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ClinicalHandbookforEducatorsand
Students2017-2018
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ContentsWELCOME....................................................................................................................................................5
INTRODUCTION............................................................................................................................................6
MissionStatements..................................................................................................................................6
UniversityOfMontanaMissionStatement...........................................................................................6
UmCSDMission....................................................................................................................................6
UmDeWitRiteCareMission..................................................................................................................6
EqualOpportunity–Non-Discrimination..............................................................................................6
CLINICALEDUCATION:MASTERCLINICIANS...............................................................................................7
Overview...................................................................................................................................................7
ClinicalEducatorQualifications.............................................................................................................7
Off-CampusClinicalAffiliations.............................................................................................................8
GuidelinesFortheUMCSDClinicalEducatorProcess..............................................................................9
ProgressandSkillsMeetings.................................................................................................................9
SupervisionRequirementsforTherapy....................................................................................................9
SupervisionRequirementsforTherapy..............................................................................................10
SupervisionRequirementsforDiagnostics.........................................................................................10
AdditionalRequirements....................................................................................................................11
RecordingASHAStandardsforLicensureRequirements........................................................................11
Typhon................................................................................................................................................11
StudentClinicianDocumentationinTyphon......................................................................................12
Procedures/InstructionsfortheKnowledgeAndSkillsAcquisition(KASA)........................................12
DocumentationandForms.................................................................................................................12
TheStandardsofClinicalCompetencyandStandardsofAcademicAccreditation(CAA)......................12
ClinicalEducatorResponsibilities........................................................................................................12
CSDFacultyResponsibilitiesRelativetotheCSDKASA.......................................................................13
StudentResponsibilitiesRelativetotheASHAStandardsofClinicalCompetency.................................13
StudentPortfolio....................................................................................................................................13
CLINICALEDUCATION:STUDENTCLINICIAN..............................................................................................14
PracticumExternshipExperiencesandSites..........................................................................................14
StudentExpectationsRelativetotheCSDKASA.....................................................................................14
ClinicalObservations...........................................................................................................................14
ClinicalClockHours.............................................................................................................................15
GradePointAverage(GPA)RequirementsforClinicalPracticum......................................................16
ClinicalPoliciesandProcedures.............................................................................................................16
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EssentialFunctionsandTechnicalStandardsforProgramAdmissionandContinuedEnrollment.....16
TechnicalStandardsforAdmissionandContinuedEnrollment..........................................................17
StudentRequirements............................................................................................................................19
ProfessionalConduct..........................................................................................................................19
DressCode..........................................................................................................................................19
ClinicianExpectations.........................................................................................................................19
ClinicalEducatorFeedbackForm........................................................................................................21
Self-Reflection.....................................................................................................................................21
TreatmentPlans..................................................................................................................................21
PracticumAssignments...........................................................................................................................21
ClinicPracticumLoad..............................................................................................................................21
DroppingClinicorChangingCredits.......................................................................................................21
DiagnosticClinicHours...........................................................................................................................22
ClientAccommodationsandSensitivity.................................................................................................22
AccommodationsforDifferencesandDisabilities..............................................................................22
MulticulturalPerspective....................................................................................................................22
CertificationandLicensure.....................................................................................................................22
ASHACertificationRequirementsforCertificateofClinicalCompetenceinSpeech-LanguagePathology(CCC-SLP)............................................................................................................................22
MontanaLicensureRequirements......................................................................................................23
ProfessionalExpectations.......................................................................................................................23
AshaCodeofEthicsCourseRequirements.........................................................................................23
ConfidentialityComplianceandHIPAATraining.................................................................................23
THEUNIVERSITYOFMONTANADEWITRITECARESPEECH,LANGUAGE,ANDHEARINGCLINIC(DeWitRiteCare).....................................................................................................................................................23
ClinicHours.............................................................................................................................................24
Week1:Bootcamp.............................................................................................................................24
Weeks2-15.........................................................................................................................................24
DeWitRiteCareModelofSupervision................................................................................................24
REMEDIATION............................................................................................................................................25
ConflictResolution..................................................................................................................................25
ClinicalPerformanceSupportPlan.........................................................................................................25
REFERENCES...............................................................................................................................................26
APPENDICES...............................................................................................................................................27
A.GraduateStudentClinicalCompetencyRemediationFlowChartsandPlan......................................27
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B.ClinicianCheckList.............................................................................................................................27
C.HIPAAQuickGuide.............................................................................................................................27
D.ResourcesforClinicalEducators........................................................................................................27
E.SchoolExternshipSchedule...............................................................................................................27
F.Healthcare/ClinicExternshipSchedule...............................................................................................27
G.Healthcare/ClinicExternshipSchedule(10-week).............................................................................27
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PhyllisJ.WashingtonCollegeofEducationandHumanSciencesCommunicativeSciencesandDisordersTheUniversityofMontana32CampusDriveMissoula,MT59812-6695
WELCOMEDearColleaguesandStudents,OnbehalfofthePhyllisJ.WashingtonCollegeofEducationDepartmentofCommunicativeSciencesandDisorders,wewouldliketothankyouforparticipatinginclinicaleducation.Asaclinicaleducatoryouaregivingbacktoyourprofessionbysharingyourvastknowledgeandmodelingyourexpertiseforthedevelopmentofourfuturecolleagues.Asastudentyouaretakingadvantageofavarietyofexperiencesthatwillshapeyourclinicalfuture.TogetherwepromisetobuildstrongcliniciansforMontanaandbeyond.Thishandbookspeakstothewholeclinicalexperience.Someoftheinformationismoreimportantforclinicaleducatorswhileotherpartsarenotabletostudents.Weencourageyoutoreadthehandbookcompletelysoyoumayunderstandtheexpectationsofyourcounterpartintheclinicaleducator/studentclinicianrelationship.Tocomplimentthisbooklet,ourteamhasproducedmanualsforTyphonforboththeclinicaleducatorandstudentclinician.Typhonistheelectronicplatformusedtodocumentclinicalclockhours,competencies,andotherexperiencesrelatedtothegraduateexperience.Studentcliniciansusethisonlinevenuetodocumenttheirexperienceswhileclinicaleducatorsuseittoapproveclinicalclockhoursandcompetencies.Wearehappytoofferourgraduatestudentcliniciansavarietyofexperiencesandwearegratefultotheprofessionalswillingtosupportthem.Youarewelcometocontactusatanytimewithquestionsorconcerns.Wevalueyourpartnershipandlookforwardtoworkingwithyou.JenniferSchofferClossonMSCCC-SLP StevenMoatesSLP.D.CCC-SLPDirectorofClinicalEducation [email protected] [email protected]@mso.umt.edu
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INTRODUCTIONMissionStatementsUniversityOfMontanaMissionStatementTheUniversityofMontana--Missoulapursuesacademicexcellenceasdemonstratedbythequalityofcurriculumandinstruction,studentperformance,andfacultyprofessionalaccomplishments.TheUniversityaccomplishesthismission,inpart,byprovidinguniqueeducationalexperiencesthroughtheintegrationoftheliberalarts,graduatestudy,andprofessionaltrainingwithinternationalandinterdisciplinaryemphases.TheUniversityalsoeducatescompetentandhumaneprofessionalsandinformed,ethical,andengagedcitizensoflocalandglobalcommunities;andprovidesbasicandappliedresearch,technologytransfer,culturaloutreach,andservicebenefitingthelocalcommunity,region,State,nationandtheworld.UmCSDMissionThemissionoftheDepartmentofCommunicativeSciencesandDisordersistopreparestudentsforprogressive,collaborative,andresearch-mindedcareersinspeech-languagepathology,audiology,andrelatedfieldsthroughrigorousacademicandclinicaltraining.Westrivetobeinnovativeintheuseoftechnologyandprogramdeliverytoprovideservicestotraditionallyunderservedregionsandpopulations.Throughouremphasisontypicalandatypicalspeech,language,cognition,swallowing,andhearingfunction,studentsgainknowledge,andskillsalongwithethicalandculturallycompetentvaluesthatfosteracommitmenttolifelonglearningandcivicengagement.
