Transcript Audiological Medicine Curriculum

Audiological Medicine
Curriculum
International Association of Physicians in Audiology
(IAPA) – European Division
Consensus Document
October 2008
• Origins:
5 decades of training in Audiovestibular Medicine
2 decades of curriculum
• Consensus document : based in 4 IAPA curriculum meetings Lund, Berlin,
London and Ferrara 2006-2008
– Representatives from
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Denmark
Germany
Italy
Malta
Poland
Spain
Sweden
UK
• Additional consensus:
– Representatives from
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North America
Indian subcontinent
Egypt
Africa
China
A Curriculum...
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defines optimal patient care
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defines what we know, what we do and how we do it
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sets standards of training and practice
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is competency based and not time based
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is a living document
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facilitates not limits
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is the starting point not the end point
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should be in the public domain and accessible globally
Therefore
• Our curriculum defines the competencies we
would expect of a specialist working in the
field of Audiological (Audiovestibular)
Medicine providing medical care to patients
with disorders of hearing and balance
A curriculum
• Defines
– Learning objectives
– Knowledge
– Skills
Competencies
– Attitudes
– (Model of Learning )
• Programmes
• Masters degree
– (Assessment of competencies)
Example:
Congenital deafness in a child
• Objective:
– To be able to suspect, diagnose and manage
congenital and prelingual deafness in children
Knowledge
To Know:
• the signs and symptoms of deafness
• the aetiology of hearing disorders and the likelihood of involvement of other
systems
• the appropriate aetiological investigations
• normal general child development
• the speech & language development of normal and deaf children
• the indications, application and problems of audiological tests
• amplification methods including conventional hearing aids and CI
• methods of assessing benefit and problems with amplification
• alternative modes of communication
• management of a deaf child
• about the educational needs of deaf children and statutory provision
• of possible psychological /cultural issues surrounding hearing loss and their
immediate and long term management
• when to refer for further medical opinions and to other allied professionals
• about newborn hearing screening and the management of children who fail
• about the needs of the deaf adolescent during transition and transfer to adult
services
Skills
To be able to:
• take an accurate history including pre-, peri- and post-natal history and
family history
• elicit sensitive information from the parents/patient that are relevant to
management
• undertake an accurate and reliable clinical examination
• recognise features indicative of syndromic deafness
• select the appropriate tests that are required to assess the child
• interpret the results of these tests
• select and interpret appropriate aetiological investigations
• communicate effectively with both patient and parents, including those
whose first language is not English
• work effectively through an interpreter
• communicate effectively with colleagues verbally and in writing
• assess benefits and problems of intervention
• use basic sign language
Attitude
To recognise:
• the importance of the history including family history & developmental
history in making a diagnosis.
• the cultural issues and parental views with regards to deafness and its
management
• the anxiety and stress caused by suspected deafness and the possible
natural reactions surrounding the diagnosis
• the effect of audiological and aetiological uncertainty following
identification of significant deafness in the newborn period
• the importance of involvement of other professionals in the management
of deaf children
• the importance of multidisciplinary team work and ability to
communicate effectively with colleagues and parents both verbally and in
writing
• the needs of the deaf adolescent during transition and transfer
• appreciate the value of voluntary agencies in supporting the family and
child
Competency
=
knowledge + skills + attitude
Curriculum
• Purpose
• Foundations
• Background Knowledge
– Basic sciences
– Preventive Medicine
– Instrumentation
• Generic Skills
– Skills
– Attitudes
Curriculum
• Core Fields
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Paediatric Audiological Medicine
Adult Audiological Medicine
Adult Vestibular Medicine
Paediatric Vestibular Medicine
• Practical Procedures
– Paediatric Audiological Medicine
– Adult Audiological Medicine
– Vestibular Medicine – adult and paediatric
• Other Medical Disciplines
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Otorhinolarygology
Developmental Paediatrics
Neurology
Paediatric neurology
Ophthalmology
Paediatric Ophthalmology
Psychology/Psychiatry
Child Psychology/Psychiatry
Genetics
Care of the Elderly
Immunology
Radiology
Thank you