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Progressive Tinnitus Management

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"Progressive Tinnitus Management (PTM) was developed by the Department of Veterans Affairs (VA) Rehabilitation Research & Development (RR&D) National Center for Rehabilitative Auditory Research (NCRAR) with other VA partners. It is a stepped-care approach designed to be maximally efficient to have the least impact on clinical resources, while still addressing the needs of all patients who complain about tinnitus. PTM consists of five levels to provide a systematic framework for providing only the level of services required by the individual patient: (1) Level 1 Referral; (2) Level 2 Audiologic Evaluation; (3) Level 3 Skills Education; (4) Level 4 Interdisciplinary Evaluation; (5) Level 5 Individualized Support; the method was developed by researchers and clinicians who work for the Veterans Health Administration, but is adaptable to any clinic that provides tinnitus services." 

PTM Provider Resources

Quick Fact


Key risk factors for noise-induced hearing loss include the volume of the noise and length of exposure to it.

About Us

The Hearing Center of Excellence fosters and promotes the prevention, diagnosis, mitigation, treatment, rehabilitation and research of hearing loss and auditory injury. It supports the development, exchange and adoption of best practices, research, measures of effectiveness and clinical care guidelines to reduce the prevalence and cost of hearing loss and tinnitus among Warriors and Veterans. Read more

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