Division of Speech and Hearing Sciences

www.med.unc.edu/ahs/sphs

JACKSON ROUSH, Director

Professors

Elizabeth R. Crais (048) Communication Disorders in Infants, Identification/Intervention with Young Children with Autism

Karen Erickson (045) Assessment of Reading and Writing, Literacy Instruction

Melody Harrison (040) Early Speech, Language, and Auditory Development in Children with Hearing Loss

Lee McLean, Early Intervention and Language Development in Children (Emeritus)

Jackson Roush (058) Pediatric Audiology, Newborn Hearing Screening

Linda R. Watson (067) Language Disorders in Young Children, Autism, Emerging Literacy

Associate Professors

Katarina L. Haley (072) Speech Perception and Production, Neurogenic Communication Disorders

Lori Leibold (009) Developmental Psychoacoustics, Pediatric Audiology

Martha Mundy (053) Educational and Pediatric Audiology

Stephanie Sjoblad (082) Aural Rehabilitation, Hearing Aids and Assistive Devices

Sharon Williams (074) Geriatrics, Communication Disorders of Older Adults, Multicultural Issues, Counseling

David Zajac (063) Speech Aerodynamics, Developmental Aspects of Speech Production, Cleft Palate Research

Assistant Professors

Lauren Calandruccio (730) Speech Perception

Lisa Domby (025) Phonology, Bilingual Learning

Penelope Hatch (090) Literacy, Augmentative and Alternative Communication

Will Hoole, Electroacoustics and Adult Hearing Aids

Adam Jacks (085) Aphasia Neurogenic Communication Disorders, Speech Science

Patricia Johnson, Hearing Aids and Assistive Devices

Gary Martin (079) Child Language Disorders, Neurodevelopmental Disabilities

Cara McComish (001) Early Identification of Autism and Pediatric Feeding

Nancy McKenna (062) Genetics, Hearing Disorders

Brenda Mitchell (80) Speech and Language Disorders

Amanda O'Donnell (086) Adult Hearing Aids and Balance

Debra R. Reinhartsen, Augmentative Communication, Low-Incidence Disabilities

Research Professors

Emily Buss, Psychoacoustic Research

John H. Grose (050) Audiology and Psychoacoustics Research

Joseph W. Hall, Audiology and Psychoacoustics Research

Adjunct Associate Professors

Douglas Fitzpatrick, Anatomy and Physiology of the Auditory System

Holly Teagle (084) Cochlear Implants in Children

Adjunct Assistant Professor

Richard Clendaniel (085) Balance and Vestibular Disorders

Adjunct Instructors

Hillary Bartholomew, Voice

Kristen Brackett, Dysphagia

Geri Chadwick, Intraoperative Monitoring

Margaret Dillon, Adult Cochlear Implants

Hannah Eskridge, Pediatric Aural Rehabilitation

Lynn Fox, Fluency Disorders

Brian Kanapkey Dysphagia, Neurogenic Speech Disorders

Lisa Markley, Medical Speech-Language Pathology

Stephanie McAdams, Medical Speech-Language Pathology

Gina Vess, Voice and Voice Disorders

The Division of Speech and Hearing Sciences in the School of Medicine's Department of Allied Health Sciences provides academic and professional education for speech-language pathologists and audiologists. Programs of study are available at the master's level in speech-language pathology. Programs of study at the doctoral level are available in clinical audiology (Au.D.) and in research (Ph.D.). The study of speech and hearing requires knowledge in both normal and abnormal speech, language, and hearing.. The speech and hearing sciences curriculum provides a multifaceted learning environment including classroom, laboratory, and clinical experiences. Three major tracks of study are possible within the curriculum: audiology, speech-language pathology, and speech and hearing sciences. There are three academic degree programs: 1) a master's degree (M.S.) for entry-level clinical practice of speech-language pathology, 2) a professional doctorate in clinical audiology (Au.D.), and 3) a Ph.D. in speech and hearing sciences for students with a background in speech-language pathology or audiology who desire a research degree. All of these programs are interdisciplinary in nature, involving clinical and research activities with other University departments and centers in addition to the Division of Speech and Hearing Sciences.

The entrance, academic, and residency requirements for the M.S. and Ph.D. degrees correspond to those of The Graduate School. Applicants to the Au.D. program follow the guidelines established by the School of Medicine for that degree program. Students enrolled in clinical degree programs (M.S. and Au.D.) are prepared to meet licensure and certification requirements necessary for the practice of speech-language pathology or audiology. Additional information describing the graduate programs in speech and hearing can be obtained on the Web at www.med.unc.edu/ahs/sphs.

