BC-HIS study plan

Define and compute the four core electroacoustic measures (gain, OSPL90, frequency response, harmonic distortion) from a manufacturer specification sheet

Differentiate compression parameters (attack, release, ratio, kneepoint) and predict how each alters output for a given input change

Compare receiver types, coupling options (dome, mold, RIC), and venting effects on the real-ear response

Interpret a speech intelligibility index or aided dynamic range outcome from a sample fitting

Trace signal flow through microphone, amplifier, DSP, and receiver and identify where each feature (noise reduction, feedback management, directional processing) operates

Classify hearing loss types and degrees using pure-tone audiometry, tympanometry, and speech recognition data

Match specific technology features to audiometric configurations that would benefit

Calculate appropriate gain targets and identify when technology-level limits constrain a fitting

Select and apply a prescriptive fitting method (e.g., NAL-NL2) and explain its underlying assumptions

Perform real-ear measurement procedures and interpret REIG, REAR, and aided dynamic range results

Compare verified targets against measured output and adjust gain, MPO, and compression to close the gap

Identify and correct common fitting errors (overamplification, occlusion, feedback, underfitting of high frequencies)

Design a follow-up schedule and outcome-measurement plan (e.g., speech-in-noise testing, self-report inventories) for a new fitting

Diagnose and troubleshoot feedback, occlusion, discomfort, and poor speech-in-noise performance

Differentiate counseling strategies for first-time users versus experienced users

Determine when a fitting requires reprogramming, a different coupling, or a technology change

Compute and interpret decibel conversions, sound pressure level, and dB HL versus dB SPL relationships

Explain the physics of sound transmission, impedance, resonance, and how these affect coupler versus real-ear measurements

Apply psychoacoustic principles (masking, loudness recruitment, temporal and frequency resolution) to fitting decisions

Distinguish the acoustic effects of venting, tubing length, and ear canal volume on measured output

Label the structures of the outer, middle, and inner ear and state each structure's role in sound transmission

Describe the mechanics of the middle ear transformer and the cochlear traveling wave

Map the auditory pathway from cochlea to auditory cortex and associate each level with a clinical correlate

Relate specific pathologies (otosclerosis, otitis media, presbycusis, noise-induced loss) to their anatomic site and expected audiometric pattern

Interpret full audiologic test batteries (pure tone, speech, immittance, otoacoustic emissions) to form a differential diagnosis

Identify red flags and conditions requiring medical referral and state the referral rationale

Summarize regulatory requirements for device labeling, sale, and dispensing in the relevant jurisdiction

Apply ethical decision-making to scenarios involving sales pressure, scope of practice, and conflicts of interest

Review flagged weak areas from prior weeks and re-test those concepts under timed conditions

Integrate cross-domain knowledge by solving full-length practice items with domain tagging

Practice explaining technical concepts concisely as required by scenario-based items

Finalize a one-page summary sheet of formulas, targets, and referral criteria