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issue December 2012 67

In this issue: Our New Chairman • What about a part-time PhD?

• Identifying and prioritising uncertainties in the treatment of tinnitus • Annual Conference Review • Professor Dafydd Stephens

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A British Society of Audiology publication


Contents Front cover pictures all from the Annual Conference: This year’s Prize winners Posters on display David Baguley & Kevin J Munro

Editorial

Editors: Christine DePlacido Safiya Husain Susannah Goggins Matt Murray Assistant Editor: Ann Allen BSA News 80 Brighton Road Reading RG6 1PS Tel: 0118 966 0622 Fax: 0118 935 1915 Email: bsa@thebsa.org.uk

2

Chairman’s message British Society of Audiology: omnipotent or impotent?

3

Book review

8

What about a part-time PhD?

9

Knowing me, knowing... Huw Cooper

12

Identifying and prioritising uncertainties in the treatment of tinnitus

1

13

Annual Conference Review

17

Professor Dafydd Stephens

21

Examination Passes

23

Membership

24

Useful names & addresses

25

Sponsor members

27

Council and meeting dates

28

Fees membership & advertising

29

Calibration services

31

Submissions

32


Editorial O

nce again the cold dark evenings are upon us. We didn’t see much of the sun this year but hopefully next year will be better. In the

meantime we have cosy fires and twinkling lights to look forward to, and hopefully none of us will have to fight our way through the snow to get to work! The annual conference was a great success this year; you will find photographs and a report in this issue, together with some really interesting articles based on some of the talks. The next conference is in Keele University next September; please make every effort to go. The presentations are always outstanding

Christine DePlacido

and the posters and exhibition worth a few hours of your time – not to mention the social and networking opportunities. We now have a new Chair, Professor Kevin Munro; you can read his first report in this issue. Our Vice chair Huw Cooper is our latest “knowing me….” I am sure you will look forward to finding out all about him! If you are looking for something to do in the dark winter nights, put your thinking cap on and send us your ideas for articles/people you would like to see featured in the News. Submissions are always welcome. If you have an idea but are not sure how to get started, get in touch, we are happy to advise. As this is the last BSA News of 2012, we would like to take the opportunity to wish you health, wealth and happiness for 2013.

Safiya Husain

Chris DePlacido

Safiya Husain

Please send your letters or e-mails for publication to: Susannah Goggins

The Editor, BSA News, 80 Brighton Road, Reading, RG6 1PS E-mail Address: bsa@thebsa.org.uk

The British Society of Audiology publishes BSA News as a means of communicating infomation among its members about all aspects of audiology and related topics. Matt Murray

BSA News accepts contributions, features and news articles concerning a wide range of clinical and research activities. Articles typically emphasise practical rather than theoretical material. BSA News welcomes announcements, enquiries for information and letters to the editor. Letters may be in response to material in the News or may relate to professional issues. Submissions may be subject to editorial review and alteration for clarity and brevity. See the ‘Submissions’ page for more information and requirements. BSA News is published in April, August and December. Contributions should preferably be emailed to bsa@thebsa.org.uk or sent to; The Editor, BSA News, 80 Brighton Road, Reading, RG6 1PS. Tel: 0118 966 0622, Fax: 0118 935 1915. Views expressed in BSA News do not necessarily reflect those of The British Society of Audiology, or of the editors. The Society does not necessarily endorse the content of advertisements or non-Society documents included with their mailings. The Society reserves the right to refuse to circulate advertisements, without having to state a reason.

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Chairman’s message

British Society of Audiology: omnipotent or impotent? I

am privileged to be your new chairman. The duration of office from viceto past-chairman is six years; however, my period of office as chairman lasts a mere two years. It is important to hit the road running or, adapting the words of author Nicholson Baker, ‘this could be a short stick with two ends and not much middle’ (Baker, 2012). Few of us have known a career in UK audiology, or cognate discipline, without the presence of the British Society of Audiology (BSA), now 45 years old. It pervades our daily lives. For many, BSA is a cornerstone of the profession/discipline (see later for examples of impact). At the other extreme, there is a perception by some non-members (perhaps shared by some members) that BSA has served its time and is largely ineffective. This is a timely opportunity, as incoming chairman, to discuss this polarised view of BSA: omnipotent or impotent? A useful starting point is to remind ourselves of the importance of hearing and communication to society. Topics such as health and longevity, global communication and interactions, and adapting to

Kevin J Munro

change are all highly relevant to audiology (see also Smith, 2012). According to statistics compiled by Action on Hearing Loss (AoHL), more than 70% of children with hearing loss currently fail to reach the government target of 6 GCSEs (from A* to C, including Maths and English) and those with a severe impairment are four times more likely to be unemployed compared to the rest of the population (AoHL, 2011). Universal newborn hearing screening has successfully reduced the age that permanent childhood hearing loss is confirmed and, as a result, intervention commences early, but we need to ensure this translates to improved long term outcomes for the individual, their family and society. At the other end of the lifespan continuum, hearing aid uptake is low and slow and there is poor adaptation (Davis, 2006; Davis et al, 2007). In England, for example, around 2m adults of the 6m who have a hearing loss (>35 dB HL average in better ear) have a hearing device and most have delayed seeking assistance by around 10-15 years. In addition, probably around 20% are not making maximum use of their device(s). Over the next 20 years or so, the population in the UK is expected to increase by a further 10 million- around 6 million will be over the age of 65 years (Office of National Statistics, 2011) with many still in employment. This is a huge public health challenge. In the 21st century, ‘survival of the fittest’ relies on good communication (Ruben, 2000). The priority is a hearing device or intervention, perhaps even for those we consider to have ‘normal’ hearing, which provides real benefit in challenging listening situations. The UK research spend for hearing loss, expressed in terms of each individual having the disorder, is currently around £1.34: for vision it is £14.21, diabetes £21.31, and for cardiovascular disease, £49.71 (AoHL, 2011). Audiology may not be sexy or glamorous (debatable possibly) but the discipline and profession is highly relevant to society because we significantly improve the quality of life for millions of patients and their families. Irrespective of where each of us is located on the continuum that ranges from basic scientific investigation through to applied research, service development and service delivery, our collective goal is to improve the lives of adults and children with hearing and communication (and vestibular) problems. Therefore, what role for BSA? A unique characteristic of BSA is that membership is open to anyone with an interest in audiology, defined here as ‘the study and assessment of the normal and disordered hearing and balance system, and the treatment and prevention of disorders of these functions’. As a result, the Society can advance research, learning and practice without the constraint of representing the interests of any one professional group (of which there are a plethora within audiology). There are at least three areas where BSA is uniquely placed to make a difference.

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1. Clinical guidance and recommended procedures There is irrefutable evidence that our Professional Practice Committee is the leading provider of clinical guidance and recommended procedures to the national and international audiology community. Examples of recent publications include: (i) practice guidance on common principles of rehabilitation for adults with hearing- and/or balance-related problems in routine audiology services (BSA, 2012a) and (ii) the recommended procedure for industrial audiometry (BSA, 2012b). In addition, there are a variety of documents published by the Special Interest Groups including the: (i) position statement on auditory processing disorder (BSA, 2011), (ii) discussion paper, and associated commentaries, on evolving concepts of developmental auditory processing disorder (Moore et al, 2012) , and (iii) information document on performing cervical vestibular evoked myogenic potential measurements (BSA, 2012b). A possible weakness, however, is that the Society has been slow to publicise and communicate these outputs so they have sometimes gone unnoticed and unacknowledged (see later).

2. Interdisciplinary network and interface At its core, the Society should strive to provide an interface between researchers and healthcare practitioners as well as others groups (educationalists, government, independent sector, professional bodies, patient groups and third sector organisations). This year’s annual conference continued the recent trend of bringing together many of those listed above. For the third year running, there were over 300 participants, with excellent attendance at four invited keynote presentations and more than 30 submitted presentations. With a registration fee of less than £100 for attendance at the full 2-3 days, this represents excellent value for money. Related to this, the Programmes Committee is undertaking a critical review of its structure and function. A number of new opportunities are being considered and the chair of the learning and events team is committed to ensuring that the calendar of events is full and extensive for several years ahead. The recent launch of the e-learn ‘Lunch and Learn’ seminars, provided in partnership with Phonak and currently free to all members and non-members, is an example of one such event. Make sure you ask Shahad.saeed@cmft.nhs. uk to add your name to the mailing list so that you are kept informed of upcoming events. The resurrection of local branches, most notably in the North West of England, is a further opportunity for networking e.g., to form partnerships between those who can identify urgent clinical research needs and those who are experienced at conducting research and in a position to provide the answers. In fact, the opportunity exists for a local branch to take responsibility for a series of e-learn seminars e.g., a monthly 15 minute update on recent journal articles presented by speakers from across the UK or overseas. Please let me know if you would be interested to lead this (or similar) development. There are numerous opportunities to expand this interface. Some 15 years ago, while Dr Valerie Cleaver was chairman of the Society, I became editor of BSA News. In my first editorial, I encouraged members to form a Paediatric Audiology Interest Group (PAIG; Munro, 1997). This group has been extremely successful, as have other groups including the Balance Interest Group and the Auditory Processing Group (and we have high hopes for the relatively new Adult Rehabilitation Group). Recently, I aired the idea of forming a special interest group under the heading of ‘Cognition and Hearing’ and I have been encouraged by the favourable response. While this proposal has still to come before BSA Council, it would be a truly multidisciplinary venture that could provide a forum to advance our knowledge and interest on topics such as: cognitive load and listening effort, the use of cognitive measures to determine intervention strategies and predict outcome, and the relationship between sensory deprivation and cognitive decline. Anyone with an interest in supporting such a venture should email piers.dawes@manchester.ac.uk A further example of interfacing is the BSA Applied Research Fund, established in 2007 in conjunction with the MRC Institute of Hearing Research (to honour the late, great Stuart Gatehouse). This is a relatively small grant, a maximum of £5000 over two years, but it is an ideal opportunity for a healthcare practitioner to lead an applied research project, in partnership with an experienced researcher. This interaction is entirely consistent with the philosophy of the National Institute for Health Research where research is carried out in partnership with high clinical impact. This scheme runs twice a year and the most recent awards were made to: Hannah Cooper, Melanie Ferguson, Deborah Hall and Rachel Knappet. The challenge for the society is to ensure that the green shoots of success, identified here, continue to flourish.

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Expert independent advice A major asset of BSA due, in part, to its multidisciplinary membership, is the provision of critical and independent advice. BSA is represented on a great many ventures such as HAB-UK, Alliance on Hearing Loss, DoH Audiology Advisory Group, and the James Lind Alliance. We also have a responsive-mode mechanism (the Rapid Response Panel) which I relied upon, for example, when preparing invited commentaries on the DoH programme of Modernising Scientific Careers. However, BSA is uniquely placed to not only respond when invited, but to be proactive and set the national agenda for policies on research, education and clinical practice. One way this could be achieved is the formation of an ‘Expert Advice Team’ that is flexible and responsive. We need to concentrate our resources to matters of strategic importance. Let me provide two examples. First, the UK currently lacks a coordinated approach to hearing and deafness across the research continuum that addresses the hearing health of the nation and is linked to clinical delivery, education and learning and dissemination. The BSA is well placed to provide advice on the formation of such a body and to facilitate its development. Second, the launch of UK Biobank, the most comprehensive health study in the UK with data on up to 500,000 participants, provides us with major opportunities to improve the prevention, diagnosis and treatment of hearing loss. This database shows that 24% of participants report a hearing problem, 37% report specific difficulty in background noise and 17% report tinnitus to be present at least some of the time (see Fig 1 for example of self-report data in 5-yr intervals). Whereas a national consortium exists to use the UK Biobank to further our understanding of eye diseases, no such consortium currently exists for hearing loss. Once again, the BSA is well placed to facilitate the formation of such a consortium. In summary, the BSA provides expert, timely and independent advice but the challenge for the Society is to shift from reactive to proactive mode.