Courses for Graduate and Advanced Undergraduate Students

SPHS

530 Introduction to Phonetics (COMM 530) (3). A detailed study of the International Phonetic Alphabet with emphasis on the sound system of American English. Application of phonetics to problems of pronunciation and articulation. Includes broad and narrow phonetic transcription.

540 Speech Science (COMM 540) (3). Introduction to the science of speech, including production, acoustics, and perception.

570 Anatomy and Physiology of the Speech, Language and Hearing Mechanisms (COMM 570) (3). Anatomy and physiology of the speech-producing and aural mechanisms.

582 Introductory Audiology I (COMM 582) (3). Theory and practice of the measurement of hearing, causative factors in hearing loss, evaluation of audiometric results, and demonstration of clinical procedures.

583 Introduction to Clinical Practice in Speech-Language Pathology and Audiology (3). Introduction to diagnosis and treatment of communication disorders, including articulation, fluency, voice and language, and those resulting from autism and hearing loss.

Courses for Graduate Students

SPHS

701 Introduction to Research in Speech and Hearing (3). Required preparation, statistics course. Experimental and descriptive research designs in speech and hearing sciences, including both group and single subject.

704 Supervised Clinical Experience (1–2). Supervised clinical experience in the practice of speech-language pathology.

706 Clinical Practicum in Audiology (1–21). Supervised clinical experience. May be repeated for credit.

708 Cochlear Implants (3). Prerequisites, SPHS 715 and 811. Examines fundamentals of cochlear implants, candidacy, evaluation, equipment, programming, and performance outcomes.

710 Audiologic Assessment (3). Prerequisite, SPHS 582 or equivalent. Clinical Audiology assessment including pure-tone audiometry, immittance measures, and other measures commonly employed in the standard diagnostic battery.

710L Audiologic Assessment Lab (1). Laboratory exercises in threshold determination, clinical masking and speech recognition testing, all concepts introduced in SPHS 710, Audiologic Evaluation I.

712 Characteristics of Amplification Systems (3). Amplification options for the hearing-impaired; specifically, hearing aid, electroacoustics, and earmold technologies. Additionally, hearing aid selection procedures are presented.

712L Characteristics of Amplification Lab (1). Laboratory activities related to earmolds, hearing aids, and ANSI electroacoustic verification.

715 Anatomy and Physiology of Hearing (3). This course will cover anatomy and physiology of the peripheral hearing system (outer, middle, and inner ear) as well as relevant central pathways.

722 Auditory Perception (3). This course provides an overview of psychoacoustics–the psychology of hearing. Content includes introductory acoustics, normal sound perception, and the perceptual consequences of impaired hearing.

725 Hearing Disorders (3). Prerequisite, SPHS 582. Diseases and disorders of the auditory system and their management.

726 Clinical Issues and Experiences in Audiology (1). Online course covering universal precautions, privacy regulations, clinical practice with diverse cultural groups, report writing, and other aspects of audiology practice.

730 Instrumentation and Calibration (1). Principles of instrumentation relevant to clinical practice including study of electronics, filters, and analog and digital processing.

740 Principles of Prevention, Assessment, and Intervention in Speech-Pathology (3). Principles and methods of prevention, assessment, and intervention for people with communication and swallowing disorders, including consideration of anatomical/physiological, psychological, developmental, and linguistic and cultural correlates of the disorders

741 Neuroanatomy (3). Prerequisite, SPHS 570. A survey of neurological anatomy in relation to clinical speech-language pathology. Topics considered include organization of the CNS, neuroanatomy, neurophysiology, and neurochemistry.

742 Aphasia (3). Prerequisite, SPHS 570. Discussion of adult aphasia and its clinical management, including assessment, diagnosis, prognosis, counseling, and treatment. Combined lectures and laboratories.

743 Pediatric Speech Sound Disorders (3). Prerequisites, SPHS 530 and 570. Course deals specifically with the major diagnostic tests of articulation and the specific management programs associated with each. Thorough examination of the research supporting each test and treatment plan is included.

744 Motor Speech Disorders (3). Prerequisites, SPHS 540 and 570. Assessment and treatment of adults presenting with disorders of motor speech control (i.e., dysarthria, anarthria, and apraxia of speech).

745 Contemporary Professional Issues (1–2). Contemporary professional issues in the practice of speech-language pathology.

748 Voice Disorders (2–4). Assessment and management of children and adults with voice disorders (including laryngectomy).

749 Evaluation and Clinical Management of Persons with Oral-Facial Anomalies (3). Prerequisites, SPHS 540 and 570. In-depth analysis of the embryologic and physiologic bases of oral-facial anomalies and the team approach to assessment and habilitation. Particular emphasis placed upon the following specialties: genetics, plastic surgery, prosthodontics, orthodontics, otolaryngology, and speech-language pathology.

