the theoretical benefits of hearing rehabilitation, they appear less certain about the potential for actual benefit for their older adult patients (Int J Audiol 2011;50[12]:850).

Education at the physician level is key to increasing referrals from doctors in other fields to audiologists for specialized hearing care. Angela Morris, AuD, ADA's president elect, went further to say audiologists should also educate other non-physician providers such as dentist, pharmacists, and optometrists about audiology to broaden the scope of their services.

"We are missing a tremendous opportunity where we can work with these other professionals to help us in our endeavors to educate our patients about the importance of hearing, balance disorders, and their effects," Dr. Morris said.

Another opportunity for audiologists to educate specialists in other areas and collaborate is technology. Firmly believing in the increasing importance of new technology in the practice of audiology, AuDacity will feature a keynote address on disruptive innovations and sessions on how audiologists could adopt new technologies in diagnostics and treatment.

"Audiologists certainly have to incorporate or be aware of what's available to them, how they could use new technologies in their practices, and how they can teach their patients and other professionals they work with about them," Dr. Chaiken said.

ADA emphasizes the importance of cultivating partnerships not only between audiologists and other medical professionals but also among audiologists. The academy sent out a survey to gauge the areas that are most important to their members and will be discussing the survey results during a members-only strategic planning session on Saturday, Nov. 12.

"Members will have the opportunity to weigh in during this type of forum for the first time in many years," Dr. Chaiken said. "They can express their feelings about the organization and the profession. We are definitely listening!"

With a renewed focus on collaboration through education, service delivery, and learning new technology, audiologists will be better positioned to differentiate themselves and make their crucial role in providing care known, which Dr. Chaiken thinks is essential to the success of the profession.

"We are trained and licensed to provide services that we have to offer to people and let communities of patients and medical professionals know," Dr. Chaiken said. "It's an exciting challenge — one that we just have to define ourselves to others, so we can better treat the patients who come to see us."​

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:09:00 AM


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Five Things Not to Miss in San Diego from Nov. 10-13

San Diego is not only the venue for this year's ADA convention but also a city filled with culture, history, and, surprisingly, beer! We at The Hearing Journal have hand-picked a few seasonal and ongoing activities for those who will be in town for AuDacity 2016 to check out.   

sandiego.jpg

1. San Diego Beer Week

The San Diego Brewers Guild will host its 10-day annual event to promote local craft beer as well as the city's robust brewing community from Nov. 4 to 13. San Diego is home to not only over 120 breweries but also the long-standing San Diego International Beer Festival, which featured a public tasting event and competition with beers from 28 states and 14 countries this year. The city has a reputation for brewing award-winning beers around the world. At this year's Craft Brewers Conference, also known as the "World Beer Cup," San Diego won 14 medals compared with the seven claimed by the U.K. and the 17 by Germany.

Each day of the San Diego Beer Week features a different event, with the most noteworthy being "The IPA Lounge," "Battle of the Guilds," and "Barrel Aged Day." There are some repetitions on the schedule but not many. Definitely check out the sessions you are interested in and plan ahead!

The general admission tickets in advance are $40 and $50 if you purchase on the day of. You can find out more about the event at the event's website.

2. Opening Day of the Bing Crosby Season

The Del Mar Thoroughbred Club is opening its fall season on Nov. 11 with a special program that harkens back to the old-school Hollywood glamor embodied by the race track's iconic founder Bing Crosby. On that day, participants are invited to enter the Star & Stripes Fashion Contest by dressing up in patriotic colors, as classic American icons like Rosie the Riveter and Lady Liberty, or as past or modern-day celebrities to win up to $3,000 in prizes.

In honor of Veterans Day, the club is hosting the Veterans Day Salute party in collaboration with the American Legion, a national nonprofit dedicated to serving wartime veterans. The celebration will feature a concert by country musician Coffey Anderson to support veterans-owned businesses. Proceeds from the party will go to Save Our Legion, the Semper Fi Fund, and other local military charities.

General admission to the Veterans Day Salute is $25, which includes admission to the party, the racetrack, and a barbeque, and to go to the concert only is $10. More information on tickets to the party and opening day in general is available on Del Mar's website.

