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What Does PASC Stand For?

TL;DR
  • PASC stands for Pediatric Audiology Specialty Certification, awarded by the American Board of Audiology.
  • Passing earns the designation Board Certified in Pediatric Audiology (BC-PA).
  • The exam has 120 questions in 2 hours 30 minutes; 100 are scored and 20 are unscored beta items.
  • Assessment and Diagnosis is the largest domain at 24%, followed by Case Management and Counseling at 22%.

The Short Answer: What PASC Stands For

On this site, PASC stands for Pediatric Audiology Specialty Certification. It is a voluntary, board-level credential for audiologists who work with infants, children and adolescents, offered through the American Board of Audiology (ABA). Successful candidates are entitled to use the designation Board Certified in Pediatric Audiology (BC-PA).

If you landed here from a search engine, the acronym probably appeared in a job posting, a continuing education flyer or a colleague's email signature. Other fields use the same four letters for entirely different things, so it is worth being precise: everything on PASC Exam Prep refers only to the audiology specialty certification described below. For a broader orientation, our explainers on what PASC is and the meaning of PASC cover the same ground from a slightly different angle.

What the Credential Actually Is

Pediatric Audiology Specialty Certification recognizes advanced, focused competence in the audiologic care of children. It is not an entry-level license, and it is not a general audiology certificate. It is a specialty layer for clinicians who already practice and who can document substantial pediatric experience.

Three features define it:

  • It is specialty-specific. The content centers on pediatric populations, from early identification through school-age services.
  • It is voluntary. No employer or state is automatically required to demand it, which is why many candidates weigh its value carefully. See our ROI analysis of the PASC certification if you are deciding whether to pursue it.
  • It is independent of other certification. Under the current handbook and program page, general ABA certification, the CCC-A and professional membership are not prerequisites.
Independence matters: Some clinicians assume they must hold another certification before applying. Under the current handbook, that is not the case. Older documents, including the January 2024 handbook introduction, described other-certification prerequisites, but those are superseded. Always work from the current handbook rather than a cached PDF or a forum post.

Who Awards It and What You Earn

The certifying body is the American Board of Audiology, which operates in association with the American Academy of Audiology. The ABA administers the application, the exam, the credential and the renewal process. When you pass, the designation you earn is BC-PA, and you may use it professionally alongside your degree, license and any other credentials you hold.

Because the credential is issued by a professional board rather than a government agency, it signals peer-validated expertise rather than legal permission to practice. Your state license remains the legal authority; PASC layers specialty recognition on top of it.

Why the Exact Name Matters

Searching for a certification by acronym alone can send you to the wrong place. Several unrelated credentials and organizations abbreviate to the same letters, and their exams, costs, dates and pass statistics have nothing to do with audiology. A fee quoted for one of them will not apply to yours.

To protect yourself, anchor every fact you collect to the full name, Pediatric Audiology Specialty Certification, and to the issuer, the American Board of Audiology. If a source cannot be tied to both, treat its numbers with suspicion. The authoritative references are the ABA handbook and the ABA program pages; our own guides to PASC certification and what PASC certification is are built from those sources.

Key Takeaway

Verify any PASC statistic you read by checking that it names Pediatric Audiology Specialty Certification and the American Board of Audiology. If it does not, it may describe a different credential entirely.

Who Can Sit for It

The eligibility bar is deliberately high, because the credential is meant to reflect real pediatric practice rather than coursework alone. Under the current handbook, candidates need:

  • A graduate audiology degree from a regionally accredited institution.
  • An appropriate audiology license or work authorization. The handbook requires a permanent U.S. audiology license, or valid license/work authorization for international and U.S.-territory applicants.
  • Paid, post-degree professional experience.
  • 550 pediatric direct-patient hours and 50 pediatric case-management hours, accrued over two consecutive years within the preceding five years.
  • Two professional references, one of whom must be a supervisor.
  • An official transcript, documented experience and an ethics agreement.

Externship hours do not qualify toward the experience requirement. There is also a documented wording difference worth knowing: the live application specifies a minimum of 2,000 professional hours within two years, while the handbook phrases it as two years of post-degree, full-time (2,000) hours. Do not assume a larger threshold; when planning, confirm the current wording with the ABA before you submit. The full breakdown lives in our guide to PASC requirements and eligibility.

Count your hours early: The pediatric direct-patient and case-management hours must fall within a specific two-year stretch inside the last five years. Candidates who wait until application season to reconstruct their logs often discover gaps. Start documenting now, and make sure your supervisor reference can speak to your pediatric work specifically.

