Doctor of Audiology

Program pending approval from the CSU Chancellor's Office.

Program pending review from the Council on Academic Accreditation (CAA). An Application for Candidacy was submitted Spring 2019.

The program has received approval from the Western Association of Schools and Colleges Senior College and University Commission (WSCUC). The Accreditation Commission for Audiology Education (ACAE) granted the program "Developing Status" in Fall 2018.

Units required for Doctorate of Audiology (Au.D.): 118

Program Description

The Doctor of Audiology (Au.D.) program at Sacramento State is a four-year clinical doctorate that is designed to prepare students for professional practice of audiology. The Au.D. program provides coursework in the theoretical foundations of audiology practice and evidence-based practice, as well as varied clinical training experiences in the Sacramento community and surrounding areas. The Maryjane Rees Language, Speech, and Hearing Center, which is located on campus, provides the community with speech, language, and hearing services for children and adults with communication disorders. In addition, the department is located in Folsom Hall, home of the The Center for Health Practice, Policy & Research (CHPPR), giving students opportunities to work alongside and learn from and with other health professions students.

Admission Requirements

  • Students must have an undergraduate degree from an accredited institution.
  • Students must have completed a course in each of the following:
    • Human Development Across the Lifespan
    • Introduction to Psychology
    • Introduction to Statistics
    • American Sign Language
    • Biological Science
    • Physical science
  • Students must have completed the equivalent of the following Sacramento State Communication Sciences and Disorders courses:
CSAD 110Physics of Sound and Phonetics4
CSAD 111Anatomy and Physiology of the Speech Mechanism3
CSAD 112Language Science and Development3
CSAD 125Developmental and Acquired Neurogenic Language Disorders Across the Lifespan3
CSAD 130Audiology and Hearing Testing3
CSAD 133Aural Rehabilitation3
  • Students must have a GPA of 3.00 overall and a GPA of 3.00 for the above pre-requisite courses.
  • Domestic applicants with foreign documents and international students (F-1 or J-1 visa applicants) must consult the Office of Graduate Studies and the International Programs and Global Engagement Office for specific application instructions. These students must also submit TOEFL scores. Consult the Department website for department-specific TOEFL scores.
  • GRE scores obtained in the last 5 years. Applicants are required to have a minimum combined score of 291 on the verbal and quantitative portions of the test and a minimum score of 3.5 on the analytical writing portion of the test.
  • Three letters of recommendation, two of which must come from university faculty who can speak to the student's academic potential and one must come from a professional reference in the field of audiology.
  • Oral and written essay.
  • Resume of education, related work, volunteer and multicultural experience, and any scholarships, awards or other commendations.
  • Documentation of 25 completed documented observation hours in communication sciences and disorders, of which at least 50% must be in audiology.
  • Students must consult the Department website for additional current admission requirements and procedures.

Doctor of Audiology Graduate Program Policies and Procedures

  1. A student must have, at minimum, a 3.0 GPA in the graduate coursework in order to graduate with a Doctor of Audiology degree. Students may not earn a grade of less than a B in  any major didactic course or clinical practicum. The Au.D. Program Director will review each student's grade reports at the end of each semester to identify students who receive less than a B in any graduate level course or clinical practicum or students who have less than a 3.0 GPA for the semester. The course instructor (for didactic courses) or clinical supervisor (for practicum sites) will meet with the Au.D. Program Director and student to discuss steps for the student to remediate the coursework, address areas of weakness in clinical performance, etc. Students falling to maintain a GPA of 3.00 are automatically placed on academic probation. Students on academic probation must independently remediate the coursework or address the deficiencies identified by the course instructor and Au.D. Program Director or s/he will not be allowed to continue the graduate program and will be dismissed. Any student who has less than B in any two didactic or B in any clinical practicum courses will not be allowed to continue in the graduate program and will be dismissed.
  2. Prior to enrolling in any clinical practica, students must fulfill the following criteria:
    1. Proof of negative tuberculin (PPD) test and verification of measles, rubella, and hepatitis B immunization series.
    2. Completion of a Level 1 criminal background check. Background checks must be conducted by the department-sanctioned agency. Refer to the Department webpage for current agency instructions. Background checks performed by other agencies are not accepted.
    3. Students must complete all clinical practica in the prescribed sequence.  Students  who have not completed a given semester's clinical practica will not be allowed to progress into subsequent clinical practica, including internships and the externship.
    4. Current certification in Cardiopulmonary Resuscitation (CPR) for Health Care Providers.
  3. Students must meet clock-hour requirements for the Accreditation Commission for Audiology Education (ACAE), American Speech-Language and Hearing Association (ASHA) Certificate of Clinical Competence (CCC) (pending approval of program's CAA Candidacy status) and California License in Audiology.
  4. Internship requirements: Documentation of the following is required by the end of the second clinical semester:
    1. Current certification in Cardiopulmonary Resuscitation (CPR) for Health Care Providers.
    2. Complete Certificate of Clearance.
  5. Students must furnish their own transportation to off-campus practicum sites.
  6. Students must explore and complete additional internship requirements as delineated by each site.
  7. Clock hours from the following may be counted for the CCC (pending approval of program CAA candidacy status) and California License in Audiology only if the on-site supervisors have their CCCs and California License in Audiology:

    Course            Course title                      Units
    CSAD 620C    Audiology clinic II             1
    CSAD 630C    Audiology clinic Ill             2
    CSAD 640C    Audiology clinic IV            1
    CSAD 650C    Audiology clinic V             1
    CSAD 660C    Audiology clinic VI            2
    CSAD 670C    Audiology clinic VII           2
    CSAD 680C    Audiology clinic VIII          2
    CSAD 710E    Audiology externship I      7
    CSAD 720E    Audiology externship II     7
    CSAD 730E    Audiology externship III    7
     
  8. Students must meet the clinical practicum requirements, including approved hours, for the Certificate of Clinical Competence (CCC) (pending approval of program's CAA Candidacy status) and the California License in Audiology at the time of graduation in order to receive the Au.D. degree.
  9. Students must submit a signed record of all observation hours and supervised clinical clock hours to the Communication Sciences and Disorders Department. Students should retain multiple copies for their personal records.
  10. Students earning less than a B in clinical practicum must repeat the clinical experience during the following semester. Hours earned for the semester in which the student earned less than a B will not be counted.

Audiology Doctoral Project

  1. Students must complete a doctoral project in order to graduate.
  2. To enroll in CSAD 501, students must have passed the first-year progress exam, CSAD 510.
  3. Students must enroll in CSAD 501, 502, 503, 504, and 505 for five consecutive semesters after passing CSAD 510.
  4. A student may not register for CSAD 501 unless the following conditions have been met:
    1. The readers judge that the proposal, which includes a comprehensive review of the literature and proposed methodology, is sufficiently well-developed.
    2. Her/his proposal has been approved by the Doctoral Project Committee no later than the 6th week of the third semester. The proposal must include the introduction (including literature review) and methodology.
    3. Written approval of the first reader has been accepted by the Department Chair.
  5. No subjects may be recruited until the study has received Institutional Review Board (IRB) approval. IRB approval should be obtained by the eighth week of the fall semester (year 2). It is possible for this process to take up to a full academic year.

Definition: The Au.D. doctoral project is an independent research study conducted by the student under the supervision of members of the faculty. The project must include a testable research question and hypothesis, review of pertinent literature, and the collection  and analysis of data. It is the student's responsibility to locate and recruit subjects and to collect the data, as well as to write the paper. Papers that are based on original data are preferred; however, those based on secondary data sources will also be considered.

Supervision: The doctoral project is supervised by a committee of three faculty members in the Department of Communication Sciences and Disorders. The "first reader" is the chair of the committee and the student's primary advisor and editor. The "second reader" and "third reader" evaluate the proposal at the beginning, consult on the development of the paper as necessary, and must approve the final paper.

Credit: A student enrolls in one unit of Audiology Doctoral Project each semester he/she works on the project for a total of five units. Students must complete the project before the end of the third year in order to complete degree requirements.

Audiology Progress Exam (CSAD 510)

Consists of written and clinical portions. Both portions must be passed according to the criteria below:

Formative written exam: Based on coursework taken in the first year of the Au.D. program (anatomy and physiology, acoustics and psychoacoustics, instrumentation, audiologic evaluation, amplification, disorders of the auditory system, genetics, research methods, and pediatric and educational audiology). The exam is administered during the summer of the first year. The exam period is over two days, and students will write for up to four hours each day.