3. Art: "DeLIMITations: A Survey of the 1821 United States-Mexico Border"

The current presidential race's focus on U.S.-Mexico border relations makes this exhibit at the Museum of Contemporary Art in San Diego especially timely. Artists David Taylor and Marcos Ramírez, who also goes by "ERRE," set out in 2014 to trace the original boundary between the two countries when Mexico first gained its independence from Spain in 1821, which, up to that point, existed only as a reference in historical documents. They installed 47 metal obelisk-shaped markers along the border and documented the whole journey from Brookings, OR, to Port Arthur, TX, in pictures and film, which is available for viewing at the exhibit.

Taylor told TIME that one of their goals for the project was to demonstrate the transitory and ephemeral nature of borders. Part of the exhibit is devoted to showcasing the changes brought about by historical events like the Mexican-American War and government treaties to the U.S.-Mexican frontiers. "We live with borders all the time and we depend on their permanence," Taylor said. "But in fact, history does not support them as static phenomena, they move around all the time."

DeLIMITations is on display until Nov. 27 at the downtown location of the Museum of Contemporary Art. Adults could enter at $10 and bring along those 25 or under for free. Other information about the museum can be found online.

4. Musical: "Miss You Like Hell"

Perhaps it's not surprising that Quiara Alegría Hudes, who won a Pulitzer Prize for her play "Water by the Spoonful" and co-wrote the Tony Award-winning musical "In the Heights" with Lin-Manuel Miranda from the smash hit "Hamilton," chose San Diego for the world premiere of her latest work. "Miss You Like Hell" tells the story of a Latina mother struggling to connect with her estranged daughter during a seven-day road trip before her potential deportation.

Hudes said parts of this original musical were inspired by what she witnessed at San Diego's Friendship Park on the U.S.-Mexico border in an interview with San Diego Magazine. "It was moving to see people who have been separated reunite at that location," Hudes said. "After that, we rewrote a scene that takes place there. We found big-time inspiration."

You could sample a song from "Miss You Like Hell" through a video made by Daphne Rubin-Vega, who portrays the lead character in the musical, of "Over my Shoulder" for the New York Times. The show runs with almost daily performances until Dec. 4 at the La Jolla Playhouse and tickets range from $25 to $73.

5. Gaslamp Quarter Architecture and History Tour

Gaslamp Quarter, listed as an historic district in the National Register of Historic Places, houses more than 90 Victorian buildings that have been standing in San Diego since the 1800's. Part of this 16-and-a-half-block strip was once a red light district named the "Stingaree," because sailors believed it was easier to get "stung" (robbed or abducted) in the area than it was in the surrounding ocean full of stingrays. Many historical buildings like Hotel Lester and the Spencer-Ogden Building were once home to sites of debauchery, such as brothels and opium dens, and bear the seedy history that used to characterize this part of town.

Aside from the preserved and restored buildings, Gaslamp Quarter today bears almost no resemblance to the Gaslamp Quarter in 1850. The Gaslamp Quarter Historical Foundation offers a glimpse into "the transformation of a desolate wasteland to the birth of 'New Town' that eventually merged with Old Town to become the city of San Diego" through 90-minute tours.

The groups depart on Thursdays and Saturdays from the Davis-Horton House the organization's headquarters and the oldest standing structure in downtown San Diego. Reservation is strongly recommended for these tours. For those who can't make it to the scheduled tours or prefer to travel at their own pace, a free self-guided audio tour of 30 major architectural landmarks in Gaslamp is available through the Geotourist app.

Photo credit: iStock/Ron Thomas

Tags: San Diego, audiology
Published: 10/24/2016 10:30:00 AM


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AuDacity 2016 Panel to Tackle PCAST, NASEM Recommendations

​The debate sparked by the 2015 PCAST report and recent NASEM recommendations finds yet another showground at the upcoming AuDacity 2016. In the much-anticipated panel, "Innovation & Disruptive Service Delivery Models," hearing health professionals and industry leaders will discuss the driving forces behind these groundbreaking reports, as well as the work of the Institute of Medicine (IOM) on accessible and affordable hearing health care.

"Regarding the drivers behind the activities at the national level, we will present an overview of the social, economic, physical, and psychological ramifications of untreated hearing loss and the increasing prevalence," explained Barbara Weinstein, PhD, who will serve as one of the panelists.

"The main goal is to provide audiologists with tools to continue to thrive in the face of the innovations thrust upon the profession," she stressed.

