I hold a license to practice Audiology in Virginia, however my current practice is in Maryland.  It is my opinion that the proposed new regulations regarding Cerumen Management are entirely too restrictive.  I have worked in ENT physicians offices where cerumen management is performed on a regular basis (even on children!) by technicians and medical assistants who have no where near that level of education, traininig or supervised experience with cerumen removal.  So I don't see how restricting the scope of practice for audiologists in general is going to be saving patients from having wax removed by someone who is not qualified.  Audiologists only perform the procedure if they have been trained and have the proper equipment.  It is within our scope of practice and so therefore we use our judgement to ensure the safety of the patient.  To restrict the scope of practice will only create problems for patients and make solving their hearing problems that much more complex and daunting.  There are other issues your body could be spending it's time on that would be much more benefitical than this one for sure.  Also, I'm confused as to how this could be viewed ad increasing our scope of practice when in fact it restricts it further?  I would suggest that no regulations are needed.  If you are going to regulate, then regulate who can perform the procedure period (ie untrained medical assistants or nurses in a physicians office with no education or supevised experience or formal training in it) and not JUST restrict audiologists.