Figure 1. Proportion of UK Biobank participants who report difficulties hearing in noise. The proportion almost doubles between the 40-44 year and 70-74 year age band. Sample of 501,655: (40-44 years, 51,673; 45-49 years, 65,960; 50-54 years, 76,189; 55-59 years, 90,692; 60-64 years, 121,308; 65-69 years, 93,413; 70-74 years, 2,420). Source: Modified from Dawes et al (2012). In order to build on the three areas of activity I summarised above, there is a pressing need to strengthen our publicity and communications activities. Our website provides a wealth of information and is maintained at a very low cost to BSA. However, the appearance of the website could, and will, be modernised and improved. The use of social networking is long overdue. The value of something as simple as a Facebook presence, with short and regular updates, is likely to go some way to improving communication between members (as well as highlighting the work of BSA to current non members). Few could reasonably

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disagree that the era of relying on ‘snail mail’ is over and BSA needs to break free from this historical baggage; otherwise, we perpetuate the perception that BSA is shuffling towards the finishing line! Here is an interesting statistic: the income from annual membership subscriptions is around £60,000 but around 50% of this is spent on printing and mailing the BSA News to members (excluding around £10,000 income from advertisements). This means that it costs the Society around £30 per year to get three hard copies of the BSA news to each member. I would be interested to know if you think this is good use of your membership fee. Although the International Journal of Audiology is a respected journal that publishes articles on audiological and related scientific research, concern was raised about its relatively low impact factor (IF) at this year’s Annual General Meeting. IFs were first described, in 1955, by Eugene Garfield and are frequently used as a proxy for the relative importance of a journal within its field (Garfield, 2006). The IF is the average number of citations received per paper published in that journal during the two preceding years. The 2011 Impact Factor for IJA is modest at 1.396 (compared with Ear and Hearing, 2.578; Hearing Research, 2.696; Journal of the Association of Research in Otolaryngology, 2.837). This prevents many of the best researchers from submitting their manuscripts to IJA. Research manuscripts, or high quality review articles, need to be commissioned (or at least encouraged) from the best researchers in the field. Adrian Davis, one of our BSA representatives, has been tasked to bring this suggestion to the next meeting of the IJA Council. There is also a need for regular member updates so that BSA can showcase its activities and achievements using, for example, emails and 10 minute e-learning sound bites from the officers and chairs of the Professional Practice Committee and special interest groups. A regular BSA showcase event at the annual conference is probably also overdue. A useful target group is audiologists, both services leaders and new trainees (the latter being the ‘social network generation’ who will be the leaders of the future). At present, the BSA is best described as a curate’s egg: good in places. However, we move forward with aspirations to transform the society and I thank the trustees, advisors and members of the relevant committees, groups and branches, for their commitment to this process. BSA activities take us away from our employment and families so we need to use our time effectively. We will concentrate our efforts on the areas I have highlighted above: •

providing clinical guidance and recommended procedures

building on our interdisciplinary network and interface

becoming first choice for stakeholders who require expert independent advice, and

improving publicity and communications

Progress is likely to be quicker and more easily measured in some areas relative to others; for example, improving our publicity and communications should, in theory, be relatively straightforward compared to establishing the society as the number one choice for independent and critical advice. A well known quotation by Andrew Carnegie, the founder of modern philanthropy who was born a few miles from my own home town, is: ‘As I grow older, I pay less attention to what men say. I just watch what they do’ (Carnegie, 2006). We need to ensure words turn into actions so that BSA can approach its 50th birthday in the rudest of health. I would like to offer my warmest congratulations to the recent recipients of BSA awards and prizes: Laurence McKenna, Thomas Simm Littler prize; Robert Rendell, Ruth Spencer prize; Kath Lewis, Denzil Brooks Trophy; Lindsey Young and colleagues, Jos Millar Shield. Honorary life memberships were awarded to Anita Chilcott Jones, Brian Grover and Roger Thornton. On behalf of the membership, I would also like to take this opportunity to thank outgoing personnel and welcome the new faces: Dr David Baguley replaces Dr Ros Davies as immediate past chair; John Day and Dr Martin O’Driscoll replace Linda Grimmet and Tim Husband as Trustees; Maryanne Maltby replaces Daniel Rowan as chair of the Professional Practice Committee; Debbie Cane replaces Paul Radomskij as chair of the Balance Interest Group. Our best wishes also go to Jan Deevey who has recently resigned - Jan has been a dedicated and committed member of the Secretariat over the past 8 years. Keep abreast of the work of BSA by visiting our website: www.thebsa.org.uk The general email address for contacting the society is: bsa@thebsa.org.uk and you can contact members of Council at: contactcouncil@ thebsa.org.uk

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Please share this message with non-members, encourage them to support BSA (go to ‘Joining the Society’ link on the website for a membership application), participate in the Lunch and Learn seminars, and attend the annual conference to see for themselves what BSA is doing to improve the lives of adults and children with hearing and balance problems. Finally, I welcome your views and you can contact me at kevin.munro@ manchester.ac.uk My best wishes,

Kevin J Munro Manchester October 2012

REFERENCES Action on Hearing Loss. 2011. Hearing matters: taking action on hearing loss in the 21st century. London: Action on Hearing Loss. Baker N. 2012. The way the world works. London: Simon and Schuster UK Ltd. British Society of Audiology. 2011. Position statement: Auditory Processing Disorder (APD). Reading: British Society of Audiology. British Society of Audiology. 2012a. Practice guidance: Common principles of rehabilitation for adults with hearing- and/or balance-related problems in routine audiology services. Reading: British Society of Audiology. British Society of Audiology. 2012b. Recommended procedure for industrial audiometry. Reading: British Society of Audiology. British Society of Audiology. 2012c. Information document: Performing cervical vestibular evoked myogenic potential measurements. Reading: British Society of Audiology. Carnegie A. 2006. The ‘Gospel of Wealth’ essays and other writings. London: Penguin Books Ltd. Davis, AC. 2006. Life in the slow lane- the public health challenges of hearing impairment.

In

proceedings of the first hearing care for adults’ international conference (chapter 3, pp. 39-45), Staefa, Switzerland: Phonak AG. Davis, AC, Smith P, Ferguson M, Stephens D, Gianopoulos I. 2007. Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models. Health Technology Assessment, 11, 1-294. Dawes P, Fortnum H, Moore DR, Munro KJ et al. 2012.The prevalence of hearing disability and visual impairment among adults aged 40 to 69 years in Great Britain International Journal of Epidemiology (Under Review). Garfield E. 2006. The history and meaning of the journal impact factor. The Journal of the American Medical Association, 295, 90–3. Office for National Statistics. 2011. 2010-based national population projections. www.ons.gov.uk/ons/ rel/npp/national-population-projections/2010-based-projections (accessed 9 October 2012). Moore DR, Rosen S, Bamiou D-E, Campbell NG, Sirimanna T. 2012. Evolving concepts of developmental auditory processing disorder (APD): A British Society of Audiology APD Special Interest Group ‘white paper’. International Journal of Audiology. Posted online on October 5, 2012. (doi:10.3109/14992027 .2012.723143) Munro KJ. 1997. Editorial in BSA News. BSA News, 22, 4. Ruben RJ. 2000. Redefining the survival of the fittest: communication disorders in the 21st century. The Laryngoscopes, 110, 241-245. Smith G. 2012. Blowing off the dust and renewing the varnish: an interview with Professor Kevin Munro. ENT and Audiology News, 21, 102-105.

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Book review No More Laughing at the Deaf Boy: A Technological Adventure between Silicon Valley and the Alps This book tells the inspiring story of Geoffrey

inventor and a deaf man who has succeeded

Ball, who was diagnosed with a severe hearing

in a Hearing world, has a mission to help and

loss as a young child. It tells his own story from

inspire others, and has been instrumental in

an idyllic early childhood, through many ‘failed

developing a device which increases the range of

hearing tests’ and his eventual involvement as a

options available to deaf people. For his own part,

young adult with what would become his career

Ball seemingly has no difficulty with invasive

as an entrepreneur and inventor and of many

medical procedures, glossing over these as if they

components of the middle ear implant.

happened to someone else, and was proud at one

The

author moves from one triumph to the next,

Author: Geoffrey Ball Publisher: Haymon Verlag ISBN-13: 978-3852187143 Hardcover 312 pages Approx price £18 (Also available for Kindle, Nook at lower prices)

point to be called the first human cyborg.

defying barriers, overcoming his disability and

For people with a similar viewpoint or with an

the low expectations that others had for him.

interest in the specific field of implanted hearing

This is a style often employed in American

devices, this story will be inspirational but it is

biographies and allowances can be made for

only a part of the wider picture. This book sadly

cultural differences.

serves to heighten divisions in this field: between

Anecdotes are often told as if from his

groups of deaf people themselves, and between

viewpoint at the time, but the narrative suggests

professional groups who seek to advise and assist

that this is more about later adult understanding

deaf people and their families. To expect a single

and hindsight.

In addition, our story is told

author to be able to celebrate the entire range

exclusively from a narrow medical model of

of experience is unfair, but a more sensitive,

disability, and in this respect will only help

informed recognition of diversity might allow the

to inspire others who are similarly minded.

audiology industry to reach out to people who

Peripheral discussion of his opinion of signed

have otherwise stopped listening.

language and Deaf culture are controversial, to say the least, and not evidenced.

This is

unfortunate, because Ball is obviously a talented

Review by Ben Matthews, lecturer in deaf studies. Queen Margaret University, Edinburgh

Recommended Procedures Most of the Recommended Procedures are now in the process of being updated and revised. The Professional Practice Committee is working towards their completion. Please see the website for the latest information.

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What about a part-time PhD? B Rachel Humphriss

Clinical Scientist (Audiology), Children’s Hearing Centre, University Hospitals Bristol NHS Foundation Trust rachel.humphriss@ uhbristol.nhs.uk

Claire Fielden

Audiological Scientist, Midlands Hearing Implant Programme, University Hospitals Birmingham NHS Foundation Trust claire.fielden@uhb. nhs.uk claire.fielden@ postgrad.manchester. ac.uk

een working in Audiology for a few years? A bit bored? Wondering what to do next? Enjoyed the research aspects of your BSc or MSc? Perhaps it’s time to consider a part-time PhD? If you think this might be for you, then read on…

What would I learn (and is it worth it)? A PhD will broaden your horizons and open your eyes to a world beyond clinical audiology…. yes there is one!

A PhD provides research

training and experience under the watchful eye of a supervisor and you should have access to any specific educational courses to help you complete the project.

For example, Rachel’s PhD was

essentially in epidemiology and included a total of eight formal training courses on topics ranging from how to do a systematic review to advanced epidemiological and statistical techniques. Claire has had to get up to speed with engineering principles and has learned to create pulsatile stimuli for use in her experiments.

She has

become more confident in using psychophysical techniques to get reliable data from participants. Both of us have greatly improved our statistical and academic writing skills, including being able to rapidly extract and synthesise information from the published literature. The first year of any PhD will involve a literature review, and many universities require a formal First Year Report, including a short viva (which is often the basis on which they decide whether you can continue!). You therefore find that you gain a huge amount of subject knowledge in a short space of time. And finally, as well as methodological and subject knowledge, you develop a range of personal qualities. Yes, it’s ‘character building’! You certainly develop perseverance and a gritty determination to succeed when all seems to be going wrong. You also develop the ability to work very efficiently in short chunks of time wherever and whenever these might arise (on the bus, at the hairdresser’s, during a DNA, etc.)

that this was a highlight of your BSc or MSc and that you produced a good project. If you are going to do a PhD that involves statistics then you will need to know that you have at least an aptitude for this and preferably some past experience (although you should be given the necessary training and support). You will also need good writing skills (the word limit for a PhD thesis is usually 80,000 words).

What other attributes/skills will I need? You will need to be able to commit to the process for at least four to six years (depending on your project). hings will inevitably go awry, and at times you will need to show real perseverance and strength of character, a determination to finish despite all that life, work and the project throws at you. t some stages, it can be a case of just gritting your teeth and forcing yourself to continue! When you start to despair, simply look back at how much you’ve learned compared to how much you knew at the start, and you will have no doubts that it is an excellent thing to do. You will also need good organisational and time management skills. It is hard balancing a ‘day job’ and family life with your studies. Some people manage to fit a PhD in around a full-time job, and can cope with working in the evenings and at night. Both Rachel and Claire have taken a less demanding approach and have fitted PhD time into the working week alongside a part-time job and family commitments.