751 Communication Disorders: Global Service Learning (2). This course combines seminars, readings, and service-learning fieldwork, providing students the opportunity to practice and refine language skills for working with culturally and linguistically diverse individuals with communication disorders.

752 Seminar in Medical Speech Language Pathology (3). Discussion of normal aging and language. Assessment and treatment of cognitive and linguistic problems in persons with dementing conditions, right hemisphere dysfunction, and traumatic brain injury.

754 Dysphagia (3). Discussion of the development of the normal swallow, anatomy, and physiology of the swallowing mechanism, and assessment and team management of swallowing disorders.

760 Neurologic Communication Disorders in Adults (3). Overview of communication disorders commonly seen in adult populations. These include disorders of language, cognition, speech and motor control, voice, and fluency.

762 Language and Learning Disorders (3). Course in normal and abnormal learning from a language perspective. Emphasis on evaluation and treatment from a psycholinguistic model.

765 Augmentative and Alternative Communication (3). A comprehensive look at the theoretical and clinical issues related to augmentative/alternative communication. Techniques and strategies to provide effective communication for the severely handicapped are discussed.

802 Problems in Speech and Hearing Sciences (1–3). May be repeated for credit.

803 Audiologic Rehabilitation for Children (3). Covers speech perception and the effects of hearing loss on perception and production of speech as background for understanding assessment and treatment, with an auditory-verbal emphasis. Pediatric assessment and amplification are reviewed.

804 Audiologic Rehabilitation for Adults (3). Theoretical bases and history of audiologic rehabilitation of adults. Also, practical approaches to assessment and therapeutic intervention are presented. The roles of assistive technology and family-based counseling are included.

806 Communication Assessment and Intervention with Children Birth to Five (3). Stages of communication development of children from birth to five years old; clinical issues related to the assessment tools and intervention and planning for children with disabilities and their families.

808 Seminar in Audiologic Rehabilitation (2). Prerequisites, SPHS 712 and 813. Audiologic rehabilitation including counseling, visual speech perception, auditory training, special needs of older adults, and psychosocial aspects of hearing loss will be addressed. Review of technology to enhance communication included.

809 Introduction to Cochlear Implants (1). Introductory information regarding cochlear implant candidacy, an overview of implant components, the evaluation process, surgery, device programming, and initiation of post implantation therapy. Class meets three hours for five weeks.

811 Pediatric Audiology (2). Clinical procedures used in the identification and management of hearing loss in young children.

812 Pediatric Amplification and Assistive Listening Devices (2). Prerequisites, SPHS 712 and 811. This course covers prescriptive formulas, verification and fitting of hearing aids and FM systems, and suggested monitoring of progress when working with young children with hearing loss and their families.

813 Fitting and Dispensing of Amplification Systems (3). Prerequisite, SPHS 712. Theoretical and practical approaches to fitting amplification systems and the procedures for dispensing amplification systems to the hearing-impaired.

813L Fitting and Dispensing of Amplification Lab (1). Prerequisite, SPHS 712. Laboratory experiences related to the selection, programming, and fitting of amplification devices to hearing impaired individuals.

814 Auditory Evoked Potentials I (3). Prerequisites, SPHS 710, 715, and 722. This course explores the field of electrophysiologic responses within the auditory and vestibular systems. Auditory brainstem response (ABR), electrocochleography (ECoG), electroencephalography (EEG), and otoacoustic emissions (OAE) are covered.

814L Auditory Evoked Potentials I Lab (1). Prerequisites, SPHS 710, 715, and 722. Elecrophysiologic laboratory exercises to accompany Auditory Evoked Potentials I course.

815 Auditory Evoked Potentials II (2). Prerequisite, SPHS 582. Advanced principles of pediatric audiology and intervention strategies for hearing-impaired children. Procedures for counseling and case management.

816 Occupational and Community Audiology (2). Prerequisite, SPHS 582, Military and industrial audiology and hearing conservation, including physiological and psychological factors.

818 Balance Assessment and Rehabilitation (3). Principles of vestibular function and dysfunction, clinical assessment and management.

818L Balance Assessment Lab (1). Prerequisite, SPHS 710. Laboratory exercises to accompany Balance Assessment course. To include case history, bedside examination, and objective measurements.

819 Educational Audiology (2). Prerequisites, SPHS 710 and 871L. Examines the provision of services to school-age children, with special focus on eligibility determination and assessment of central auditory perception.

823 Business Management and Professional Issues (3). Examines healthcare and business models that impact audiology practice. Personnel management, marketing, quality assurance, and service reimbursement for audiology practices will be covered.

824 Audiology Grand Rounds (1). Examines clinical cases from the perspective of presenting symptoms, test results, and clinical outcomes.

