NSXNational Skills ExchangeSign in
Back to Framework

Audiologists

SOC 29-1181.00Job Zone 5 · Extensive Preparationv.26.05

Context coveredThis framework covers clinical audiology practice from supervised entry-level service delivery through executive leadership, spanning outpatient clinics, hospital-based departments, academic medical centers, schools, and community health settings.

Emerging
Entry / Apprentice
  1. Patient records at initial intakedocument evaluation findings and demographic data under clinical supervisor guidance in an audiology clinic setting.
  2. Hearing test protocolsadminister pure-tone audiometry and tympanometry under direct supervision using calibrated electronic audiometers in a sound-treated booth.
  3. Hearing and balance disorder presentationsrecognize common patterns such as sensorineural and conductive loss under attending audiologist oversight during patient evaluations.
  4. Specialized diagnostic instrumentsidentify and operate basic audiometric equipment following established laboratory protocols in a supervised clinical practicum.
  5. Assistive device basicsassist in fitting and dispensing pre-configured hearing aids under direct supervision within a clinical dispensing environment.
  6. Patient communication strategiesapply foundational instruction techniques for receptive communication under supervisor direction during guided patient education sessions.
  7. Clinical documentation softwareenter patient data and generate basic reports using medical records and office suite software under departmental protocol guidance.
  8. Referral criteriaidentify patients who may require additional medical or educational services and flag cases for supervising audiologist review in a multi-disciplinary clinic.
  9. Counseling fundamentalsparticipate in introductory family and patient counseling sessions on hearing loss impact under clinical mentor observation.
  10. Progress monitoring basicscollect and record follow-up outcome data for ongoing patient cases as directed by a supervising audiologist in an outpatient setting.
Developing
Mid-level / Established
  1. Comprehensive patient recordsmaintain accurate documentation across all evaluation and treatment stages with minimal oversight in an established outpatient audiology practice.
  2. Audiometric test batteriesadminister and interpret a full range of hearing and balance assessments, including ABR and OAE, with routine autonomy in a hospital-based audiology department.
  3. Hearing aid fitting and repairfit, program, and perform minor repairs on hearing aids for diverse patient populations using real-ear measurement tools in a clinical dispensing setting.
  4. Hearing and balance diagnosesformulate working diagnoses and develop initial treatment plans for common disorders based on integrated evaluation findings in a primary-care-affiliated clinic.
  5. Patient progress monitoringtrack treatment outcomes across a personal caseload and adjust intervention approaches in response to evolving audiological status in an outpatient practice.
  6. Communication strategy instructiondeliver structured counseling sessions to patients, parents, and educators on strategies to maximize receptive communication in school and workplace contexts.
  7. Family counseling sessionsconduct routine counseling with patients and family members on hearing loss management techniques with reduced supervisor involvement in a rehabilitation setting.
  8. Referral coordinationinitiate and document referrals to otolaryngologists, speech-language pathologists, and educational specialists following evidence-based criteria in a multidisciplinary environment.
  9. Critical thinking in complex casesanalyze non-typical audiometric profiles and select appropriate follow-up testing strategies in a specialty clinic setting.
  10. Electronic health record systemsutilize CRM and medical software platforms to manage scheduling, billing documentation, and patient communication efficiently within an integrated healthcare system.
Proficient
Senior / Expert IC
  1. Comprehensive diagnostic evaluationsindependently evaluate complex hearing and balance disorders, synthesize multi-modal test data, and establish differential diagnoses across diverse patient populations in a specialty audiology center.
  2. Advanced hearing aid and assistive technology managementselect, fit, program, and troubleshoot a full range of amplification and assistive devices including cochlear implant mapping support in an advanced rehabilitation clinic.
  3. Full-scope patient recordsoversee complete longitudinal documentation from initial presentation through discharge, ensuring regulatory and accreditation compliance in an academic medical center.
  4. Non-routine audiometric interpretationresolve ambiguous or conflicting test findings using inductive and deductive reasoning to guide treatment in high-complexity inpatient and outpatient environments.
  5. Individualized counseling and rehabilitation plansdesign and deliver comprehensive aural rehabilitation programs tailored to adults, pediatric patients, and geriatric populations in a community health system.
  6. Multidisciplinary referral managementevaluate and coordinate referrals across medical, surgical, and educational disciplines to ensure seamless continuity of care in a hospital network.
  7. Ongoing outcomes monitoringimplement systematic progress review protocols using standardized outcome measures and adjust treatment plans autonomously in a long-term care audiology practice.
  8. Employer and educator trainingfacilitate workplace and classroom communication strategy workshops for employers and teachers supporting patients with hearing loss in occupational and educational settings.
  9. Technology integrationevaluate, configure, and optimize medical software, electronic health records, and teleaudiology platforms to enhance service delivery efficiency across a full clinical caseload.
  10. Evidence-based practice applicationcritically appraise current audiology research, apply findings to clinical decision-making, and adapt protocols to emerging evidence in a research-affiliated practice setting.
Advanced
Lead / Principal / Executive
  1. Organizational audiology strategyestablish clinical standards, service delivery models, and quality improvement frameworks for hearing and balance programs across a health system or academic institution.
  2. Clinical workforce developmentmentor and supervise doctoral-level clinical fellows and graduate students, designing structured competency pathways within an accredited audiology training program.
  3. Program-level outcomes evaluationdesign and lead systematic evaluation of departmental diagnostic and treatment outcomes using systems analysis methods to drive continuous quality improvement.
  4. Interdisciplinary leadershiprepresent audiology at executive and interdisciplinary leadership forums, advocating for integrated hearing health within hospital, educational, and community health systems.
  5. Policy and protocol authorshipauthor and institutionalize clinical practice protocols, referral pathways, and documentation standards that govern audiology services across multiple care sites.
  6. Research and innovation leadershipconceptualize, fund, and oversee applied clinical research studies or technology pilots that advance diagnostic and rehabilitative audiological practice.
  7. Community and public health advocacydevelop population-level hearing health initiatives, screening programs, and stakeholder education campaigns addressing underserved communities at a regional or national level.
  8. Resource and financial stewardshipdirect budget planning, equipment procurement, and revenue cycle strategy for an audiology division within a complex healthcare or academic organization.
  9. Cross-sector partnership developmentnegotiate and sustain partnerships with educational agencies, employers, device manufacturers, and payers to expand access to hearing health services at scale.
  10. Professional knowledge disseminationpresent expert-level findings at national conferences, contribute to peer-reviewed publications, and serve on professional standards bodies to shape the future of audiology practice.

