Developments in universal newborn hearing screening programs and assistive hearing technology have had considerable effects on the speech, language, and educational success of children who are deaf or hard of hearing. Several recent research studies of children who are deaf or hard of hearing and who use spoken language as their primary method of communication show that many are able to achieve vocabulary, language, and reading skills comparable to their peers who have typical hearing. Thus, it is not surprising that many parents embrace the dramatic results that can be attained with a combination of early diagnosis, auditory access through hearing aids or cochlear implants, and the use of spoken language as a primary communication method. Demand is strong for teachers who have expertise in teaching listening and spoken language to children who are deaf or hard of hearing as well as knowledge of and experience with the latest trends in audiology and speech and hearing science. The unique environment of the deaf education graduate program at Washington University School of Medicine in St. Louis, Missouri, provides future teachers of the deaf with the cutting-edge, evidence-based skills they need to serve children with hearing loss. This profile describes the historical roots of the program, explains how its history has shaped it into a distinctive program, and proposes some future directions in teacher preparation.