Military Audiology - A: I would like to know more about the fourth year externship program for the army. This is a great opportunity to get a paid internship, join the military, and gain experience in audiology/hearing conservation. There is also the possibility of repaying student loans.
To achieve the lifetime monitoring recommended by the IOM (Humes et al, 2006), we hope to continue collecting data from these sites until 2034 or beyond. New participants were recruited continuously to increase the statistical power of the cohort and to compensate for attrition.
Military Audiology
Source: hearinghealthmatters.org
LCDR Seth Garcia is originally from San Diego, California. He is the head of the Occupational Audiology Department at Naval Hospital Okinawa, where he has been assigned since 2019. He trained in audiology at the University of Washington, Seattle (Au.D., 2008)
Understanding Auditory Outcomes
and at the University of Pittsburgh (Ph.D. . ., 2019). Dr. Garcia is the Navy Research Liaison for the Defense Health Agency, Hearing Center of Excellence, and sits on the board of the tri-service organization Military Audiology Association.
This material is the result of work supported by the resources and facilities of the VA RR&D National Center for Rehabilitative Auditory Research (VA RR&D NCRAR Center Award, C9230C) of the VA Portland Health Care System in Portland, Oregon, as well as the Department of
Defense Hearing Center in San Antonio, Texas. Beyond noise, other risk factors associated with modern military service can cause and interact with hearing health, including exposure to ototoxic chemicals, blast injuries, head trauma, and post stress disorder.
-traumatic (PTSD). This complex potential relationship is explored using the extensive data collected by the NOISE study. A: As a military audiologist, you perform diagnostic assessments (on all military, retirees, and family members) that include VNG, tinnitus assessment, auditory processing disorder (APD) assessment
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) and hearing aid fitting. Along with diagnostic evaluations, you perform service evaluations for recruits and service members. Another aspect, which accounts for approximately 50% of your time, is managing the hearing protection program, conducting hearing conservation briefings, range inspections, vessel and ship inspections.
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submarines and fitting hearing protection. A: The course I would like to take is the professional audiology course and also make sure you can do diagnostics for adults and children. Also, tinnitus and vestibular courses are very important due to TBI and tinnitus disability.
Welcome to the Student Academy of Audiology (SAA) Pathways to Audiology Interview Series! While many audiologists come from communication disorders (CSD) backgrounds, others have taken a different path to the field. In this series, SAA will interview audiologists and AuD students who have followed or are following non-traditional paths in the audiology profession….
Preliminary data from the NOISE study has begun to fill a critical gap in knowledge about tinnitus and hearing loss in military and veterans. Previous studies aimed at filling these gaps have typically relied on extracting diagnostic codes from health care records or data from anonymized clinical samples.
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The dataset excludes undiagnosed cases of hearing loss and tinnitus, which is important in determining and interpreting the true incidence and prevalence of these conditions. * Only available in styles with 2.4 GHz. Android devices must support ASHA to allow direct connectivity to Oticon Own.
iPhone and iPad devices must support two-way hands-free communication. Visit oticon.com/support/compatibility for more information and to see which devices are compatible. **Rumley et al. (2022). Oticon The proof itself. Oticon Whitepaper Lt. Col. John M. Foster is currently the Education and Development Response Service Flight Commander assigned to the 52nd Medical Operations Squadron, 52nd Medical Group, Spangdahlem Air Base, Germany.
He is a multidisciplinary team leader and sole audiologist, supporting three Department of Defense schools and an active duty population of 6.5,000 in five countries. He also served as Deputy Squadron Commander for the 52nd Medical Care Operations Squadron.
Lt. Col. Foster attended Utah State University, where he received his commission in 2008 by direct appointment, and earned a Ph.D. squadron and the Air Command and Staff College. His deployed humanitarian mission experience includes serving as a lead audiologist on medical preparedness missions in the Dominican Republic, Guyana and Panama.
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Critical Milestones Ahead
Prior to his current position, he was Director of Operations for 348 Recruiting Squadron, Clearfield, Utah. Data from the NOISE study was also used to estimate average changes in military hearing and to assess the effects of noise on hearing changes over time.
This was done by linking DoD audiometric monitoring data, collected through the Hearing Conservation Program, to data describing demographic and military characteristics obtained from individuals enrolled in the NOISE study (Reavis et al, 2021). Audiologists are also required to further their education to keep current with the latest hearing and balance health care and may also receive certification from the American Board of Audiology and specialty certification in Pediatric Audiology from
the American Board of Audiology. Noise is ubiquitous in the military and has the unintended effect of causing hearing loss and tinnitus in service members. In 2019, 2.1 million military veterans had a recognized service-related disability for tinnitus and 1.3 million had a service-related disability due to hearing loss (US Department of Veterans Affairs, 2021).
As one of our basic senses, hearing can have complex medical, physical, social and occupational implications, especially for aviators who are constantly exposed to sounds beyond what is safe for human ears. . Providing a full spectrum of hearing and balance issues, Air Force audiologists use the latest equipment and techniques to treat and protect Airmen and their families.
Music To Your Ears
LENS-Q captures the exposure frequency and duration of each exposure, as well as the use of protective equipment. This data is combined with sound level estimates to calculate a noise exposure score. People with higher noise exposure scores had a greater likelihood of tinnitus and hearing loss than those with the lowest noise exposure, indicating that the LENS-Q has good construct validity.
(Griest et al, 2021). With input from DoD subject matter experts, LENS-Q was recently revised to better capture military noise exposures. This work was supported by the Department of Defense Congressional Directed Medical Research Program Investigator Initiated Research Award (PR121146), Office of the Assistant Secretary of Defense for Health Affairs, through the
joint fighter medical research program under awards no. W81XWH-17-1-0020 and JW160036, and the United States Department of Veterans Affairs Science Career Award for Research and Development Research and Development (1 IK6RX002990-01). With funding beginning in 2013 from the DoD Office of Congressional Directed Medical Research Program, enrollment began in 2014 at NCRAR.