UmDeWitRiteCareMissionTheUniversityofMontanaDeWitRiteCareSpeech,Language,andHearingCliniciscommittedtoprovidingqualityspeech,language,literacy,cognition,swallowing,andhearingserviceslocallyandgloballytopeopleacrossthelifespan.Wepreparefuturespeech-languagepathologistswithpracticalexperiencethroughexceptionalhands-ontrainingandsupervision.Interventionisevidence-basedandclient-centered.Webelievethateveryindividualshouldhaveaccesstotheseservices,regardlessoffinancial,geographic,orphysicalbarriers.ScholarshipsaresupportedbytheWesternMontanaScottishRiteFoundation;however,masonicaffiliationisnotrequired.EqualOpportunity–Non-DiscriminationTheUniversityofMontanaprovidestoallpeopletheequalopportunityforeducation,employment,andparticipationinUniversityactivitieswithoutregardtorace,color,religion,nationalorigin,creed,serviceintheuniformedservices(asdefinedinstateandfederallaw),veteranstatus,sex,age,politicalideas,maritalorfamilystatus,physicalormentaldisability,orsexualorientation.ResponsibilityforeffectingequalopportunityaccruestoallUniversityadministrators,faculty,andstaff.Thisresponsibilityincludesassurancethatemploymentandadmissiondecisions,personnelactions,andadministrationofbenefitstostudentsandemployeesrestexclusivelyuponcriteriathatadheretotheprincipleofEqualopportunity.TheUniversityprohibitsretaliationagainstapersonforbringingacomplaintofprohibiteddiscrimination,forassistingsomeonewithacomplaintofdiscrimination,orforparticipatinginanymannerinaninvestigationorresolutionofacomplaintofdiscrimination.
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CLINICALEDUCATION:MASTERCLINICIANS
OverviewTheUniversityofMontanadepartmentofCommunicativeSciencesandDisorders(UMCSD)academicandclinicalfacultybelieveexcellenceisparamountforthedeliveryofclinicalservicestoallclients.Theonandoffcampusclinicaleducatorsmodelandsupportstudentcliniciansinthedeliveryofservicesusingmethodsandtechnologiesthatareevidencebased,timely,andeffective,whileworkinginpartnershipwithclientsandtheirfamilies.Furthermore,clinicaleducatorsandstudentclinicianscollaboratewithcommunityagenciestoprovidecomprehensiveandappropriateserviceswithinthescopeofpractice.AllclinicaleducatorsholdanAmericanSpeech-LanguageHearingAssociation(ASHA)CertificateofClinicalCompetence(CCC)inspeech-languagepathology(SLP)oraudiology.Studentcliniciansarepairedwithclinicaleducatorsandsitesinawaythatreflectstheirdidacticlearningexperience,orascloselyaspossible.Clinicaleducatorsthatchoosetosupportourgraduatestudentcliniciansarededicatedtolifelonglearning,ethicalpractice,andconsiderclinicaleducationtobedistinctareaofpracticeinthefieldofspeechlanguagepathologyandaudiology.Theclinicaleducatoryprocessisthoughtofasapyramidwithequalweightgiventotheclient,thestudentclinician,andtheclinicaleducator.Thegoaloftheclinicaleducatoristoguidegraduatestudentsinbecomingcompetentclinicianswhoarecapableofindependentproblemsolvingandprovidingevidence-basedpractice.TheASHAstandardshelpfocustheclinicaleducatoryprocessrelativetotheknowledgeandskillsnecessaryforclinicalcertification.UMCSDandASHAguidelinesforCCC-SLPrequirethatstudentsparticipateinpracticumsandacquireaminimum400clinicalhourswithadiversityofages(infantsthroughadulthood),inallninedisorderareas,demonstratingcompetencyinintervention,diagnostics,prevention,andconsultation.Eachgraduatestudentclinicianistocompleteaminimumofthreeclinicalpracticumseachatadifferentsite.Aminimumof50supervisedhoursisrequiredateachsite.AllstudentscompletetheirfirstpracticumattheUMDeWitRiteCareSpeech,Language,andHearingClinic;on-campusstudentstypicallycompletetheirfirstpracticumduringtheirfirstandsecondsemestersanddistancestudentscompletetheirfirstpracticumduringtheirfirstsummersemester.Otherpracticumsiteswillinvolveoff-campusaffiliations.Tomeettheclinicalrequirements,practicumexperienceswillinvolveaplacementinavarietyofsettingsthatmayincludeschools,rehabilitationcenters,privatepractices,assistedlivingcenters,andmedicalfacilities.Clinicalexperiencesaredesignedtosupporttheinterestsofgraduatestudentswhileprovidingdepthandbreadthofknowledgeandexperience.Tomeettheclinicalcompetencystandardseachstudentcreatesanindividualizedplanwiththeclinicalexternshipcoordinator.ClinicalEducatorQualificationsClinicalsupervision,alsocalledclinicalteachingorclinicaleducation,isadistinctareaofexpertiseinspeech-languagepathology.ClinicaleducatorsmusthavetheirCertificateofClinicalCompetence(CCC)(seeAbridgedCCC-SLPRequirements/Standardsbelow)andenoughexperiencetoconfidentlymentoragraduatestudentclinician.ASHA’sguidelineistheclinicalfellowship(CF)yearplusoneyearofexperience.Currently,clinicaleducatorsareencouragedtohavetwohoursofclinicaleducationtrainingeverytwoyears.Itispredictedthatthiswillbemandatoryby2020.Thesetrainingsmaybeintheformofpre-serviceorin-servicecurricularofferings,continuingeducationatprofessionalmeetings,practicumatuniversities,self-study,and/orresearch.
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TheCSDDepartmentwilluseavarietyofclinicaleducatorstoprovideeachstudentwiththedepthandbreadthneededfortrainingwithmultipleclients,disorders,andsites.Documentationoftheclinicaleducatorprocessisusedinallpracticumandexternshipsoraffiliations.Evaluationinformationiscollectedontheexperienceofboththestudentclinicianandtheclinicaleducator.CSDfacultyandstaffwillusethisdatatosupportcontinuedgrowthinclinicaleducatoryprocess.AbridgedCCC-SLPRequirements/StandardsApplicantsforentry-levelpracticeinspeech-languagepathologymustholdaMaster’sorDoctoraldegree.TheSpeech-LanguagePathologiststandardsstipulate:
1. AcademicCourseWork:75semestercredithoursintheprofessionalarea,atleast36hoursmustbecompletedatthegraduatelevel(StandardIII)
2. SupervisedClinicalObservationandClinicalPracticum:Studentsmustearn400clockhoursofclinicalpracticuminordertoqualifyfortheMSdegree.StandardIV-C.
3. ClinicalObservation:25hoursmustbecompletedpriortotheCSD571clinicalpracticum.4. Studentsmayreceivecreditforupto50clinicalpracticumhoursearnedunderthesupervision
ofanSLPprofessionalwithCCC-SLPfromASHAduringtheirundergraduateorpostbaccalaureateeducation.
