What They Didn't Tell Me In Grad School (formerly " Are Audiologists Generous?" )

Paul D Dybala dybala at utdallas.edu
Tue Aug 19 21:03:22 EST 1997


I can't believe what I am reading.

HearWHAC (hearwhac at netins.net) wrote:

> Susan, my family has been in the hearing aid industry more than 50 years
> and it is a wonderful world, believe me. (My Father often said, "You
> don't have to be crazy to sell hearing aids, but it helps.") I, too, am

snip

> 4) The students graduating from our university audiology programs today
> are absolutely unsuited for the real world! Is there a solution? Yes, I
> believe the problem could be solved:

I find this insulting.  Besides being untrue on the competency of
audiology graduate students, no student can ever COMPETELY be ready for
the "real world" because they were in school.  Everybody does some 
learning on the job.  

I am sure that you just got out of bed one day and said 
"I want to dispense hearing aids" and opened a practice and was ready
to go by day two!

> A) Get rid of 200 graduate audiology programs! A very, very large
> segment of the population has vision impairments that must be treated
> regularly by a medical specialist. (I see my Opthalmologist every year.)
> There are only a few Opthalmology programs in the US. A very, very tiny
> segment of the population has hearing loss. (I believe that only 8
> hearing aids are sold in the US each year for every 1,000 persons. This
> is one of the highest and best figures of any country in the world.)

snip

This is part of the rationale behind the AuD

 
> We have hundreds of audiology programs, none of which are any good! 

EXCUSE ME!  This is totally untrue and uncalled for.  If you are not
an audiologist how would you know what a good audiology program is?

Gee,  if you hire only audiologists for your practice, could it be because
of their, TRAINING AND EDUCATION, which partially come from AUDIOLOGY
GRADUATE PROGRAMS!!!

> B) You were not taught this in graduate school, but hearing aid dealers
> are pretty good people. I contend that if you ever have a car break down
> in a strange community in the middle of the night and you need help,
> look in the "Yellow Pages" under hearing aids and call any of the
> dealers and you will find they will help you. 

> SO, PARADIGM TWO - "BELTONE AND MIRACLE EAR SALES PEOPLE ARE CROOKS!"
> Get rid of this paradigm!

Tell me why I saw a patient the other day who asked to get a copy of her
most recent hearing test from

her hearing aid dealer,

who told her it would cost her around $50 to get a copy!!!!

 snip

> SO, PRADIGM THREE THAT NEEDS TO GO - "RECRUIT ONLY FEMALES INTO
> AUDIOLOGY PROGRAMS"

Females are not recruited into audiology programs (another sign
that you don't know what you are talking about).  What happens
is most of the audiology graduate students come from speech pathology
backgrounds.  This is because most of the time, the first time students
hear about audiology is in an intro to audiology class which is required
by SLP students to graduate.

Some become interested and switch to audiology.

The problem is that the profession does not recruit from other
backgrounds, (science, etc). NOT that only females are recruited.


> D) The universities are GUILTY of keeping audiologist's income down!
> This dates from back in the old ASHA days when the "ivory tower people"
> idealized that hearing aids should be sold at "invoice cost"! I have
> long thought that the kids that always did poorly in math in school were
> the ones that became professors in the graduate audiology programs. Let
> me give you a simple math problem:

still way off see below.

> How much money should an audiologist earn? (Or, How much money do you
> want to earn?) Write it here    $___________ How much do you have to
> earn on each hearing aid sold if you sell 200 hearing aids in a year?
> $_________ This is very simple math that is not taught in the
> universities. (Annual Income divided by number of hearing aids sold in a
> year equals amount of net profit needed per sale.)

Here at the university clinic the  price for the hearing aids sold are
based upon the cost of paying for the hearing aid (invoice), PLUS
our overhead costs (salaries, physical plant, etc)
Our prices are about the same as most private practicioners in the area.


> PARADIGM FOUR, "UNIVERSITIES SHOULD TEACH THEIR STUDENTS TO SELL HEARING
> AIDS CHEAP!"

Like they teach this now!!  Have you ever been in a graduate audiology
class??

If anything new textbooks are being written about audiology business
practice management and I know this program is wanting to implement a
class.

> PARADIGM FIVE THAT MUST GO: "DON'T TEACH ANY PRACTICAL SUBJECTS IN
> GRADUATE SCHOOL - ONLY THE THEORETICAL AND ABSTRACT STUFF"!

WE HAVE PRACTICAL EXPERIENCE IT IS CALLED 

PRACTICUM!!!  

THE PART WHERE WE WORK IN THE CLINIC AND APPLY WHAT WE HAVE LEARNED!!
THE PART THAT IS REQUIRED TO GRADUATE!

> I want the AuD to really mean something!

Me too. 

> (This entitlement nonsense is a bunch of crap. Whoever heard of a "self
> assessment" questionaire that reports "experience" as having anything to
> do with competency. I would have no problem with AuD's being granted on
> a basis of competency examinations, but not by plunking down your $750.
> The hearing impaired deserve more than this, believe me!

I agree with you here.  I am totally against the entitled AuD.  But what
you are talking about above is different than just the 
earned versus entitled AuD.

I do not appreciate the comments about my profession that you make,
especially when they are grossly overgeneralized and inaccurate. 

> Paul Woodard ;-)

> Oh yes, something else my Father said many times was "Our job is to help
> the hearing impaired and to try to get along with the rest" and also,
> "I'm not going to let any audiologist tell me how I should run my
> business." And he didn't. That's how he survived!

Yes audiologists have done nothing for the hearing loss consumers of the
world.  

It was HEARING AID DISPENSERS who developed the norms for
typmanometry, and HL levels. 

It was HEARING AID DISPENSERS who developed the techniques for the
evaluation of hearing loss.

It was HEARING AID DISPENSERS who developed methods for verifying
ANSI specifications in hearing aids.

It was HEARING AID DISPENSERS who developed the protocols for measurement
of comfortable and uncomfortable loudness levels and the verification of
loudness levels in hearing aids.

Yea Right.  The profession of audiology has had a huge influence on how
you run your dispensing practice and will influence the future of hearing
health care.  

--
Thank you for your support,
Paul Dybala
dybala at utdallas.edu
http://www.utdallas.edu/~dybala



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