  1. Faculty will develop questions and scoring rubrics for each of the nine subject areas assessed based on expertise and subject areas taught.
  2. Each response will be scored by two faculty members. If two faculty members award different scores (e.g. pass and no-pass), a third faculty member will serve as a tie breaker. Faculty scores are confidential.
  3. Upon completion and review by the examiners, each question is given a grade of "Pass," "Conditional Pass, or "No-Pass"
    1. "Pass" indicates a satisfactory completion of the question.
    2. "Conditional Pass" indicates a pass, but the examiners require additional work or remediation. Examiners are required to provide written feedback of the student's responses. Deficiencies can be addressed through an oral exam tor further clarification or coursework remediation (reading, independent study, etc.), which is determined by the faculty examiner and Au.D. Program Director. A timeline for this remediation plan and a method for verifying completion of the work must be determined by the faculty examiners, Au.D. Program Director, and the student.
    3. "No-Pass" indicates an unsatisfactory answer. Students are required to meet with the examiners and Au.D. Program Director to review their performance. Students who receive "No-Pass" results on less than or equal to 25% of the questions will meet with the examiners to address deficiencies.
  4. Students must receive a "Pass" on all areas of the exam to proceed to the second year.
  5. Students receiving conditional "Pass" results on more than 50% of the questions may be placed on academic probation and given the opportunity to retake the exam by the end of the summer semester after completing remediation work. Failure to receive a "Pass" on the second administration of the exam will result in dismissal from the program.
  6. Students receiving "No-Pass" results on more than 25% of the questions will be dismissed from the program.

Clinical exam: Includes a practical portion and a case study. Students will perform clinical procedures related to the topics presented in CSAD 614: Audiologic evaluation, CSAD 622: Amplification I, CSAD 622L: Amplification I lab, CSAD 631: Amplification II, and CSAD 632: Pediatric and Educational Audiology. Students will perform the evaluation in the presence of an Au.D. faculty member. The second part of the clinical exam will involve the presentation of a case study in which students will discuss their preparation for the appointment, possible diagnostic results, clinical interpretation of findings, and recommendations.

  1. Grading
    1. Students must pass the clinical portion of the exam at 80% or higher in order to enroll in CSAD 504.
    2. Students receiving less than 80% will have one opportunity to re-take the clinical portion of the exam and receive a "Pass" result
    3. Students who fail to receive a "Pass" result on the second attempt will be removed from the program

Audiology Comprehensive Exam (CSAD 520)

Definition: Summative written and oral exam that assesses knowledge and skills gained through coursework and/or clinical practica, and evaluates problem-solving and critical thinking skills for clinical cases. The written exam will be completed within the first week of the testing period during the spring semester, and the oral exam will be scheduled during the second week of testing.

  1. The written portion consists of 200 questions that evaluate students' knowledge of the first two years of didactic and clinical coursework. Students must score 80% or better on this section to pass. The exam period is up to four hours on one day.
    1. Students who receive less than 80% on the exam must develop a plan for remediation with the Au.D. program faculty. Students may retake the written portion of the exam once. Failure to achieve a passing score on the second attempt will result in dismissal from the program.
  2. The oral exam includes three cases (e.g. pediatric, adult, vestibular, etc.). The student will discuss the case history information, diagnostic results, and management plan with the examining committee. Questions pertaining to interpretation of the test results, site-of-lesion determination, recommendations or referrals, and rehabilitation of cases will be asked. Students will be expected to reference research and/or evidence-based practice guidelines in their responses. Students will also be asked additional questions to respond to during this examination period.
    1. Each response to the oral exam will be evaluated by three Au.D. faculty members. Faculty will evaluate responses using a rubric for thorough discussion, appropriate assessments and recommendation, and correct responses to questions.
    2. Upon completion and review by the examiners, each question is given a grade of "Pass" or "No-Pass."
      1. "Pass" indicates a satisfactory completion of the question.
      2. "No-Pass" indicates an unsatisfactory answer to any of the discussion questions of the oral exam. Students who receive a "No-Pass" result are not permitted to begin the third-year externship. Students will be given the opportunity to develop a  remediation  plan with Au.D. program faculty before retaking the exam at the end of the summer semester. Failure to receive a "Pass" result on  the  second  attempt will result in dismissal from the program.