5. Atleast325of400hoursmustbecompletedwhileengagedingraduatestudyinanaccreditedprogram(StandardV-D).
6. ClinicalEducation/Practicum:375hours.Clinicalclockhoursmustbesufficientinbreadthanddepthtoachievedemonstratedskillsoutcomesintheareasofevaluation,intervention,andclientinteraction.Upto20%(i.e.,75hours)ofdirectcontacthoursmaybeobtainedthroughalternativeclinicaleducation(ACE)methods.OnlythetimespentinactiveengagementwiththeACEmaybecounted.ACEmayincludetheuseofstandardizedpatientsandsimulationtechnologies(e.g.,virtualpatients,digitizedmannequins,immersivereality,tasktrainers,computer-basedinteractiveprograms)(StandardV-C).Thescopeofpracticewillincludethefollowingnineareas:
A. LanguageB. Articulation/phonologyC. CognitiveD. Voice/resonanceE. FluencyF. HearingG. SwallowingH. SocialaspectsI. CommunicationmodalitiesAAC
Off-CampusClinicalAffiliationsTheUniversityofMontanaoffersaffiliatepracticumexperiencesatsitesthathaveawrittenmemorandumofunderstanding(MOU)withTheUniversityofMontanaandUMCSD.Studentsmustworkwiththeclinicalexternshipcoordinatortoarrangeoff-campuspracticumsites.SitesareavailableacrosstheUnitedStateswithanemphasisonMontanalocations.Whileoperatingwithintheproceduralexpectationsofeachprovider,theclinicalexternshipcoordinatorworkswitheachsitetomatchtheirparticularneeds.Thisinvolvesdesigningaclinicalpracticum
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agreementthatisbestforthesiteduringtheplacement,thelevelofthegraduatestudent’sclinicalexperience,theamountoftime(i.e.part-timeorfull-timeplacements)andothersignificantfactors.Ourgoalistointegrateourstudentsseamlesslyintothesite’sestablishedsystem.
GuidelinesFortheUMCSDClinicalEducatorProcessProgressandSkillsMeetingsInitialMeetingPriortointerventionwithclientsforassessment,screening,orintervention,thestudentclinicianandtheclinicaleducatorwillcompletetheClinicalPracticumAgreement.Thistaskallowstheclinicaleducatortodevelopgoalsforthestudent’sclinicalskilldevelopmentandreviewthetimelinefordocumentationandrequirementsofclientservices.Allstudentsmustfollowthesite’sprocedureswithparticularattentiontoconfidentialityandHIPAAprocedures(seeappendices).WeeklySupervisoryMeetingsMeetings,e-mails,Skypemeetings,videorecordings,andwrittencommunicationareafewofthetoolsclinicaleducatorswillusetosupportastudent’sclinicaldevelopment.Itisthestudent’sresponsibilitytoarrangeweeklymeetingsandtoworkwiththeirclinicaleducatortoobtainneededsupport.AllstudentswilldocumenttimewiththeirclinicaleducatorthatdoesnotinvolvedirecttherapyusingtheTimeLogsonTyphon.Clinicaleducatorsdonotneedtosignoffontimelogs(unlikeclinicalcontacthours).MidtermandFinalConferencesSupervisorswillusetheGraduateStudentClinicianMidtermandFinalEvaluationForminTyphontoevaluateastudent’sclinicalskillsandcompetencies.TheformisbasedonASHArecommendationsandCSDKASAstandards.AdditionalcompetenciesarenotedbydisordersorsitesonTyphon.Studentsmustscheduleafinalconferencewiththeirclinicaleducatorduringfinalsweek.Finalclinicgradeswillbeissuedatthisconference.Studentsmustensurethatallproceduresandformsarecompletebeforethecompletionofthepracticum.Allclosureactivitiesmustalignwiththesite’spolicies.Ifaclinicaleducatororstudentrequiressupportthroughtheclinicalprocess,contactwiththeclinicalexternshipcoordinatorshouldbeimmediate.Utilizingthisresourceasearlyaspossibleinasettingcanresultinastrongerexperienceforallparties.Theclinicalexternshipcoordinatorcanarrangemeetings,makesitevisits,and/orprovideadditionalresourcestosupporttheclinicaleducatorandthestudentclinician.Clinicaleducatorresourcescanbefoundintheappendicesofthismanual.
SupervisionRequirementsforTherapyAllUMCSDstudentsarerequiredtostarttheirpracticalprocessattheDeWitRiteCareSpeech,Language,andHearingClinic.EffectivesupervisionmodelshavebeenbasedonTheSupervisoryProcessinSpeech-LanguagePathologyandAudiology(1988)byJeanAnderson.Anderson’smodelisdesignedtocapturethecareeroftheprofessional,butasclinicaleducators,wemustfocusontheinitialstages.AccordingtoAnderson,supervisionstartswith100%clinicaleducatorparticipation,wheretheclinicaleducatormaybeconductingthefirstfewsessionswhilethestudentcliniciansimplyobserves.ASHAstandardsrequirethatclinicaleducatorsobserveaminimumof25%oftherapy,50%ofdiagnosticsand
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mustbeonsiteforeverysession.WhenconsideringAnderson’smodel,theDeWitRiteCaresupervisionstartssignificantlyabovethe25%requiredbyASHA.Andersonadvocatesthatasthestudentclinician’sindependenceincreases,theamountofsupervisiondecreases.Thisrequirestheclinicaleducatortobesensitivetotheneedsofthestudentclinician.Whilekeepingthisinmind,theclinicaleducatorisultimatelyresponsiblefortheclientandservicesprovidedbythestudentbecausetheyareperformedunderthelicenseofthesupervisingclinician.Understandably,theclinicaleducator,particularlyintheinitialexperiencesofthestudent,willwanttobehighlypresentandactiveintheservicedelivery.Themodelsbelowdemonstrateourethicalandlegalcommitment.SupervisionRequirementsforTherapyWiththeconsiderationofthesupervisionguidelinesbyAnderson,ASHArequiresclinicaleducatorstobepresentfor25%ofdirecttherapy.
StagesStudentObserves
Transitional:StudentStartstoParticipate Self-Supervision
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Supervision/Input Direct/Active Collaborative Consultative
400ClinicalPracticumHours:Therapy(Includedintotal400) Total
Hours: 40 40 320 400 DeWitRiteCare ExternalPracticums CFYYear
MinimumTherapySupervision25%
SupervisionRequirementsforDiagnosticsWithconsiderationofthesupervisionguidelinesbyAnderson,ASHArequiresclinicaleducatorstobepresentfor50%ofdiagnostics.
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StagesStudentObserves
Transitional:StudentStartstoParticipate Self-Supervision
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Supervision/Input Direct/ActiveCollaborative Consultative
400ClinicalPracticumHours:Diagnostics(Includedintotal400) Total
Hours: 40 40 320 400 DeWitRiteCare ExternalPracticums CFYYear
MinimumDiagnosticSupervision50%
AdditionalRequirementsSupervisorsmayrequireadditionalcomponents/assignmentsforaclinicalpracticumexperience.Theseaspectsoftheclinicalexperienceshouldbeexplicitlywritteninthecoursesyllabus.Examplesofadditionalrequirementsincludethefollowing:
1. HearingscreeningandOralmechanismscreening:youmustperformonepersemester.Usetheoralmechanismexamobservationchecklisttodocumentyourperformance.
