The audit identified a failure locally to comply with standard evidence-based guidelines. If, as is likely, this reflects practice elsewhere in the UK, there are potentially major clinical management and resource implications.

No abstract

As a part of the longitudinal evaluation of a cluster of neonatal hearing screening procedures in a single high risk population, Crib‐O‐Gram (COG) and auditory brain stem response (ABR) screening have been administered to 190 infants in the NICU. Multiple COG screening showed inconsistent results in 25% of the infants. The COG failure rate was 27.9% with 2 out of 3 pass criterion. In the two‐intensity ABR screening (70 dB and 30 dB), 17.9% failed at 30 dB bilaterally and 30.0% failed unilaterally. The repeated ABR screening and behavioral observation audiometry at age 6 months indentified one infant with a significant hearing loss in 78 infants. Two thirds of the COG failures and a little more than half of the ABR failures had a problem mainly with the middle ear. Advantages and disadvantages of each procedure are presented.

No abstract

The shift from face-to-face learning and talent development environments into virtual and online learning environments gives an opportunity to rethink what may be described as the essence of the course learning environment. The focus shifts from face-to-face controlled structures into a more participative storytelling framework that reflects social learning efforts. The essence of course engagement changes into a participative storytelling framework that embraces concepts highlighted by Gomez in his 10 commandments: brand essence; story world; design and development blueprint; obtain the creative talent; common resource that includes goals, mission, vision, and values; content matrix and cross-content progression; incentivized support; validation and reverence of socialized course engagement; participative storytelling framework marketing alignment; and array of participative engagement from online to blended to face to face. Reimagining Gomez's 10 commandments highlights the strength of participative storytelling frameworks within the essence of course engagement.