BACKGROUND Early identification of hearing loss and ear disorders is important. Regular screening is recommended for children through the age of 18, and for adults to determine if a full hearing assessment is necessary and hearing problems treated. Procedural training is needed for new speech-language pathology students as well as continuing education for those trained to perform this screening procedure. OBJECTIVE The aims of this study were: 1) to describe the development of a new hearing screening simulation software platform, and 2) to report the use of this software platform to train a group of speech-language-pathology students in the processes of hearing screening. METHODS An audiology simulator was developed to provide a precursor to traditional face-to-face clinical instruction. Using a design science approach, the development of the simulator is presented. Evaluation of the tool included thirty-three speech-language pathology graduate students randomly assigned to control (receiving in-person instruction) and test (in-person instruction and simulation tool use) groups. Both groups were evaluated conducting live audiology screening. RESULTS Results indicated that students who used the simulation tool demonstrated greater confidence in their ability to 1) explain hearing screening procedures to a child (Chi-square = 5.27, p = .02, df = 1); ” 2) determine if otoscopy is normal (Chi-square = 5.14, p = 0.02, df = 1); and 3) determine if otoscopy is abnormal” (Chi-square = 4.86, p = .03, df = 1). Open-ended responses indicated that students found the hands-on experience provided by the simulator provided an easy-to-use and useful learning experience with the audiometer that increased confidence in their ability to perform hearing screening. CONCLUSIONS Software-based education simulation tools for audiology screening that support individualized, self-paced learning using context-sensitive feedback and performance assessment, and an extensible approach to supporting virtual subjects, may provide a beneficial method for educating students and professionals in hearing screening training.

Early identification of hearing impairment and ear disorders is important, which is why hearing screening is routinely done on newborns, with regular screening recommended on children through the age of 18. Screening is also completed with adults to assess and treat hearing problems. Procedural training is needed for new Speech-Language Pathologists and nursing students as well as continuing education for those trained to perform this procedure. An audiology simulator was developed to provide an alternative to traditional face-to-face lab instruction. Using a design science approach, the development of the simulation prototype is discussed. Contributions include a useful framework for developing such a simulation of an existing process, a description of a unique artifact that supports an individualized, self-paced learning environment using context-sensitive feedback and performance assessment, and an extensible approach to supporting virtual subjects in audiological training.