2. ClinicalCasestudy3. EvidenceBasedStudyofspecificclientinterventionorevaluationprocedures4. Assessmentprofilewithclientgoalsandobjectivesandsessionlessonplans
a. Dataformsandprocedureforeachclinicalclientb. Studentclinicianportfolioandjournalc. Self-analysisofrecordedsessiond. SOAPnotese. Finalsummaryreportandrecommendationforclinicalservicesandevaluationreport
fordiagnostic
RecordingASHAStandardsforLicensureRequirementsTyphonTheCSDDepartmentusesaweb-basedsystemcalledTyphontotrackclinicalandacademiccompetencies.AllgraduatestudentsarerequiredtouseTyphontodocumentclinicalandacademiccompetencies,clinicalclockhours,timelogsandrequiredclinicalandacademicforms.TheCSDdepartmentwillprovidetrainingandone-on-onesessionstosupportclinicaleducatorsandgraduate
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studentclinicians,bothonandoffcampus,intheuseofTyphon.Supplementalmanualsareavailabletosupportusers.StudentClinicianDocumentationinTyphonStudentclinicianclockhoursorcaselogs,timelogs,andclinicalcompetenciesmustbesubmittedweeklyandapprovedbytheirclinicaleducatorseachmonth.Alongwithweeklydocumentationofallclinicalactivitiesstudentscompletesiteandclinicaleducatorevaluations.ClinicaleducatorsuseTyphontoperformmidtermandfinalevaluationsofclinicalskills.Procedures/InstructionsfortheKnowledgeAndSkillsAcquisition(KASA)TheKASAisdocumentationusedbytheCSDdepartmentforguidingeachgraduatestudentinreachingtheirclinicalcompetencyskills.TheKASAisnotarequirementofASHA,butisaguide.TheKASAdetailsarebuiltfromtheCouncilforClinicalCertificationinAudiologyandSpeech-LanguagePathologyoftheAmericanSpeech-Language-HearingAssociation.Forfullunderstanding,pleaserefertothe2014StandardsfortheCertificateofClinicalCompetenceinSpeech-LanguagePathology(rev.2016).DocumentationandFormsTheCSDKASASummaryFormandCompetenciesareinTyphonanddocumentsthecomprehensiveprogramofclinicaltrainingofstudentsintheSLPprogram.TheASHASLPcertificationstandardshavebeenadaptedbytheCSDdepartmentandintegratedintoCSDcoursecompetencies.Typhonisusedtoensurethateachstudentisachievingcertaincompetenciesinacademicandclinicalcourseworkandinclinicalpracticumexperiences.Studentsareresponsibleforensuringthatacademicandclinicalforms/competenciesareup-to-dateandaccurate.ASHAstatesthatthedocumentationofcompetenciestomeetthestandardsisthestudents’responsibilityandalloriginaldocumentsstaywiththestudent.Clinicaleducatorsandsupportstaffareonlyresponsibleforcopies,approvalonforms,andapprovalofdatasubmittedtoTyphon.Withthisinmind,studentsmustmakesureallformsandtheirportfolioareup-to-date,accurate,andapprovedbytheclinicalexternshipcoordinatorupongraduation.StudentsthathavenotbeencompliantwithTyphondocumentationmayexperiencetheconsequenceofdelayedgraduation.
TheStandardsofClinicalCompetencyandStandardsofAcademicAccreditation(CAA)ClinicalEducatorResponsibilitiesTheclinicaleducatorswilldocumentclinicalcompetencyandsuggestalettergradeforthepracticalexperience.TheCSDclinicalexternshipcoordinatorwillcalculatefinalgrades,andwillapprovecoursecompetenciesforstudentswhoreceiveagradehigherthanaC+.IfastudentreceivesaC+orloweranddoesnothaveapprovalforcoursecompetencies,aremediationplanisdesigned.TheclinicaleducatorswillapprovethecompetenciesinTyphonwithinfourweeksoftheclinicalcaseandbytheendoffinalsweek.StudentsmayadddocumentationofclinicalcompetenciesintheTyphonportfolio.
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Theclinicaleducatorwillparticipatewiththeclinicalexternshipcoordinator,DirectorofClinicalEducation,GraduateProgramDirectororDepartmentChair,andthestudenttodevelopandadministerremedialproceduresforcompetenciesinclinicalpracticumsthatastudentobtainsaC+orlowerordoesnotmeettherequiredcoursecompetency.Theclinicalexternshipcoordinatorwillcoordinatewithalloff-campusclinicaleducatorstoassurethatstudentclinicalcompetenciesand/orremediationplansaredocumentedandapprovedinTyphon.PleaserefertothesectiononREMEDIATIONfortheproceduraloutline.Theclinicalexternshipcoordinatorwillassistwiththisprocess,andmustbenotifiedimmediatelyofanychallenges.CSDFacultyResponsibilitiesRelativetotheCSDKASATheclinicalexternshipcoordinatorwillreviewthecurriculummappinginTyphonofacademicandclinicalachievementseachsemesterduringpre-registrationtoensurethateachstudentisontracktomeetingacademicandclinicalcompetencies.Thestudentremediationcommittee(SRC)mayassistwithremedialproceduresincoursesinwhichaC+orlowerisobtainedorcompetenciesarenotmet.InstructorsmayrequestassistancefromtheSRCforcompetenciesthatarenotmet.
StudentResponsibilitiesRelativetotheASHAStandardsofClinicalCompetencyCoursecompetencieswillbeprovidedbytheinstructorinTyphoneachsemester.Itisthestudent’sresponsibilitytoensurethateachcoursecompetencyiscompletedandanyremediationplansarecompletedanddocumentedeachsemesterasinstructed.StudentsareresponsiblefortheirlearningandcommunicatingwiththeSRCregardingthecompletionoftasksortheneedforassistance.Eachclinicaleducatordocuments(inTyphon)students’skillsbycompletionofthemidtermandfinalclinicalevaluations.ClinicalclockhoursandclinicalcompetencieswillalsobedocumentedinTyphonbythestudentandapprovedbytheclinicaleducator.StudentsmustobtainverificationformofASHAcertificationforeachclinicaleducatorandworkwiththeclinicalexternshipcoordinatortoassurethatallclinicalcaselogsareapprovedandaccurateinTyphon.Thestudentandhis/herclinicaleducatorwillcompleteandsubmitthefinalclinicalevaluationformforeachsemesterofclinicalexperiences.Allcaselogsorclinicalclockhours,clinicalcompetencies,andtimelogsmustbeapprovedbythestudent’sASHAcertifiedclinicaleducator.TheserecordsaredocumentedinTyphon.
StudentPortfolioDuringthegraduateprogram,studentswillbeaskedtobuildaportfolio.Thisportfoliowillallowdocumentationofthemanyoftheacademicandclinicalcompetencies.Duringtheirfinalexternship,studentsareaskedtopresentcasestudiesandanalyzetheinterventionorassessmentprocedurestheyusedforaclientbasedonprinciplesofevidence-basedpractice.Studentswillalsodevelopdataanalysisofinterventionsand/orservice.Theformsfromclinicaleducators,therapymaterials,andmaterialsdesignedforclientsmaybepartoftheportfolio.Studentsmustredactthenameandanyotheridentifyinginformationoftheclient.Studentsshouldretaintheseformsduringtheirgraduateprogramandbuildtheportfolioasperthedepartment’sinstructions.Clinicaleducatorswillsupportstudentswiththecasestudy.
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CLINICALEDUCATION:STUDENTCLINICIAN
PracticumExternshipExperiencesandSitesBeforeparticipatinginclinicalpracticum,thestudentmustcompleteallundergraduateorlevelingcourses.TheCSDcurriculumrequiresstudentstoparticipateintheirinitialfirsttwosemesters(orequivalent)onsiteattheDeWitRiteCare.On-campusstudentsbeginpracticumintheirfirstsemester(Fall)ofgraduatestudy.DistancestudentsbeginpracticumontheUMcampusduringthesummerfollowingtheirfirsttwosemestersofcoursework.Allstudentswilldoapublicschoolrotationandamedicalbased(hospital,skillednursingfacility,rehabilitativecenter,etc.)aspartoftheirrotations.StudentswillputinexternclinicalsitesuggestionsthroughTyphon.Theclinicalexternshipcoordinatorwillmaketheinitialcontactwiththesite.Studentsmaynotmakeinitialcontactandmaybesubjecttodisciplinarymeasuresifthisruleisviolated.Suggestionsmustbemadeinaccordancewiththefollowingtimelinetable:SemesterSuggestion DueDateSummer November15thFall February15thSpring August15thLocalplacementsareconsideredtobewithina50-mileradiusofMissoula:ThisradiusincludesbutisnotlimitedtoAlberton,Arlee,Bonner,Clinton,Corvallis,Drummond,Florence,Frenchtown,Hamilton,Lolo,Missoula,Potomac,Ronan,SeeleyLake,St.Ignatius,Stevensville,andVictor.BecauseMontanaisruralandMissoulaisarelativelysmallcommunity,studentsareencouragedtobeopen-mindedaboutplacements.Enteringalocation(evenifwedonothaveanythingsetupinthatarea)canbehelpfulinfindingplacementsforallstudents.Thinkaboutrelatives,friends,AirB&B,etc.thatwouldsupportyouintakinganassignmentoutsideofMissoula.
