Rick Talbott, Ph'D' Dean

1
THE CONTINUUM OF EDUCATION DILEMMA

• THE EDUCATION OF SPEECH LANGUAGE PATHOLOGISTS AND
  AUDIOLOGISTS
• Goals For Presentation 1. Describe the status
  quo
• 2. Describe shortfalls in current
• 
  models
• 3. Recommendations for change
• 4. Discussion/Input from group

2
THE CONTINUUM OF EDUCATION DILEMMA

• WHAT SHOULD BE THE GOALS OF OUR EDUCATIONAL
  SYSTEM?
• SUPER ORDINATE GOAL
• Educate the most competent speech-language
  pathologists and audiologists possible Sine Qua
  Non
• ADDITIONAL GOALS
• Provide a broad educational experience the
  educated citizen approach
• Provide educational approach that prepares for
  academic and research careers
• Provide building blocks for educational options

3
THE EVOLUTION OF CURRENT STANDARDS

• Evolution of Educational Requirements
• Historical Precedent Belief System
• 1987 ASHA Job Analysis StudyBoth Professions
• Skills Validation Studies
• Audiology Tannenbaum-Rosenfield--
• Speech Language Pathology
• - Hundreds of Studies/Articles/Proposals

4
THE RESULTS

• Focus of study on agreement among three groups
  educators practicing clinicians and an expert
  panel.
• CFY was not an efficacious model
• More of knowledge areas should be included in
  the educational experience
• Indirect evidence that scope of practice exceeded
  scope of educational commitment
• Major change AuD
• Changes to Certification and Accreditation
  Standards

5
THE MISSING LINK

• A MODEL BASED ON AN EDUCATIONAL CONTINUUM
• A SPECIFIC BUILDING BLOCK APPROACH FROM FRESHMAN
  THROUGH GRADUATE DEGREES
• THE CCC s COULD INCLUDE, AMONG OTHERS,
• THE ACAES MUST INCLUDE BASIC SCIENCE AS WELL AS
  A BROAD EDUCATION IN LIBERAL ARTS
• STANDARDSLACK OF SPECIFICITY LACK OF
  RIGOR-LACK OF PLANNING

6
CURRENT REVISIONS LOOKING FORWARD-GOING
BACKWARDS?

• 2007 Practice and Curriculum Analysis of CAA
  and CFCC- Audiology Stds.
• Survey developed by 12 member panel
• Consultants
• Peer Review
• CFCC TO REVIEW IN FEB/MARCH

7
PROPOSED NEW STANDARDS

• PREVIOUS STANDARDS LACKED DETAILED SCIENCE
  SPECIFICITY
• PROPOSED STANDARDS CURED THE LACK OF DETAIL BY
  BASICALLY ELIMINATING ANY SPECIFICITY
• LEAVE IT UP TO THE PROGRAMS?

8
SO WHATS THE PROBLEM

• INADEQUATE MATH AND SCIENCE BACKGROUND FOR
  GRADUATE CLINICAL COURSES
• INADEQUATE MATH AND SCIENCE PREPARATION FOR
  RESEARCH ACADEMIC CAREER
• WOULD THIS PUT US AT A COMPETITIVE DISADVANTAGE ?
  

9
FOUNDATIONS?

• THE NEW AUDIOLOGY STANDARD IV-A-Program of
  Study/Foundations of Practice
• A1. Embryology, Physiology, Neuroanatomy,
  Neurophysiology, Pathophysiology
• The most elementary texts in these areas require
  at least a basic understanding of biochemistry,
  trigonometry, calculus.

10
THE CHOICES

• Absent the background graduate programs have two
  choices (a) Superficial Treatment or (b)
  Remedial --- Time consuming Work
• How many hours spent in graduate courses on basic
  math/trig remediation in trying to get across
  basic physics of sound.
• Almost all of the neurophysiology-general
  physiology-pathophysiology is dependent on
  knowledge of membrane potentials Nernst
  Potentials Goldman-Hodgkin-Katz Equation-Chord
  Conductance Equation
• Translation BIOCHEMISTRY

11
COMPARABLE HEALTH DEGREES

• PROFESSIONAL DOCTORAL DEGREES
• PHARM D.
• MEDICINE
• DENTISTRY
• PHYSICAL THERAPY
• NON-DOCTORAL ALLIED HEALTH
• PHYSICIAN ASSISTANT
• CLINICAL LABORATORY SCIENCE
• OCCUPATIONAL THERAPY

12
COMMON ELEMENTS OF BOTH DOCTORAL AND NON-DOCTORAL
HEALTH PRE-PROFESSIONAL EDUCATION

• PHYSICS
• An essential background for both professions but
  not required by CAA-CFCC-ACAE- CURRENT OR IN THE
  WORKS
• ORGANIC CHEMISTRY
• An essential background for both professions but
  not
• required by CAA-CFCC-ACAE
• MATH/CALCULUS
• An essential background for both professions but
  not
• required by CAA-CFCC-ACAE

13
TO BE GAINED IN TERMS OF GOALS

• CLINICAL COMPETENCY Scope of practice and
  technology will change ability to cope with
  change is consequence of strong science
  foundation.
• REDUCTION OF REMEDIAL COURSEWORK AND TIME IN
  GRADUATE STUDY
• GREATER HOMOGENEITY OF RAW MATERIAL Students are
  not lacking capability but lacking knowledge and
  academic challenge.
• CAREER OPTIONS- To remain viablebeing
  competitive in research market demands being
  competitive for NIH and comparable funding.

14
SUMMARY OF NEEDS

• HOMOGENEITY OF PRE-PROFESSIONAL EDUCATION
• FRONT END TO BACK END CONTINUUM OF EDUCATION
  PLANNING
• STUDENT SHOULD BE PREPARED TO GO WHEREVER HIS/HER
  EXPERIENCE LEADS