Specialty Recognition forSpecialty Recognition forPediatric Audiology Pediatric Audiology

Patti Martin, Ph.D., CCC-APatti Martin, Ph.D., CCC-AArkansas Children’s HospitalArkansas Children’s Hospital

Brandt Culpepper, Ph.D., CCC-ABrandt Culpepper, Ph.D., CCC-ATowson UniversityTowson University

2005 EHDI Annual ConferenceAtlanta, Georgia

ObjectivesObjectives

Describe specialty recognition Describe specialty recognition

Review the existing process for specialty Review the existing process for specialty recognition (ASHA & AAA)recognition (ASHA & AAA)

Present the current status of specialty Present the current status of specialty recognition developmentrecognition development

Ask for input from professionals and Ask for input from professionals and families involved in EHDIfamilies involved in EHDI

What is Specialty Recognition?What is Specialty Recognition?

A credential recognizing:A credential recognizing:

• expertise in a specialized area of expertise in a specialized area of practice practice

• skills, knowledge, and expertise skills, knowledge, and expertise above and beyond those outlined as above and beyond those outlined as meeting minimal competency meeting minimal competency standardsstandards

www.asha.org

Why is Specialty Recognition valuable?Why is Specialty Recognition valuable?

Allows for identification of expertiseAllows for identification of expertise

Personal satisfaction of recognition for Personal satisfaction of recognition for advanced knowledge, skills, and advanced knowledge, skills, and experienceexperience

Tools for marketing and negotiating Tools for marketing and negotiating higher reimbursement rates in higher reimbursement rates in contractscontracts

Mechanism for qualifying for career Mechanism for qualifying for career laddersladders

www.asha.org

Potential Value to EHDIPotential Value to EHDI

Assist in identifying audiologists with Assist in identifying audiologists with interest, skills, knowledge, and interest, skills, knowledge, and expertise in working with infants and expertise in working with infants and young children and their familiesyoung children and their families

Assist in developing referral lists for Assist in developing referral lists for EHDI programsEHDI programs

NCHAM Annual SurveysNCHAM Annual Surveys

ASHA: Who is eligible for Specialty ASHA: Who is eligible for Specialty Recognition?Recognition?

Audiologists and Speech-language Audiologists and Speech-language

pathologistspathologists

• Applicants Applicants mustmust hold the ASHA hold the ASHA

Certificate of Clinical CompetenceCertificate of Clinical Competence

• Must have post-CCC experienceMust have post-CCC experience Clinical and educationalClinical and educational

www.asha.org

ASHA: Specialty Recognition Programs ASHA: Specialty Recognition Programs now in Placenow in Place

• Child LanguageChild Language

• Fluency DisordersFluency Disorders

• Swallowing and Swallowing DisordersSwallowing and Swallowing Disorders

www.asha.org

Key Components of ASHA’s Key Components of ASHA’s Specialty Recognition ProgramSpecialty Recognition Program

• Completely voluntaryCompletely voluntary

• Non-exclusionaryNon-exclusionary Audiologists and Speech-Language Audiologists and Speech-Language

Pathologist who choose not to seek Specialty Pathologist who choose not to seek Specialty Recognition will not be excluded from Recognition will not be excluded from practicing in that specific areapracticing in that specific area

• Member-drivenMember-driven

www.asha.org

ASHA Specialty Recognition ProcessASHA Specialty Recognition Process

Run by the Council of Clinical Specialty Run by the Council of Clinical Specialty Recognition (CCSR)Recognition (CCSR)

CCSR appoints a primary facilitator CCSR appoints a primary facilitator • To provide assistance and serves as a liaison between To provide assistance and serves as a liaison between

the petitioning group and CCSRthe petitioning group and CCSR

Two-stage Application Process (Stage I and II)Two-stage Application Process (Stage I and II)• Both stages involve a period of public commentBoth stages involve a period of public comment

Establish the Specialty BoardEstablish the Specialty Board Complete legal process of becoming incorporatedComplete legal process of becoming incorporated Develop Specialty Board ManualDevelop Specialty Board Manual Accept applicants for Specialty RecognitionAccept applicants for Specialty Recognition

ASHA Petitioning BodyASHA Petitioning Body

ASHA Special Interest Division 9: ASHA Special Interest Division 9: Hearing and Hearing Disorders in Hearing and Hearing Disorders in ChildhoodChildhood

