Diagnostic Audiology Program Education and Training

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AuD Externship

The fourth year externship program at Boston Children’s Hospital provides AuD students an opportunity to experience audiology practice in a thriving pediatric medical institution. Students spend 11 months working alongside practicing audiologists as they assess and treat children at risk for or identified with hearing loss, many of whom are medically complicated. Students become adept at visual reinforcement, conditioned play, and traditional methods of audiometry, auditory evoked brainstem response testing, cochlear implant mapping, and additional components of pediatric audiology assessment and treatment. 

The externship program is affiliated with the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) Program in Boston. The LEND program offers interdisciplinary training for students from many fields. Externs attend the program on Fridays from September to May. Course work focuses on interdisciplinary evaluations, Life Course perspective and public health, cultural competence, family-centered care and the medical home. The LEND experience culminates in a trip to the Disability Policy Seminar in Washington DC.  It is also through our affiliation with LEND that we are able to offer to our externs a $7500 stipend and travel funding to the Early Hearing Detection and Intervention conference.

2014-2015 Audiology Externs at the 2015 EHDI Meeting in Louisville, Kentucky.

The Experience


Boston Children's Hospital is a world-renowned pediatric tertiary care medical center and is a Harvard Medical School teaching hospital.

The Diagnostic Audiology program at Boston Children's Hospital has mentored externs and fellows continuously since the early 1990s. Past externs are now working at other pediatric hospitals around the country, working for manufacturers, and obtained their PhD in Audiology/Hearing Science. 

Audiology Externs at Boston Children's Hospital are also enrolled in the LEND Fellowship (Leadership Education in Neurodevelopmental Disabilities) at the Institute for Community Inclusion. This leadership training is typically one day per week (Fridays) from September to April and involves social policy and public health. 

Our patients come from all walks-of-life, local as well as international, typically-developing children to very medically complex neonates.

Externs are provided with supervision by a range of experienced pediatric audiologists. All staff have either ASHA CCC-A or ABA Board Certification in Audiology in addition to the state license in audiology. Many staff have the ABA Pediatric Audiology Specialty Certificate, Cochlear Implant Specialty Certificate, or both. Supervision from an audiologist with the ASHA CCC-A is available but not guaranteed. While ASHA cannot require academic programs to send externs/students only to preceptors who have the ASHA CCC-A, some universities have interpreted the requirements of ASHA's Council for Academic Accreditation as such. Please check with your academic advisor for details about the specific requirements of your program.

It is expected that externs will rotate between the Diagnostic Audiology program and Habilitative Audiology program during the 11 month experience. Externs will be exposed to all aspects of pediatric audiological evaluation and case management, including all behavioral audiometry techniques and electrophysiology (including frequency-specific threshold estimation by ABR). Externs may participate in hearing aid fittings, FM system selection and participation in determining educational accommodations for children with hearing loss. Cochlear implant mapping is a component of the rotation through the Habilitative Audiology Program as well as determining specific education accommodations in the Sound Outreach to Schools educational audiology service (part of Habilitative Audiology). It is expected that upon completion of training, the extern will be competent to provide detailed assessment and audiologic case management of complex pediatric patients.




Applicants must meet requirements set forth by the Massachusetts state licensing law for qualifying for a Supervised Professional Practice. Upon selection, the extern must submit a Supervised Professional Practice plan with the state. Forms and rules and regulations for externs may be found at:

- Under Applications and Forms, select Audiologists Application For Licensure and scroll to the final pages where pertinent forms are found.

It is expected that externs will come with extensive pediatric audiology experience, and be facile with all behavioral pediatric test techniques and have experience conducting frequency-specific threshold ABR assessment on infants and young children.

Universities must have a training contract on file with Boston Children's Hospital. Upon being offered an externship, students should put the Director of Diagnostic Audiology in touch with an academic advisor to assure a training contract is either active or negotiated in advance of a May start.


Extern Selection and Application Process



The position announcement is posted on the internal website and at AAA HearCareers on September 1st.

Application Packet

Applicants should submit their Letter of Intent, Curriculum Vitae, undergraduate and graduate transcripts (official or unofficial), and 3 letters of recommendation to:

Dr. Derek J. Stiles, PhD
Director of Diagnostic Audiology
300 Longwood Ave, BCH 3129
Boston, MA 02115

It is recommended that at least one of the letters of recommendation be from an audiologist who supervised a pediatric placement and can speak to your relative strengths in this area.

Application Timeline

  • September 1st: Applications accepted.
  • October 15th: Application deadline.
  • November 1st: Phone interviews.
  • November 10th: Face-to-face interviews.
  • November 20th: Initial offers.
At this time, the Audiology Program cannot provide travel support to applicants. 


The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944