TheClinicalExternshipCoordinatorwillactonyourbehalftosecureaclinicalplacement.TheClinicalExternshipCoordinatorwillmakeeveryefforttosecureasuggestedplacement;however,pleaseunderstandthatsuggestedclinicalsitesarenotguaranteed.Studentsareexpectedtoaccepttheirconfirmedclinicalexternship.Thosewhodonot/cannotaccepttheirconfirmedplacementmayneedtodefertheexternshipuntilthefollowingsemester.Pleaseunderstandthismayprolongyoureducationprogram.
StudentExpectationsRelativetotheCSDKASAClinicalObservationsStudentsintheCSDgraduateprogramarerequiredtoobserveatleast25hoursofclinicalobservationprovidedbycertified(CCC)speech-languagepathologistsand/oraudiologistspriortostartingCSD571.StudentsmayalsouseMasterCliniciantosatisfythisrequirement.IfMasterClinicianobservationsarenotrelatedtoaclass,theclinicalexternshipcoordinatormaybeaskedtoapproveobservations.Theseobservationsmaynotbeapprovedifrequisiteworkintheprogramitselfisnotcompleted.
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Documentationofcompleted25hoursmustbeuploadedtoTyphonandincludetheASHAnumberoftheSLP,date,time,andsite.VerificationofanASHAcertificationcanbeobtainedonlinethroughtheASHACertificationVerificationSystem.Studentsmayobserveassessmentandevaluationofcognitive,communicationandswallowingdisorders,speechandlanguagetherapy,andclient/patientcounseling.Theclinicalobservationexperiencesallowstudentstobecomefamiliarwiththeclient/patient/clinicianinteractionprocess,assessmentandevaluationprocedures,therapyplanning,andtherapycounselingtechniques.TheCSDclinicalexternshipcoordinatoroverseesstudents’clinicalobservationsandcansuggestobservationsites.StudentsthatarepartoftheUMCSDB.A.degreeorlevelingcourseworkwillaccruethemajorityoftheirobservationhoursthroughcourseassignments.Additionalhourswillneedtobeobtainedindependently.TheMissoulaareahasbeensaturatedwithrequeststoobserve,thereforeweaskthatanyobservationsoutsideofcoursework,oncampusofferings,andMasterClinicianbedoneoutsidetheMissoulaarea,possiblyinyourhometown.ManyofMontana’sschools,clinics,privatepractice,skillednursingfacilities,andhospitalshaveproceduresinplacetoallowstudentstoobserveanASHA-certifiedspeech-languagepathologist.ThemajorityofthesesiteswillrequirestudentstohavecompletedanintroductiontoHIPAApolicies(seeappendices),provideproofofimmunizations,and/ortoobtainabackgroundchecks.TheUMCSDprogramdresscodemustbeimplementedduringallclinicalobservationsorprofessionalinteractions.AllindependentobservationsmustbedocumentedontheClinicalObservationFormobtainedfromtheclinicalexternshipcoordinator.Whenastudent’s25hoursarecomplete,thestudentmayasktheOfficeofPublicInstruction(OPI)GrantCoordinatortouploadanelectroniccopytotheirUMCSDstudentfolder.Protocolmustbefollowedforclinicalobservations.Studentsmustcontacttheclinicalexternshipcoordinatortolearntheprotocolsforparticularsites.Studentsmaynotcontactsitesontheirownwithoutpermissionfromtheclinicalexternshipcoordinator.Thebestwaytoapproachclinicalobservationistotakeadvantageofin-classobservations,attendobservationopportunitieseachAprilintheDeWitRiteCare,anduseMasterClinician.Typicallygraduatestudentsshadoworobservepriortoinitiationoftheirpracticum.Theseobservationsarenotconsideredpartofthe25observationhours.Observationispartofprerequisiterequirementstofamiliarizethestudentwithaclinicalsettingormaybepartofaninterviewprocessforpracticumplacementdecisions.ClinicalClockHours375clinicalclockhoursofsupervisedpracticummustincludeexperiencewithclient/patientpopulationsacrossthelifespanandfromculturally/linguisticallydiversebackgrounds.Upto20%(75hours)ofdirectcontacthoursmaybeobtainedthroughalternativeclinicaleducation(ACE)methods.OnlythetimespentinactiveengagementwiththeACEmaybecounted.ACEmayincludetheuseofstandardizedpatientsandsimulationtechnologies(e.g.,virtualpatients,digitizedmannequins,immersivereality,tasktrainers,andcomputer-basedinteractiveprograms).Theseexperiencesmustrepresentvarioustypesandseveritiesofcommunicationdelaysand/orrelateddisorders,differences,anddisabilities,andmeettherequirementsoftheASHA2014ClinicalCompetencyStandardsIV-C-F.
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ThefollowingisachartofclinicalclockhourguidelinesfortheUMCSDdepartment.Thisreflectstheminimumastudentmayobtain,however,studentsareencouragedtotakefulladvantageoftheiropportunitieswhilerespectingtheiracademicobligations.Semester Class Hours(usedasaguide)Undergraduate Varied 25Observationhours(required)Semester1FallDeWitRiteCareClinic CSD571 30HoursminimumSemester2SpringDeWitRiteCareClinic CSD576 30HoursminimumSemester3SummerOffCampus/DeWit CSD576 75-100HoursSemester4FallOffCampus CSD576 75-100HoursSemester5SpringOffCampus CSD675 175-200Hours Total 400HoursGradePointAverage(GPA)RequirementsforClinicalPracticumStudentsmaynotreceiveagradelowerinthanaB-intheCSDgraduateprogram.IfaC+orlowerisobtained,theSRC(StudentResourceCommittee)willconvenetodeterminetheremediationforthestudent.
ClinicalPoliciesandProceduresEssentialFunctionsandTechnicalStandardsforProgramAdmissionandContinuedEnrollmentTheEssentialFunctionsandTechnicalStandardsforprogramadmissionandcontinuedenrollmentdescribetheexpectationsandrequisiteabilitiesconsiderednecessaryforprofessionalsinthefieldofspeech-languagepathology.TheDepartmentofCommunicationSciencesandDisordersattheUniversityofMontanaiscommittedtopreparingallqualifiedindividualswhoarecapableofperformingtheessentialfunctionsrequiredoftheprofession,includingpersonswithdisabilities,withorwithoutreasonableaccommodation.IncomplyingwiththeAmericanswithDisabilitiesAct(ADA)andSection504oftheCivilRightsRehabilitationActof1973regardingstudentsandapplicantswithdisabilities,nootherwisequalifiedandcompetentindividualwithadisabilityshallbedeniedaccesstoorparticipationinservices,programs,andactivitiessolelyonthebasisofthedisability.CSDgraduatestudentsaretoachievethelevelofcompetencyrequiredforgraduationandpracticeasapplicable.Itisrecognizedthatdegreesofabilityvarywidelyamongindividuals.AdmissioncandidateswhofeeltheymaynotbeabletoacquiretheessentialfunctionssetforthareencouragedtocontacttheCSDDepartment.AnyadmissioncandidateswhomayrequireacademicmodificationtofulfilltheessentialfunctionsandtechnicalstandardsduetoadisabilityareencouragedtocontacttheDisabilityServicesforStudentsOfficeat(406)243-2243ordss@umontana.edu.EssentialFunctionsTobesuccessfulinthegraduatespeech-languagepathologyprogramandperformtherolesofthisprofession,astudentmustconsistently:
1. CommunicateeffectivelyinEnglishwithclients/patientsandprofessionalsfromavarietyofculturalbackgrounds.
2. Havetheabilitytolearncomplexinformation,beabletoperformclinicalproblemsolving,andsynthesizeandapplyinformationfromthedisciplineofCommunicativeSciencesandDisordersandrelateddisciplinestoformulatediagnosticandtreatmentjudgments.
3. Possesssufficientabilitiestoperformroutineclient/patientcareinspeech-languagepathology.4. Havethecapacitytomaintaincomposureandemotionalstabilityduringperiodsofhighstress.
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5. Demonstrateaffectiveskillsandappropriatedemeanorandrapportthatrelatetoprofessionaleducationandqualityclient/patientcare.
