The field of audiology is at a critical juncture globally, driven by an aging population and increasing awareness of hearing health. In China, the demand for qualified audiologists far outpaces the current capacity and standardized training pathways, highlighting an urgent need for systemic professional development and role definition to deliver high-quality, accessible hearing care.

This article provides a comparative analysis by Carol Pang and colleagues. It systematically examines the established U.S. model, where audiology is a doctoring profession (Au.D.) with a well-defined, broad scope of practice encompassing diagnosis, rehabilitation, and management of hearing and balance disorders. The authors draw key lessons regarding standardized doctoral-level education, national licensure and certification, clear legislative scope of practice, and the importance of interdisciplinary collaboration. These elements are presented as a potential framework for strategic reform in China, aiming to elevate the profession's autonomy, consistency, and public recognition.

Adopting such a model could significantly enhance the quality and reach of hearing healthcare services in China, moving beyond device-centric sales to comprehensive patient-centered audiologic care. However, the translation of these insights faces substantial challenges, including the need for major educational restructuring, development of new accreditation standards, negotiation of legislative changes, and alignment with existing healthcare infrastructure and professional ecosystems.
DOI：10.15302/ENTD.2025.090002