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Results 1 - 10 of 19
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Ototoxic medications and chemical agents in the workplace can put individuals' hearing and vestibular health at risk for permanent injury. Proactive ototoxicity management (OtoM) strategies aim to minimize exposure, avoid onset of symptoms, provide ongoing monitoring, and manage auditory and vestibular changes as the clinical needs of the patient evolve. During a 2021 American Speech-Language-Hearing Association Special Interest Groups Open House, members of the International Ototoxicity Management Group discussed how best to integrate OtoM into routine clinical practice, what tools to use, and what special considerations need to be understood to best support patients and their families. Here, we have summarized their viewpoints to encourage widespread adoption of improved OtoM services for at-risk individuals. The field of audiology needs to move to a place where we better understand the full extent of ototoxicity and can agree on expanding minimum guidelines that can be implemented more universally to mitigate, detect, and manage the damage from ototoxic exposures. Only recently has our field seen a therapeutic drug that can protect against ototoxicity; however, the population served is restricted only to children receiving treatment for nonmetastatic carcinoma. This is hopefully just the beginning of future therapeutic interventions to come, but, in the meantime, ototoxicity resulting from other medications in different patient populations and chemical agents persists.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: As a step toward developing an electrophysiologic method for validating the speech feature discrimination benefits of amplification, the article in this SIG 6 activity evaluates the effect of stimulus level and amplification on the acoustic change complex in adults with sensorineural hearing loss.
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This SIG 11 Perspectives activity addresses the use of single-subject design in clinical education and supervision. In this article, the authors highlight the suitability of single-subject experimental design (SSED) to clinical practice research, particularly within supervisory settings. This practical tutorial provides examples of SSED and suggests possible research topics relevant to clinical education and supervision.
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: This SIG 11 Perspectives activity addresses the productivity impact of SLPs supervising student clinicians in medical settings and explores graduate students' perceptions of their experiences participating in simulated learning experiences during the pandemic.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: This SIG 5 activity includes three articles from a forum aimed at sharing research conducted in clinical settings around the world. Two research articles analyzed surgical and parent-led therapy approaches for improved speech and resonance outcomes. A third tutorial described characteristics needed in an evaluation to analyze clinically obtained data for research purposes. The first research article is based in Brazil. It demonstrates positive long-term outcomes in children with hypernasality/velopharyngeal dysfunction using the Sommerlad procedure of palatal re-repair to treat residual velopharyngeal insufficiency. The reported scores were in the categories of: “hypernasality, global impression of velopharyngeal function, and/or active speech symptoms.” Overall, this study shows significant improvement in a large percentage of children, with less effect on older individuals ages 17–22 years. The second research article includes parents from a previously published twocenter study in Ireland and the United Kingdom. The aim was to analyze parents’ experiences with parent-led articulation therapy (PLAT) following in-depth training. After a detailed outline is provided regarding inclusion and teaching of the participants, four main themes are identified. These include growth of parents, undertaking PLAT, changes in children, and the future. Ultimately, the majority of parents are in favor of a parent-led therapy approach with the caveat that in-depth training and direct supervision from a speech-language pathologist is needed. The third article, a tutorial, addresses the research–clinical practice gap. A description is provided of a perceptual speech assessment protocol for cleft palate speech, to enable clinical data to be used for research purposes. The article provides detail related to determining the most appropriate standardized assessment tools as well as the best ways to collect and analyze this data. Further details related to implementation within the clinical setting are outlined. The data is easily accessible through networking between cleft teams and Sweden’s national cleft lip and palate registry, making retrospective research attainable in a clinical setting.
Credit(s): PDHs: 6.0, ASHA CEUs*: 0.6
Summary: This SIG 10 activity focuses on student perceptions and experiences. In the first article, the experiences of SLP graduate students who previously worked as Speech-Language Pathology Assistants are compared with students who did not come into their programs with such experience. Implications for prospective students and program development are discussed. Next, authors investigate experiences of students and graduates of clinical doctorate programs, including the application process, their career goals and outcomes, and their general reflections on their decision to pursue the doctor of speech-language pathology degree. Third, authors present an examination of SLPs’ perceptions of graduate students in CSD who speak with vocal fry (a low-pitched, grating voice quality). Finally, in a mixed-method study, graduate and undergraduate students participate in a learning-by-teaching experience in two CSD courses. Three years of data is presented.
Credit(s): PDHs: 4.5, ASHA CEUs*: 0.45
Summary: This SIG 10 activity includes four articles exploring mindfulness, quality of life, and the impact of COVID in CSD programs. In the first article, outcomes are studied when graduate SLP students engage in a remote synchronous mindfulness program (RSMP). In the second article, a tutorial for contemplative pedagogy in CSD classrooms is introduced. Next, the quality of life and sleep among Brazilian SLP students during the COVID-19 pandemic is explored. The last article describes an exploratory study characterizing CSD doctoral students’ experiences during the COVID-19 pandemic.
Credit(s): PDHs: 4.5, ASHA CEUs*: 0.45
Summary: In this SIG 10 activity, Farrugia explores the preparatory experiences of SLPs working in early intervention (EI) in Michigan, as a first step toward understanding how to best prepare students for practice and on-the-job learning in EI. McDaniel, Hessling Prahl, and Schuele provide a tutorial for a PhD Student–Mediated Mentorship Model (PSMMM) used within their lab. The PS-MMM teaches PhD students to be research mentors, encourages graduate clinicians to transition to research and doctoral training, and aims to increase the research experiences available to undergraduate and graduate students. Ronney and Kirby offer a critical review regarding service-learning with audiology students and their clients/patients. They describe best practice and common challenges to inform future research. Finally, Brackenbury and Kopf describe how game-based learning can facilitate student and client instruction through increased motivation and engagement, including suggestions for implementation in classroom and clinical settings.
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: The article in this SIG 6 activity focuses on the audiologic variations seen among patients undergoing the same type of ototoxic drug treatment (cisplatin). Results show a large amount of audiologic outcome variability among the two patients examined, despite similar demographic factors, drug treatments, and types of cancer. Factors relating to ototoxic susceptibility are discussed, and the importance of otoxicity monitoring programs for early detection of audiologic change is highlighted.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This SIG 11 Perspectives activity addresses aspects of clinical supervision and administration beyond the “Big Nine” clinical competencies. In the first article, the author discusses the significance of emotional resilience and provides practical strategies to encourage resiliency in supervisees. The second article explains the significance of cultural competence and the value of open conversations within supervisory relationships. Finally, the third article highlights key skills used in intentional and reflective supervision.
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