You will need

a minimum of 1.5 days per week dedicated to your PhD if you are to gain enough momentum (and don’t spend half a day each week trying to remember where you’ve got to!) In the latter stages you may want to take an extended period off work so that you can write-up (as Rachel did).

What past experience do I need? Most universities usually require a good first degree (at least a 2 1), an MSc (or equivalent). You will need to know that you enjoy doing research,

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How long will it take? A part-time PhD will usually take about six years, although you can request permission to


submit early, or ask for an extension. The length

they can support you in the methodology of the

of study will also depend on your project and

project.

your previous experience. For example, Rachel’s

with subject-specific expertise.

project was based on an existing dataset and so

Rachel’s main supervisor was a Professor of

the study time was shorter than an experimental

Epidemiology and her second supervisor a Senior

project

Lecturer in Audiology.

that

would

applications, etc.

have

involved

ethics

You would then need a co-supervisor For example,

Claire’s project is to collect

A university is then likely to ask you to come

experimental data and publish as she goes along,

up with a research proposal. This will inevitably

so the plan is to complete three experiments and

change as the project progresses, but at least you

write them up for submission to a journal. This

will have an idea of what you are aiming for at

is an alternative method of writing the thesis

the start.

offered by some universities, which means that data can be published before it gets too old (it is also possible to ‘unofficially’ publish as you go,

What about funding? This can be difficult.

The best scenario is

as Rachel did). Claire has just submitted her first

to apply for and be offered a studentship or

paper and is writing her second.

fellowship, like Claire whose project is funded

It is usually possible to suspend your studies

by the Economic and Social Research Council

if you need to (e.g. for maternity leave, illness, or

(ESRC) and Advanced Bionics Corporation.

other life-changing events). Suspension basically

Failing that, it might be possible to get a grant

stops the clock and allows you to pick up later

from industry or another body. Rachel has

where you left off (although you may lose some

basically funded hers using the salary of her ‘day

of your momentum). Our advice would be to not

job’, although she was sponsored for some of her

let the possible six year study period put you off.

tuition fees and did manage to raise a small grant

It sounds a long time, but it goes by very quickly.

which paid for data processing and some of her

The sooner you start the sooner you finish!

time.

How do I go about finding a university/ supervisor/project?

What is the process once you’ve started?

Still interested?

Well, the first stage is to

approach a university that can potentially host your project. You might have an idea for a project yourself or (more usually) you might know what area you wish to work in but be unclear as to a specific idea/research question. Contact an appropriate university department and see what they say.

They may have funded studentships

coming up, or a potential supervisor who would be interested in working with you. In Claire’s case, the PhD topic was advertised as a full-time three-year project. As she could only consider a part-time PhD, it was agreed to increase the time to five years. So if something doesn’t suit you completely, ask if it can be altered. If you don’t ask…..!!

Whatever the topic, make sure you are

interested in it. Even the most interesting project can seem dull after several years! When considering potential supervisors, this is a crucial relationship and it is essential that you get on with him/her. Check the supervisor’s track record – how many projects has he/she supervised before, does he/she have the required expertise, do you have a good rapport, etc? Your main supervisor does not necessarily have to have any specific expertise in audiology, as long as

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A good supervisor will get you to come up with a timescale with specific milestones at the start of the project.

This is very helpful and

helps you to monitor whether you are ‘on-track’, although it can be difficult to devise these at an early stage when you feel that you don’t really know what you are doing. Year 1 will usually be a literature review. If you don’t have an MSc, you may have to initially register for an MSc and then upgrade to a PhD at the end of that first year. Many universities have a formal annual review process when you have to present your progress and findings to your supervisors and another academic not connected to the project. Years 2 – 4 will then be the data collection (or in Rachel’s case data processing and analysis) stages. As a rough guide, a PhD is considered to be equivalent to two to three publications. So, you will need to have two to three distinct areas of work within your thesis.

Remember,

everything usually takes a lot longer than you think, so don’t beat yourself up if you get behind an over optimistic timescale.

Writing up If you can, try to write up as you go. This really helps to focus the mind on where the gaps in the literature are and what you are trying to


achieve, and means that there is not a massive

Just remember when you’re afraid of taking

unassailable mountain of work to complete at

a risk and going for it, that there’s a risk to not

the end.

Your supervisor will also have the

doing it – that you wake up ten years later still

chance to look at your work as you go and

wishing that you’d started your PhD. Both Claire

address any errors/training needs before they

and Rachel have certainly found it to be a lifeline

become too great. Of course, there will be some

and that their PhDs have given them both a new

writing up at the end (at least your discussion,

focus when life started to get a bit routine.

conclusions, suggestions for further study, etc.) might have written four years previously! Even

Table 1 Pros and cons of doing a part-time PhD

if you do a PhD by submission of published work

Pros

and you will need to revisit and update what you

you may still have to produce an 80,000 word thesis. In Claire’s case, each paper submitted for publication becomes a complete chapter of the thesis, and the remaining chapters are mainly introduction and discussion of how the individual studies contribute to answering the research question. It is a great moment when at last you arrive at your first draft. However, like Sisyphus and his boulder, this is not the end. Your supervisors will inevitably have suggestions, and your thesis will go through various iterations before submission. It is a good idea to have someone else proof-read your thesis, as it is nearly impossible to read your own work and see what you have actually written (rather than what you think you’ve written).

The viva The final stage of the process is the viva. You will usually have an internal and an external examiner who will question you about your work and why you did what you did. This is to check that it is your own work, to explore your understanding of the subject and to determine whether it is worth a PhD. At the end of the viva you are asked to wait outside before being invited back in for the ‘verdict’ (a very joyous moment if you’ve passed!) Most people will then have some corrections to do before the final draft can be sent

Cons

It will always be at the back of your mind, however organised you are – try not to let it take over. Do you still want to be doing An opportunity to explore a it in 4 – 6 years’ time or will subject deeply you have other priorities / interests by then? This is a research training: you Will you ever need these skills will learn new skills and learn in the future? to think differently You will gain a new perspective from either seeing a world By the end you can get beyond audiology or working seriously fed up with both the with top academics within subject and the process audiology Some students fall out with Develops new networks of their supervisor, or feel they do not get enough support (not potential collaborators our experience) Having a PhD will give you It takes up time and money research credibility Some supervisors expect you You will gain some peer review to publish as you go which just publications adds to the workload It is difficult to balance with the competing needs of work Develops organisational skills and family (they will need to be supportive and understanding) It can be very hard to keep D e v el o p s e f f i c ien t going at times. Most students working practices and time have several occasions when they seriously consider giving management up. Can be very stressful at times. When things go awry, students Develops personal resilience can get very down. You will and determination question yourself and your ability. Gives a new focus

for hard-binding. Rachel Humphriss successfully completed her

So, should you go for it?

PhD on the epidemiology of balance problems in

Both Rachel and Claire would say a resounding

childhood at the University of Bristol in June 2012

‘YES’! If you want to further your development,

after 4.5 years. Claire Fielden is into the fourth

learn something new, look at one particular

year of her (hopefully) five year PhD examining

subject in depth, broaden your horizons and gain

the frequency resolution of tripolar mode of

a profound sense of achievement once you’ve

stimulation in cochlear implants at the University

finished then go for it. Having said that, there are

of Manchester, under the supervision of Professor

of course cons as well as pros to any process, and

Colette McKay. Both Rachel and Claire would

we have listed these in Table 1. But, for every con,

be happy to be contacted if anyone would like to

there’s a pro, and our advice would be ….

discuss this further.

GO FOR IT!

11


Knowing Me, Knowing... Huw Cooper A

fter my first degree in Psychology, I obtained my Audiology MSc at Southampton in the early 1980’s. My first proper job was at UCH in London, where after a couple of years as a research assistant on the tinnitus programme I was the lead audiological scientist for the cochlear implant programme when implants were new to this country and our team was at the forefront. In 1991 I migrated to Birmingham and since then have managed the audiology services for South Birmingham. What is your idea of perfect happiness: Being with my family anywhere, but particularly on a sunny beach in Pembrokeshire What is your greatest fear: Any harm coming to my children, my wife Gwyn or family What historical figure do you most identify with? Noah, because he planned ahead Which living person to you most admire? Mo Farah, for showing how it should be done Name the trait you most deplore about yourself? Where to start? What would your motto be? Life is not a rehearsal On a desert island what would be your a) book: any good encyclopedia (presumably there will be no access to the internet) b) luxury: a good quality pillow Who would you invite to your dream dinner party? All my family and friends How would you like to be remembered? As someone who did good things What word or phrase do you over use? Yes If you could do it all again, what would you change? Nothing - I don’t believe in regrets How do you relax? Walking the dog down a country lane What items do you always carry with you? A clean handkerchief - so many uses What is your most embarrassing moment? Any time I have got up to speak in public and not been as good as I should have been What is your greatest achievement? At home: bringing up three children and helping them become great adults At work: helping my team become the great service they are What is your favourite place? Sitting on a rock at the top of the Grybin, Solva, looking out to sea What single thing would improve the quality of your life? Eliminating anxiety What single thing do you think would have the biggest impact on future audiology? Greater public understanding of hearing loss and getting rid of the stigma

12

What have you been working on this week? There is so much going on at the moment. Like many others, we have been busy preparing for the challenge of AQP- and still don’t really know what the impact is going to be on the future of our profession. One other big project I am currently trying to progress is the development of the HSST (Higher Specialist Scientist Training) curriculum, which will be the final piece of the Modernising Scientific Careers agenda. It is so important to get that right, as it could be an exciting future route for audiologists to reach the top of the profession and be the leaders of the future. At the same time, I have been busy making last minute checks and changes to the details of our new department at Queen Elizabeth Hospital Birmingham which is currently being created and which we move into in around five weeks time - very exciting. Also earlier this week, I went to an international debate about cochlear implant fitting in Antwerp - heavy but stimulating. What has been the most exciting development in Audiology over the past two years? The coming together of the academic and clinical audiology communities at the BSA conference has been an important step and this collaboration is where the future of the field lies. Where will Audiology be in ten years from now? It will still be a fascinating, varied and rewarding field to be involved with and we can expect to see further technological changes that will impact on how we work. If AQP has the impact that many fear, there will be a changed picture of provision and who does what - but nothing can replace good quality, well trained and caring audiologists spending time with patients to give them the care they need. Which audiological question would you most like to discover the answer to? How to reverse the deterioration of the cochlea due to age or noise Whose work in Audiology do you most admire and why? Dai Stevens, who always combined kindness, science and dedication to his chosen cause Which book should all Audiologists own a copy of? Brian Moore: Introduction to the Psychology of Hearing. It explains everything. If you could change one thing in Audiology, what would that be? More young people entering the profession with a genuine and passionate interest in the ear and hearing.


Identifying and prioritising uncertainties in the treatment of tinnitus H

ealth services research has traditionally been led by scientists, professionals or commercial interest (Peckham, 1991). To make best

Deborah Hall1, Najibah Mohamad1, Lester Firkins2, David Stockdale3

use of the government increase in support for clinical research, Chalmers and Glasziou (2009) have argued strongly for a more efficient research culture in which scientists study health conditions that are have the greatest

1. National Institute for Health Research Nottingham Hearing Biomedical Research Unit 2. James Lind Alliance 3. British Tinnitus Association

burden on the population and address questions about interventions and In 2004, Sir Iain Chalmers helped to establish

(Director, NHBRU) created a list of potential

Corresponding author: deborah.hall@nottingham. ac.uk

The James Lind Alliance (JLA). This is a non-

nominations for a Steering Group, which provided

profit organisation that seeks to raise awareness

a broad representation of people from the field of

among those who fund health research about

tinnitus in the UK, including professional bodies

what matters to both patients and clinicians so

and support groups.

that clinical research is relevant and beneficial to

The final Steering Group membership consisted

end users. The organisation provides a systematic

of:

approach to identifying and prioritising relevant

• Lester Firkins OBE –independent chairperson

outcomes that patients and clinicians consider to be the most important.

clinical research questions (called ‘uncertainties’).

representing JLA

To reach a consensus, the JLA recommends

• Mark Fenton – representing UK DUETs,

a working partnership between patient and

National Institute for Health and Clinical

clinicalrepresentatives, known as a Priority

Excellence (NICE)

Setting Partnership (PSP) and this is overseen by a smaller Steering Group which also consists of patients and clinicians. The JLA contributes support, facilitation and guidance in order to significantly increase the effectiveness of the PSP and the Steering Group in ensuring credible and useful outcomes (Oliver and Cowan, 2010).

