Audiologists work with people who have hearing, balance, and related ear problems. They examine individuals of all ages and identify those with the symptoms of hearing loss and other auditory, balance, and related sensory and neural problems. They then assess the nature and extent of the problems and help the individuals manage them. Using audiometers, computers, and other testing devices, they measure the loudness at which a person begins to hear sounds, the ability to distinguish between sounds, and the impact of hearing loss on an individual's daily life. In addition, audiologists use computer equipment to evaluate and diagnose balance disorders. Audiologists interpret these results and may coordinate them with medical, educational, and psychological information to make a diagnosis and determine a course of treatment.
Hearing disorders can result from a variety of causes including trauma at birth, viral infections, genetic disorders, exposure to loud noise, certain medications, or aging. Treatment may include examining and cleaning the ear canal, fitting and dispensing hearing aids, and fitting and programming cochlear implants. Audiologic treatment also includes counseling on adjusting to hearing loss, training on the use of hearing instruments, and teaching communication strategies for use in a variety of environments. For example, they may provide instruction in listening strategies. Audiologists also may recommend, fit, and dispense personal or large-area amplification systems and alerting devices.
In audiology clinics, audiologists may independently develop and carry out treatment programs. They keep records on the initial evaluation, progress, and discharge of patients. In other settings, audiologists may work with other health and education providers as part of a team in planning and implementing services for children and adults. Audiologists who diagnose and treat balance disorders often work in collaboration with physicians, and physical and occupational therapists.
Some audiologists specialize in work with the elderly, children, or hearing-impaired individuals who need special treatment programs. Others develop and implement ways to protect workers' hearing from on-the-job injuries. They measure noise levels in workplaces and conduct hearing protection programs in factories and in schools and communities.
Audiologists who work in private practice also manage the business aspects of running an office, such as developing a patient base, hiring employees, keeping records, and ordering equipment and supplies.
Some audiologists conduct research on types of, and treatment for, hearing, balance, and related disorders. Others design and develop equipment or techniques for diagnosing and treating these disorders.
Audiologists held about 13,700 jobs in 2020. The largest employers of audiologists were as follows:
- Offices of physicians - 26%
- Offices of physical, occupational and speech therapists, and audiologists - 24%
- Hospitals; state, local, and private - 15%
- Educational services; state, local, and private - 10%
Some audiologists, such as those contracted by a school system, travel between multiple facilities. Audiologists may work closely with other healthcare specialists, including audiology assistants (a type of medical assistant), physicians and surgeons, registered nurses, and speech-language pathologists.
Most audiologists work full time. Some work weekends and evenings to meet patients' needs.
Education & Training Required
Individuals pursuing a career will need to earn a doctoral degree. In 2009, 18 States required a doctoral degree or its equivalent for new applicants to practice audiology. The doctoral degree in audiology is a graduate program typically lasting 4 years and resulting in the Au.D. designation.
The Council on Academic Accreditation (CAA) is an entity of the American Speech-Language-Hearing Association (ASHA) that accredits education programs in audiology. In 2009, the CAA accredited 70 doctoral programs in audiology. Graduation from an accredited program may be required to obtain a license in some States and professional credentialing.
Requirements for admission to programs in audiology include courses in English, mathematics, physics, chemistry, biology, psychology, and communication. Graduate coursework in audiology includes anatomy; physiology; physics; genetics; normal and abnormal communication development; auditory, balance, and neural systems assessment and treatment; diagnosis and treatment; pharmacology; and ethics. Graduate curriculums also include supervised clinical practicum and externships.
Audiologists are regulated by licensure in all 50 States. Eighteen of those States require a doctoral degree for licensure. Some States regulate the practice of audiology and the dispensing of hearing aids separately, meaning some States will require an additional license called a Hearing Aid Dispenser license. Many States require that audiologists complete continuing education for license renewal. Eligibility requirements, hearing aid dispensing requirements, and continuing education requirements vary from State to State. For specific requirements, contact your State’s medical or health board.
Audiologists can earn the Certificate of Clinical Competence in Audiology (CCC-A) offered by the American Speech-Language-Hearing Association; they may also be credentialed through the American Board of Audiology. Professional credentialing may satisfy some or all of the requirements for State licensure.
Other Skills Required
Audiologists should be able to effectively communicate diagnostic test results, diagnoses, and proposed treatments in a manner easily understood by their patients. They must be able to approach problems objectively and provide support to patients and their families. Because a patient's progress may be slow, patience, compassion, and good listening skills are necessary.
It is important for audiologists to be aware of new diagnostic and treatment technologies. Most audiologists participate in continuing education courses to learn new methods and technologies.
How to Advance
With experience, audiologists can advance to open their own private practice. Audiologists working in hospitals and clinics can advance to management or supervisory positions.
Employment of audiologists is projected to grow 16 percent from 2020 to 2030, much faster than the average for all occupations.
About 800 openings for audiologists are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
Because audiologists is a small occupation, the fast growth is expected to result in only about 2,100 new jobs over the decade.
An aging baby-boom population and growing life expectancies will continue to increase the demand for most healthcare services. Hearing loss and balance disorders become more prevalent as people age, so the aging population is likely to increase demand for audiologists.
The early identification and diagnosis of hearing disorders in infants also may spur employment growth. Advances in hearing aid design, such as smaller size and the reduction of feedback, may make such devices more appealing as a means to minimize the effects of hearing loss. This may lead to more demand for audiologists.
The median annual wage for audiologists was $78,950 in May 2021. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $58,920, and the highest 10 percent earned more than $120,210.
In May 2021, the median annual wages for audiologists in the top industries in which they worked were as follows:
- Hospitals; state, local, and private - $94,690
- Educational services; state, local, and private - $79,170
- Offices of physical, occupational and speech therapists, and audiologists - $78,070
- Offices of physicians - $78,070
Most audiologists work full time. Some may work weekends and evenings to meet patients’ needs. Those who work on a contract basis may spend time traveling between facilities.