825 Embryology and Genetics of Hearing and Deafness (2). Genetics related to developing hearing and balance structures as well as syndromic and nonsyndromic hearing loss and deafness.

830 Independent Study (1–5). This course gives enrolled graduate students in the curriculum an opportunity to pursue research supervised by one or more faculty members, culminating in a written document or special project.

831 Advanced Signal Processing (1). This course will provide information regarding advanced signal processing utilized in digital amplification and cochlear implants.

832 Speech Acoustics (2). Prerequisite, SPHS 833. This course provides information on the fundamentals of speech production, including the acoustic characteristics of normal and disordered speech.

833 Special Topics (3). This is the foundation course in a series related to providing services to children with hearing loss. Six units focus on working with families, speech acoustics, audiological interpretation, instrumentation, foundations of speech and language and early literacy.

834 Counseling and Communication Disorders (3). This course provides a broad overview of contemporary counseling issues in communication disorders. The impact of subject age, life course, and cultural background on interviewing and counseling is included.

836 Audiology Interpretation and Hearing Technologies (4). This course focuses on behavioral and physiologic assessment of hearing in children and how these measures are used in aural habilitation. Fundamentals of hearing instrument technology including the selection and fitting of hearing aids and cochlear implants are addressed.

840 Aging and Communication Disorders (3). This course focuses on medical, psychological, and social theories and aspects of aging as they relate to communication processes and disorders.

841 Seminar in Speech-Language Pathology (0.5–21). Special topics and significant literature in the field of speech pathology.

849 Fluency Disorders (2). Course participants will develop an understanding of evaluation and treatment of acquired and developmental fluency disorders in children and adults through lecture and hands-on practice.

850 Language Disorders Encountered in Audiology (3). Students will learn about four areas of language disorders affecting children and adults (receptive and expressive language disorders, communication modalities, social aspects of communication, and cognitive aspects of communication) through readings, posted videos, and online quizzes. This is an asynchronous online course.

851 Speech Disorders Encountered in Audiology (3). Students will learn about speech disorders (fluency, voice, articulation, and craniofacial anomalies) through readings, posted videos, and online quizzes. This is an online asynchronous course.

852 Speech and Language Disorders Encountered in Audiology (3). Students will select two topics from speech disorders (fluency, voice, articulation, and craniofacial anomalies) and two topics from language disorders(receptive and expressive language disorders, communication modalities, social aspects of communication, and cognitive aspects of communication). This is an online asynchronous course with readings, videos, and quizzes.

860 Seminar on Early Communication Disorders (3).

861 Seminar in Language and Language Disorders (1–3). Special topics and significant literature in the field of language and language disorders. May be repeated for credit.

863 Listening and Spoken Language Development and Intervention (3). Prerequisites, SPHS 832 and 836. The course focuses on typical development, impact of hearing loss on listening, and spoken language acquisition, assessment, strategies/techniques, and intervention for children birth-five years who are deaf/hard of hearing.

864 Speech and Language Impairments of Children (3). Seminar course exploring categorical classifications of young children and the impact of these categories on assessment and intervention. Common topics include autism, visual impairments, fragile X syndrome, and Down syndrome.

865 Doctoral Seminar in Grant Writing (3).

870 Directed Research Experience (2). This course gives enrolled audiology and Speech-language pathology graduate students an opportunity to pursue research supervised by one or more faculty members culminating in a document, project, or presentation (1-3).

871 Teaching and Supervision (1). Course regarding teaching of skills and supervision of individuals conducting screening programs. Introduction to teaching and development of assessment tools provides a background for the teaching lab associated with this course.

871L Teaching and Supervision Lab (1). Experience developing and delivering training module, instructional module, and supervising new trainees.

882 Seminar in Speech Science (1–3). Advanced special topics and current research in speech science. May be repeated for credit.

897 Autism Seminar (3). Participants develop knowledge of the major neuropsychological theories of autism and methodological issues in autism research through reading and discussion of literature; participate in developing and presenting autism research projects individually or in groups.

898 Literacy (3). This course provides an overview of literacy development for children birth to eight years old. It will also address the impact of hearing loss on the development of literacy.

900 Research Design (3). Doctoral seminar that introduces the student to principles of quantitative research methodology.

901 Seminar in Single Subject and Survey Research (3). Doctoral student seminar that introduces the student to principles of single subject and survey research methodology.

902 Research in the Context of the Evidence-Based Practice Movement in Early Intervention (3). Overview of the evidence-based practice (EBP) movement in early intervention (EI), definitions of EBP, systems for appraising evidence quality, examination of evidence base for current practices in EI.

950 Research, Resources, and Technologies (1). This course explores the use of computers in research and clinical practice for speech-language pathologists and audiologists.

993 Master's Research and Thesis (3).

994 Doctoral Research and Dissertation (3).