Source: media.defense.gov
At the same time, a second study site was established at Joint Base San Antonio, Texas, in conjunction with the DoD Hearing Center of Excellence (HCE) to enroll active duty service members. To date, the NOISE study has recruited more than 1,000 military and veterans.
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A timeline of study milestones and funding is shown in FIGURE 1. Tinnitus was present in 53% of all samples. Hearing loss and tinnitus were more common in participants who were older, had years of military service, and had higher military exposure to noise, explosions, and TBI (Henry et al, 2020a).
Finally, the NOISE study continues to explore the potential impact of tinnitus on the military. Study results showed that tinnitus affects performance, concentration, anxiety, depression, and sleep in service members (Henry et al, 2019). These findings underscore the need for continued funding and research into tinnitus prevalence, outcomes, and prevention.
Theodoroff SM, Lewis MS, Folmer RL, Henry JA, Carlson KF. (2015) Hearing Loss and Tinnitus: Prevalence, Risk Factors, and Outcomes Among US Servicemen and Veterans Deployed to the Wars in Iraq and Afghanistan. Epidemiol Rev. 37:71-85.
Due to growing concern about the impact of noise pollution on the military, Congress directed the Department of Veterans Affairs (VA) to contract with the Institute of Medicine (IOM, now the National Academy of medicine) to examine the literature since the Second World War.
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dealing with noise in the military and its effects on auditory function. A: My professional audiology course gave me an introduction to military and professional audiology, but when I started working in the military I really gained an understanding of all the different aspects of being
a military/professional audiologist. Military surveillance audiograms of young military personnel (mean age = 20) during their initial period of military service (mean length of service = six years) were analyzed for hearing threshold changes. The greatest rate of change was noted at higher frequencies, consistent with patterns of sound exposure historically seen in audiograms.
Source: c8.alamy.com
In addition, data collected so far shows that the hearing threshold of some military personnel working in noise-intensive occupations appears to be decreasing at a faster rate than expected for their age group. Despite the fact that all military personnel experience hearing loss during their military career (Yankaskas, 2013), little is known about the prevalence of hearing loss among post-9/11 veterans based on audiometric criteria (Theodoroff
et al, 2015). It is important to gain a basic understanding of the epidemiology and pathophysiology of tinnitus and hearing loss, and their interrelationships. This understanding can help identify those at risk of hearing loss and ultimately support the development of rehabilitation methods targeting the underlying causes.
Five Reasons To See An Audiologist
To better understand the causal relationship between military hearing loss and hearing damage, the IOM report recommends researchers begin epidemiological research that documents the hearing health of veterans throughout their lives. Griest S, Bramhall N, Reavis K, Theodoroff S, Henry J. (2021) Development and Preliminary Validation of the Lifetime Noise and Solvent Exposure Questionnaire (LENS-Q) in US Military and Veterans.
Am J Audiol Published ahead of print May 17, 2021, at https://pubs.asha.org/doi/10.1044/2021_AJA-20-00145 (accessed May 17, 2021). One such analysis (Theodoroff et al, 2019) looked at the relationship between blast exposure and reduced noise tolerance (DST). People with DST experience everyday noise (eg, going to the grocery store) as uncomfortable or overwhelming, even at low to moderate sound levels.
In the NOISE study, daylight saving time was common among military (29%) and veterans (40%). Among veterans, the prevalence of TSD was 1.9 times higher in those with a history of blast exposure than in those without.
The use of an online questionnaire using a Health Insurance Portability and Accountability Act (HIPAA) compliant Research Electronic Data Capture (REDCap) web application (Harris et al, 2019) contributed to a high follow-up rate. Allowing participants to complete the questionnaire at home, where they can access relevant information such as medications, reduces the time they spend on the site and will increase the validity of their answers.
The Noise Study
A: My name is Dr. Rachel Cornwell, AuD, MBA (her). I am originally from New York and currently live in South Carolina with my husband and five children. I am currently working as the Head of Audiology at the Fort Jackson Army Health Clinic.
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I also do contract videonystagmography (VNG) interpreting work and teach as an adjunct professor for A.T. University again. See a list of all Army occupational specialties here. To learn more about the Army rank structure, see the full list of Army ranks.
To see a list of military medals and decorations that service members in the army and other military branches can earn, see List of Military Decorations and Medals. Welcome to the Student Academy of Audiology (SAA) Pathways to Audiology Interview Series!
While many audiologists come from communication disorders (CSD) backgrounds, others have taken a different path to the field. In this series, SAA will interview audiologists and AuD students who have followed or are following non-traditional paths in the audiology profession….
Developing Instruments To Capture Critical Data
This on-demand program is offered FREE to all 2021 AAA Virtual Conference registrants and 2021 AAA All-Inclusive Webinar Package subscribers. Please allow one business day after registering for 2021 AAA Virtual Conference to receive access to activate
your registration. The long-term research findings from the NOISE study will be critical in closing the knowledge gap about how military risk factors affect hearing health outcomes and ultimately contribute to better outcomes for those serving in the military.
. *Santurette et al. 2020 **Murmu Nielsen, R. & Ng, E. 2021. Reducing continuous listening effort: Oticon More new evidence. Oticon white paper. ***Three and a half hours gives you a full day for the miniBTE R. †Android devices must support ASHA to enable direct connectivity to Oticon More.
iPhone and iPad devices must support two-way hands-free communication. Visit oticon.com/support/compatibility for more information and to see which devices are compatible.
What Should You Expect At Your Audiologist Appointment?
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