BC-HIS case studies
BC-HIS · Put your knowledge to work in context.
The Board Certified Hearing Instrument Specialist (BC-HIS) credential is a professional certification for hearing instrument specialists - the practitioners who evaluate hearing, select and fit amplification, and provide ongoing care to patients with hearing loss. It is typically pursued by specialists who already hold state licensure or are completing supervised clinical training, and it signals to employers and the public that the holder has met a national standard of knowledge beyond entry-level licensing. The BC-HIS case studies are 5 cases and about 2,286 words.
1Speech-in-Noise Complaint After a 'Successful' Basic Fitting
A 68-year-old retired teacher returns three weeks after fitting bilateral receiver-in-canal devices. Her four-frequency pure-tone average is 42 dB HL right and 48 dB HL left, with a gently sloping high-frequency configuration.
456 words, about 2 min2Sudden Unilateral Loss With a Fitting Appointment Already Booked
A 54-year-old man calls to move up his hearing aid follow-up. At his last visit six months ago he had a mild-to-moderate bilateral high-frequency loss consistent with noise exposure from 20 years in manufacturing, and he was fitted bilaterally.
456 words, about 2 min3Pediatric Referral: Normal Screening but Parent Insists Something Is Wrong
A 4-year-old is brought in by his mother, who reports that he 'doesn't listen' and that his preschool teacher says he misses instructions. He passed a school hearing screening two months ago.
418 words, about 2 min4Open Dome, Feedback, and a Patient Who Refuses a Custom Mold
A 72-year-old woman with a mild sloping to severe high-frequency loss is fitted bilaterally with open domes. She has worn the devices for two weeks and reports whistling when she hugs her grandchildren and when she puts on a hat.
481 words, about 2 min5Ethical Pressure: A Family Member Wants the Settings Changed Without the Patient
An 82-year-old man with moderate cognitive impairment attends his fitting with his adult daughter, who holds his durable power of attorney for finances. He is pleasant but defers most questions to her.
475 words, about 2 min