6. Demonstrateflexibilityandtheabilitytoadjusttochangingsituationsanduncertaintyinanacademicorclinicalenvironment.
7. Havetheabilitytoreliablyandcriticallyself-evaluatetheirprofessional,technical,andpersonalskillsthatcontributetopositiveclientoutcomes.
8. Havetheabilitytoacceptconstructivecriticismandrespondbyappropriatemodificationofbehavior.
TechnicalStandardsforAdmissionandContinuedEnrollmentThetechnicalstandardsforadmissiontoandcontinuedenrollmentintheUMCSDgraduatedegreeprogramreflecttheessentialqualitiesandabilitiesthatareconsiderednecessarytoastudent’sacademicand/orclinicalperformance.Abilitytomeetthesetechnicalstandardsisrequiredforadmissionandmustbemaintainedthroughoutastudent’sprogressintheCSDgraduatedegreeprogram.Studentsshouldcarefullyreviewthetechnicalstandardsbelowtodetermineifassistanceisneededtoperformanyoftherequiredtasks.CommunicationSkillsAstudentmustpossessadequatecommunicationskillsto:
• CommunicateeffectivelyandefficientlyinEnglishatalevelsufficienttomeetcurricularandclinicaldemands.(SeeStudentsandProfessionalsWhoSpeakEnglishwithAccentsandNonstandardDialects:IssuesandRecommendations)
• Effectivelycommunicatejudgmentsandtreatmentinformationandtoobserve,recognizeandunderstandnon-verbalbehavior.
• Elicitinformation,gatherinformation,anddescribefindings.Thiscommunicationshouldbecomprehensiblebyclients/patients,professionals,andlay-persons.
• Communicateeffectivelyandsensitivelywithclients/patientsandcolleagues,includingindividualsfromdifferentculturalandsocialbackgrounds.(SeeCulturalCompetence)
PsychomotorSkillsAstudentmustpossessadequateskillsto:
• Executemovementsreasonablyrequiredtomovefromareatoarea,maneuverinsmallplaces,useequipment,materialsandtechnology(i.e.microphones,hearingaids,computers,AACdevices,etc.)asneededtoprovideclientswithappropriategeneralcare.
• Accesstransportationtoandfromclinicalandacademicplacements.• Participateinclassroomandclinicalactivitiesforthedefinedworkday.
Intellectual/CognitiveAbilitiesAstudentmustpossessadequate,ethical,emotional,andcognitiveskillsto:
• Comprehend,retain,integrate,synthesize,andapplyinformationsufficienttomeetcurricularandclinicaldemands.
• Identifyrelevantfindingsfromhistory,evaluation,anddatatoformulateadiagnosis,prognosis,andtreatmentplan.
• Solveproblems,reason,andmakesoundclinicaljudgmentsinpatientassessment,diagnosticplanning,andtherapeuticplanningconsistentwiththeprinciplesofevidence-basedpracticeinspeech-languagepathology.
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• Developandexhibitasenseofethicsandrecognizeandapplypertinentlegalandethicalstandards
• Self-evaluate,identify,andcommunicatelimitsofone’sownknowledgeandskills.
Sensory/ObservationalSkillsAstudentmustpossessadequateskillstocompletethefollowing:
• Accuratelyobserveclientsandinterpretandanalyzetheirbehaviorstorecognizecommunicationdisorders.
• Adequatelyvisualizeanatomicstructuresanddiscriminatefindingsonvariousimagingstudies,aswellastodiscriminatetext,numbers,tables,andgraphsassociatedwithdiagnosticinstrumentsandtests.
• Adequatelytreatclientsusingtheequipmentandmaterialsoftheprofessionsafelyandappropriately.
Behavioral/SocialSkillsAstudentmustpossessadequatebehavioralandsocialattributesto:
• Displaymature,empathetic,andeffectiveinterpersonalprofessionalrelationshipsbyexhibitingcompassion,integrity,andconcernforothers.
• Recognizeandshowrespectforindividualsofdifferentages,genders,races,religions,sexualorientations,culturalandsocioeconomicbackgrounds,anddisabilities.
• Recognizewhenaclientorclient’sfamilydoesordoesnotunderstandtheclinician’swrittenand/ororalcommunication.
• Maintainemotionalandmentalhealthtofullyutilizetheirintellectualabilitiesandexercisegoodjudgmentincludingpromptcompletionofallacademicandclinicalresponsibilities.
• Demonstratehonesty,integrity,andprofessionalism.• Maintainconfidentialityofclient/patientinformation.
ProfessionalResponsibilityAstudentmusthavethecapacityto:
• Managetheuseoftimeeffectivelyandsystematizeactionstocompleteprofessionalandtechnicaltaskswithinrealistictimeconstraints.
• Adheretopoliciesoftheuniversity,theirprogram,andclinicalsitesincludingprofessionaldressandbehavior,attendingtotheprogram’sacademicschedule,whichmaydifferfromtheUniversity’sacademiccalendarandbesubjecttochangeatanytime.
• Learnanddemonstrateknowledgeofandcommitmenttothecodeofethicsoftheirprofessionandbehaviorthatreflectsasenseofrightandwronginthecontextofcare.
• Workcooperativelyandcollaborativelywithotherstudentsonassignedprojects,andparticipatewillinglyinasupervisoryprocessinvolvingevaluationofabilitiesandreasoningskills.
• Meetthechallengesofanymedicalsituationthatrequiresareadinessforimmediateandappropriateresponsewithoutinterferenceofpersonalormedicalproblems(e.g.CPRcertification,evacuationprocedures,infectioncontrol,anduniversalprecautions).
Ifanapplicantstateshe/shecanmeettheessentialfunctionswithmodification,theCSDdepartmentmayreviewthemodificationtoensureitdoesnotfundamentallyaltertheprogram,causeanundueburden,orcauseharmtoafellowstudentorclient.Atanytimeinthecourseofastudent’senrollmentinthedepartment;thestudentcanrequestaccommodationthroughtheDisabilityServicesforStudentsoffice;however,retroactiveaccommodationrequestsdonothavetobehonored.
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StudentRequirementsThefollowingprerequisitesandongoingexpectationsarerequiredthroughoutyourclinicalandacademicexperiences.ProfessionalConductStudentcliniciansarespeech-languagepathologistsintraining.Studentclinicianswillbeheldtothehigheststandardsofintegrityandethicalprinciples.Ourguidingprincipleforprofessionalcontactcomesfromthe2016ASHACodeofEthics,ASHAScopeofPracticeinSpeech-LanguagePathologyandtheUMStudentCodeofConduct.Studentcliniciansareresponsibleforhonoringtheprivacy,confidentiality,communicationneeds,andindividualrightsofeveryclient.Studentcliniciansareresponsibleforclient-centeredcare,interventionplanningandtreatment,recordkeeping,andwrittenreportsthatareanintegralpartoftheprofessionofspeech-languagepathology.DressCodeAllclinicpersonnel,students,andstaffshouldbeneatandprofessionalinappearancewhenengagedinanyclinicactivity.Professionalappearanceisstandardduringclinichoursandcommunityactivities.RememberyouarerepresentingthefieldofCSDasastudentspeech-languagepathologists.Certainactivitiesmayrequirespecialattire.Alwaysdiscusswithyourassignedclinicaleducatoranyneedsyoumayhaveforparticularclothingbasedontreatmentdelivery,suchasactivitiesonthefloor,homevisits,oractivitiesthataremessyinnature.Thefollowingapparelisunacceptable:bluejeans,shorts,haltertops,tanktops,beachwear,sweatshirts,mini-skirts,topsthatrevealcleavageormidriff(frontorback),visibleunderwear,andflip-flopshoes.Allattiremustbeclean,neat,andingoodrepair(noholes).StudentsmustweartheirnametagsatalltimesintheClinic.Rememberyourprofessionalismisalsobasedonyourpostureandinteractionswithclients,families,andotherprofessionals.ClinicianExpectationsUpontheinitiationofgraduateschool,specificallyclinicalpracticum,eachstudentmusthavetheitemsbelowinplace.ProofofeachoftheseitemsisrecordedbytheOPIGrantCoordinator.StudentsretaintheoriginaldocumentsandscannedcopieswillbehousedinTyphon,aprogramdesignedtotrackclinicalclockhoursandotherrelevantexperiences/informationforaspiringspeechlanguagepathologists.Considerthisdocumentachecklist.SubscribetoTyphonTyphonisatoolusedtorecordclinicalclockhours.Thiselectronicdataprogramalsorecordsclinicalcompetencies,necessaryrecords,andisusedtotrackandsupportrequestsforclinicalplacements.EachstudentwillreceiveanemailinvitingthemtoTyphon.25ObservationHours(StandardV-C)Eachstudentmusthave25hoursofobservationcompleted.DocumentationsheetswillbescannedtoTyphonbytheOPIGrantCoordinator.Iflackinghours,MasterClinicianisameansofobtainingremaininghours. ObtainCPRandFirstAidCertificationStudentswhodonothavecurrentCPRandFirstAidCertificationwillbeabletoparticipateinthesetrainingsduringorientation.