The two-part panel session will highlight issues of accessibility, affordability, and innovation—key concerns advanced in the PCAST and NASEM reports, which stirred opposing responses from audiologists and patients alike. Much of the lingering argument is on the recommendation for the FDA to create a separate over-the-counter category for "basic" hearing aids to boost access and expand the range of hearing aid options for those with mild to moderate hearing loss.

"We will discuss innovative ways to reach the people with mild hearing loss who do not avail themselves of our services which is an important and large customer base we should be reaching," said Dr. Weinstein on the panel's goal to address the different barriers to hearing aid access.

This discussion is in line with the NASEM recommendation to promote best practices and core competencies across the continuum of hearing health care, which includes examining, developing, and implementing quality metrics to improve patient outcomes.

Innovations in hearing screening and objective measurement will also be part of the agenda.

"We will recommend expanding the test battery to include screening for multi-morbidities linked to hearing loss such as fatigue, falls, cognitive decline," Dr. Weinstein explained to The Hearing Journal. On this note, she also confirmed that the panel will address the yet unproven direct link between hearing aid use and cognitive decline.

Improving patient-physician communication on hearing-related technology and services is also at the core of the NASEM recommendations.

"We will review how to administer screening tests of cognitive function and how to counsel [patients] about the outcome of the screen," Dr. Weinstein added. 

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:20:00 AM


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Recipe for Audiology Practice Success at AuDacity 2016

The ADA cooked up a promising line-up of practice management sessions designed to 'dare' audiologists and practice managers 'to succeed.' At the upcoming AuDacity 2016, conference participants will have a taste of creative and innovative strategies to address business challenges in today's increasingly competitive and digital health care environment.

"Cookbook" Approach to Management

"Given the landscape of reducing reimbursements and a crowded dispensing field, it is imperative that our practice owners do two things: diversify what they offer and how they provide those products and services, and proactively work on their practices in an organized & knowledgeable way," shared Sheri Weiner, AuD, who will lead the session, "The Practice Kitchen: Clinical Audiology Practice Management."

Running the business side of a private practice has always posed a challenge to audiologists. "Many of us come into this industry ill-prepared to run a practice—what to do when, what the numbers mean, how to read a balance sheet, and how to evaluate the health of our practice," said Dr. Weiner. "Now that I'm no longer actively seeing patients in a clinical setting, I have the opportunity to help other providers do what I did—plan, track, analyze, adjust, and breathe."

"I am commonly asked 'how do you know what to do when?' and 'how do you keep from getting overwhelmed?'" To these queries, Dr. Weiner stressed the importance of hands-on and systematic practice management—a "cookbook method" that is necessary to facilitate multiple tasks. 

"I teach that we group practice management oversight into four 'buckets'—Operations, Finance, Marketing and Metrics—and then routinely manage the practice using a repeatable system with consistent tools (reports and forms) and ingredients (formulas and questions) that are straightforward.  It's what is done with those ingredients that makes some recipes (practices) shine and others fail," she explained.

Considering the PCAST and NASEM recommendations to make over-the-counter hearing aids available for consumers, and the increasing popularity of hearables, it is evident that audiology practices feel the effects of the shifting hearing health care market. As such, Dr. Weiner encourages audiologist to be proactive. "They need to maximize opportunities, manage efficient operations to reduce waste, and offer an enhanced patient experience." 

The Social Media Ingredient

Social media is another ingredient for success that will be highlighted at AuDacity 2016.

"It's no longer an option to pretend like social media is not necessary, especially for private practitioners," said D'Anne Rudden, AuD, who will discuss the power of utilizing social media in the session, "Recipe for Success: Trends, Takeaways and Tools to Grow Your Practice Revenue."

"Social media is such a great tool for clinicians to communicate with patients and their influencers, and also to advance audiology as gatekeepers of hearing health care," she told The Hearing Journal.

While the other speakers in this session will be talking about different practice tools based on their own research, Dr. Rudden will discuss the benefits of social media and offer simple strategies that can be implemented almost immediately.

"My goal is to help inspire enthusiasm and create an easy and achievable social media strategy for all levels of audiology practitioner—whether it's to give them ways to implement it themselves or avenues for them to get help," she expressed.

In this session, the audience can expect to learn how to create effective online conversations with their audience, whether they are local or not. In fact, Dr. Rudden highlighted the potential of social media to enable practitioners to reach a much wider audience in the hearing health space.

