Dr. Lin stressed that his observations on these treatment shortcomings are not just anecdotal. A 2010 survey of audiologists by the American Speech-Language-Hearing Association found that more than half of the respondents said they do not obtain real-ear electroacoustic measurements, which can be invaluable to ensuring proper fit. “We can change this paradigm,” Dr. Lin said. “But it’s going to require a lot of hard work across multiple disciplines. The Johns Hopkins Bloomberg initiative should be a great place to start.