How the Exam Is Built

The exam is delivered through Prolydian with Proctor360 live remote proctoring. Older references to Examity delivery are outdated and should not override current instructions.

FeaturePASC Detail
Total questions120 (100 scored, 20 unscored beta items)
Time allowed2 hours 30 minutes
Answer optionsFour per question
Question typesSingle-answer multiple choice (one correct) and multiple-response (two or three correct)
Guessing penaltyNone; unanswered items offer no advantage
Language and accessEnglish-only, closed book, no calculators, notes or dual monitors
BreaksNo ordinary breaks; approved accommodations are handled separately
ResultsApproximately eight weeks after administration

Scoring and Passing

Passing is criterion-referenced. The ABA uses modified Angoff standard setting and the overall raw score on the 100 scored items, with difficulty adjustment. That means there is no single universal passing percentage you can aim for. Our PASC passing score guide explains how to think about this without chasing a number that does not exist.

Because there is no guessing penalty, you should answer every item. For multiple-response questions, remember that two or three options are correct, so read the stem carefully for how many to select.

Testing Environment

Remote proctoring has concrete hardware and room rules. You need a desktop or laptop with a webcam and microphone, a private room, and current government-issued photo and signature ID that matches your registered name. Identity and room checks occur before you begin. Tablets, phones and Chromebooks do not meet the testing-device requirements, so do not plan to test from one.

Pass Rates in Context

The ABA's August 6, 2026 report gave a Spring 2026 first-time pass rate of 82.6%, while 20 of 25 candidates passed overall. These figures use different denominators and should not be blended. The reported 2025 first-time rate of 86.9% describes a different cohort and should not be treated as a 2026 figure. For interpretation, see what the PASC pass rate data shows and our look at how hard the PASC exam is.

The Six Content Domains

The exam blueprint divides scored content into six formal domains. The current handbook publishes scored-item allocations of 24, 21, 22, 16, 9 and 8 out of 100, and the ABA's November 13, 2023 revised-blueprint announcement published the matching percentage weights. These are exam content domains, not a study curriculum, so treat them as a map of what is tested rather than a syllabus order. Our complete guide to the six PASC content areas goes deeper.

Domain 1: Assessment and Diagnosis of Auditory and Vestibular Disorders (24%)

The largest domain. Expect pediatric test selection, interpretation and the reasoning behind it.

  • Age-appropriate behavioral and electrophysiologic assessment
  • Interpreting results across developmental stages
  • Vestibular considerations in children

Domain 2: Habilitation/Rehabilitation (21%)

Intervention planning for children with hearing loss and related conditions.

  • Amplification and hearing technology selection and verification for pediatric patients
  • Family-centered habilitation planning
  • Outcome monitoring over time

Domain 3: Case Management and Counseling (22%)

The second-largest domain, covering coordination of care and communication with families.

  • Counseling caregivers through diagnosis and decision-making
  • Coordinating with medical, educational and early-intervention teams
  • Follow-up and care-pathway management

Domain 4: Medical Audiology (16%)

Medical conditions and referral decisions relevant to pediatric hearing and balance.

  • Recognizing red flags that require medical referral
  • Etiologies and associated conditions

Domain 5: Professional and Regulatory Issues (9%)

Ethics, scope and compliance in pediatric practice.

  • Professional ethics and standards
  • Regulatory and licensure responsibilities

Domain 6: Educational Audiology (8%)

The smallest domain, focused on the school and learning environment.

  • Supporting access to education for students with hearing loss
  • Collaboration with school teams
A note on wording: The 2023 announcement adds "patients with" to the Domain 1 title, while the current handbook and live exam page use the heading shown above. We retain the current handbook wording because it controls. Neither change alters what the domain covers.

Fees, Dates and Deadlines

The cost structure has two separate pieces: an application fee and an exam registration fee. The application is reviewed first, and exam registration follows once you are approved. Prices differ for Academy members and non-members.

Fee ItemAcademy MemberNon-Member
Exam registrationUSD 395USD 440
ApplicationUSD 125USD 160
Combined first application and examUSD 520USD 600

These totals exclude membership dues. A second-certification application receives a USD 50 application-fee reduction. For the full financial picture, including what to budget beyond the exam itself, see the PASC certification cost breakdown.