AI-at-Work Competency Framework

A 4-level framework describing how a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline. Subscribe for $19.99/mo to read the full framework — or sign in if you have a subscription.

  1. Emerging
  2. Developing
  3. Proficient
  4. Advanced
Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library

Ten durable-skill domains mapped to four proficiency levels for this occupation. Subscribe to unlock the full Pathsmith Durable Skills Framework across all 1,016 occupations.

Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library
Show O*NET source anchors67 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

Suggest an O*NET correction

Source anchors that ground each statement

Related titles
Audiologist · Audiology Doctor (AUD) · Audiology Extern · Certificate of Clinical Competence in Audiology Licensed Audiologist (CCC-A Licensed Audiologist) · Clinical Audiologist · Dispensing Audiologist · Educational Audiologist · Forensic Audiologist · Hearing Therapist · Industrial Audiologist · Licensed Audiologist · Pediatric Audiologist
RAPIDS apprenticeships
O*NET skills
Reading ComprehensionActive ListeningActive LearningSpeakingCritical ThinkingWritingSocial PerceptivenessJudgment and Decision MakingMonitoringService OrientationComplex Problem SolvingLearning StrategiesCoordinationTime ManagementSystems AnalysisSystems EvaluationPersuasionInstructingOperations MonitoringQuality Control AnalysisScience
Knowledge domains
Customer and Personal ServiceTherapy and CounselingPsychologyMedicine and DentistryEnglish LanguageComputers and ElectronicsSales and MarketingBiologyEducation and TrainingAdministrativeAdministration and ManagementEconomics and AccountingPersonnel and Human ResourcesMathematics
Abilities
Written ComprehensionOral ComprehensionInductive ReasoningDeductive ReasoningProblem SensitivityWritten ExpressionOral ExpressionSpeech ClarityNear VisionSpeech Recognition
Work styles
Attention to DetailDependabilityEmpathyCooperationSocial OrientationCautiousness
Technology
Medical softwareCustomer relationship management CRM softwareSpreadsheet softwareOffice suite softwareElectronic mail softwarePresentation softwareWord processing softwareOperating system software
Tasks · seed anchors for statements
  1. Maintain patient records at all stages, including initial and subsequent evaluation and treatment activities.
  2. Evaluate hearing and balance disorders to determine diagnoses and courses of treatment.
  3. Fit, dispense, and repair assistive devices, such as hearing aids.
  4. Administer hearing tests and examine patients to collect information on type and degree of impairment, using specialized instruments and electronic equipment.
  5. Monitor patients' progress and provide ongoing observation of hearing or balance status.
  6. Instruct patients, parents, teachers, or employers in communication strategies to maximize effective receptive communication.
  7. Counsel and instruct patients and their families in techniques to improve hearing and communication related to hearing loss.
  8. Refer patients to additional medical or educational services, if needed.
CIP education codes
51.020151.020251.020451.0299

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me®, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.