Despite the increasing popularity of social media in the health care industry, Dr. Rudden noted the reluctance of some practice owners and managers to venture off their traditional marketing models. "So my hope is to create an excitement and remove the fear and mystery or barriers that they may believe exists, [keeping them from] adding social media to their current marketing strategy," she explained. "It's not something that need to be feared," Dr. Rudden added. "It's a mutually beneficial avenue of communication for all practitioners, whether they are large practices or small private practices." 

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:14:00 AM


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AuDacity 2016: Back to Basics While Looking to the Future

The Academy of Doctors of Audiology (ADA) is re-energizing their annual convention this year with a new name, "AuDacity," and a program of new events that address the biggest challenges in the hearing health profession today: education, service, and technology.

Rita Chaiken, AuD, president of ADA, said the organization's goal for AuDacity 2016 is to provide practical training and equip participants with skills and knowledge they could use immediately when they return to work the following Monday.

"It's really a challenge to our members and guests who will be there to learn alternative skill sets to how they've been practicing to be successful in this era of so many disruptions," Dr. Chaiken said.

This determination to succeed was the academy's guiding principle in designing this year's event. Stephanie Czuhajewski, CAE, executive director of the academy, said the theme, "Dare to Succeed," represents the fact that audiologists can choose their own destiny as private practice owners or clinicians, and audiology as a profession.

"'Dare' reflects the audacious nature of ADA members and the fact that those who are most successful in the future may be the audiologists who embrace new ideas, new technologies, and new models of care to best serve patients," Czuhajewski said.

Besides continuously enriching their own expertise in the area, audiologists face the challenge of educating patients, especially older adults, and other medical professionals about the impact of hearing loss and the importance of good hearing health care.

A CDC National Center for Health Statistics brief published in 2014 indicated that 19 percent of adults aged 40 to 69 had self-reported trouble hearing without a hearing aid, and the rate was significantly higher for adults aged 70 and older (43.2%). Among people who are 70 or older with trouble hearing, 56.8 percent had seen a doctor or other health care professionals about their problem in the past five years, but only 42 percent had ever used a hearing aid.

The low number of older patients opting to use hearing aids could be attributed to lack of follow-up from their care providers. In a study conducted by Thodi and colleagues, 18 percent of the 3,025 adult participants referred for audiologic/hearing aid evaluation tried a hearing aid, but only 11 percent of those who were fitted with a device was still using them two years later (Am J Audiol 2013;22[1]:183). Participants reported that screening was helpful, but the study found that follow-up with hearing aid treatment among participants was low.

One of Dr. Chaiken's objectives for AuDacity 2016 is to direct audiologists back to the basic — service, which she believes is the cornerstone of audiology and how the profession began.

"We have to differentiate ourselves and differentiate audiology from other areas," Dr. Chaiken said. "There are many opportunities in the audiology profession and where we need to focus is patient care and patient service. We have to define ourselves beyond the hardware and really work to be recognized by patients and the medical community for the valuable services we provide."

Research has shown that other medical practitioners' attitude towards hearing rehabilitation deters patients with hearing loss from seeking screening and treatment. A literature review reveals that one of the barriers to help-seeking for hearing impairment and hearing aid adoption appears to be general practitioners' management of age-related impairment (Int J Audiol 2012;51[2]:66). Although medical practitioners acknowledged the theoretical benefits of hearing rehabilitation, they appear less certain about the potential for actual benefit for their older adult patients (Int J Audiol 2011;50[12]:850).

Education at the physician level is key to increasing referrals from doctors in other fields to audiologists for specialized hearing care. Angela Morris, AuD, ADA's president elect, went further to say audiologists should also educate other non-physician providers such as dentist, pharmacists, and optometrists about audiology to broaden the scope of their services.

"We are missing a tremendous opportunity where we can work with these other professionals to help us in our endeavors to educate our patients about the importance of hearing, balance disorders, and their effects," Dr. Morris said.

Another opportunity for audiologists to educate specialists in other areas and collaborate is technology. Firmly believing in the increasing importance of new technology in the practice of audiology, AuDacity will feature a keynote address on disruptive innovations and sessions on how audiologists could adopt new technologies in diagnostics and treatment.

"Audiologists certainly have to incorporate or be aware of what's available to them, how they could use new technologies in their practices, and how they can teach their patients and other professionals they work with about them," Dr. Chaiken said.