• David Stockdale and Emily Broomhead representing BTA • Professor Deborah Hall and Mrs Najibah Mohamad - NHBRU • Tim Husband - representing British Society of Audiology • Don McFerran - representing ENT UK • Professor Christopher Dowrick - General

Initiation

Practitioner representative and person with

The JLA Tinnitus Priority Setting Partnership

tinnitus

(PSP) began in 2011. The initial founders were the

• Emma Harrison – person with tinnitus

British Tinnitus Association (BTA), the National

• Philip Nash - person with tinnitus

Institute

for

Health

Research

Nottingham

Hearing Biomedical Research Unit (NHBRU)

The first stage in the process was to identify

and the Judi Meadows Memorial Fund. The Judi

potential partner organisations to be part

Meadows Memorial Fund contributed funding to

of the tinnitus PSP.

the administration costs of the project, but played

peer knowledge, consultation and through the

no active role.

Steering Group members’ network. The agreed

The Steering Group was key to the success of

This was done through

membership of the JLA Tinnitus PSP consisted of numerous stakeholders representing professional

the project. Its role was to oversee and drive the progress of categorising

organisations, charities and support groups.

and prioritising identified tinnitus uncertainties.

Partners were invited to an initial awareness

From initial conversations, David Stockdale

meeting held at the headquarters of Action on

(Chief Executive, BTA) and Deborah Hall

Hearing Loss in London on 7 December 2011.

13


Consultation One of the initial tasks for the Steering Group

for consultation and voting. This process was led

was to design and disseminate a questionnaire

by the tinnitus team at NHBRU. Collation started

to gather tinnitus uncertainties relating to

with sorting the full set of 2483 ‘raw’ submissions

assessment, diagnosis and treatment from as

into broad categories(e.g. ‘Diagnosis’). Reducing

many representatives of people with tinnitus,

the number of uncertainties was achieved by:

clinicians and scientists as possible. The survey

• Removing those questions that were void or

was launched on 7 December 2011 and sent to all

were not asking a question that fell within the

56 partners via email, post and online. It was also

parameters of the project

sent to others including all the Steering Group members, supporters in the JLA Tinnitus PSP, organisations and private companies, hospitals and individuals.

To improve the return rate,

people could complete it either via paper, email or on-line (using Survey Monkey). By the closing date, 28 February 2012, a total of 835 people had responded to the survey (70% people with tinnitus, 20% healthcare professionals and 10% others), submitting a total of 2483 ‘raw’ questions.

• Merging and combining those submissions that asked the same question • Removing questions that had already been answered within a systematic review or other high-quality peer-reviewed publication • Removing questions that had been asked by only one or two people This

systematic

process

reduced

the

number down to 170 uncertainties across 36 categories. These were used to produce a second questionnaire to help to prioritise the remaining

Collation The purpose of collation was to reduce the initial list to a shorter one that would go forward

Figure 1. An excerpt from the second (ranking) questionnaire

14

tinnitus questions on assessment, diagnosis and treatment.


Prioritisation A ranking questionnaire was produced which

The final prioritisation meeting for the Tinnitus

asked people to rank their top 10 personal most

PSP took place at the headquarters of Action on

important uncertainties. For example, a score of

Hearing Loss in London on 16 July 2012. This

10 was assigned to the first ranked uncertainty

was the most important part of the project and

and a score of 1 was assigned to the tenth

the culmination of months of hard work.

ranked uncertainty on the list. The survey was

purpose of the meeting was to agree on a ‘top

launched on 2nd May 2012 and again, it was

10’ list of tinnitus uncertainties.

disseminated to people with tinnitus, family

was excellent with a spread of nine clinicians,

members and health professionals through post

nine people with tinnitus and five observers. The

and on-line using the network of JLA Tinnitus

observers attended all discussions, but had no

PSP supporters. By the closing date, 15th June

input in the choices that were made.

The

Attendance

2012, a total of 630 people had responded to the

We knew it would be a tough process as of

survey (including 78% people with tinnitus and

course each clinician and patient in the room

11% healthcare professionals).

had their favourites and personal reasons for

The votes from members of the public and

wanting certain questions to make the final ten.

equal

In the end we had a very lively interactive meeting

weighting to provide a final weighted rank

with people getting up, moving uncertainty cards

for each uncertainty.

Considering this list of

around, making their opinions heard and making

weighted ranks, the Steering Group agreed on

their choices (Figure 2). By 4.00p.m. the final top

a final set of 26 important uncertainties to be

ten uncertainties had been chosen (Figure 3).

healthcare

professionals

were

given

considered at the final prioritising meeting.

Figure 2. The first stage of prioritisation at the meeting involved each of two groups sorting the 26 uncertainties into a ranked order. Groups were facilitated by David, Deb and Lester.

Figure 3. The final stage of prioritisation at the meeting involved voting for the top 10.

Reporting Figure 4 reports the final uncertainties after

We hope the list will motivate those involved in

rephrasing in PICO format. PICO is an acronym

tinnitus research to forward our understanding of

that describes the elements of a well-formed

tinnitus and lead us towards to a cure.

clinical question and it stands for ‘Patient, Intervention, Comparison and Outcome’.

What else needs to be done in order for the process to have an impact? The next step is to

We think the list is a good one. It demonstrates

disseminate our findings as widely as possible to

the breadth of research required to develop

the public, clinicians, researchers and funders.

a better understanding of tinnitus, the need

The final document is available for download

for a cure as well as the requirement to better

from: http://www.tinnitus.org.uk/jla. We are also

understand and demonstrate the efficacy of

presenting our findings at a number of high profile

existing treatments. It is particularly reassuring

conference: the Tinnitus Research Initiative

to see questions focussing on paediatric tinnitus

annual conference

and Deaf people with tinnitus included, as these

of Audiology annual conference (Nottingham),

groups are under-represented in current research.

British

15

Tinnitus

(Bruges), British Society Association

conference


(London), British Academy of Audiology annual conference (Manchester), INVOLVE conference (Nottingham) and the Association for Research in Otolaryngology midwinter meeting (Baltimore). We soon hope to publish all the unanswered tinnitus questions on the NHS Evidence website within the UK Database of Uncertainties about the Effects of Treatments (DUETs, http:// www.library.nhs.uk/duets/). This is a public collection of treatment uncertainties.By making uncertainties known in this way, patients can see where evidence about the effects of treatments is lacking and researchers and research funders can take account of where their efforts and resources are needed. Each record within DUETs contains information about the source of the uncertainty, evidence for why it is an uncertainty, references to any reliable up-to-date systematic reviews, information on any reviews that need updating or extending and any in preparation, what is needed from new research, and details of any ongoing controlled trials. As you can imagine, this process requires some further resource input. If you are committed to tinnitus research and want to help us complete the DUETs database entries, please contact either Deb (deborah.hall@ nottingham.ac.uk) or David (david@tinnitus.org.

References Chalmers I and Glasziou P (2009).Avoidable waste in the production and reporting of research evidence, The Lancet, 374, 86-89. Oliver S, Cowan K (2010). The James Lind Alliance

Guidebook.

jlaguidebook.org/

http://w w w.

[Accessed 2 September

2012] Peckham M. (1991).Research and development for the National Health Service, The Lancet, 338(8763), 367-371. Lester Firkins OBE, Chair of the James Lind Alliance, Strategy and Development group commented “It has been a real delight to work with this team who are totally committed to heightening

the

importance

of

treatment

research uncertainties of most importance to Patients, Carers and Clinicians.

Throughout

the process they have been unswerving in their focus on listening to those who know best about the awful symptoms of Tinnitus - and we are certainly hopeful that this will now encourage funders and researchers to work with this team to take the questions into applied research.�

uk). We would be delighted to hear from you.

Figure 4. The top ten list of tinnitus uncertainties proposed by people with tinnitus and clinicians.

16


Conference Review British Society of Audiology Conference 5th – 7th September 2012, Nottingham

T

he BSA Conference is one of the biggest conferences in audiology. For a second consecutive year the conference was held at the Nottingham

Conference Centre and was jointly organised by the NIHR Nottingham Dr Abby McCormack and Sam Catterick NIHR Nottingham Hearing Biomedical Research Unit School of Clinical Sciences University of Nottingham

Hearing Biomedical Research Unit and the MRC Institute for Hearing

Contact details for correspondence: Abby.mccormack@ nottingham.ac.uk

talk to the exhibitors. This year we had twenty exhibitors and sponsors

Research. The conference was a great success with over 220 delegates attending from not only the UK but also USA, Sweden, Denmark, and Germany. This year the conference included dedicated time on all three days for discussion of posters, (of which there were over 100), which allowed considerable time for networking and discussion of current research projects. Throughout the conference there was also the opportunity to including GN Resound, Oticon Limited and Phonak UK Limited. The mix of presentations from exhibitors,

process of completing a James Lind Alliance

clinicians and leading scientists in hearing

Priority Setting Partnership, which we are sure

research

was

and insightful.

both

challenging

many people may have been unfamiliar with. It

The conference

was presented as a great opportunity to work

started on Wednesday morning

collaboratively with clinicians, patients and

with

Practise

academics to systematically identify priority

the

Committee

Professional

Four

unanswered research questions for a particular

committee members spoke about

Symposium.

illness or condition, in the case of Professor Hall’s

the new BSA Practise Guidance

research this was tinnitus. An overview of the

document

principles

whole process and all of the potential research

of rehabilitation for adults with

questions which arose are available from the

Common

hearing loss. The main messages were for

British Tinnitus Association.

practitioners to consider the full impact

Following Professor Hall’s talk there were

of hearing loss on the individual, to

three more presentations on tinnitus with a

provide holistic support, and to facilitate

normal audiogram, gap detection deficits,

greater client ownership of their hearing

and a guinea pig model of tinnitus.

loss and the rehabilitation process. For

afternoon session, chaired by Professor Chris

copies of the document, please visit the

Plack (University of Manchester), included talks

Procedures and Publications section on

on anxiogenic sounds for people with autism

the BSA website.

The

spectrum disorder, loudness of narrowband

The main conference began in the afternoon

noise and pitch perception tests for cochlear

and consisted of a full academic programme

implant users’. The conference was privileged

with eight parallel sessions over three days. It

to have Dr Bob Carlyon (MRC Cognition and

was opened by Dr Heather Fortnum, NIHR

Brain Sciences Unit, Cambridge) deliver the

Nottingham Hearing Biomedical Research Unit

Twilight Lecture sponsored by Action on Hearing

(NHBRU), followed by the first keynote lecture

Loss. He delivered a very energetic lecture on

from Professor Deb Hall (Director of NIHR

Science: How not to do it, taking us through

NHBRU)entitled, Identifying and prioritising

the pitfalls that lead to methodologically flawed

uncertainties in the treatment of tinnitus’. This

research. Following this lecture, the exhibition

was a very informative lecture discussing the

was formally opened with the traditional wine

17


reception providing delegates the opportunity

working as a postdoctoral research fellow. Hehad

to digest the conference so far. In our opinion,

clearly valued the opportunity to work abroad

the first day was a great success and was a clear

and encouraged young researchers to seek out

indication of the excellence yet to come

Chris Cartwright introduced the BSA Lunch &

at the conference. Day two started with a keynote lecture

opportunities like this.

entitled,

How

our

brains

Learn eSeminars, a series of 20 minute seminars you can ‘log on’ to at lunchtime and watch

co-ordinate selective listening. This

on your PC.

was a very engaging lecture delivered by

starting in October 2012 with a talk by Professor

Professor Barbara Shinn-Cunningham

Kevin Monro from the University of Manchester.

from the Center for Computational

Participants who have logged on will have email

Neuroscience and Neural Technology,

access to the speakers for two weeks should they

Boston, USA. parallel with

Following this,

sessions

place

wish to ask questions about the work presented. Further information is available by emailing shahad.saeed@cmft.nhs.uk.

exhibitor

Oticon

lecture

theatre,

Following Professor Moore’s talk in the

and presentations on speech

morning on UK Biobank, Abby had a lot of interest

comprehension in the elderly,

in her own poster about the UK Biobank project,

binaural switching, cognitive

which examined the prevalence of tinnitus and

load on speech segregation and

hearing loss. It was a great opportunity to discuss

auditory streaming of syllables’

this project and quite surprising that many people

in the other lecture theatre. The

had not previously heard of the UK Biobank.