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ImmunizationsEachstudentisrequiredtohavecurrentimmunizationsforclinicalplacementsonandoffcampus.TheCurryHealthCentercanassist(forthosethathaveUniversityofMontanahealthcoverage),locatedonthefloorabovetheCSDdepartment,406-243-4330.Thefollowingisalistoftherequiredimmunizations:
o PPD(TB):renewedannuallyo TDAP:Tetanusportiongoodfortenyearso HepatitisBseries:secondshot30daysafterfirst;thirdshot6monthsafterfirsto MMR:RequiredforenrollmenttotheUM.RecordsmaybeobtainedfromStudentHealth
Serviceso Varicellatitero Flushotandotherpreventativemeasuresmayberequiredbysomepracticumsites.Itisthe
student’sresponsibilitytocomplywiththeorganization’spolicy.ProofofHeathInsuranceStudentsmaychoosetheUniversityofMontanapolicyoranoutsideprovider.ProofofcoveragemustbescannedbytheOPIGrantCoordinator.ProofofLiabilityInsuranceStudentshaveliabilitycoveragethroughtheUniversityofMontanawhenenrolledinaclinicalcourse.Somepracticumsmayrequireadditionalliabilityinsurance.StudentsmaypurchaseadditionalliabilityinsurancethroughMercer,anASHA/NSSHLAaffiliate. HIPAATrainingStudentsarerequiredtocompletetheHealthInsurancePortabilityandAccountabilityActtraining.AcopyofthecertificatewillbescannedintoTyphonbytheOPIGrantCoordinator.Toparticipateinthetraining:
1. Gotothissite:CollaborativeInstitutionalTrainingInitiative2. Goto“register”onthetoprighthandcorner.3. Whenprompted“selectyourorganizationaffiliation”typein:UniversityofMontana4. Clickon“ContinuetoStep2”5. Completeregistrationinformation.
a. Email–pleaseuseyourUMemailb. Employeenumber–useyour790numberc. Select“HealthInformationPrivacyandSecurity(HIPS)”d. Onthe“Step7”page,gotoQuestion#7andclick“Group1:RiteCareCliniciansand
GraduateStudentClinicians”6. Printoutacertificateofcompletion
BackgroundInformationCheckStudentsarerequiredtocompleteabackgroundcheckusingVerifiedCredential.Uponcompletion,pleaseshareyourreportwiththeOPIGrantCoordinatorsoitmaybereviewedanduploadedtoTyphon.Usethesestepstocompletethebackgroundcheck:
1. GotoVerifiedCredential2. Attheverytop,enterthiscode:firstbox:YYBHJsecondbox:924473. Followthestepstocreateanaccountandcompletethebackgroundcheckprocess
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ClinicalEducatorFeedbackFormAtthecompletionofeachsemester,studentsarerequiredtocompleteafeedbackformabouttheirclinicaleducationexperience.ThisformislocatedinTyphon.Feedbackshouldhavepositiveinformationaswellasconstructivefeedback.Regardlessoffeelingsabouttheclinicalsiteorplacement,studentsshouldkeeptheircommentsrestrictedtotheclinicaleducationexperience.
Self-ReflectionStudentsmaybeaskedtowriteaweeklyself-reflectionthatdocumentshowtheyperceivedthesessionandtheactivitieswereconducted.Thefocusofthereflectionistodevelopclinicalproblem-solvingskills.Studentswillneedtoreflectonwhatwentwellandwhy,andwhattheymighttrydifferentlyintheirnextsession.Thisformisnotapartoftheclient’sfile,butwillbepartofclinician-clinicaleducatormeetings.Pre-andpost-semestergoalsarewritteneachsemesterandsharedwiththeclinicaleducatorandarepartoftheoff-campuscollaborativemeetings.TreatmentPlansTreatmentplansaresubmittedtotheclinicaleducatorpriortothesession.Eachclinicaleducatormayhaveadifferentroutineorschedule.Treatmentplansshouldreflectobjectivesforeachsession,materialstobeused,anddatacollectionprocedures.Off-campusstudentswillworkwiththeirclinicaleducatorandsitetodetermineexpectationsregardingtreatmentplanning.
PracticumAssignmentsTheclinicalpracticumcoursesareofferedforallstudentsprovidingassessmentsortherapyserviceseachsemesterrequiringaminimumof30credits.On-campusstudentsparticipateinclinicalpracticumsduringthefirsttwosemestersofgraduatestudy.Studentsengageinpracticumsthefollowingsummer,fall,andspringsemesterspriortograduation.Distancestudentsparticipateintheirfirstclinicalpracticumoncampusduringthesummerfollowingthefirsttwosemesters.Distancestudentsarerequiredtocompleteachangeofstatusformtobeeligibleforon-campuscourses(practicum)duringthissummersemesteronly.Formoreinformation,pleaseseethefollowingwebsite:https://umonline.umt.edu/distance_form.php.Distancestudentswillcontinuewithfall,spring,andsummerexternshipspriortograduation.Onoccasion,astudentmaystarttheprogramthesummerbeforetheofficialfallstartdatebyspecialarrangement.Practicalexperiencesareoutlinedineachstudent’splanofstudy.
ClinicPracticumLoadTheclinicloadisacoordinationofneedsandrequirementsofclients,studentclinicians,andclinicaleducators.Flexibilityisimportant.Forthestudent’sfirstandsecondsemester,atypicalassignmentisthreetofourcontacthoursaweek.Studentsshouldexpecttoaccrue30clockhourseachsemestertheirfirstyear.Distancestudentsparticipateinanintensiveclinicalexperienceduringthesummersession.Theycanexpecttogain60ormoreclinicalcontacthoursthatfirstsemesterunlessenrolledinaspecialprogramsuchasOUTREACH.
DroppingClinicorChangingCreditsIfastudentclinicianfindsitnecessarytoeitherofficiallydroporreducethenumberofcreditsforacliniccourseoncethesemesterhasbegun,theClinicalEducator,DirectorofClinicalEducation,andtheClinicalExternCoordinatormustapprovetherequestinwriting.Becauseofthedisruptionandchangein
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clientservices,thischangeisconsideredONLYinrareoccasionsandbasedonhealthorextremelyunusualcircumstances.
DiagnosticClinicHoursAspecificnumberofhoursisnotspecifiedfordiagnosticexperiences.TheCSDDepartmentrequiresallstudentstoaccruediagnostichoursof“sufficientbreadthanddepth”todemonstrateassessmentandevaluationprocedures.ThisexperienceispartofclinicalpracticumsCSD576,CSD675.Studentsareofferedadidacticcourseondiagnostics.