The Next Exam Window

  • Exam window: May 3-17, 2027
  • Application deadline: March 9, 2027
  • Exam registration: January 12-April 13, 2027

Notice the sequence: you must apply by March 9, 2027, but exam registration stays open until April 13, 2027. Missing the application deadline can push you to a later window even if registration is technically still open. Our PASC exam dates guide tracks scheduling details as they are published.

How Long Eligibility Lasts

The current handbook permits testing and retakes for five years, beginning on the first day of the next testing window after application approval. An older FAQ counts the five years from the first test date instead. These sources conflict, so use the current handbook as your working rule and confirm with the ABA if your timeline is tight. Once eligibility expires, you need a new application, documentation and fees.

Keeping the Credential Active

BC-PA is not a one-time achievement. Renewal occurs every three years and requires:

  • 60 continuing education hours total
  • Of those, 30 must be pediatric hours, 15 must be Tier 1 hours and 3 must be professional-ethics hours
  • Continued ethics and licensure compliance
  • A USD 360 renewal fee for either membership group

The pediatric, Tier 1 and ethics categories are subsets of the same 60-hour total, not additions to it. Excess hours do not carry forward into the next cycle, so there is no benefit to over-accumulating in one period. Planning your CE around these categories from the start of each cycle prevents a last-minute scramble.

Matching Your Prep to the Blueprint

This is the one place where scheduling logic is worth spelling out. Because the domains are weighted, your study calendar should reflect that weighting rather than treating every topic equally. A sample sequence for a candidate who works in clinical practice:

Weeks 1-2

Assessment and Diagnosis

  • Biggest slice of the exam at 24%, so start here while energy is highest
  • Review pediatric test selection and interpretation, including vestibular topics you may see less often in daily practice
Weeks 3-4

Case Management and Counseling plus Habilitation/Rehabilitation

  • Together these represent 43% of scored items
  • Practice scenario reasoning, since these domains lean on judgment more than recall
Week 5

Medical Audiology, Professional/Regulatory and Educational Audiology

  • Smaller domains, but missed items here are just as costly per question
  • Focus on referral criteria, ethics and school-based service models
Week 6

Mixed practice under exam conditions

  • Simulate the 2 hour 30 minute window with no notes
  • Practice multiple-response items, where the number of correct options varies

For a fuller plan, our PASC study guide expands this outline, and the PASC cheat sheet gives you a one-page review for the final days. You can also take timed questions in our PASC practice test to build comfort with the format before exam day.

Where the Credential Leads

Pediatric audiologists are employed across several settings, and the credential is most relevant where children are the core patient population:

  • Children's hospitals and pediatric medical centers
  • University-affiliated clinics and teaching programs
  • Early hearing detection and intervention programs
  • School systems and educational audiology roles
  • Private practices with a pediatric focus

Because the credential is voluntary, its practical value depends on your employer and region. Some settings treat it as a differentiator in hiring and advancement; others do not require it at all. Our overviews of PASC jobs and the PASC salary guide discuss how to weigh this, and we deliberately avoid quoting earnings figures that the certifying body does not publish. If you want structured preparation, see our notes on PASC training or begin working through the practice questions on the main site.

Frequently Asked Questions

What does PASC stand for in audiology?

PASC stands for Pediatric Audiology Specialty Certification. It is awarded by the American Board of Audiology and grants the designation Board Certified in Pediatric Audiology (BC-PA). You can also read about it under what PASC stands for and what PASC means.

Do I need other audiology certification before applying?

No. Under the current handbook and program page, general ABA certification, the CCC-A and professional membership are not prerequisites. The credential is voluntary and independent of other certification, though you must meet the degree, licensure and pediatric experience requirements.

How many questions are on the PASC exam and how long do I have?

The exam has 120 questions in 2 hours 30 minutes. Of these, 100 are scored and 20 are unscored beta items. All questions have four options, and some multiple-response items have two or three correct answers.

Which domain has the most weight?

Assessment and Diagnosis of Auditory and Vestibular Disorders is the largest at 24%, followed by Case Management and Counseling at 22%, Habilitation/Rehabilitation at 21%, Medical Audiology at 16%, Professional and Regulatory Issues at 9% and Educational Audiology at 8%.

How much does it cost to get certified?

The combined first application and exam is USD 520 for Academy members and USD 600 for non-members, excluding membership. That combines a USD 125 or USD 160 application fee with a USD 395 or USD 440 exam registration fee. Renewal every three years is USD 360.

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