ADA emphasizes the importance of cultivating partnerships not only between audiologists and other medical professionals but also among audiologists. The academy sent out a survey to gauge the areas that are most important to their members and will be discussing the survey results during a members-only strategic planning session on Saturday, Nov. 12.

"Members will have the opportunity to weigh in during this type of forum for the first time in many years," Dr. Chaiken said. "They can express their feelings about the organization and the profession. We are definitely listening!"

With a renewed focus on collaboration through education, service delivery, and learning new technology, audiologists will be better positioned to differentiate themselves and make their crucial role in providing care known, which Dr. Chaiken thinks is essential to the success of the profession.

"We are trained and licensed to provide services that we have to offer to people and let communities of patients and medical professionals know," Dr. Chaiken said. "It's an exciting challenge — one that we just have to define ourselves to others, so we can better treat the patients who come to see us."​

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:09:00 AM


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Five Things Not to Miss in San Diego from Nov. 10-13

San Diego is not only the venue for this year's ADA convention but also a city filled with culture, history, and, surprisingly, beer! We at The Hearing Journal have hand-picked a few seasonal and ongoing activities for those who will be in town for AuDacity 2016 to check out.   

sandiego.jpg

1. San Diego Beer Week

The San Diego Brewers Guild will host its 10-day annual event to promote local craft beer as well as the city's robust brewing community from Nov. 4 to 13. San Diego is home to not only over 120 breweries but also the long-standing San Diego International Beer Festival, which featured a public tasting event and competition with beers from 28 states and 14 countries this year. The city has a reputation for brewing award-winning beers around the world. At this year's Craft Brewers Conference, also known as the "World Beer Cup," San Diego won 14 medals compared with the seven claimed by the U.K. and the 17 by Germany.

Each day of the San Diego Beer Week features a different event, with the most noteworthy being "The IPA Lounge," "Battle of the Guilds," and "Barrel Aged Day." There are some repetitions on the schedule but not many. Definitely check out the sessions you are interested in and plan ahead!

The general admission tickets in advance are $40 and $50 if you purchase on the day of. You can find out more about the event at the event's website.

2. Opening Day of the Bing Crosby Season

The Del Mar Thoroughbred Club is opening its fall season on Nov. 11 with a special program that harkens back to the old-school Hollywood glamor embodied by the race track's iconic founder Bing Crosby. On that day, participants are invited to enter the Star & Stripes Fashion Contest by dressing up in patriotic colors, as classic American icons like Rosie the Riveter and Lady Liberty, or as past or modern-day celebrities to win up to $3,000 in prizes.

In honor of Veterans Day, the club is hosting the Veterans Day Salute party in collaboration with the American Legion, a national nonprofit dedicated to serving wartime veterans. The celebration will feature a concert by country musician Coffey Anderson to support veterans-owned businesses. Proceeds from the party will go to Save Our Legion, the Semper Fi Fund, and other local military charities.

General admission to the Veterans Day Salute is $25, which includes admission to the party, the racetrack, and a barbeque, and to go to the concert only is $10. More information on tickets to the party and opening day in general is available on Del Mar's website.

3. Art: "DeLIMITations: A Survey of the 1821 United States-Mexico Border"

The current presidential race's focus on U.S.-Mexico border relations makes this exhibit at the Museum of Contemporary Art in San Diego especially timely. Artists David Taylor and Marcos Ramírez, who also goes by "ERRE," set out in 2014 to trace the original boundary between the two countries when Mexico first gained its independence from Spain in 1821, which, up to that point, existed only as a reference in historical documents. They installed 47 metal obelisk-shaped markers along the border and documented the whole journey from Brookings, OR, to Port Arthur, TX, in pictures and film, which is available for viewing at the exhibit.

Taylor told TIME that one of their goals for the project was to demonstrate the transitory and ephemeral nature of borders. Part of the exhibit is devoted to showcasing the changes brought about by historical events like the Mexican-American War and government treaties to the U.S.-Mexican frontiers. "We live with borders all the time and we depend on their permanence," Taylor said. "But in fact, history does not support them as static phenomena, they move around all the time."

DeLIMITations is on display until Nov. 27 at the downtown location of the Museum of Contemporary Art. Adults could enter at $10 and bring along those 25 or under for free. Other information about the museum can be found online.