Oticon UK lecture by Alison Stone gave listeners

During the lunchbreak, we took the opportunity

a real sense of how hearing research is being used

to talk with many of the exhibitors and were able

to develop and improve technologies with the end

to explore the vast range of hearing technologies

user in mind.

available to support both the work of clinicians

UK

Talks

continued

the

took

They will be delivered monthly

in

one

with

presentations

on

the UK Biobank: frequency discrimination

and the end user. The knowledge and enthusiasm of the technology experts was impressive.

training in tinnitus, the effect of individually

The afternoon session started with a keynote

tailored spectral-change enhancement on the

lecture called Learning to localise sound by

and which children

Professor Andy King from the Department of

The talk

Physiology, Anatomy and Genetics at Oxford

by Professor Dave Moore highlighted that UK

University. The four talks which followed in the

Biobank is the largest medical research study in

afternoon were on the role of head movement

Europe and will provide a powerful resource to

in the externalisation and internalisation of

help scientists discover why some people develop

sounds,

intelligibility of speech

should receive cochlear implants’.

head orientation strategies when

particular disease and others do not. Professor

listening to speech in noise, the effect of age

Moore’s team has a particular interest in the

and hearing loss on interaural phase difference

prevalence of hearing loss and tinnitus and risk

discrimination and speech understanding in

factors associated with this.

spatially separated noise. The parallel session in

The morning session ended with an awards

the other lecture theatre was the exhibitor session

ceremony. Aileen Aherne, on behalf of Deafness

by GN Resound on Improving signal to noise

Research UK, talked about research awards

ratio outside the classroom.

and travel grants which are available to apply

The BSA Annual General Meeting took place

for. She then introduced Philip Gander who

in the evening before the conference dinner. The

was the winner of the 2011 Deafness Research

conference dinner and BSA awards ceremony

UK, Pauline Ashley Prize. He spoke about

was held in Nottingham’s beautiful Pitcher

his opportunity to work for three months in a

and Piano, a former Methodist church.

research lab at the University of Illinois, USA

recognition of an academic contribution to the

with Professor Fatima Husain. There he learned

discipline of audiology, the Thomas Simm Littler

about sophisticated new methods of analysing

Prize was awarded to Dr Laurence McKenna,

brain activity in tinnitus patients. Phil brought

Royal National Throat Nose and Ear Hospital,

this knowledge back to NHBRU where he was

London, for the application of psychological

18

In


Prize Winners. L-R: Lindsey Young, Kath Lewis, Brian Grover, Anita Chilcott Jones, Roger Thornton, Laurence McKenna.

Poster Prize Winners. L-R: Melanie Ferguson, Marian Brandreth, Helen Henshaw and Holly Thomas!

perspectives to clinical audiology. In recognition

attended the latter set of talks as it was in line with

of promoting excellence in audiological practice,

her own current research. In fact collaborations

the Denzil Brooks Trophy was awarded to Kath

to share her data with other researchers in the

Lewis, University Hospitals South Manchester

field were made, highlighting the real value of this

for encouraging and promoting translational

conference in terms of networking.

and applied research in areas of urgent clinical

The prize for the best poster in the basic

need In recognition of a contribution to clinical

research category was awarded to Dr Vit Drga

services by a registered practitioner.

The

from the UCL for his poster on Effect of efferent

Ruth Spencer Prize was awarded to Dr Robert

activation on cochlear gain and compression

Rendell, Seabrook Audiology, for his outstanding

estimates. Dr David McShefferty from IHR

contribution to clinical services through his work

Glasgow was awarded the prize for the best

on promoting best practice. The Jos Millar Shield

poster in the translational research category

was awarded to Lindsey Young jointly with Claire

for his poster on The efficacy of the whispered

Vine and John Fitzgerald for their work on the

voice test. Melanie Ferguson from NIHR NHBRU

Best Article published in BSA News in 2011,

was awarded the prize for the best poster in

Issue 63: Sound field localization testing in the

the clinical research category for her poster on

horizontal plane with a unilateral hearing loss.

Evaluation of interactive video tutorials to

Finally, for 2012, honorary life membership

educate first-time hearing aid users, and Helen

was awarded to Anita Chilcott Jones, Brian

Nuttall from IHR Nottingham was awarded the

Grover and Professor Roger Thornton.

prize for the best poster in the student research

The final day of the conference began with a

category for her poster on Attention to speech

keynote lecture from visiting speaker, Professor

in background noise influences timing in the

Jerker Rรถnnberg, from the Swedish Institute

auditory brainstem response.

for Disability Research and Linnaeus Centre

The plenary session after lunch contained

HEAD, Linkรถping, Sweden. The lecture entitled

the Ted Evans lecture sponsored by Deafness

The roles of working memory capacity in the

Research UK.

perception of sound and speech proved to be very

(University of California at Irvine) gave this lecture

informative, especially to us as Psychologists. The

entitled High-acuity spatial stream segregation

main message was that people with hearing aids

by human listeners and cortical neurons. The

are better able to process frequency or amplitude

day ended with more excellent science sessions

Professor John Middlebrooks

distortions if they have a high working memory

with talks on compression affects, the medial

capacity.

olivocochlear reflex, auditory neurons,

and

The morning then continued with four talks on

speech enhancement using sparse coding in one

verbal working memory, attention in listening,

lecture theatre, in parallel with talks on long-

auditory training and the stroop test. In parallel,

term music induced hearing loss, short form

were four talks on paediatric audiology.

questionnaires, care staff and hearing loss in

19

Sam


residential care, and new onset migraine post vestibular neuritis. Closing remarks were given by Professor Kevin Munro, the new chair of the BSA. To conclude, the conference provided good opportunities to listen to, and meet the key researchers and clinicians and supporters of research in the field of audiology. The conference highlighted the breadth of research being undertaken in the field and the many avenues for this work to continue. The sessions were well attended, and the conference organisers put on a well-run and highly informative conference. All presenters spoke confidently and clearly, and their enthusiasm for their research shone through during the presentations. Everyone we met at the conference was friendly and eager to discuss ideas about research that had been presented. We left feeling motivated, enthused, and inspired to think about new directions in which to take our own research.

David Baguley and Kevin Munro

Next years

conference will be held at Keele University . We look forward to seeing many of you there!

Roger Thornton’s Speech

Mr Chairman, ladies and gentlemen, Kevin has mentioned the conferences that I organised and, at the 1996 Conference at Winchester, Ann Allen had given up her room to young delegates who had not been allocated one. She did this knowing that another room was available – however the owner of that room was not prepared to let her in after nine o’clock. So she made the decision that she would have to drive back to Reading that night. At the conference we had had a Mayoral reception and I had booked the Town Crier, complete with tricorn hat, handbell and cries of oyez, oyez, to announce all the events. During the evening he and Ann got to know each other and it resulted in Ann spending the night at his house! At which she stayed for the rest of the conference. She has had this thing about handbells ever since. In 1997, at their Silver Jubilee Conference, I was made an honorary life member of the Italian Audiological Society for contributions to audiology. The honour here is greater, but, I fear, the wine will be worse. Before I go, here is a little gift for someone whom I have known over many years. Who has been unfailingly helpful, cheerful and full of good advice, Ann Allen.

New Trustees on Council Following a recent call for nominations and ballot for two BSA Trustees, we are pleased to announce that John Day and Martin O’Driscoll were duly elected to sit on BSA Council for a term of three years commencing immediately following the AGM on the 6th September 2012 until September 2015.

20


Professor S D G Stephens 2nd July 1942 – 2nd July 2012 P

Dai Stephens

rofessor Dafydd Stephens died on his 70 year birthday, 2nd July 2012 at his home, after a long illness. Born in Caerfyrddin (Wales) as an only child of teachers, he moved to Purley as a young child and had a successful school career, punctuated by both sporting and academic achievements. He qualified in Medicine, with a first degree in physiology, from Charing Cross Hospital Medical School, University of London. His professional career in audiology started as a research fellow at the University of Iowa, in 1962, where he met his lifelong friend and colleague Ron Hinchcliffe. He rapidly progressed through a succession of clinical research positions to an appointment as a Consultant Audiological Physician at the Royal National Ear Nose and Throat Hospital in 1976. Dai played a key role in establishing audiological medicine in the United Kingdom and was internationally known as a leader in hearing and balance rehabilitation medicine. Early in his career, he studied at Odense in Denmark, a centre of excellence in audiology, and his future clinical and research work were underpinned by an emphasis on patient centred, holistic care. His early research focussed on new objective tests for hearing impairment and how these tests could be used in hearing rehabilitation. He was one of the first to promote fitting and use of hearing aids in both ears and the importance of the psychological impact of hearing loss on patients and also their ‘significant others’. He established internationally recognised service units in London and Cardiff by addressing communication problems in multifaceted ways. One example was the promotion of ‘hearing with your eyes’ and use of ‘Welsh hearing horses’ in recreation for severely hearing handicapped person. He also established the communication pathways to remove the environmental, personal and mental obstacles to communication of hearing handicapped persons. Additionally, he established numerous teaching and research collaborations and supervised a number of international research teams. An indefatigable Welsh nationalist, in 1986, he assumed the position of director of the Welsh Hearing Institute, Cardiff, where he worked until his retirement in 2005. He was determined to bring excellent hearing health care to not only the fit and able in his ‘ivory tower’ of audiological excellence at Cardiff University Hospital, but also to less privileged and under-resourced people in the Welsh valleys, at a distance from Cardiff. He regularly undertook outreach clinics and never forgot ‘the elderly lady who was immobile and isolated by her hearing impairment’. He himself developed a severe, bilateral hearing impairment and understood the demands of modern society to communicate and function in the hearing world. He pioneered new techniques and approaches

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to enable hearing impaired people and their relatives to communicate. On the primary topic of hearing loss and auditory rehabilitation, he wrote or edited several books, contributed to many textbooks and authored more than 400 original, scientific publications making him the foremost expert in this field. Dai retired in 2005, upon completing a large genetic European project on risk factors and genes predisposing for hearing impairment, but retirement did not dim his enthusiasm for teaching and research and he continued to participate in international projects. His last international project was challenging and highly novel, using artificial intelligence and will be available later this year. He established a computer based peer support programme, so that patients with Ménière’s disorder, consisting of hearing impairment, tinnitus, vertigo and balance complaints, could diagnose and profile themselves, analyse restrictions and limitations caused by the disorder and help themselves to resolve the problems. The programme was established using data from 740 patients and contained symptom specific instructions, selfevaluation, and worked with critical success factors to eliminate restrictions by adapting positive attitude, change of activities and developing confidence alone and with the help of significant others. Dai’s academic achievements and awards were legion, both nationally and internationally. He was awarded the University of Ferrara Copernicus medal, an Honorary Diploma of the Polish Society of Audiology and Phoniatrics, an honorary Professor at Gothenburg University and was a Faculty member, at the Ida Institute, Denmark. Over three decades, he had been elected as Chairman or President of many major national and international audiological societies, but, having been Chairman of British Society of Audiology, took particular pride in his Honorary Life membership of this distinguished and long established professional association. Dai had


been editor or on the editorial board of some of the most prestigious audiological journals and was much in demand both as an examiner at leading universities around the world and as a key note speaker at international conferences. At the time of his death, Dai served as an Honorary Professor of Audiological Medicine at the Cardiff School of Medicine, Cardiff University and Visiting Professor at Swansea University and University of Bristol. Dai was Welsh through and through and always wished to return to his roots. He spoke Welsh with his family, promoted the culture in his community and was politically active supporting Welsh devolution from his student days to sitting on the local Community Council from 1986 until his death. He was interested in nature writing several papers on bird songs and being a founding member of the World Land Trust. He was an environmentalist, who believed in self-sufficiency, growing vegetables and rearing animals, including goats and chicken, on the

farmland around his home. He was also an authority on the history of medicine and studied the history of inner ear disorders and their therapies in ancient societies. Dai’s lifestyle was modest. He was known word wide as a friendly and enthusiastic clinical academic and welcoming host, with far ranging authoritative interests. His colleagues knew him as an ardent Welshman, with a positive and humorous attitude, which belied his highly intelligent, critical and analytical approach to academic pursuit. In his home and professionally, there were frequent discussions on language development, with his wife Dr Janig Bodiou, who has a PhD in linguistics and is a Celt, but from Brittany in France. Dai is survived by Janig, their three children Morwena, Erwan and Rhiannon and six grandchildren. Professor Dafydd Glyn Stephens born 2nd July 1942. An internationally prominent scientist, lecturer and clinician died on his 70th birthday from advanced prostate cancer.

