Course Description

A comprehensive online course designed for healthcare professionals for whom cerumen management is within their scope of practice.

This course is designed for both professionals with cerumen management experience and for those just starting out. The course focuses on the three main methods of removal: instrumentation, irrigation and microsuction. Course content covers all aspects of cerumen management including ear anatomy, cerumen theory, assessment steps, cerumen characteristics, equipment training, technique, infection control, documentation and discharge. What sets this course apart are the high quality training videos which take the user step-by-step through all aspects of performing cerumen management. Filmed demonstrations of all three methods of cerumen removal are included so users can learn by observing proper technique.

The course focuses on current best practices and is designed to give the student the ability to learn from home on their own time and at their own pace. Approximately 4 – 5 hours in length, it includes quizzes to evaluate the user’s understanding throughout the course. Upon completion, a Certificate of Completion is available.

$249 CAD


Avg. Duration: 4-5 Hrs.

Printable Certificate


Multiple Choice Quizzes

Self Paced 24/7 Access

Maintain Access For 1 Year

Pacific Audiology Group is approved by the International Hearing Society to offer continuing education for this course. This course [CEN-464-21] is approved for up to 4.5 credits of continuing education (1 CE Credit = 1 contact hour). IHS approval of this course is based on the course’s adherence to IHS’s course approval requirements only and does not imply endorsement of the course content, specific products, clinical procedure, instructor or adherence to the IHS Code of Ethics. Any views that are presented are those of the presenter/Education Provider and not necessarily of the International Hearing Society. 


Learning Objectives

Learning Objective 1 – By completing this course you will gain the theoretical knowledge necessary to safely practice cerumen management. This includes ear anatomy, cerumen composition, pathophysiology of impaction, needs and risk assessment, and documentation.

Learning Objective 2 – By completing this course you will learn extensively about the tools which are used to safely practice cerumen management, and you will learn the techniques used to safely remove cerumen. Upon completion, you will have a thorough understanding of the equipment and techniques commonly used in cerumen management, including lighting and magnification, softening agents, manual removal including curettes and forceps, irrigation, and micro suction.

Learning Objective 3 – By completing this course you will learn about the ethical issues of informed consent and infection control as they pertain to cerumen management. You will understand that the scope of practice for cerumen management can vary based on your professional designation, regulatory body, and geographic region, and you will understand the importance of staying within your scope of practice. 

Benefits To a Cerumen Management Practice

Save Time

Decrease out-of-office referrals by removing cerumen in-house.


Increase Career Satisfaction

Clinicians performing cerumen management report it is rewarding.

Stay Relevant

Keep an edge over the competition by increasing the services you offer.

Increase Patient Satisfaction

Offer a service needed by most hearing aid users and seniors.

Increased Revenue

Achieved by creating a fee for service practice or reducing rescheduling.

Increased Professional Skills

Advance the clinical skills your practice can offer.

Course Preview

Course Outline

I. General Cerumen Information
Cerumen composition/anatomy as well as production biology. Prevalence of impaction, and indications to address. Discusses scope of practice.

II. Ear Anatomy & Physiology
Anatomy review of the ear, focusing on anatomy specific to cerumen removal. Review of common conditions of the outer ear.

III. Case History & Ear Examination Process
This section reviews the key components of the pre cerumen removal process. Including: otoscopy specific to cerumen removal, informed consent, cerumen removal case history, risk assessment, referral indications, modifying factors and precautions with a case example.

IV. Infection Control
Best practices in infection control review, including hand hygiene, sterilization vs disinfection vs cleaning and indications for cerumen management. A special focus on cerumen management in the age of Covid-19. Prevention of post removal infections.

V. Equipment
A thorough review of all equipment commonly used in cerumen management. Includes lighting, magnification, softening agents, irrigation, manual removal and suction equipment, and office furniture. Live video training from our team on a variety of equipment.

IV. Methods of Cerumen Management
Explanation of the process of cerumen removal for all three main methods of removal: instrumentation, microsuction and irrigation. Includes video demonstrations of live removal by the instructors. This section also contains non-recommended methods of removal, prevention of cerumen buildup and patient handouts.

VII. After Cerumen Management
A review of the post removal process, including addressing any bleeds or wet ears. The creation and components of a cerumen management plan as well as the documentation/discharge process.


Customizable Templates

Patient Handouts

Product Recommendations

Extra Resource Recommendation


Am I eligible to take this course?

This is a complicated question, but we will do our best to provide some clarity here. Depending on where you practice, cerumen management may fall within the scope of practice for physicians, nurses, audiologists, and hearing aid dispensers. Anybody can take this course, but we need to first answer the question of whether you are eligible to practice cerumen management in the first place. For most healthcare professionals, their state, provincial, or federal healthcare regulatory body will have guidelines on who can perform cerumen management, the training that is required, and in some cases the degree to which it can be performed. To answer this question accurately, you must check with both your regulatory body and professional association for the most up to date information. 

Is this course accredited?

Currently, the course is approved for 4.5 CE Credits through the International Hearing Society. Your professional association or local regulatory body may require this or other accreditation, so we again recommend checking with them prior to beginning study in this area. 

Does this course provide certification?

At the end of the course, you will be able to download a Certificate of Completion. Certification, if required, is provided by either your local regulator or professional association and this depends on where you practice. 

What sort of equipment will I need to get started?

In the course, we review all common methods and equipment and you will ultimately choose your preferred equipment based on considerations for space, cost, efficacy, and again your professional regulatory body.