Lesson 1Speech audiometry in paediatric patients: SRT, word recognition, age-appropriate materials, signal-to-noise testingExplores paediatric speech audiometry, covering SRT, speech detection, and word recognition with suitable materials. Includes presentation levels, masking, and speech-in-noise tests to assess real-world 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 questionsOutlines systematic case history for paediatrics, covering prenatal, perinatal, developmental risks, infections, ototoxic drugs, noise, and family history to inform 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 questionnairesBuilds skills in rapport with parents and kids, interview structure, and validated questionnaires for home, school, and noisy environment listening behaviours.
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, perforationCovers paediatric otoscopy: safe speculum use, positioning, lighting, spotting cerumen, tympanic membrane issues, retraction, perforation, and urgent referral signs.
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 breaksDetails ideal test spaces for kids: noise control, friendly rooms, flexible timing. Strategies for attention, tiredness, anxiety, using breaks or sessions for reliable 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 interpretationPaediatric acoustic reflexes: probe placement, stimuli, ipsilateral/contralateral measures, decay, artefacts, linking to 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 schedulesSchool-age behavioural tests: conditioned play audiometry, instructions, reinforcements, adapting for attention, development, 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 teamsFamily-friendly paediatric reports: plain language, visuals, recommendations for home/school/medical, meeting 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 definitionPaediatric pure-tone setup: transducers, ear-specific tests, kid-friendly instructions, threshold methods, masking, reliability for air/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 agePaediatric tympanometry types, age-based probe tones, seals, interpreting infant/child results for middle ear status 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