Stage IStage I

A Petitioning Group defines the A Petitioning Group defines the proposed specialty area, including proposed specialty area, including the consumer population, and the consumer population, and documents that the petitioning group documents that the petitioning group is composed of practitioners who is composed of practitioners who provide services in that areaprovide services in that area

Steering Committee Members Steering Committee Members (Stage 1)(Stage 1)

Judy Curtin, MA, CCC-SLP/A, CoordinatorJudy Curtin, MA, CCC-SLP/A, CoordinatorWestchester UniversityWestchester University

Tamala Bradham, Ph.D., CCC-A, Tamala Bradham, Ph.D., CCC-A, Associate CoordinatorAssociate Coordinator

Vanderbilt Bill Wilkerson CenterVanderbilt Bill Wilkerson Center

Gayla Hutsell, MA, CCC-A/SLP, Cert. AVT, MemberGayla Hutsell, MA, CCC-A/SLP, Cert. AVT, MemberAlexander Graham Bell Association for the Alexander Graham Bell Association for the

Deaf and Hard of HearingDeaf and Hard of Hearing

Brandt Culpepper, Ph.D., CCC-A, MemberBrandt Culpepper, Ph.D., CCC-A, MemberTowson State UniversityTowson State University

Jeanane Ferre, Ph.D., CCC-A, MemberJeanane Ferre, Ph.D., CCC-A, MemberPrivate PracticePrivate Practice

Stage I Application (con’t)Stage I Application (con’t)

By the end of Stage I, the petitioning By the end of Stage I, the petitioning group should have:group should have:

• Defined the specialty areaDefined the specialty area

• Documented the needDocumented the need

• Obtained letters of supportObtained letters of support

Stage I Application (con’t)Stage I Application (con’t)

Upon approval of the Stage I Upon approval of the Stage I application:application:

• the petitioning group has exclusive the petitioning group has exclusive rights within ASHA for 18 months to rights within ASHA for 18 months to proceed with the Stage II application in proceed with the Stage II application in that specialty areathat specialty area

Stage II ApplicationStage II Application

Purpose:Purpose:• Build upon the approved Stage I document by which a Build upon the approved Stage I document by which a

successful specialty recognition program in an area will successful specialty recognition program in an area will be accomplishedbe accomplished

By the end of Stage II, the petitioning group By the end of Stage II, the petitioning group should have:should have:• Developed the process for obtaining specialty Developed the process for obtaining specialty

recognition recognition • Defined the requirements of the practicing area, Defined the requirements of the practicing area, • Established methods for assessment of knowledge and Established methods for assessment of knowledge and

experience, and experience, and • Have secured financial viability of the proposed Have secured financial viability of the proposed

Specialty BoardSpecialty Board

Steering Committee Members Steering Committee Members (Stage II)(Stage II)

Judy Curtin, MA, CCC-SLP/A, CoordinatorJudy Curtin, MA, CCC-SLP/A, CoordinatorWestchester UniversityWestchester University

Gayla Hutsell, MA, CCC-A/SLP, Cert. AVT, MemberGayla Hutsell, MA, CCC-A/SLP, Cert. AVT, MemberAlexander Graham Bell Association for the Alexander Graham Bell Association for the

Deaf and Hard of HearingDeaf and Hard of Hearing

Jeanane Ferre, Ph.D., CCC-A, Member, CCSR FacilitatorJeanane Ferre, Ph.D., CCC-A, Member, CCSR FacilitatorPrivate PracticePrivate Practice

Patti Martin, Ph.D., CCC-A, MemberPatti Martin, Ph.D., CCC-A, MemberArkansas Children’s HospitalArkansas Children’s Hospital

Diane Sabo, Ph.D., CCC-A, MemberDiane Sabo, Ph.D., CCC-A, MemberChildren’s Hospital of Pittsburgh, Univ. of PittsburghChildren’s Hospital of Pittsburgh, Univ. of Pittsburgh

Where are we now?Where are we now?

