Lesson 1Speech audiometry in paediatric patients: SRT, word recognition, age-appropriate materials, signal-to-noise testingThis lesson covers speech audiometry for children, including SRT, speech detection, and word recognition with suitable materials. It addresses presentation levels, masking, and speech-in-noise tests to assess real-life communication abilities.
Choosing SRT versus SDT in young childrenSelecting age-appropriate word listsLive voice versus recorded speech signalsMasking rules for speech audiometryPediatric speech-in-noise test optionsLesson 2Comprehensive case history: prenatal, perinatal, developmental, infection and ototoxic exposure questionsThis lesson details taking a thorough case history for children, covering prenatal, perinatal, and developmental risks. It includes questions on infections, ototoxic drugs, noise, and family history to aid diagnosis and testing plans.
Prenatal and perinatal risk factor questionsDevelopmental milestones and speech historyInfection, ototoxic drug, and NICU exposureFamily history of hearing loss and syndromesSummarizing risks to guide test selectionLesson 3Parent and child interview techniques and functional hearing questionnairesThis lesson teaches building rapport with parents and children, conducting structured interviews, and using reliable questionnaires. It highlights ways to gather accurate details on listening at home, school, and in noisy places.
Preparing the room and greeting familiesOpen and closed questions for caregiversAge-appropriate child interview strategiesSelecting functional hearing questionnairesScoring and interpreting questionnaire resultsLesson 4Otoscopy: visualisation techniques, identifying cerumen, TM changes, retraction, perforationThis lesson reviews otoscopy for children, including safe insertion, positioning, and lighting. You will learn to spot cerumen, tympanic membrane changes, retraction, perforation, and signs needing urgent doctor referral.
Preparing the child and caregiver for otoscopySpeculum size, bracing, and safety tipsNormal tympanic membrane landmarksRecognizing cerumen, effusion, and retractionPerforations and red flags for referralLesson 5Test environment and paediatric test accommodations: managing attention, fatigue, scheduling, and breaksThis lesson describes ideal test settings for children, with noise control, friendly rooms, and flexible timing. It covers handling attention, tiredness, worry, and using breaks or multiple sessions for good results.
Room setup and ambient noise controlScheduling around naps, meals, and schoolManaging attention, motivation, and anxietyUse of breaks, reinforcement, and rewardsPlanning multi-session test batteriesLesson 6Acoustic reflex testing: ipsilateral and contralateral reflexes, reflex decay, clinical interpretationThis lesson explains acoustic reflex tests in children, covering probe placement, stimuli, and measuring reflexes. It stresses decay, spotting errors, and linking results with tympanometry and audiometry.
Probe fit and baseline tympanogram reviewChoosing stimulus frequencies and levelsIpsilateral versus contralateral reflex patternsReflex decay procedures and interpretationClinical case integration and documentationLesson 7Behavioural audiometry for school-age children: conditioned play audiometry (CPA) adaptations, instructions, reinforcement schedulesThis lesson explores behavioural audiometry for school children, focusing on play audiometry and standard methods. It discusses instructions, rewards, and adapting for attention, development, and behaviour.
Selecting CPA versus conventional audiometryDesigning engaging play-based response tasksGiving clear, age-appropriate instructionsReinforcement schedules and token systemsManaging inconsistent or false-positive responsesLesson 8Documentation and report writing: clear, actionable reports for families and multidisciplinary teamsThis lesson guides writing straightforward, family-focused reports. It emphasises simple language, visuals, and practical advice for home, school, and doctors, while following legal standards.
Essential elements of pediatric reportsWriting in clear, family-friendly languageSummarizing audiologic findings and impactEducational and medical recommendationsTemplates, checklists, and legal standardsLesson 9Pure-tone audiometry procedures: transducer selection (earphones vs speakers), masking rules, threshold definitionThis lesson explains pure-tone audiometry setup for children, including device choice, ear testing, and child-friendly instructions. It reviews threshold methods, masking, and checks for reliable air and bone data.
Choosing earphones, inserts, or sound fieldConditioning children to the listening taskModified Hughson–Westlake threshold methodWhen and how to apply masking in pediatricsAssessing reliability and repeating doubtful dataLesson 10Tympanometry: types (1, 2, 3, Ad, As), probe selection, interpreting results by ageThis lesson covers tympanometry types, probe tones by age, and seal techniques. It focuses on reading results in babies and children, linking to middle ear health and referrals.
Jerger tympanogram types I, II, III, Ad, As226 vs 1000 Hz probe tones in infantsEar canal volume and seal quality checksInterpreting compliance, pressure, and gradientClinical case examples and documentation
