01 · REASON
Clinical thinking first
Start with the patient’s history, goals, communication demands, and test findings. Technology follows the clinical decision—not the other way around.
Clinical training · New York
Audiology residency, taught in the real world.
A doctoral residency environment centered on clinical reasoning, precise verification, continuity of care, and the judgment required to guide patients through a lifetime of better hearing.
MentorshipFormer Residency Coordinator
Clinical modelDoctor-led, one-on-one
VerificationReal-ear measured
PerspectiveAcademic medicine + private practice
The residency standard
Build judgment, not shortcuts.
The point of a residency is not to repeat a checklist. It is to learn how to listen, think, measure, explain, and take responsibility for the full arc of a patient’s care.
02 · VERIFY
Measure what you fit
Learn why real-ear measurement, outcome measures, and careful follow-up separate a technically complete fitting from a box handed across a desk.
03 · CONTINUE
Own the whole journey
Follow patients from evaluation through candidacy, fitting, orientation, adjustment, maintenance, and long-term support—without handoffs.
04 · COMMUNICATE
Make expertise understandable
Practice explaining complex decisions with clarity, empathy, and honesty so patients and families can make confident choices.
Your clinical mentor
Experience that spans both sides of audiology.
Dr. Eric G. Nelson is a board-certified Doctor of Audiology, ASHA-certified clinician, Certificate Holder–Audiology Preceptor (CH-AP™), and the founder and Clinical Director of Pinnacle Audiology.
Before founding Pinnacle, he spent 13 years at Weill Cornell Medicine, where he served as Audiology Supervisor and Residency Coordinator. That experience shaped a training philosophy grounded in evidence, accountability, collaborative medical care, and high clinical standards.
At Pinnacle, that foundation meets the realities of independent practice: building trust, making brand-neutral recommendations, sustaining continuity, communicating value, and standing behind every clinical decision.
A strong resident should leave with more than technical competence. They should know how to think independently, communicate responsibly, and recognize when a patient needs a different level or kind of care.
Clinical exposure
Care across the full continuum.
Exact experiences depend on resident eligibility, university requirements, schedule, and current clinical capacity. The clinical environment may include:
Adult diagnostics
Case history, pure-tone and speech testing, interpretation, counseling, and next-step recommendations.
Prescription hearing aids
Candidacy, brand-neutral technology selection, fitting, orientation, and long-term management.
Real-ear verification
Probe-microphone measures, prescriptive targets, fine-tuning, and documented clinical outcomes.
Tinnitus care
Evidence-informed evaluation, counseling, sound strategies, and appropriate medical referral.
Hearing protection
Custom solutions for musicians, performers, swimmers, and people working in high-noise environments.
Continuity & concierge care
Follow-up, troubleshooting, family communication, documentation, and selected at-home visits when appropriate.
The learning arc
From observation to ownership.
Progress is based on demonstrated judgment and readiness—not simply time elapsed. Supervision, independence, and case complexity evolve with the resident.
01
Observe
See how history, testing, counseling, and decision-making connect.
02
Plan
Build defensible recommendations from evidence and patient priorities.
03
Perform
Develop efficient, precise technical execution under supervision.
04
Explain
Translate results and options into language patients can use.
05
Own
Carry continuity, follow-up, documentation, and outcomes forward.
A three-doctor environment
Learn inside a real care team.
Pinnacle’s three Doctors of Audiology bring complementary experience to the same standard of care. Residents see how experienced clinicians collaborate, compare reasoning, and maintain consistency without reducing patients to a protocol.
Eric G. Nelson, Au.D., CCC-AFounder · Clinical Director · Board Certified · ASHA Certified · CH-AP™
Meagan Ruth, Au.D., CCC-ASenior Clinical Audiologist · Doctor of Audiology · ASHA Certified
Rebecca Sherman, Au.D., CCC-ASenior Clinical Audiologist · Doctor of Audiology · ASHA Certified
Who may be a fit
Curious. Accountable. Patient-first.
This environment is intended for doctoral candidates who want close mentorship, welcome direct feedback, care about measurement, and are motivated to understand the responsibilities of independent clinical practice.
- Doctor of Audiology candidate exploring a final-year residency or externship
- Strong interest in adult diagnostics and hearing technology
- Commitment to ethical, evidence-based, patient-centered care
- Comfort learning in a precise, high-touch private-practice setting
Current opportunities
Ask us what is available.
Residency availability changes with clinical capacity and university timelines. We confirm current openings, location, start dates, schedule, compensation, supervision arrangements, and application materials directly with each candidate.
- No opening is implied until confirmed by Pinnacle in writing
- University requirements are reviewed individually
- Exact clinical experiences depend on eligibility and schedule
Questions
Before you apply.
Is Pinnacle currently accepting residents?
Availability changes with clinical capacity and university timelines. Contact the practice for current openings and application instructions.
Who should inquire?
Doctor of Audiology candidates exploring a final-year residency or externship may contact us. Eligibility, university requirements, supervision arrangements, and timing are confirmed directly.
Where does training take place?
Pinnacle operates in Midtown Manhattan and Garden City and provides selected concierge at-home care. Exact training locations and any travel expectations are confirmed with each candidate.
What should I submit?
Please contact the practice before sending materials. We will provide current instructions and clarify whether a position is available for your training year.
Is the residency accredited or guaranteed to satisfy my university?
No accreditation or university approval is implied by this page. Pinnacle and the candidate’s university must confirm all applicable requirements, supervision arrangements, and documentation before a placement is finalized.
Start the conversation
Bring your questions. Build your judgment.
If this clinical philosophy sounds like the audiologist you want to become, contact Pinnacle to ask about current residency availability.