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Goals and Competencies

Standard IV: Audiology Knowledge and Skills Acquisition (KASA) objectives

Applicants for certification must have acquired knowledge and developed skills in six areas: foundations of practice, prevention/identification, assessment, (re)habilitation, advocacy/consultation, and education/research/administration.

Standard IV-A: Foundations of Practice

The applicant must have knowledge of:

  • A1. Embryology and development of the auditory and vestibular systems, anatomy and physiology, neuroanatomy and neurophysiology, and pathophysiology
  • A2. Genetics and associated syndromes related to hearing and balance
  • A3. Normal aspects of auditory physiology and behavior over the life span
  • A4. Normal development of speech and language
  • A5. Language and speech characteristics and their development across the life span
  • A6. Phonologic, morphologic, syntactic, and pragmatic aspects of human communication associated with hearing impairment
  • A7. Effects of hearing loss on communication and educational, vocational, social, and psychological functioning
  • A8. Effects of pharmacologic and teratogenic agents on the auditory and vestibular systems
  • A9. Patient characteristics (e.g., age, demographics, cultural and linguistic diversity, medical history and status, cognitive status, and physical and sensory abilities) and how they relate to clinical services
  • A10. Pathologies related to hearing and balance and their medical diagnosis and treatment
  • A11. Principles, methods, and applications of psychometrics
  • A12. Principles, methods, and applications of psychoacoustics
  • A13. Instrumentation and bioelectrical hazards
  • A14. Physical characteristics and measurement of electric and other nonacoustic stimuli
  • A15. Assistive technology
  • A16. Effects of cultural diversity and family systems on professional practice
  • A17. American Sign Language and other visual communication systems
  • A18. Principles and practices of research, including experimental design, statistical methods, and application to clinical populations
  • A19. Legal and ethical practices (e.g., standards for professional conduct, patient rights, credentialing, and legislative and regulatory mandates)
  • A20. Health care and educational delivery systems
  • A21. Universal precautions and infectious/contagious diseases
  • The applicant must have knowledge and skills in:
  • A22. Oral and written forms of communication
  • A23. Principles, methods, and applications of acoustics (e.g., basic parameters of sound, principles of acoustics as related to speech sounds, sound/noise measurement and analysis, and calibration of audiometric equipment), as applicable to:
    • a. occupational and industrial environments
    • b. community noise
    • c. classroom and other educational environments
    • d. workplace environments
  • A24. The use of instrumentation according to manufacturer’s specifications and recommendations
  • A25. Determining whether instrumentation is in calibration according to accepted standards
  • A26. Principles and applications of counseling
  • A27. Use of interpreters and translators for both spoken and visual communication
  • A28. Management and business practices, including but not limited to cost analysis, budgeting, coding and reimbursement, and patient management
  • A29. Consultation with professionals in related and/or allied service areas

Standard IV-B: Prevention and Identification

The applicant must have the knowledge and skills necessary to:

  • B1. Implement activities that prevent and identify dysfunction in hearing and communication, balance, and other auditory-related systems
  • B2. Promote hearing wellness, as well as the prevention of hearing loss and protection of hearing function by designing, implementing, and coordinating universal newborn hearing screening, school screening, community hearing, and occupational conservation and identification programs
  • B3. Screen individuals for hearing impairment and disability/handicap using clinically appropriate, culturally sensitive, and age- and site-specific screening measures
  • B4. Screen individuals for speech and language impairments and other factors affecting communication function using clinically appropriate, culturally sensitive, and age- and site-specific screening measures
  • B5. Educate individuals on potential causes and effects of vestibular loss
  • B6. Identify individuals at risk for balance problems and falls who require further vestibular assessment and/or treatment or referral for other professional services

Standard IV-C: Assessment

The applicant must have knowledge of:

  • C1. Measuring and interpreting sensory and motor evoked potentials, electromyography, and other electrodiagnostic tests for purposes of neurophysiologic intraoperative monitoring and cranial nerve assessment

The applicant must have knowledge and skills in:

  • C2. Assessing individuals with suspected disorders of hearing, communication, balance, and related systems
  • C3. Evaluating information from appropriate sources and obtaining a case history to facilitate assessment planning
  • C4. Performing otoscopy for appropriate audiological assessment/management decisions, determining the need for cerumen removal, and providing a basis for medical referral
  • C5. Conducting and interpreting behavioral and/or electrophysiologic methods to assess hearing thresholds and auditory neural function
  • C6. Conducting and interpreting behavioral and/or electrophysiologic methods to assess balance and related systems
  • C7. Conducting and interpreting otoacoustic emissions and acoustic immitance (reflexes)
  • C8. Evaluating auditory-related processing disorders
  • C9. Evaluating functional use of hearing
  • C10. Preparing a report, including interpreting data, summarizing findings, generating recommendations, and developing an audiologic treatment/management plan
  • C11. Referring to other professions, agencies, and/or consumer organizations

Standard IV-D: Intervention (Treatment)

The applicant must have knowledge and skills in:

  • D1. The provision of intervention services (treatment) to individuals with hearing loss, balance disorders, and other auditory dysfunction that compromises receptive and expressive communication
  • D2. Development of a culturally appropriate, audiologic rehabilitative management plan that includes, when appropriate, the following:
    • a. Evaluation, selection, verification, validation, and dispensing of hearing aids, sensory aids, hearing assistive devices, alerting systems, and captioning devices, and educating the consumer and family/caregivers in the use of and adjustment to such technology
    • b. Determination of candidacy of persons with hearing loss for cochlear implants and other implantable sensory devices and provision of fitting, mapping, and audiologic rehabilitation to optimize device use
    • c. Counseling relating to psychosocial aspects of hearing loss and other auditory dysfunction, and processes to enhance communication competence
    • d. Provision of comprehensive audiologic treatment for persons with hearing loss or other auditory dysfunction, including but not exclusive to communication strategies, auditory training, speech reading, and visual communication systems
  • D3. Determination of candidacy for vestibular and balance rehabilitation therapy to persons with vestibular and balance impairments
  • D4. Treatment and audiologic management of tinnitus
  • D5. Provision of treatment services for infants and children with hearing loss; collaboration/consultation with early interventionists, school based professionals, and other service providers regarding development of intervention plans (i.e., individualized education programs and/or individualized family service plans)
  • D6. Management of the selection, purchase, installation, and evaluation of large-area amplification systems
  • D7. Evaluation of the efficacy of intervention (treatment) services

Standard IV-E: Advocacy/Consultation

The applicant must have knowledge and skills in:

  • E1. Educating and advocating for communication needs of all individuals that may include advocating for the programmatic needs, rights, and funding of services for those with hearing loss, other auditory dysfunction, or vestibular disorders
  • E2. Consulting about accessibility for persons with hearing loss and other auditory dysfunction in public and private buildings, programs, and services
  • E3. Identifying underserved populations and promoting access to care

Standard IV-F: Education/Research/Administration

The applicant must have knowledge and skills in:

  • F1. Measuring functional outcomes, consumer satisfaction, efficacy, effectiveness, and efficiency of practices and programs to maintain and improve the quality of audiologic services
  • F2. Applying research findings in the provision of patient care (evidence-based practice)
  • F3. Critically evaluating and appropriately implementing new techniques and technologies supported by research-based evidence
  • F4. Administering clinical programs and providing supervision of professionals as well as support personnel
  • F5. Identifying internal programmatic needs and developing new programs
  • F6. Maintaining or establishing links with external programs, including but not limited to education programs, government programs, and philanthropic agencies