406 - Perils and Pearls in Hearing Conservation: An Interactive, Case-Based Refresher for Occupational Health Professionals

Session Description: The effective implementation of a workplace Hearing Conservation Program (HCP) is a crucial element of occupational health in industries where workers are exposed to high levels of noise.
This presentation provides a refresher on key components of the HCP through engaging, real-world case vignettes. Participants will work through scenarios designed to highlight both common pitfalls and best practices in hearing conservation.
Topics will include:
• Differentiating noise-induced hearing loss from conductive hearing loss using clinical and audiometric clues.
• Recognizing the impact of ototoxic medications and how they alter audiometric patterns.
• Identifying errors in interpreting threshold shifts and understanding their implications for diagnosis and reporting.
• Reviewing noise surveillance strategies, including sound level measurement techniques and the use of dosimetry.
• Discussing decision-making on medical referrals, work accommodations, and program improvements.
Through audience polling and Q&A segments, attendees will improve their ability to recognize early warning signs of HCP failures and implement evidence-based solutions.

Educational Gaps: Many physicians review audiograms but may miss key differences in NIHL patterns, ototoxicity, or regulatory triggers. This session fills this gap by covering:
• Misinterpretation of NIHL versus other causes
• Overlooked ototoxic exposures
• Missed referral opportunities
• Limited use of HCP tools and best practices.

Is this session being sponsored by an ACOEM Section or Component?: No

Has this session previously been presented?: No

The AOHC 2026 theme is Healthy workers. Healthy world: Noise-induced hearing loss (NIHL) is one of the most prevalent yet preventable occupational illnesses. Left unrecognized, it affects not only hearing but also worker safety, communication, and long-term well-being.
This session supports the theme "Healthy Workers, Healthy World" by strengthening the ability of occupational health professionals to detect, manage, and prevent work-related hearing loss. Through engaging case scenarios and practical discussions, it highlights:
• Early recognition of NIHL and differentiation from other hearing disorders
• Identification of ototoxic exposures and medications
• Accurate audiogram interpretation and timely referrals
• Tools and strategies for effective hearing conservation programs
By enhancing clinical insight and implementing effective programs, this session helps protect workers' hearing and boosts overall workforce health. Safeguarding hearing means maintaining function, productivity, and quality of life, which are key elements in creating a healthier world through healthier workers.