Additional Information

Licensure, Certification, and Fellowship

Students completing the program will be eligible to apply for California licensure in audiology and fellowship from the American Academy of Audiology. Students seeking the Certificate of Clinical Competence from the American Speech-Language and Hearing Association (ASHA) (pending approval of CAA candidacy status) after graduation must notify the clinical coordinator to find ASHA-certified supervisors for the placements (specifically, during the externship year).

Licensure

Admission into programs leading to licensure does not guarantee that students will obtain a license. Licensure requirements are set by agencies that are not controlled by or affiliated with the CSU and requirements can change at any time. For example, licensure requirements can include evidence of the right to work in the United States (e.g ., social security number or tax payer identification number) or successfully passing a criminal background check. Students are responsible for determining whether they can meet licensure. The CSU will not refund tuition, fees, or any associated costs, to students who determine subsequent to admission that they cannot meet licensure requirements.

Program Requirements

Coursework in the Doctor of Audiology program are lockstep and begin in the fall semester.
Students are admitted to the program on a yearly basis. There are eleven semesters in the program.


Units required for Doctorate of Audiology Program: 118 units

Semester 1: Fall (13 Units)
CSAD 610 Introduction to clinic1
CSAD 611 Anatomy and physiology of the auditory and vestibular systems3
CSAD 612 Acoustics and psychoacoustics3
CSAD 613 Instrumentation3
CSAD 614 Audiologic evaluation3
Semester 2: Spring (13 Units)
CSAD 620 Clinical methods: Communicating with patients1
CSAD 620C Audiology clinic II1
CSAD 621 Research methods in audiology3
CSAD 622 Amplification I3
CSAD 622L Amplification I lab1
CSAD 623 Disorders of the auditory system3
CSAD 624 Genetics for audiology1
Semester 3: Summer (10 Units)
CSAD 510 Audiology progress exam1
CSAD 630 Clinical methods: Report writing1
CSAD 630C Audiology clinic III2
CSAD 631 Amplification II3
CSAD 632 Pediatric and educational audiology3
Semester 4: Fall (13 Units)
CSAD 640 Clinical methods: Current topics in audiology1
CSAD 641 Auditory evoked potentials3
CSAD 641L Auditory evoked potentials lab1
CSAD 642 Industrial audiology and hearing conservation3
CSAD 643 Tinnitus3
CSAD 640C Audiology clinic IV1
CSAD 501 Audiology doctoral project I1
Semester 5: Spring (12 Units)
CSAD 502 Audiology doctoral project II1
CSAD 650 Clinical methods: Billing and coding1
CSAD 650C Audiology clinic V1
CSAD 651 Objective measures3
CSAD 652 Pediatric habilitation3
CSAD 653 Diagnosis and management of vestibular disorders3
Semester 6: Summer (9 Units)
CSAD 503 Audiology doctoral project III1
CSAD 660 Clinical methods: Legal/ethical issues1
CSAD 660C Audiology clinic VI2
CSAD 661 Aural rehabilitation3
CSAD 662 Implantable devices and technology2
Semester 7: Fall (11 Units)
CSAD 504 Audiology doctoral project IV1
CSAD 670 Clinical methods: Professional issues1
CSAD 670C Audiology clinic VII2
CSAD 671 Counseling in audiology3
CSAD 672 Central auditory processing disorders3
CSAD 673 Pharmacology and ototoxicity1
Semester 8: Spring (10 Units)
CSAD 681 Practice management2
CSAD 682 Aging and the auditory system2
CSAD 683 Speech-language pathology for audiologists1
CSAD 680C Audiology clinic VIII2
CSAD 680 Clinical methods: Differential diagnosis1
CSAD 505 Audiology doctoral project V1
CSAD 520 Audiology comprehensive exam1
Semester 9: Summer (9 Units)
CSAD 710 Clinical methods: Externship I2
CSAD 710E Audiology Externship I7
Semester 10: Fall (9 Units)
CSAD 720 Clinical methods: Externship II2
CSAD 720E Audiology Externship II7
Semester 11: Spring (9 Units)
CSAD 730 Clinical methods: Externship III2
CSAD 730E Audiology Externship III7
Total Units118