Hearing health care is a rapidly growing field with increasing demand for skilled professionals. One critical role in this space is that of the Hearing Instrument Specialist (HIS). These licensed professionals assess hearing issues and fit hearing aids, improving quality of life for thousands of individuals.
If you’re interested in a rewarding and impactful healthcare career that blends technical knowledge with patient care, becoming a certified hearing instrument specialist could be your ideal path. This guide outlines everything you need to know—from training and certification to exam preparation and the distinction between audiologists and HIS professionals.
Free HIS Practice Test Online
Key Takeaways
The Hearing Instrument Specialist Certification is required for professionals who test hearing and fit hearing aids.
HIS professionals focus on amplification solutions, while audiologists handle medical diagnostics and treatment.
Formal training includes coursework in audiology, hearing aid technology, and clinical experience.
Certification exams, such as the ILE, are a necessary step toward licensure.
Continuing education is essential for maintaining licensure and staying current with advancements in hearing care.
| What does HIS stand for in hearing care licensing? | HIS stands for Hearing Instrument Specialist, a licensed professional who fits and sells hearing aids in many states. |
| What does a Hearing Instrument Specialist do? | A Hearing Instrument Specialist evaluates hearing needs, recommends devices, performs fittings, and provides follow-up adjustments. |
| What topics are covered on the HIS exam? | Expect hearing science basics, audiometry concepts, hearing aid technology, fitting procedures, and patient counseling principles. |
| What is the average Hearing Instrument Specialist salary? | Salary varies by state and clinic type, but many HIS roles offer competitive pay plus commissions or bonuses. |
| How many questions are on the HIS exam? | The number depends on your state or testing provider, but it is typically a multiple-choice exam with a fixed question count. |
| Is the HIS exam multiple-choice? | Most HIS licensing exams are primarily multiple-choice, sometimes using scenario-style items based on clinical situations. |
| How long is the HIS exam? | Time limits vary by jurisdiction, but you should prepare for a timed session that requires steady pacing throughout. |
| Does the HIS exam include audiograms and case scenarios? | Yes, many exams use audiogram interpretation and short case scenarios to test device selection and fitting decisions. |
| What are the eligibility requirements for the HIS exam? | Requirements differ by state, but commonly include age, education, and supervised training or apprenticeship hours. |
| How do you apply or register for the HIS exam? | You typically apply through your state licensing board or approved testing vendor and submit documentation of eligibility. |
| How much does the HIS exam cost? | Fees vary by state and vendor, so check your board’s current fee schedule before submitting your application. |
| Where do you take the HIS exam? | Many candidates test at approved centers, while some states administer the exam through a board-approved process. |
| What score do you need to pass the HIS exam? | Passing standards are set by your licensing authority and are often reported as a scaled score rather than a percent. |
| When do HIS exam results come out? | Some computer-based tests provide quick results, while others release official scores after the exam window closes. |
| Can you retake the HIS exam if you fail? | Most states allow retakes after a waiting period, and you may need to pay a retest fee and reapply. |
| How long does an HIS license or certification stay valid? | Licenses commonly renew on a set cycle, and renewal may require fees and continuing education credits. |
| What is a good study plan for the HIS exam? | Study in weekly blocks by topic, add timed practice sets, and review missed questions to target weak areas. |
| What are the best resources for HIS exam prep? | Use your state outline, a focused study guide, and practice questions that match the exam’s scope and wording. |
| What math skills are needed for the HIS exam? | You may need basic calculations for sound levels, decibels, and hearing aid settings, plus simple percentages. |
| What are common mistakes on the HIS exam? | Common issues include misreading audiograms, skipping key details in scenarios, and running out of time on later items. |
Understanding Hearing Instrument Specialist Certification
The Hearing Instrument Specialist Certification is a formal credential that validates your ability to test hearing and fit hearing aids. Certification is generally managed at the state level in the U.S., though national certification is available through the International Hearing Society (IHS).
Requirements for certification typically include:
Completion of a state-approved education program
Clinical practicum or supervised training hours
Passing the International Licensing Examination for Hearing Healthcare Professionals (ILE)
Meeting continuing education (CE) requirements for license renewal
Some states may also have unique requirements such as jurisprudence exams or background checks. It is important to check with your state licensing board for the most accurate information.
What Is a Hearing Instrument Specialist?
A Hearing Instrument Specialist is a licensed healthcare professional trained to evaluate hearing and fit hearing aids. HIS professionals primarily work with adults who have hearing loss and are looking for solutions that enhance hearing ability through amplification devices.