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History of Specialty Recognition in History of Specialty Recognition in Areas Related to Childhood DeafnessAreas Related to Childhood Deafness

Auditory-Verbal CommunicationAuditory-Verbal Communication• Certification Council of Auditory-Verbal InternationalCertification Council of Auditory-Verbal International• Received Stage I approval in 1997Received Stage I approval in 1997• Withdrew application in 1999Withdrew application in 1999

Specialty Recognition in Hearing Disorders in Specialty Recognition in Hearing Disorders in ChildrenChildren• Division 9: Hearing and Hearing Disorders in ChildhoodDivision 9: Hearing and Hearing Disorders in Childhood• Started the process in 1998Started the process in 1998• Submitted Stage I application (twice) in 2000 Submitted Stage I application (twice) in 2000 • Response from CCSR – “Too Broad in Scope”Response from CCSR – “Too Broad in Scope”

Recent EventsRecent Events

Division 9 continued to proceed with Division 9 continued to proceed with resubmission process of the Stage I resubmission process of the Stage I application in June 2004application in June 2004

Pediatric AudiologyPediatric Audiology

Aural HabilitationAural Habilitation

Pediatric AudiologyPediatric Audiology

Subcommittee reformed in June 2004Subcommittee reformed in June 2004

Subcommittee members met and secured Subcommittee members met and secured letters of supportletters of support

Submitted Stage I application in September Submitted Stage I application in September 20042004

Received verbal approval November 2004Received verbal approval November 2004

Obtaining public input for Stage II Obtaining public input for Stage II applicationapplication

Aural HabilitationAural Habilitation

Contacted CCSR with intent June 2004Contacted CCSR with intent June 2004

Subcommittee has met on three Subcommittee has met on three occasions occasions

Appointed primary facilitator in Appointed primary facilitator in November 2004November 2004

Obtaining public input for Stage I Obtaining public input for Stage I applicationapplication

What’s in a Name?What’s in a Name?

ASHA - Specialty Recognition ASHA - Specialty Recognition • identified as a “Board Recognized identified as a “Board Recognized

Specialist in Specialist in *****”*****”

AAA – Specialty Certification – AAA – Specialty Certification – • Identified as having “Advanced Identified as having “Advanced

Certification with Specialty Recognition Certification with Specialty Recognition in in *****”*****”

AAA Task Force:AAA Task Force:Advanced Certification with Advanced Certification with

Specialty Recognition in Pediatric Specialty Recognition in Pediatric AudiologyAudiology

Chair :Chair :• James A. Beauchamp, Au.D.James A. Beauchamp, Au.D.

Board Certified in AudiologyBoard Certified in Audiology Tulare County Office of EducationTulare County Office of Education Hearing & Speech CenterHearing & Speech Center 500 South Laspina Street500 South Laspina Street Tulare, California 93274-5929Tulare, California 93274-5929

AAA Task Force AAA Task Force Working on the defining the process for Working on the defining the process for

developing pediatric specialty certification.  developing pediatric specialty certification.  Now defining the areas that should be included Now defining the areas that should be included

as a part of pediatric audiology certification.  as a part of pediatric audiology certification.  After areas are defined, will outline how to After areas are defined, will outline how to

determine eligibility for certification. determine eligibility for certification.  Goal: present a firm recommendation to ABA for Goal: present a firm recommendation to ABA for

their implementation by July 1 of this year.  their implementation by July 1 of this year.  The ABA Board of Governors must then The ABA Board of Governors must then

decide how they wish to proceed.decide how they wish to proceed.

AAAAAA

American Board of Audiology (ABA) American Board of Audiology (ABA) • Voluntary CertificationVoluntary Certification• Not tied to membership in any specific Not tied to membership in any specific

organizationorganization• Now recognized by 6 state licensure Now recognized by 6 state licensure

boards (Colorado, Illinois, Maryland, boards (Colorado, Illinois, Maryland, Minnesota, Washington, Ohio)Minnesota, Washington, Ohio)

Specialty Certification Specialty Certification • Recently initiated: Cochlear ImplantsRecently initiated: Cochlear Implants

www.audiology.org

Next StepsNext Steps

ASHA Div 9 Steering Committee ASHA Div 9 Steering Committee and Specialty Recognition Sub-and Specialty Recognition Sub-committees to meet with AAA committees to meet with AAA Task Force to discuss Task Force to discuss combining efforts towards combining efforts towards defining ‘pediatric audiologists’defining ‘pediatric audiologists’

Questions? Comments? Concerns?Questions? Comments? Concerns?