4. Musical: "Miss You Like Hell"

Perhaps it's not surprising that Quiara Alegría Hudes, who won a Pulitzer Prize for her play "Water by the Spoonful" and co-wrote the Tony Award-winning musical "In the Heights" with Lin-Manuel Miranda from the smash hit "Hamilton," chose San Diego for the world premiere of her latest work. "Miss You Like Hell" tells the story of a Latina mother struggling to connect with her estranged daughter during a seven-day road trip before her potential deportation.

Hudes said parts of this original musical were inspired by what she witnessed at San Diego's Friendship Park on the U.S.-Mexico border in an interview with San Diego Magazine. "It was moving to see people who have been separated reunite at that location," Hudes said. "After that, we rewrote a scene that takes place there. We found big-time inspiration."

You could sample a song from "Miss You Like Hell" through a video made by Daphne Rubin-Vega, who portrays the lead character in the musical, of "Over my Shoulder" for the New York Times. The show runs with almost daily performances until Dec. 4 at the La Jolla Playhouse and tickets range from $25 to $73.

5. Gaslamp Quarter Architecture and History Tour

Gaslamp Quarter, listed as an historic district in the National Register of Historic Places, houses more than 90 Victorian buildings that have been standing in San Diego since the 1800's. Part of this 16-and-a-half-block strip was once a red light district named the "Stingaree," because sailors believed it was easier to get "stung" (robbed or abducted) in the area than it was in the surrounding ocean full of stingrays. Many historical buildings like Hotel Lester and the Spencer-Ogden Building were once home to sites of debauchery, such as brothels and opium dens, and bear the seedy history that used to characterize this part of town.

Aside from the preserved and restored buildings, Gaslamp Quarter today bears almost no resemblance to the Gaslamp Quarter in 1850. The Gaslamp Quarter Historical Foundation offers a glimpse into "the transformation of a desolate wasteland to the birth of 'New Town' that eventually merged with Old Town to become the city of San Diego" through 90-minute tours.

The groups depart on Thursdays and Saturdays from the Davis-Horton House the organization's headquarters and the oldest standing structure in downtown San Diego. Reservation is strongly recommended for these tours. For those who can't make it to the scheduled tours or prefer to travel at their own pace, a free self-guided audio tour of 30 major architectural landmarks in Gaslamp is available through the Geotourist app.

Photo credit: iStock/Ron Thomas

Tags: San Diego, audiology
Published: 10/24/2016 10:30:00 AM


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AuDacity 2016 Panel to Tackle PCAST, NASEM Recommendations

​The debate sparked by the 2015 PCAST report and recent NASEM recommendations finds yet another showground at the upcoming AuDacity 2016. In the much-anticipated panel, "Innovation & Disruptive Service Delivery Models," hearing health professionals and industry leaders will discuss the driving forces behind these groundbreaking reports, as well as the work of the Institute of Medicine (IOM) on accessible and affordable hearing health care.

"Regarding the drivers behind the activities at the national level, we will present an overview of the social, economic, physical, and psychological ramifications of untreated hearing loss and the increasing prevalence," explained Barbara Weinstein, PhD, who will serve as one of the panelists.

"The main goal is to provide audiologists with tools to continue to thrive in the face of the innovations thrust upon the profession," she stressed.

The two-part panel session will highlight issues of accessibility, affordability, and innovation—key concerns advanced in the PCAST and NASEM reports, which stirred opposing responses from audiologists and patients alike. Much of the lingering argument is on the recommendation for the FDA to create a separate over-the-counter category for "basic" hearing aids to boost access and expand the range of hearing aid options for those with mild to moderate hearing loss.

"We will discuss innovative ways to reach the people with mild hearing loss who do not avail themselves of our services which is an important and large customer base we should be reaching," said Dr. Weinstein on the panel's goal to address the different barriers to hearing aid access.

This discussion is in line with the NASEM recommendation to promote best practices and core competencies across the continuum of hearing health care, which includes examining, developing, and implementing quality metrics to improve patient outcomes.

Innovations in hearing screening and objective measurement will also be part of the agenda.

"We will recommend expanding the test battery to include screening for multi-morbidities linked to hearing loss such as fatigue, falls, cognitive decline," Dr. Weinstein explained to The Hearing Journal. On this note, she also confirmed that the panel will address the yet unproven direct link between hearing aid use and cognitive decline.