A Christmas present solved... The History Of The British Society Of Audiology

Ever wondered how the British Society of Audiology began? Or how it has evolved into the largest Audiology Society in Europe? The answers to these questions and much more can now be explored in an exciting new limited edition reference book. “The History” contains the story behind how the meeting of five eminent persons in Mexico City in 1967 led to the formation of the Society.

The History of the British Society of Audiology

Of Audiology

The History of the BSA was something which Larry Fisch had begun, but unfortunately the information was lost following his death in 2006 and his version was never published. For over twenty years Ann Allen was Administrative Secretary to the British Society of Audiology, taking them from Harvest House in Reading to their current office at 80 Brighton Road. Her length of service has given her a unique perspective on the Society and since 2005 Ann has used her unparalleled depth of knowledge and contacts to draw together this exceptional compilation in her own personal time.

The History Of The British Society Ann Allen

How was the British Society Formed? • Who was initially behind it? • Who were the Founding Fathers • How has the Society evolved? • What made Ann Allen undertake this task These questions are answered in

The History of the British Society of Audiology Ann Allen

About the Author: For over twenty years, Ann Allen was Administrative Secretary to the British Society of Audiology, taking them from Harvest House in Reading to their current office at 80 Brighton Road. Her length of service has given her a unique perspective on the Society. Since 2005, Ann has used her unparalleled depth of knowledge and contacts to draw together this exceptional compilation in her own personal time. Peggy Chalmers, in the final two years of her life, assisted Ann to put this important work into chapters and for this reason the book is dedicated to Peggy and also to Larry Fisch, one of the Founding Fathers. Following the death of Peggy, Graham Frost took over and assisted Ann for which she is very grateful. To find out more about these people who were so important to Ann in her venture, you need to purchase a copy. Ordering details are easy, simply send a cheque (in pounds sterling) made out to Ann Allen, together with your name and address and send to her at 29 Auckland Road, Reading RG6 1NY, Berkshire, UK. The cost per copy (inclusive of postage and packing) is £12.00 (inland) and £15.00 (overseas – surface mail). Overheard at the recently held Annual Conference – “everyone should have a copy, it is particularly invaluable to new members on Council.”

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Examination Passes The following students have passed accredited BSA courses over recent months:

BSA Certificate in Industrial Audiometry (Audio-Training) Johanna Caraher

Stephan Edwards

Angela O’Brien

Louise Coffey

Deborah Fraser

Richard Orill

Karen Coleman

Annette Heslam

Stewart Wain

Carol Crossley

Teresa Ladd

David Walker

Alexandra Davidson

Gwynne Lewis

David John Walker

BSA Certificate in Industrial Audiometry (Insight Health Screening) Natika Griffiths

Helen Llewellyn

Wendy Smith

Fiona Judd

Helen Simcock

Claire Terry

BSA Certificate in Otoscopy & Impression Taking (Adults & over 5’s) (Audio-Training) Paul Best

Stephan Edwards

James Prosser

Richard Brincklow

Ben Goodyear

Gavin Ravenhill

Thomas Brooks

Stewart Howell

Kevin Simmons

Tom Capstick

Alan Hughes

Samantha Slater

Johanna Caraher

Gary Mulligan

Matthew Thompson

Gareth Challis

Angela O’Brien

Marek Tkacik

Louise Coffey

Earl Panagi

Michael Vennart

Alexandra Davidson

BSA Certificate in Otoscopy & Impression Taking (Adults & over 5’s) (Mary Hare School) Sandra Andrewlena Brown

Emma Handford

Elizabeth Di Fonzo

Bridget Joyce

BSA Certificate in Otoscopy & Impression Taking (Adults & over 5’s) (Community Audiology Services, Dublin) Derek Clarke

Deirdre Naughton

Paul Hendrick

Ian O’Neill

BSA Certificate in Otoscopy & Impression Taking (Adults & Paediatric) (Community Audiology Services, Dublin) Mary McRory

Tatiane Melrose

Congratulations to all candidates Details of all accredited course providers, together with information on providing accredited courses, are available from the BSA Office and via the BSA website. The BSA also retains a list of delegates who have completed accredited courses.

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Membership Full Membership APPLICATIONS FOR MEMBERSHIP Council Meeting 5 September 2012

Blakeman, Mr D R Foreman, Miss K Heath, Mr A R Johnson, Mrs K Levy, Mr J Monaghan, Dr J J M Palmer, Mr A Raindi, Miss N S Soha, Mrs S Duncan, Mrs S C

Royal Sussex County Hospital MRC IHR Scottish Section Learning Solutions, Bradford Newcastle London Hearing Aids Southampton MRC – IHR, Nottingham Holt Hearing & Balance Services, Newcastle-under-Lyme Sunderland Alexander Health and Social Care Centre

4315 4586 4568 4588 4587 4590 4583 4584 4572 4591

Reinstatement to Full Membership Ferm, Miss I

Croydon University Hospital

1659

Students Regrading to Associate Membership Hopkins, Miss R

Manchester Royal Infirmary

4335

DeMontford University Southampton University Cambridge University Watford Southampton University MRC – IHR Nottingham MRC – IHR Nottingham MRC – IHR, Nottingham York University MRC – IHR Nottingham York University MRC – IHR Nottingham MRC – IHR Nottingham Manchester University MRC – IHR Nottingham London DeMontfort University MRC – IHR Nottingham Nottingham Trent University

4594 4569 4592 4585 4593 4573 4574 4575 4581 4576 4582 4577 4578 4582 4579 4589 4571 4580 4570

Student Membership Ali, Miss Madiha Bevis, Miss Z L Billig, Mr A J Caulton, Ms J M Ford, Miss C Fletcher, Mr M Gama, Mr N Gilbert, Miss H Goman, Miss A Green, Mr D B Holmes, Miss Horne, Mr C Hutchinson, Miss G R King, Mr A J Kowalkowski, Miss V L Mattley, Miss J Nakvi, Miss M Steadman, Mr M Susi, Miss K

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Useful names & addresses ACTION ON HEARING LOSS (formerly Royal National Institute for Deaf People (RNID)) 19-23 Featherstone Street London EC1Y 8SL Tel: 020 7296 8000 Textphone: 020 7296 8001 Fax: 020 7296 8199 RNID Helpline: 0808 808 0123 Textphone: 0808 808 9000 (Monday to Friday 09.30am to 5pm) Tinnitus Helpline (Mon to Fri 9am to 5pm) Tel. 0808 808 6666 (freephone) Textphone: 0808 808 0007 Library: Librarian – Alex Stagg 330/332 Gray’s Inn Road London WC1X 8EE Tel: 020 7915 1553 (voice and textphone) Fax: 020 7915 1443 Email: a.stagg@ucl.ac.uk ASSOCIATION OF INDEPENDENT HEARING HEALTHCARE PROFESSIONALS (AIHHP) Membership Secretary – Shona Jackson House of Hearing 51 Bank Street Galashiels TD1 1EP Tel. 01896 755474 Email: shona@houseofhearing.co.uk BRITISH ACADEMY OF AUDIOLOGY President – Phil Holt Chester House 68 Chestergate Macclesfield Cheshire SK11 6DY Tel: 01625 664500 Fax: 01625 664510 Website: www.baaudiology.org bid SERVICES Deaf Cultural Centre Ladywood Road Birmingham B16 8SZ Tel: 0121 246 6100 Minicom: 0121 246 6101 Fax: 0121 246 6189 henry.skinner@bid.org.uk Website: www.bid.org.uk BRITISH ASSOCIATION OF AUDIOLOGICAL PHYSICIANS Honorary Secretary Dr Peter West Audiology Dept. Queen Alexandra Hospital Cosham Portsmouth PO6 3LY

BRITISH ACADEMIC CONFERENCE IN OTOLARYNGOLOGY (BACO) BRITISH ASSOCIATION OF OTORHINOLARYNGOLOGY – Head & Neck Surgery (BAO-HNS) (T/A BACO & BAO-HNS) The Royal College of Surgeons of England Administrative Manager – Nechama Lewis 35/43 Lincoln’s Inn Fields London WC2A 3PE Tel: 020 7611 1732 Fax: 020 7404 4200 Email: entuk@entuk.org Website: www.entuk.org BRITISH ASSOCIATION OF EDUCATIONAL AUDIOLOGISTS (BAEA) Chairman – Peter Keen 4 Durnford Close Chilbolton Hampshire SO20 6AP Tel. 01264 860571 Email: peter.keenhearing@ btinternet.com BRITISH ASSOCIATION OF PAEDIATRICIANS IN AUDIOLOGY (BAPA) Previously known as British Association of Community Doctors in Audiology (BACDA) Secretariat: Mrs Pam Williams 23 Stokesay Road Sale Cheshire M33 6QN Tel: 0161 962 8915 Fax: 0161 291 9398 BRITISH ASSOCIATION OF TEACHERS OF THE DEAF President – Gary Anderson Executive Officer – BATOD Paul Simpson 21 Keating Close Rochester Medway, Kent ME1 1EQ Tel and Fax: 0845 6435181 Email: secretary@batod.org.uk Website: www.batod.org.uk BRITISH COCHLEAR IMPLANT GROUP Website: www.bcig.org.uk BRITISH DEAF ASSOCIATION Head Office Coventry Point – 10th Floor Market Way Coventry CV1 1EA Email: headoffice@bda.org.uk Website: www.bda.org.uk

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BRITISH HEARING AID MANUFACTURERS’ ASSOCIATION Chairman - Mr Lawrence Werth c/o P C Werth Limited Audiology House 45 Nightingale Lane London SW12 8SP Tel: 0208 772 2700 Email: info@bhama.org.uk Website: www.bhama.org.uk BRITISH SOCIETY OF HEARING AID AUDIOLOGISTS Secretary – Mrs Jill Humphreys 9 Lukins Drive Great Dunmow Essex CM6 1XQ Tel/Fax: 01371 876623 Email: secretary@bshaa.com Website: www.bshaa.org BRITISH STANDARDS INSTITUTION 389 Chiswick High Road London W4 4AL Tel: 020 8996 9000 Fax: 020 8996 7400 Email: cservices@bsigroup.com BRITISH TINNITUS ASSOCIATION Unit 5 Acorn Business Park Woodseats Close Sheffield S8 0TB Tel: Freephone 0800 018 0527 Email info@tinnitus.org.uk CITY LIT The Faculty of Deaf Education and Learning Support 1-10 Keeley Street Covent Garden London WC2B 4BA Tel: 020 7492 2725/6 (voice) 020 7492 2746 (minicom) 020 7492 2745 (fax) Email: deafday@citylit.ac.uk DEAFNESS RESEARCH UK 330-332 Gray’s Inn Road London WC1X 8EE Tel: 020 7164 2290 Fax: 020 7278 0404 Website: www. deafnessresearch.org.uk

