The 4th year Audiology clinical experience focuses on progressive clinical independence through participation in patient care supported by direct supervision with increasing ownership of clinical decisions and outcomes. The research fellow experience is directed toward progressive research independence supported by direct supervision for accurate documentation in participation and care of research participants, education and career development, collegiality, ethics, resource utilization, safety, environment, and information management. This includes management of complex cases for medically compromised patients or difficult-to-treat personality, competence in coding, documentation, and applying outcome measures. The trainee or fellow experience includes participation in staff meetings, grand rounds, journal club, continuing education courses, research projects, data collection, and patient group education programs and rotations. Interdisciplinary programs include rotations with but not limited to Ear, Nose & Throat, Physical Medicine and Rehabilitation, Visual Impairment Service Team, and Social Work services.