Key responsibilities include:
Administering hearing tests
Selecting and fitting appropriate hearing aids
Programming and adjusting hearing instruments
Providing patient education and follow-up services
Referring patients to audiologists or physicians when needed
HIS professionals are often employed in private practices, hearing aid clinics, ENT offices, and retail hearing aid centers. Their work plays a crucial role in non-medical hearing care and directly improves communication and overall well-being for many patients.
Hearing Instrument Specialist Training Programs
To become a certified Hearing Instrument Specialist, formal training is essential. Many states and national certification bodies require candidates to complete an educational program that covers both theoretical and clinical components.
Common components of HIS training include:
Anatomy and physiology of the ear
Acoustics and hearing science
Audiometric testing and interpretation
Hearing aid technology and fitting techniques
Patient counseling and ethics
Clinical practicum under supervision
Some community colleges and technical schools offer certificate or associate degree programs in hearing instrument sciences. Online and hybrid programs are also available for working professionals seeking flexibility.
Audiologist vs. Hearing Instrument Specialist: Key Differences
While both audiologists and hearing instrument specialists work in the hearing healthcare field, their roles, education, and scopes of practice differ significantly.
Audiologist:
Requires a doctoral degree (Au.D.)
Licensed to diagnose and treat all types of hearing and balance disorders
Can provide medical clearance and comprehensive audiologic evaluations
Often works in hospitals, clinics, and educational institutions
Hearing Instrument Specialist:
Requires postsecondary training (usually an associate degree or certificate)
Specializes in testing for hearing loss related to hearing aid use
Focuses on hearing aid fitting, programming, and follow-up care
Cannot diagnose medical conditions or prescribe treatments
Both professionals play complementary roles in hearing care, with audiologists handling medical cases and HIS focusing on amplification solutions.
Hearing Instrument Specialist Study Guide: How to Prepare
Preparation for the HIS certification exam is crucial to your success. A well-rounded study guide should cover both core concepts and practical skills. The International Hearing Society offers an Exam Prep Course designed to help candidates prepare for the ILE.
Key study areas include:
Pure-tone and speech audiometry
Masking techniques and sound field testing
Ear impressions and earmold modifications
Fitting protocols and verification techniques
Professional ethics and patient interaction
Study tips:
Utilize official prep materials from IHS
Join online forums and study groups
Take practice exams to assess readiness
Schedule consistent study sessions over several weeks
Some state licensing boards also recommend specific textbooks or require in-person workshops. Following a structured study plan will significantly increase your chances of passing the exam on your first try.
How to Become a Hearing Instrument Specialist: Step-by-Step
Here is a simplified step-by-step guide to becoming a certified Hearing Instrument Specialist:
Step 1: Meet educational prerequisites (usually a high school diploma or GED)
Step 2: Enroll in a state-approved training program
Step 3: Complete required clinical hours or apprenticeships
Step 4: Register and prepare for the ILE certification exam
Step 5: Apply for state licensure (including submitting exam scores and any additional requirements)
Step 6: Maintain certification through continuing education credits (CEUs) and license renewal
The process may vary depending on your state’s laws and the institution through which you complete your training. It’s always advisable to stay updated with your state’s hearing aid dispenser board.
Conclusion
Becoming a Certified Hearing Instrument Specialist is a meaningful and impactful career choice for those passionate about helping individuals with hearing loss. With the right training, certification, and professional development, you’ll be well-equipped to provide top-tier hearing aid solutions and support lifelong hearing health.
The field offers not only job security and advancement but also the satisfaction of making a tangible difference in people’s lives. As hearing technology continues to evolve, HIS professionals remain on the frontlines of innovative, patient-centered care.
HIS Questions and Answers
Many states require supervised training hours under a licensed dispenser before you can obtain full licensure.
Clear expectation-setting, communication strategies, and realistic goal counseling help improve long-term device use.
Real-ear measurement verifies hearing aid output in the ear canal, helping confirm settings match the prescriptive target.
OTC devices may impact counseling and product knowledge, but state scope rules determine what dispensing activities are allowed.
Many states require a set number of CE hours per renewal cycle, sometimes including ethics or hearing-related topics.
State rules often address disclosures, trial periods, returns, warranties, and documentation for patient purchases.
Use proper otoscopy, follow contraindications, and maintain infection control to reduce risk and ensure accuracy.
Know basic feature settings, feedback management, and how to fine-tune gain and compression based on patient feedback.
Records often include test findings, device details, settings, counseling notes, and signed patient acknowledgements.
Some states offer reciprocity or endorsement, but you usually must meet local requirements and submit verification.