DEPARTMENT OF HEALTH For general information Dept. of Health Health Care (Administrative Division) Wellington House 135-155 Waterloo Road London SE1 8UG Tel: 020 7972 2000 For technical matters Dept of Health Medical Devices Directorate 14 Russell Square London WC1B 5EP Tel: 020 7636 6811 Hearing Aids - informal guidance: Policy Division Dept of Health Tel: 020 7972 4120 Contact for the supply of hearing aids NHS Hearing Aids NHS Supplies, North West Division Headquarters - 80 Lightfoot Street Chester CH2 3AD Tel: 01244 586715 Fax: 01244 505050 Customer services and orders Lister Road Runcorn Cheshire WA7 1SW Tel: 01928 858532 Fax: 01928 580053 Scottish Healthcare Supplies Trinity Park House South Trinity Road Edinburgh EH5 3SH Tel: 0131 551 8590 (helpline) Fax: 0131 552 6535 EAR FOUNDATION Marjorie Sherman House 83 Sherwin Road Lenton Nottingham NG7 2FB Tel: 0115 942 1985 Fax: 0115 924 9054 Email: ear@earfoundation.org.uk Website: www.earfoundation.org.uk EUROPEAN FEDERATION OF AUDIOLOGY SOCIETIES (EFAS) Contact BSA’s Secretariat for details


HEARING AND BALANCE UK (HABUK) Secretariat - 80 Brighton Road Reading RG6 1PS Tel: 0118 966 0002 Fax: 0118 935 1915 HEARING LINK 27-28 The Waterfront Eastbourne East Sussex BN23 5UZ Tel: 0300 111 1113 SMS: 07526 123255 Fax: 01323 471260 Email: enquiries@hearinglink.org Website: www.hearinglink.org HEARING DOGS FOR DEAF PEOPLE The Grange Wycombe Road Saunderton Princes Risborough Bucks HP27 9NS Tel: 01844 348 100 (voice and minicom) Fax: 01844 348 101 Email: info@hearing-dogs.co.uk Website: wwwhearingdogs.org.uk INSTITUTE OF ACOUSTICS Chief Executive – Kevin Macan-Lind St Peter’s House 45-49 Victoria Street St Albans Herts AL1 3WZ Tel: 01727 848195 Fax: 01727 850553 Email: ioa@ioa.org.uk Website: www.ioa.org.uk MIDLANDS COCHLEAR IMPLANT PROGRAMME Children’s Service Aston University Day Hospital Aston University Birmingham B4 7ET Tel: 0121 204 3830 Fax: 0121 204 3840

MRC INSTITUTE OF HEARING RESEARCH University Park Nottingham NG7 2RD Tel: 0115 922 3431 NATIONAL ASSOCIATION OF DEAFENED PEOPLE Honorary Secretary – Mr Paul Tomlinson P.O. Box 50 Amersham Bucks HP6 6XB Fax: 01305 262591 Website: www.nadp.org.uk NATIONAL DEAF CHILDREN’S SOCIETY 15 Dufferin Street London EC1Y 8UR Switchboard: 020 7490 8656 (voice and textphone) Fax: 020 7251 5020 Email: helpline@ndcs.org.uk NDCS Freephone Helpline (Mon- Fri 9.30am-5pm; Sat. 9.30 a.m. - midday): 0808 800 8880 (voice and textphone) Website: www.ndcs.org.uk NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE (NICE) MidCity Place 71 High Holborn London WC1V 6NA NICE reception: 0845 003 7780 NICE enquiries: 0845 003 7781 NICE press office: 0845 003 7782 NICE publications: 0845 003 7783 Email: nice@nice.nhs.uk Website: http://www.nice.org.uk OR Level 1A City Tower Piccadilly Plaza Manchester M1 4BD

NATIONAL PHYSICs LABORATORY Hampton Road Teddington Middx TW11 0LW Customer Services +44 20 8943 8631 Email: acoustics_enquiries@npl.co.uk Website: www.npl.co.uk REHABILITATION SERVICES FOR DEAFENED PEOPLE Oak Tree Lane Centre 91 Oak Tree Lane Selly Oak Birmingham B29 6JA Tel: 0121 627 8930 Textphone: 0121 627 8932 Fax: 0121 627 8931 ROYAL COLLEGE OF SPEECH AND LANGUAGE THERAPISTS 2 White Hart Yard London SE1 1NX Tel: 0207 378 1200 email: bulletin@rcslt.org website http://www.rcslt.org SCOTTISH SENSORY CENTRE Moray House School of Education University of Edinburgh Holyrood Road Edinburgh EH8 8AQ Tel: 0131 651 6501 Textphone: 0131 651 6067 Fax: 0131 651 6502 Website: www.ssc.education.ed.ac.uk

SOUNDSEEKERS Chairman – Dr John Fincham BA PhD 34 Buckingham Palace Road London SW1W 0RE Tel: 020 7233 5700 Fax: 020 7233 5800 Email: sound.seekers@ btinternet.com Website: www.sound-seekers.org.uk THACKRAY MUSEUM Beckett Street Leeds LS9 7LN Tel: 0113 244 4343 Senior Curator – Jim Garretts Librarian – Alan Humphries Email: info@thackraymuseum.org Website: www.thackraymuseum.org UNITED KINGDOM NOISE COUNCIL Mr A D Wallis Cirrus Research plc Acoustic House Bridlington Hunmanby North Yorkshire or: Mr B F Berry National Physical Laboratory Teddington Middlesex TW11 0LW

SENSE 101 Pentonville Road London N1 9LG Tel: 0845 127 0060 Fax: 0845 127 0061 Textphone: 0845 127 0062 Email: info@sense.org.uk Website: www.sense.org.uk

HELP US TO HELP YOU! Please notify the Secretariat of any changes of address as soon as possible, in order that we may keep our database system up to date. In the case of email addresses it would assist if this could be a home or personal account as these are frequently bounced back as junk or spam mail when sent to a health authority or university.

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Sponsor members The partnership with Sponsor members of the British Society of Audiology (BSA) is of fundamental importance to the Society. As the largest multidisciplinary society concerned with hearing and balance in the UK, the BSA seeks to include commercial colleagues and organisations in its mission to promote knowledge, research and clinical practice in these areas. Being a Sponsor member places an organisation in close dialogue with senior members of the BSA, supporting meetings and publications. The outworking of this are yearly meetings between the Officers of the BSA and the Sponsor members to share information and perspectives on the strategic direction of the BSA. Sponsor members have direct input to the Programmes Committee, and their input is especially valued in the organisation of meetings and supporting exhibitions, these being a crucial element of successful events. ACOUSTIC METROLOGY LIMITED P.O. Box 94 Middlesbrough Cleveland TS7 8XP Tel: 01642 325382 Fax: 01642 271555 E-mail: info@a-met.com Website: http://www.a-met.com ADVANCED BIONICS UK LIMITED Grain House Mill Court Great Shelford Cambridge CB2 5LD Tel: 01223 847888 Fax: 01223 847898 AMPLIVOX LIMITED 29-30 Station Approach Kidlington Oxford OX5 1JD Tel: 01865 842411 Fax: 01865 841853 E-mail: n.court@amplivox.ltd.uk Website: http://www.amplivox.ltd.uk AUDITDATA LIMITED Gainsborough House 59-60 Thames Street Windsor Berkshire SL4 1TX Tel: 08707 345240 Fax: 08708 345241 Email: uksupport@auditdata.com BIOSENSE MEDICAL LIMITED 10–11 Eckersley Road Chelmsford CM1 1SL Tel: 0845 2266442 Fax: 0845 2263457 E-mail: sales@ biosensemedical.com Website http://www. biosensemedical.com

Brook Henderson Group 37-43 Blagrave Street, Reading RG1 1PZ ECKEL INDUSTRIES OF EUROPE LIMITED Half Moon Street Bagshot Surrey GU19 5AL Tel: 01276 471199 Fax: 01276 453333 Email: general@eckeleurope.co.uk Website: http://www.eckeleurope.co.uk or www.audiologyrooms.com FOCUS RESEARCH LIMITED Unit 3 Broadfield Close Croydon CR0 4XR Tel: 020 8688 1200 Fax: 020 8688 5922 Email: sales@focusresearch.co.uk Website http: www.focusresearch.co.uk GUYMARK UK LIMITED Veronica House Old Bush Street Brierley Hill West Midlands DY5 1UB Tel: 01384 410848 Fax: 01384 410898 Email: sales@guymark.com Website: www.guymark.com INDUSTRIAL ACOUSTICS COMPANY LIMITED IAC House Moorside Road Winchester Hants SO23 7US Tel: 01962 873000 Fax: 01962 873111 Email: info@iacl.co.uk Website: www. industrialacoustics.com/uk

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OTICON LIMITED P.O. Box 20 Hamilton Lanarkshire ML3 7QE Tel: 01698 283363 Fax: 01698 284308 Email: info@oticon.co.uk Website: www.oticon.co.uk OTODYNAMICS LIMITED 30-38 Beaconsfield Road Hatfield Herts AL10 8BB Tel: 01707 267540 Fax: 01707 262327 Email: sales@otodynamics.com Website: http://www.otodynamics.com PHONAK UK Cygnet Court Lakeside Drive Warrington WA1 1PP Tel: 01925 623600 Fax: 01925 245700 Website: http://www.phonak.co.uk PURETONE plc 10 Henley Business Park Trident Close Medway City Estate Rochester Kent ME2 4FR Tel: 01634 719427 Fax: 01634 719450 Email: adminne@puretone.net Web Site: www.puretone.net

GN RESOUND LIMITED Building A Kirtlington Business Centre Portway Kirtlington Oxon OX5 3JA Tel: 01869 352800 Email: info@gnresound.co.uk Website: www.gnresound.co.uk SIEMENS HEARING INSTRUMENTS LIMITED Alexandra House Newton Road Manor Royal, Crawley West Sussex RH10 9TT SPECSAVERS La Villiaze St Andrews Guernsey GY6 8YP STARKEY LABORATORIES LIMITED William F Austin House Bramhall Technology Park Pepper Road Hazel Grove Stockport SK7 5BX Tel: 0161 483 2200 Freephone 0500 262 131 Fax: 0161 483 9833 Email: sales@starkey.co.uk THE TINNITUS CLINIC 121 Harley Street London W1G 6AX Tel. 0203 326 1777 Website: www.thetinnitusclinic.co.uk P C WERTH LIMITED Audiology House 45 Nightingale Lane London SW12 8SP Tel: 020 8772 2700 Fax: 020 8772 2701 Website: www.pcwerth.co.uk E-mail: sales@pcwerth.co.uk


Council and meeting dates Officers

Committee Meeting Dates for 2013 (All may be liable to change)

Dr Kevin Munro – Chairman Dr Huw Cooper – Vice Chairman Dr David Baguley – Immediate Past Chairman

Council and Programmes Committee

Dr David Furness – Secretary (ESP)

Tuesday, 19th March - Ewing Seminar Room,

Mr Andrew Reid - Treasurer

University of Manchester Tuesday, 11th June - Ewing Seminar Room,

Elected Full Members

University of Manchester

Mr John Day

Dr Martin O’Driscoll

Wednesday, 3rd September - Annual

Dr Heather Fortnum

Ms Helen Pryce

Conference, Keele

Mr Graham Frost

Dr Nick Thyer

Tuesday, 10th December - Ewing Seminar

Dr Sebastian Hendricks

Dr Dolores Umapathy

Room, University of Manchester

Council Advisors

Programmes – 9.30 – 10.30a.m. followed by

Ms Rachel Barnsley (Student representative)

Council from 11.00a.m. to 4.30p.m.

Dr Nicci Campbell (Auditory Processing Disorders Group) Professor Adrian Davis (IJA)

Housekeeping Meetings

Dr Ros Davies (Chairman - Research Committee)

Thursday, 14th February

Dr Christine dePlacido (Scottish Branch/BSA News Editor

Monday, 20th May

Ms Lucy Handscomb (ARIG)

Thursday, 22nd August

Dr Sebastian Hendricks (Chairman - Paediatric Audiology

Thursday, 24th October

Interest Group)

The above meetings will be held at the

Dr Maryanne Maltby (Chairman – PPC)

Secretariat in Reading or by teleconference.

Mr Paul Radomskij (Balance Interest Group)

Venues to be confirmed.

