How to become an audiologist

Thinking about becoming an audiologist? Starting a new career in audiology provides the opportunity to work in a rewarding healthcare profession. Here’s what you need to know about how to become an audiologist.

Audiology is the study of hearing disorders and losses, as well as the prevention and remediation of those issues, according to the American Speech-Language-Hearing Association (ASHA). ASHA also notes that an audiologist may work with patients to assess, diagnose, treat, and rehabilitate their hearing loss. Hearing loss treatment options include auditory brainstem implants, cochlear implants, hearing aids, and more. Patients with minor hearing loss may receive counseling or devices to reduce future hearing loss.

Due to the field’s focus on the inner ear, audiology also examines and addresses balance and equilibrium problems. Audiologists have developed a variety of inner ear rehabilitation devices and techniques that can have a profound impact on quality of life for patients living with vertigo or other balance disorders.

While both audiologists and ear, nose, and throat doctors (ENTs) work with patients experiencing hearing problems, there are some differences in their scopes of work. People who have experienced a gradual loss of hearing over a period of years might see an audiologist for an assessment and non-invasive interventions, according to the Washington-based Evergreen Speech and Hearing Clinic. The clinic notes that those who have noticed a sudden and profound hearing loss, possibly due to illness or injury, should seek help from an ENT.

ENTs are medical doctors who focus on the entire area between the brain and lungs, excluding the eyes. Therefore, ENTs have a wider scope of care than audiologists. ENTs perform a variety of procedures to improve hearing or reduce pain, from ear wax removal to surgical ear tube implantation, according to Evergreen Speech and Hearing Clinic .

Whether you choose to pursue a career as an audiologist or ENT, completing a doctoral program is generally required. Audiologists need a doctoral degree in audiology (AuD), according to the Bureau of Labor Statistics. ENTs, also known as otolaryngologists, must complete a medical school and residency program, according to Medical News Today. 

The fields of audiology and speech pathology may overlap, but the scope of work for a speech-language pathologist tends to cover more. For example, while audiology focuses on hearing functions, speech pathology addresses communication and swallowing disorders by examining the ears, tongue, throat, and mouth. Some communication disorders are brain-based and others are caused by physical issues, such as a cleft palate. In either case, a speech-language pathologist (SLP) will coach the patient to process information and communicate more effectively.

Another difference between audiology and speech pathology are the work environments. The Bureau of Labor Statistics reports that most audiologists work in the offices of physical, occupational and speech therapists, and audiologists.  For speech-language pathologists, the industry with the highest level of employment is elementary and secondary schools, according to the BLS. Other SLPs may work for various healthcare organizations, with a few working as independent consultants.

Audiologists and speech-language pathologists also differ in their respective educational requirements. Audiologists must earn a doctoral degree, while speech pathologists are required to obtain a master’s degree.

So, what does an audiologist do in a normal work day? Audiologists use state-of-the-art tools and techniques to diagnose and treat a variety of conditions for their patients. An audiologist performs various services for numerous patients every day. Some of an audiologist’s daily tasks, per the Bureau of Labor Statistics, include:

To fully understand this field, it’s just as important to know what audiologists do not do as it is to learn what an audiologist does during a normal work day. Audiologists do not perform surgeries or prescribe medications. However, they may recommend over-the-counter medications to help patients alleviate or resolve certain conditions.

Audiologists perform their jobs in a wide variety of professional settings. Below are the most common audiology job settings and the approximate percentage of audiologists who work in each setting, as reported by the American Speech-Language-Hearing Association:

What qualifications do you need to become an audiologist? A doctoral degree and state licensure are typically required for all practicing audiologists in the United States. While each person’s journey is unique, below are six steps you may consider to become an audiologist. Remember that the pathway below is just one example of a potential way to become an audiologist.

Ultimately, a Doctor of Audiology (AuD) degree will be required of all audiologists. The first prerequisite to becoming an audiologist is to earn a bachelor’s degree. Some doctoral programs will accept students with any bachelor’s degree, but completing an undergraduate program in a subject related to the field of audiology may provide better preparation for your future career. 

Students with a solid foundation in math, physics, anatomy, and physiology may find this coursework helpful in an AuD program. A few examples of related bachelor’s programs for future audiologists include audiology, biology, or speech pathology. Be sure to choose a reputable undergraduate program at an accredited university.

While earning a master’s degree is not a required step to become an audiologist, earning a Master of Science in a field such as speech pathology can provide additional training in speech and communication disorders. However, a master’s in speech pathology is not required in order to become an audiologist. Skills such as these may be helpful when working with patients living with profound hearing loss. 

