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Course: #27135

FRESH Noise - A Fresh Approach to Pediatric Testing

156 Reviews

1 Hour  

When evaluating behavioral hearing thresholds in children it's imperative to maintain the patient's attention to stimuli. In-booth controls incorporating pediatric specific tools facilitate fast and accurate testing. The addition of a different narrow band noise (NBN), known as FREquency Specific Hearing assessment (FRESH), overcomes potential limitations of traditional NBN. NBN can underestimate thresholds at a given frequency due to wider filters. This learning module will review pediatric sound field testing guidelines, stimulus effects, and improved workflow with computerized audiometry.

Course created on February 29, 2016

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CEUs/Hours Offered: AAA/0.1 Introductory; ACAud/1.0; BAA/1.0; CAA/1.0; IACET/0.1; IHS/1.0; Kansas DHE, LTS-S0035/1.0; NZAS/1.0; SAC/1.0
Preview Exam

Course Learning Outcomes

  • The participant will be able to describe the features and benefits of FRESH noise.
  • The participant will be able to discuss the inherent problems using Narrow Band Noise in the sound field as a test stimulus.
  • The participant will be able to explain how to make informed decisions regarding test protocols and stimuli selection for pediatrics when tested in the sound field in both the unaided or aided conditions.

Time-ordered Agenda

0-5 Minutes Introduction
5-20 Minutes Review of Masking
20-35 Minutes Discuss Narrowband noise & effective masking
35-55 Minutes Research of Fresh Noise
55-60 Minutes Conclusion and Q and A

Course Presenters

keeley moore

Keeley Moore, MA, CCC-A, FAAA

Clinical Support Audiologist

Keeley Moore, M.A., CCC/A, is a clinical support audiologist at Audiology Systems, where she acts as client liaison for product support as well as offer clinical education and training. Moore has more than 15 years of experience as a practicing audiologist. She joined Otometrics from the Illinois Early Hearing Detection and Intervention Program, where she was an audiological consultant. While there, she played a key role in training and supporting lay hearing screeners, which included teaching OAE hearing screening courses and leading practicum for lay screeners. Prior to that position, Moore was a clinical and educational audiologist with a non-profit speech and hearing clinic. In that position, she served a diverse patient population and performed pediatric through geriatric behavioral audiometric assessment and implemented habilitation and rehabilitation services. She also performed hearing aid and FM selection, fitting, verification and management. Additionally, Moore counseled and taught advocacy skills to parents, students and professionals, among many other responsibilities. Moore has also worked in ENT clinics and hospital environments and is skilled in a broad spectrum of audiology and vestibular practices.  Moore served honorably in the United States Marine Corps from 1985 through 1990, as a non-commissioned officer. She holds a B.A. in speech and hearing sciences from Indiana University, earning her Masters in Audiology from The Ohio State University. She holds a certificate of clinical competence and is certified by the American Board of Audiology.


dawn violetto

Dawn Violetto, AuD

Director of Audiology at Child's Voice

Dr. Dawn Violetto is Director of Audiology at Child's Voice, the premier listening and spoken language school in Northern Illinois and has over 20 years of experience in pediatric audiology. At Child's Voice, Dawn serves the children and families by performing many functions as both an educational and diagnostic audiologist and also serves as a preceptor for doctoral students. She also opened and runs the Pediatric Early Hearing Detection and Intervention (PEHDI) program performing diagnostic audiology for children 0-3 years from the surrounding communities. Dawn received her B.A. and M.A in Audiology from Northern Illinois University and her Doctorate in Audiology from Arizona school of Health Sciences at A. T. Still University.  Dawn has served on the Illinois New Born Hearing Collaborative and was involved in introducing the ECHO program in the state. She currently serves on the Illinois New Born Hearing Advisory committee and the Illinois state SIAC Health Subcommitte Hearing Ad Hoc work group. 


Presenter Disclosure: Keeley Moore: Financial: Keeley Moore is employed by Audiology Systems / GN Otometrics. Non-financial: Keeley Moore has no non-financial relationships to disclose.

Dawn Violetto: Financial: Dawn Violetto is Director of Audiology at Child's Voice. Non-financial: Dawn Violetto has no non-financial relationships to disclose.


Sponsor Disclosure: This Course is presented by Otometrics / Audiology Systems in partnership with AudiologyOnline.

Content Disclosure: This course discussed testing with FREquency Specific Hearing assessment using equipment from Otometrics/Audiology Systems.

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American Academy of Audiology

AudiologyOnline is approved by the American Academy of Audiology to offer Academy CEUs for this activity. The program is worth a maximum of 0.1 CEUs. Academy approval of this continuing education activity is based on course content only and does not imply endorsement of course content, specific products, or clinical procedure, or adherence of the event to the Academy's Code of Ethics. Any views that are presented are those of the presenter/CE Provider and not necessarily of the American Academy of Audiology.


Australian College of Audiology

AudiologyOnline courses are approved for Continuing Education Points by the Australian College of Audiology. Automatic ACAud Approval Number 20000. This course is offered for 1 CEP.


British Academy of Audiology

This course has been accredited with 1 CPD point/s by the British Academy of Audiology.


Canadian Academy of Audiology

The Canadian Academy of Audiology (CAA) supports and assists its members in the attainment of continuing education towards an individual professional development plan as required by their Provincial Regulatory Colleges and Provincial Associations. Audiology Online is an approved provider of educational activities for CAA members. Each hour of activity may be counted as one Continuous Learning Activity Credit (or equivalent) as allowed by the applicable regulatory college or association.


International Association for Continuing Education and Training

Allied Health Media, LLC, DBA AudiologyOnline, is accredited by the International Association for Continuing Education and Training (IACET). Allied Health Media complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, Allied Health Media is authorized to issue the IACET CEU. Allied Health Media, LLC, is authorized by IACET to offer 0.1 CEUs for this program.


International Hearing Society

This program is approved by the International Hearing Society and its educational committee, the International Institute for Hearing Instruments Studies. To learn more about earning IHS CE Credit, click here.


Kansas Department of Health and Environment

Kansas Department of Health and Environment: Approved for 1 continuing education clock hours for Kansas licensed Audiologists by the Kansas Department of Health and Environment. Long-Term Sponsorship number LTS-S0035.

AudiologyOnline.com is approved by the California Speech-Language Pathology and Audiology Board to provide CEUs, approval number PDP 267.


New Zealand Audiological Society

This course is offered for 1.0 Continuing Education points through the New Zealand Audiological Society.


Speech-Language & Audiology Canada

Clinically certified members of Speech-Language & Audiology Canada (SAC) can accumulate continuing education equivalents (CEEs) for their participation with AudiologyOnline. One hour of coursework equals 1 CEE. All SAC members are encouraged to participate in on-going education.