Case Study
Berufliche Teilhabe für eine Ärztin in einem Krankenhaus


The employer is a hospital.

Disability and functional restriction of the employee:

The doctor has had a severe hearing loss since the age of nine. Due to the disability, audible information must be changed or modified in such a way that it can be perceived by the doctor through aids. The doctor was therefore given a few years ago in a surgery with cochlear implants (CI).

Education and job:

The woman studied medicine and works as an ENT doctor at the employer.

Workplace and work organization:

During her studies, the aspiring physician already gained experience in dealing with an FM system. FM systems are used in conjunction with hearing aids (cochlear implants or hearing aids) in difficult listening situations to provide auditory information, such as sound information. B. at a great distance, environmental noise and reverberation in rooms to transmit wirelessly via a transmitter with a microphone and a receiver or directly into the hearing aids. In the case of the doctor's analogue FM system, however, distortions and superpositions of interfering signals that could not be filtered by the analogue FM system occurred. Conversations with patients were difficult and instructions with colleagues were not always reliable. Therefore, she got information from a hearing care professional who works with the hospital about technical novelties and after a short time got the opportunity to test a modern digital FM system in her professional life. The doctor was quickly convinced by the newer digital technology. Noise is reliably detected and filtered by the built-in electronics. The receiving volume is adjustable and can be further improved by using an external transmitter with directional microphone that can be adjusted via a remote control. This not only facilitates communication with patients and colleagues, it also improves the quality of hearing as a whole.

During consultation and at conferences:

During her consultation, the doctor often has diseased persons with a voice disorder, who speak very quietly and are thus difficult to understand. In this case, the doctor uses the FM system with the external transmitter with directional microphone and is thus able to clearly understand her patients. The treatment room was also soundproofed by the clinic. The FM system is also used for conferences and meetings. The doctor places the transmitter with directional microphone on the table and can decide by remote control on which person the directional microphone is aligned. Especially when many people speak at the same time and there are disturbing noises, this is important.

In the operating room:

The FM system with transmitter and directional microphone is also used by the doctor for operations, with the sterile transmitter with directional microphone attached to the clothing of a colleague or a colleague. Especially in the operating room, the doctor relies on the reliability of the FM system, as she does not have the option to read the lips through the mouth guard. There are difficulties in navigational nasal sinus surgery. The magnetic field built around the patient's head causes disturbances and makes it very difficult to communicate via the aids. Therefore, a foot switch for short-term interruption of the magnetic field has been installed to provide basic communication as needed.

Assistive devices used:

Transmitter systems for radio frequency

Keywords and Further Information

Funding and participation:

The tools for the doctor were co-ordinated and discontinued together with a hearing care professional. The funding was provided by the Integration or Inclusion Office.

ICF Items

Reference Number:


Last Update: 2 Dec 2019