Improving patient-physician communication on hearing-related technology and services is also at the core of the NASEM recommendations.

"We will review how to administer screening tests of cognitive function and how to counsel [patients] about the outcome of the screen," Dr. Weinstein added. 

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:20:00 AM


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Recipe for Audiology Practice Success at AuDacity 2016

The ADA cooked up a promising line-up of practice management sessions designed to 'dare' audiologists and practice managers 'to succeed.' At the upcoming AuDacity 2016, conference participants will have a taste of creative and innovative strategies to address business challenges in today's increasingly competitive and digital health care environment.

"Cookbook" Approach to Management

"Given the landscape of reducing reimbursements and a crowded dispensing field, it is imperative that our practice owners do two things: diversify what they offer and how they provide those products and services, and proactively work on their practices in an organized & knowledgeable way," shared Sheri Weiner, AuD, who will lead the session, "The Practice Kitchen: Clinical Audiology Practice Management."

Running the business side of a private practice has always posed a challenge to audiologists. "Many of us come into this industry ill-prepared to run a practice—what to do when, what the numbers mean, how to read a balance sheet, and how to evaluate the health of our practice," said Dr. Weiner. "Now that I'm no longer actively seeing patients in a clinical setting, I have the opportunity to help other providers do what I did—plan, track, analyze, adjust, and breathe."

"I am commonly asked 'how do you know what to do when?' and 'how do you keep from getting overwhelmed?'" To these queries, Dr. Weiner stressed the importance of hands-on and systematic practice management—a "cookbook method" that is necessary to facilitate multiple tasks. 

"I teach that we group practice management oversight into four 'buckets'—Operations, Finance, Marketing and Metrics—and then routinely manage the practice using a repeatable system with consistent tools (reports and forms) and ingredients (formulas and questions) that are straightforward.  It's what is done with those ingredients that makes some recipes (practices) shine and others fail," she explained.

Considering the PCAST and NASEM recommendations to make over-the-counter hearing aids available for consumers, and the increasing popularity of hearables, it is evident that audiology practices feel the effects of the shifting hearing health care market. As such, Dr. Weiner encourages audiologist to be proactive. "They need to maximize opportunities, manage efficient operations to reduce waste, and offer an enhanced patient experience." 

The Social Media Ingredient

Social media is another ingredient for success that will be highlighted at AuDacity 2016.

"It's no longer an option to pretend like social media is not necessary, especially for private practitioners," said D'Anne Rudden, AuD, who will discuss the power of utilizing social media in the session, "Recipe for Success: Trends, Takeaways and Tools to Grow Your Practice Revenue."

"Social media is such a great tool for clinicians to communicate with patients and their influencers, and also to advance audiology as gatekeepers of hearing health care," she told The Hearing Journal.

While the other speakers in this session will be talking about different practice tools based on their own research, Dr. Rudden will discuss the benefits of social media and offer simple strategies that can be implemented almost immediately.

"My goal is to help inspire enthusiasm and create an easy and achievable social media strategy for all levels of audiology practitioner—whether it's to give them ways to implement it themselves or avenues for them to get help," she expressed.

In this session, the audience can expect to learn how to create effective online conversations with their audience, whether they are local or not. In fact, Dr. Rudden highlighted the potential of social media to enable practitioners to reach a much wider audience in the hearing health space.

Despite the increasing popularity of social media in the health care industry, Dr. Rudden noted the reluctance of some practice owners and managers to venture off their traditional marketing models. "So my hope is to create an excitement and remove the fear and mystery or barriers that they may believe exists, [keeping them from] adding social media to their current marketing strategy," she explained. "It's not something that need to be feared," Dr. Rudden added. "It's a mutually beneficial avenue of communication for all practitioners, whether they are large practices or small private practices." 

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:14:00 AM


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AuDacity 2016: Back to Basics While Looking to the Future

The Academy of Doctors of Audiology (ADA) is re-energizing their annual convention this year with a new name, "AuDacity," and a program of new events that address the biggest challenges in the hearing health profession today: education, service, and technology.

Rita Chaiken, AuD, president of ADA, said the organization's goal for AuDacity 2016 is to provide practical training and equip participants with skills and knowledge they could use immediately when they return to work the following Monday.

"It's really a challenge to our members and guests who will be there to learn alternative skill sets to how they've been practicing to be successful in this era of so many disruptions," Dr. Chaiken said.

