Professional education and assessment practices in central auditory processing

A 17-item questionnaire probing professional preparation and current practices in central auditory assessment was mailed to 500 audiologists selected randomly from the membership directory of the American Academy of Audiology. Data from 183 respondents, representing a 37 percent response rate, were analyzed. The majority of respondents reported minimal academic and clinical preparation in assessment of the central auditory nervous system. Eighty percent of respondents had not taken any graduate course explicitly dedicated to central auditory processing. However, 80 percent had taken at least one basic science course in central audition and 83 percent reported having taken at least one graduate course that included some coverage of central auditory processing and/or the central auditory nervous system. A mean of 3 clinical clock hours accrued in this area was reported. Not surprisingly, 78 percent reported a satisfaction rating of < or =50 percent relative to the graduate education they received in this area and only 41 percent reported providing central auditory assessment. Comparisons with prior surveys show substantial change in the preferred test battery. Most notable is the pivotal role of physiologic measures, with the acoustic reflex and auditory brainstem response listed along with the SCAN as the three most frequently used assessment tests/procedures. Overall, the results suggest a need for improvement in professional preparation in evaluation of central auditory function.