Mr Jason Smalley (Web Administrator)

Professional Practice Committee

Dr Peter West (IJA Representative)

Meeting Dates not set yet.

Hearing and Balance UK 30th January, 5th June and 16th October.

Calendar of forthcoming meetings organised by the British Society of Audiology Date

Course or Event

Venue

Contact

25th April

London Evening Meeting

UCL Ear Institute

Roulla Katiri, Liz Arram

16-17th May

PAIG Meeting

Sheffield Hilton Hotel

Sebastian Hendricks

4-6th September

Annual Conference

Keele University

David Furness

2013

Further details for all meetings available from bsa@thebsa.org.uk

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Fees

membership & advertising with effect from 1st June 2012 to 31st May 2013

MEMBERSHIP GRADES: Payment by: The Society reserves the right to refuse to circulate advertisements, without having to state a reason.

Cheque Direct Debit

FULL/ASSOCIATE MEMBERS UNITED KINGDOM...................................................... £69............. £64 FULL/ASSOCIATE MEMBERS OVERSEAS: Full/Associate including Airmail (excluding Europe)..................................................... £97............. £92 Full/Associate including Airmail (Europe)...................................................................... £87............. £82 Full/Associate Surface Mail (excluding Europe)............................................................. £87............. £82 STUDENT MEMBERS UNITED KINGDOM..................................................................... £15............. £10

Enquiries and advertising copy should be sent to the Secretariat:

British Society of Audiology 80 Brighton Road Reading RG6 1PS

STUDENT MEMBERS OVERSEAS Student including Airmail (excluding Europe)................................................................. £43............. £38 Student including Airmail (Europe).................................................................................. £33............. £28 Student Surface Mail (excluding Europe)......................................................................... £33............. £28 RETIRED/REDUCED RATE MEMBERS UNITED KINGDOM (with Journal)............ £40............. £40 RETIRED/REDUCED RATE MEMBERS UNITED KINGDOM(without Journal)........ £26............. £26

Tel: 0118 966 0622 Fax: 0118 935 1915 (An answering service operates when the office is closed)

RETIRED/REDUCED RATE MEMBERS OVERSEAS (with Journal)

Email: bsa@thebsa.org.uk

RETIRED/REDUCED RATE MEMBERS OVERSEAS (without Journal)

Web: www.thebsa.org.uk

Retired/Reduced including airmail (excluding Europe)................................................. £68............. £68 Retired/Reduced including airmail (Europe)................................................................... £58............. £58 Retired/Reduced Surface Mail (excluding Europe)......................................................... £58............. £58 Retired/Reduced including airmail (excluding Europe)................................................. £54............. £54 Retired/Reduced including airmail (Europe)................................................................... £44............. £44 Retired/Reduced Surface Mail (excluding Europe)......................................................... £44............. £44 No mailings will be sent after the 1 September 2012 if full payment of subscription has not been received The BSA Financial Year runs from 1st June to 31st May. Subscription rates are subject to change in June each year. Members will be notified of any changes in the BSA’s April Mailing. If you wish to pay by direct debit, a Direct Debit Mandate form can be downloaded from the BSA website or obtained from the BSA Secretariat It is worth remembering that your subscription can be claimed back against income tax if you are in employment The International Journal of Audiology is sent under separate cover direct from the publisher.

EXHIBITION FEES

(charges below are a guideline only and will vary depending upon the venue) Sponsors

£220 per two metre stand per day (minimum)

Non-sponsors

£440 per two metre stand per day (minimum)

NB: An additional charge of £20 will be added to cover administration costs

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ADVERTISING RATES : MAILINGS AND BSA NEWS 1) Scheduled Mailing Cost: To Print and Mail a single-sided A4 sheet in monochrome............................................................ £370 + VAT The Society reserves the right to refuse to circulate advertisements, without having to state a reason.

Cost: To Print and Mail a single-sided A4 sheet in monochrome plus advertising on BSA Website.... £432 + VAT 2) Special Mailing If the Scheduled Mailing dates are unsuitable BSA can offer a Special Mailing which would be despatched from the BSA Office within 7 working days from receipt of the advert electronically. Cost: To Print and Mail a single-sided A4 sheet in monochrome............................................................ £770 + VAT Cost: To Print and Mail a single-sided A4 sheet in monochrome plus advertising on BSA Website..... £825 + VAT

Enquiries and advertising copy should be sent to the Secretariat:

British Society of Audiology 80 Brighton Road Reading RG6 1PS

3) Website Advertising only (career opportunities and meetings).................................................. £400 + VAT 4) Mailing only – Insert supplied by Client: i) Scheduled Mailing Cost: To Mail a single A4 sheet........................................................................................................ £285 + VAT Cost: To Mail a single A4 sheet plus advertising on BSA website................................................ £345 + VAT ii) Special Mailing

Tel: 0118 966 0622 Fax: 0118 935 1915 (An answering service operates when the office is closed) Email: bsa@thebsa.org.uk Web: www.thebsa.org.uk

Cost: To Mail a single A4 sheet........................................................................................................ £800 + VAT Cost: To Mail a single A4 sheet plus advertising on BSA website................................................ £860 + VAT 5) Advertising of Meetings / Events on the BSA Website – External Events Calendar:............... £42 + VAT Please ensure an Order Number and Invoice Address is supplied when booking a mailing etc. Bulk email to consented members........................................................................................................ £58 + VAT 6) Equipment or services advertised in BSA News Full A4 page

Sponsors Non-Sponsors

Black and white £155 Colour

£265

£460 £920

Half A4 page

Sponsors Non-Sponsors

Black and white £115 Colour

£230

£285 £575

BSA News and MAILING SCHEDULES 2013 BSA News Article Copy Date

BSA News Advertisements Copy Date

4th February

11th March

27th May

8th June

4th September

30th October

Insert (printed by BSA) Copy Date

Insert Supplied to BSA Office Date

BSA News/Mailing Dispatch Date

7th January

1st February

8th February

18th March

12th April

19th April*

27th May

21st June

28th June

15th July

2nd August

9th August*

16th September

27th September

18th October

4th November

29th November

6th December

* denotes Newsletter included with mailing Articles for publication should be with the Editor by these dates but send your copy as soon as possible.

If you would like to advertise a forthcoming course or conference in the BSA News, please send details to: The Editor, BSA News, 80 Brighton Road, Reading, RG6 1PS

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Calibration services ACOUSTIC METROLOGY LIMITED AML is UKAS accredited and ISO9001 approved for the calibration of Audiometers both on site and at our laboratory in Glasgow. AML provide on site calibration and Medical Equipment Safety Testing to BS EN 62353:2008 for all audiometric equipment and an all makes repair service at our Laboratory. Contact Alan Proudler, Acoustic Metrology Limited, P.O. Box 94, Middlesbrough TS7 8XP. Tel. 01642 325382. Fax. 01642 271555. Email: info@a-met.com Website: www.a-met.com AMPLIVOX Amplivox provide an economical and comprehensive calibration and repair facility for Amplivox screening, diagnostic, and clinical audiometers as well as the Amplivox Otowave hand held tympanometer. The Service is to EN ISO 9001 and all reports are traceable to the National Physical Laboratory. For a quotation please contact the Sales Department, Amplivox Limited, 29-30 Station Approach, Kidlington, Oxon OX5 1JD. Tel: 01865 842411. Fax: 01865 841853. Website: http://www.amplivox.ltd.uk Email: sales@amplivox.ltd.uk CAMPBELL ASSOCIATES LIMITED CA offer UKAS calibration of measurement microphones (sensitivity, frequency response and capacitance) as well as sound calibrators (single and multi-frequency), and sound level meters (including frequency filters if required). Also, traceable calibration of ear simulators and audiometric couplers. Contact: Campbell Associates Limited, Sonitus House, 5b Chelmsford Road Industrial Estate, Great Dunmow, Essex, CM6 1HD Tel. 01371 871030 Email: hotline@campbell-associates.co.uk GN OTOMETRICS (UK) Whilst manufacturing the widest range of audiology and balance assessment systems, we also provide comprehensive technical support for both our equipment and most other makes of equipment in these categories. This includes Calibration, Fault Repair and PAT Testing. Our UK Service team are both ISO9001 accredited and HIMSA Certified. Please contact us for more information and a quotation on info@gnotometrics.co.uk. We are based in the heart of the country at Building A, Slade Farm, Kirtlington Business Centre, Portway, Kirtlington. Oxon OX5 3JA. Tel: 0870 9000 675. Fax: 01869 343190. Website: www.gnotometrics.co.uk

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GUYMARK UK LIMITED Now UKAS Accredited for the Calibration of Audiometers. The Guymark repair and calibration service covers all audiological equipment including sound field installations. Contact Guymark UK, St Luke’s House, Upper High Street, Cradley Heath, West Midlands. Tel: 01384 410848. Fax: 01384 410898. Website: www.guymark.com Email: service@guymark.com KAMPLEX, INTERACOUSTICS and AUDIOSCAN EQUIPMENT The UK’s supplier and service agent for Kamplex, Interacoustics, Audioscan and Otovation instruments provides a comprehensive ISO-accredited repair and calibration service. Our technicians and service ensure your valuable instrumentation remains at peak effectiveness, performance and compliance. Contact P C Werth Limited, Audiology House, 45 Nightingale Lane, London SW12 8SP. Tel: 020 8772 2700. Fax: 020 8772 2701. Website: www.pcwerth.co.uk Email: sales@pcwerth.co.uk OTODYNAMICS LIMITED Otodynamics provides a service for the calibration and repair of its Echoport and Otoport precision instruments. Each system is calibrated using measuring equipment traceable to national standards. Otodynamics is certified to ISO 9001:2008 and ISO 13485. Please contact: Otodynamics Limited, 36-38 Beaconsfield Road, Hatfield, Herts. AL10 8BB. Tel. 01707 267540. Email: support@otodynamics.com Website: www.otodynamics.com PURETONE LIMITED Repair and calibration of all audiometers and SLMs. Contact Puretone Limited, 9-10 Henley Business Park, Trident Close, Medway City Estate, Rochester, Kent. ME2 4ER. Tel. 01634-719427. Fax. 01634-719450. Email: info@puretone.net. Web: www.puretone.net


Submissions Name:........................................................................................... Title:.................................... Contact Address:..................................................................................................................... Please fill in this form (or a copy) and include it with any submissions for BSA News. Send to: BSA News, British Society of Audiology, 80 Brighton Road, Reading, RG6 1PS. All submissions should include both a hard copy and an electronic version, either on disk or by e-mail to The Editor: bsa@ thebsa.org.uk

.................................................................................................................................................. .................................................................................................................................................. Tel:......................................................................... Fax:............................................................. E-mail:...................................................................................................................................... Instructions for Contributors 1. Article should be limited to about 2000 words. This should be in format that will allow editing i.e. not pdf or other similar format. 2. Figures or photos are encouraged and should have a legend. The text should refer specifically to the figure or photo. 3. Tables should have a legend. The text should refer specifically to the table. Tables should be numbered consecutively. 4. Contributors should supply name, address, occupation, email address and head and shoulder photo. 5. References. These should follow the Harvard style (see International Journal of Audiology Instructions for Authors). Examples: Hartley, D.E.H., Wright, B.A., Hogan, S.C. & Moore, D.R. 2000. Development of auditory masking: Age related improvements in auditory backward and simulataneous masking in to 10 year old children. J Speech Lang Res, 43, 1402-15.

References cited should use author names(s) and year of publication. If more than three authors, cite only the first followed by et al. Example. Hartley et al (2000) or (Hartley et al, 2000). 6. Articles should be emailed to either the BSA Office (ann@thebsa.org.uk) or to the editor: Christine DePlacido (CdePlacido@qmu.ac.uk). Please tick the box indicating the section of BSA News you are submitting to: Letters to the Editors

Feature article

Professional update

Reference information

Classified /

Reviews

Society news

Sub-Group update

Other...........................................................

Calendar of events

Up to 40 words, plus contact address is free. There is a charge of £5 per additional 1-10 words (e.g. 54 words = £10). Cheques payable to BSA. Please insert your wording into the grid below, one word per box.

Free Free Free Free £5 £10 £15 £20

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BSA News