This determination to succeed was the academy's guiding principle in designing this year's event. Stephanie Czuhajewski, CAE, executive director of the academy, said the theme, "Dare to Succeed," represents the fact that audiologists can choose their own destiny as private practice owners or clinicians, and audiology as a profession.

"'Dare' reflects the audacious nature of ADA members and the fact that those who are most successful in the future may be the audiologists who embrace new ideas, new technologies, and new models of care to best serve patients," Czuhajewski said.

Besides continuously enriching their own expertise in the area, audiologists face the challenge of educating patients, especially older adults, and other medical professionals about the impact of hearing loss and the importance of good hearing health care.

A CDC National Center for Health Statistics brief published in 2014 indicated that 19 percent of adults aged 40 to 69 had self-reported trouble hearing without a hearing aid, and the rate was significantly higher for adults aged 70 and older (43.2%). Among people who are 70 or older with trouble hearing, 56.8 percent had seen a doctor or other health care professionals about their problem in the past five years, but only 42 percent had ever used a hearing aid.

The low number of older patients opting to use hearing aids could be attributed to lack of follow-up from their care providers. In a study conducted by Thodi and colleagues, 18 percent of the 3,025 adult participants referred for audiologic/hearing aid evaluation tried a hearing aid, but only 11 percent of those who were fitted with a device was still using them two years later (Am J Audiol 2013;22[1]:183). Participants reported that screening was helpful, but the study found that follow-up with hearing aid treatment among participants was low.

One of Dr. Chaiken's objectives for AuDacity 2016 is to direct audiologists back to the basic — service, which she believes is the cornerstone of audiology and how the profession began.

"We have to differentiate ourselves and differentiate audiology from other areas," Dr. Chaiken said. "There are many opportunities in the audiology profession and where we need to focus is patient care and patient service. We have to define ourselves beyond the hardware and really work to be recognized by patients and the medical community for the valuable services we provide."

Research has shown that other medical practitioners' attitude towards hearing rehabilitation deters patients with hearing loss from seeking screening and treatment. A literature review reveals that one of the barriers to help-seeking for hearing impairment and hearing aid adoption appears to be general practitioners' management of age-related impairment (Int J Audiol 2012;51[2]:66). Although medical practitioners acknowledged the theoretical benefits of hearing rehabilitation, they appear less certain about the potential for actual benefit for their older adult patients (Int J Audiol 2011;50[12]:850).

Education at the physician level is key to increasing referrals from doctors in other fields to audiologists for specialized hearing care. Angela Morris, AuD, ADA's president elect, went further to say audiologists should also educate other non-physician providers such as dentist, pharmacists, and optometrists about audiology to broaden the scope of their services.

"We are missing a tremendous opportunity where we can work with these other professionals to help us in our endeavors to educate our patients about the importance of hearing, balance disorders, and their effects," Dr. Morris said.

Another opportunity for audiologists to educate specialists in other areas and collaborate is technology. Firmly believing in the increasing importance of new technology in the practice of audiology, AuDacity will feature a keynote address on disruptive innovations and sessions on how audiologists could adopt new technologies in diagnostics and treatment.

"Audiologists certainly have to incorporate or be aware of what's available to them, how they could use new technologies in their practices, and how they can teach their patients and other professionals they work with about them," Dr. Chaiken said.

ADA emphasizes the importance of cultivating partnerships not only between audiologists and other medical professionals but also among audiologists. The academy sent out a survey to gauge the areas that are most important to their members and will be discussing the survey results during a members-only strategic planning session on Saturday, Nov. 12.

"Members will have the opportunity to weigh in during this type of forum for the first time in many years," Dr. Chaiken said. "They can express their feelings about the organization and the profession. We are definitely listening!"

With a renewed focus on collaboration through education, service delivery, and learning new technology, audiologists will be better positioned to differentiate themselves and make their crucial role in providing care known, which Dr. Chaiken thinks is essential to the success of the profession.

"We are trained and licensed to provide services that we have to offer to people and let communities of patients and medical professionals know," Dr. Chaiken said. "It's an exciting challenge — one that we just have to define ourselves to others, so we can better treat the patients who come to see us."​

Tags: audiology, hearing, health, Academy of Doctors of Audiology, San Diego, ADA, AuDacity
Published: 10/24/2016 10:09:00 AM


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