Recent developments in deaf education are influencing teacher preparation programs, which are facing challenges in meeting the critical need for highly qualified teachers. Of approximately 65 teacher preparation programs in the United States, 11 programs focus primarily on preparing teachers to work with children who are deaf or hard of hearing and who use listening and spoken language, and 54 programs focus primarily on visual communication strategies. Advances in technology, changes in the population of children served, and shifts in educational placements and certification requirements are trends that impact teacher preparation programs. Challenges to these programs include issues related to faculty, university support, curriculum development, student recruitment, and recognition of the profession's value.