Numerous part-time and online program options are available if you wish to earn an advanced degree while gaining valuable work experience. Additionally, earning an MS in speech pathology may help you begin practicing as a speech language pathologist while you make progress toward becoming an audiologist.

Once you’ve earned either your bachelor’s or master’s degree, it’s time to begin your chosen four-year AuD program. Because audiology doctorate programs are not part of traditional medical school programs, taking the MCAT examination is not required. The first two years of any AuD program emphasize foundational coursework, clinical observations, and assessments of practical understanding. The third and fourth years will include more hands-on practice via clinical experience, such as an internship program. Many AuD programs require a culminating capstone project. 

Some AuD programs offer the option to choose a specialization. The right specialization courses can offer additional preparation for the exact audiology career you desire. For example, if your goal is to work in a K-12 school setting, a pediatric audiology specialization may help you achieve that goal.

The Educational Testing Service (ETS) administers the Praxis Examination in Audiology, which is required for professional certification and state licensure. The Praxis Audiology test measures the student’s ability to make sound clinical decisions, which makes completing a good clinical internship program critical to your success. A new version of the Praxis Audiology exam (and therefore, a new passing score calculation) is developed every 5-8 years. You may register for this exam after completing your AuD courses and clinical practicum hours.

All states require professional licensing for audiologists, though requirements vary per state. For example, each state determines its own passing score for the Praxis Audiology exam in order to grant state licensure, the American Speech-Language-Hearing Association reports. You can find state-specific licensure information on ASHA’s website. After you select your state from the list, look for a link to a separate page that explains the licensing process for audiologists and speech language pathologists.

Professional certification in audiology is administered by two organizations:

The ABA also offers additional audiologist certification programs for those interested in specializing in Tinnitus Management (CH-TM) or aspiring Audiology Preceptors (CH-AP). Both of these programs are assessment-based training programs and provide a professional certificate for those who successfully complete the program.

The starting salary for an audiologist depends on many factors, including where you live, where you work, and your specialization. In May 2023, the average median salary for audiologists was $87,740, the Bureau of Labor Statistics reports. Audiologists working at hospitals or in educational settings tend to make more money than those who work in group or private clinical offices, according to BLS data.

Demand for audiologists is expected to grow by 11% from 2022 to 2032, which is much faster than the average, the Bureau of Labor Statistics notes. However, because the field of audiology includes a relatively small number of professionals, this growth is expected to result in less than 1,000 new audiologist jobs per year. 

Per Bureau of Labor Statistics data, the five states with the highest employment rates of audiologists are California, Ohio, Florida, Pennsylvania, and Illinois.

If you don’t want to spend the four additional years it takes to earn an AuD, there are some alternative occupations to consider that take less time to complete than an AuD program.

Audiology assistant – If you’re not ready to go all the way through a doctoral program, working as an audiology assistant may be a good fit. An audiology assistant works under the supervision of a licensed audiologist, providing services and care to patients as delegated by the supervising audiologist, the American Speech-Language-Hearing Association notes. While audiology technician training often includes a bachelor’s degree in communication disorders or a related field, there are certification pathway options that do not require a college degree.

Speech-language pathologist – Practicing as a speech-language pathologist requires a master’s degree, which typically takes two years less to complete than an AuD. You may enjoy a rewarding speech pathology career working with patients to overcome communication and swallowing disorders. Some may choose to become child speech therapists. Online and part-time master’s programs in speech pathology make it easier than ever to get started in the field.

Speech-language pathology assistant – If you do not plan on earning an advanced degree, you may choose to pursue a Bachelor of Speech Pathology and work as a speech pathology assistant. In as little as four years, you could embark on a lucrative career as a speech language pathology assistant, which offers many future career options if you do decide to pursue an advanced degree.

Occupational therapist – If you want to help people improve their quality of life but hearing loss or communication challenges are not interesting to you, working as an occupational therapist could be just what you’re looking for. Occupational therapists help patients with disabilities, injuries, or illnesses via motor skill development or recovery. Similar to speech language pathology, becoming an occupational therapist requires a master’s degree.

Is audiology a good career choice for you? It depends on how committed you are to working in this challenging field. If you aspire to work in healthcare, with a strong desire to help people overcome auditory challenges and don’t mind completing several years of education and training to get there, then audiology may be a great match. On the other hand, if you’re anxious to get to work in a helping career, the eight years it takes to complete the required bachelor’s and doctoral programs may not be the best fit. In the end, only you can decide if a career in audiology is worth it to you.

The program cards/tables featured on this page were last updated in May 2022. For the most current program information, please refer to the official website of the respective school.

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Last updated August 2024.