This practicum sought to reduce the delays in referral to otologists for medical care to alleviate hearing losses and reduce risk of delays in language and academic performance. The practicum conducted inservice training programs to improve the identification of conductive pathologies in preschool and school-age children by 34 speech pathologists. The programs aimed to improve speech pathologists' skills in otoscopic visualizations as part of the hearing screening program. Training covered such topics as anatomy and physiology of the outer and middle ear, effects of conductive pathology and associated hearing loss on language development and academic performance, and use and operation of an otoscope. The results of the practicum were positive. Participating speech pathologists achieved 100% mastery on the practicum's behavioral objectives. A reduction in delays in referral to otologists for immediate medical care was also achieved. Several administrative forms and 29 references are included. (JDD)