In a retrospective review of more than 230 cochlear implant mappings, Hewitt and coworkers10 found that the most common speech perception errors were not identified by the six phonemes of the Ling detection test because of the extremely limited number of consonants that are assessed, and that when a child has widespread vowel errors, significant global programming issues may exist. Thus, to ensure that a child is able to perceive every phoneme in English clearly, identification, not detection, should be regularly assessed for all phonemes, with emphasis on consonant perception from distances of 3 feet and 10 feet.