ClientAccommodationsandSensitivityAccommodationsforDifferencesandDisabilitiesAllforms,handouts,anddocumentsareavailableinalternativeformats.Allinterpersonalactivitiessuchasconferences,lectures,andclinicalservicescanbeaccommodatedincludingtheuseoftexttelephone(TTY),amplifiedphone,notetaker,ortheservicesofsignlanguageinterpreter.Servicesareavailableforaclientorclient’sfamilyorcareproviders.Allservicesarefreeofchargetofamilies.MulticulturalPerspectiveTheUniversityofMontanaandtheCSDDepartmentarededicatedtodevelopingeachstudent’sknowledgeandunderstandingoftheimportanceofamulticulturalperspective.Duringclinicalandacademictraining,studentswilldevelopskillsandtechniquestosupporttheirpreparationforthediversityofclientsthatwillbeapartoftheirprofession.Thecurriculumwillfocusontheselectionofdiagnostictools,theanalysisofanevaluation,andtheprovisionofservicesandinterventionthatreflectthecultureandneedsoftheclient,family,andcommunity.
CertificationandLicensureASHACertificationRequirementsforCertificateofClinicalCompetenceinSpeech-LanguagePathology(CCC-SLP)TheCouncilforClinicalCertification(CFCC)isresponsibleforprocessingapplicationsbyindividualswhohavegraduatedfromprogramsaccreditedbytheCouncilonAcademicAccreditation(CAA),andforawardingtheCertificateofClinicalCompetenceinSpeech-LanguagePathology(CCC-SLP).Therequirementsforcertification(CCC-SLP)include:Successfulcompletionofanaccreditedgraduateprogramincommunicativesciencesanddisorders.TheASHA2014Speech-LanguagePathologyStandardsrequirementsaredocumentedinTyphonandmustbecompletedwithsupportingdocumentationandsignatures.
1. Accrualofaminimumof400hoursofsupervisedclinicalpracticumexperienceorequivalent.The400hoursincludes25observationhours.
2. ApassingscoreonaNationalPraxisIIexamination.3. SuccessfulcompletionofapostgraduateClinicalFellowship(CF)year,whichisoftendone
duringthestudent’sfirstyearofemployment.Uponsuccessfulcompletionofthemajorrequirementslistedabove,postgraduatesareawardedtheCertificateofClinicalCompetenceinSpeech-LanguagePathology(CCC-SLP).TheCCC-SLPisASHA’swayofinformingthepublicthatanindividualhasmettheminimumstandardsforclinicalcompetence.
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MontanaLicensureRequirementsTheBoardofExaminersinSpeech-LanguagePathologyandAudiology,adivisionoftheDepartmentofLabor,Licensing,andRegulation,grantslicensestopracticeinthestateofMontana.TheUMCSDprogramrequirementsareconsistentwithMontanalicensureregulations.GraduationFormAtgraduationtime,theDepartmentChairpersonwillsignthe2014StandardsforClinicalCertificationinSpeech-LanguagePathologyVerificationbyProgramDirector.Studentswillreceiveacopyofpage4.ThisispagemustberetainedandsubmittedwiththeirapplicationtoASHAfortheCertificateofClinicalCompetence.
ProfessionalExpectationsAshaCodeofEthicsCourseRequirementsAsanASHAaccreditedprogram,the2016ASHACodeofEthicsbindsthefaculty,staff,andstudentsoftheUMDeWitRiteCareClinicandotherpracticumsites.Readthismaterialcarefullyandconsideritsapplicationtoallstudentclinicalpractice.Theprincipleswillbeaddressedthroughoutthetrainingprogram,bothinacademicclassesandinclinicalpracticum.StudentsshouldbecomewellacquaintedwiththeCodeofEthicssothatthejudgmentsanddecisionstheymakeasagraduatestudentformasolid,ethicalfoundationfortheirfutureasaprofessionalspeech-languagepathologist.IfstudentshaveanyquestionsorconcernsregardingtheCodeofEthicsoritsapplication,theyshoulddiscussthemwiththeirclinicaleducator,advisor,ortheDirectorofClinicalEducation.ConfidentialityComplianceandHIPAATrainingConfidentialitycomplianceandHIPAAtrainingarepartoftheUniversityofMontanaResearchandCreativeScholarshipComplianceOversight.OneprinciplecoveredintheASHACodeofEthics,aswellasthemandatedHIPAArequirements,involvestheprotectionofclients’rightstoconfidentiality.Thispracticeincludesissuesofreleaseofinformation,digitalandauditoryrecordingandobservationofsessions,andmaintenanceofclientrecords.Ingeneral,cliniciansshoulderronthesideofcautionwhenconsideringconfidentiality.
THEUNIVERSITYOFMONTANADEWITRITECARESPEECH,LANGUAGE,ANDHEARINGCLINIC(DeWitRiteCare)TheUMDeWitRiteCareSpeech,Language,andHearingClinic(DeWitRiteCareClinic)servesasapracticumsiteforUMCSDstudentsandisdedicatedtoprovidingscreening,observations,diagnostic/assessment,andinterventionservices.Clinicalservicesareopentothegeneralpublic.TheDeWitRiteCareCliniccanbillinsuranceincludingMedicare,Medicaid,andotherthirdpartyproviders.TheDeWitRiteCareClinicservicesaresupportedphilanthropicallybytheWesternMontanaScottishRiteofFreeMasonrybyprovidingscholarshipsforclientsinneedofserviceswithnoinsurancecoverageorhighdeductibles.TheDeWitRiteCareservesastheprimaryobservationsiteforundergraduatestudents.Onoccasion,seniorsandlevelersintheundergraduateprogramareinvitedtoparticipateintherapeuticand/orpeer
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supportactivities.UndergraduateinvolvementisdevelopedonacasebycasebasisandcloselysupervisedandmonitoredbyaCSDclinicalfacultymember.
ClinicHoursMondaythroughFriday,8:00amto5:00pm.Specialeveningsessionsbysupervisorarrangement.ClinicalEducatorsEachstudentwillbeassignedtoaclinicaleducator.Theeducatorwillassignclientsfromhis/hercaseloadtoeachstudent.Studentswillhaveaminimumof3hoursaweekoftherapy.Studentscanexpecttohaveatleast30hoursofclinicalcontactattheendofthesemester.Week1:BootcampBootcampispartofthedidacticcourseCSD570ClinicalProceduresI.Studentswillparticipateinanintensivelearningopportunitytosupportparticipationintheirfirstclinicalplacement.Thefollowingistheschedule: Monday,August29th 9:00-12:00,Room073 Tuesday,August30th 9:00-10:30,Room073 Wednesday,August31st 9:00-12:00,Room073 Thursday,September1st 9:00-10:30,Room073ClinicalPreparationStudentswillmeetwiththeirassignededucator.Onceclientsareassigned,studentswilldoafilereview,consultwiththeireducatoraboutscheduling,andprepareaninitiallessonplantobeapprovedbytheclinicalsupervisor.Educatortimewillalsoincludegroupandindividualinstruction.Eacheducatorhasauniqueapproachtoclinicalintervention.Youwilladheretothateducator’sexpectationsforthesemester.StudentsareexpectedtobeavailabletotheirclinicaleducatorotherthanduringBootcampandscheduledCSDclasses.DocumentSubmissionStudentswillsubmitdocumentsrequiredforclinicalparticipationtotheOPIGrantCoordinatorforuploadtoTyphon.Thismustbecompletedthefirstweekofthesemesterforon-campusstudents.Weeks2-15Clinicbeginsweek2andcontinuesthroughthelastweekofclasses,week15.Duringthelastweekofclinicstudentswillparticipateinwrap-upproceduresasplannedbytheclinicaleducator.Thisoftenmeanswritingasemestersummaryreport,completingTyphonentries,updatingPracticePerfect(ourelectronichealthrecordsplatform),returningmaterials,andanyothertasksdeemednecessary.DeWitRiteCareModelofSupervisionTakingintoconsiderationASHA’sadaptationofAnderson’srecommendations,ASHA’sminimalstandards,andCAAstandardsforaccreditation,theDeWitRiteCarehasthefollowingexpectationsofclinicaleducatorsforeachstudentequatingahalfdayofworkperweek:
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Task(1student) HoursStudentClinicalContactHoursPerweek 330minuteweeklymeetingwithstudent 0.5Othertasks: 0.5Typhonreviewofclockhours(eachsession) Planofcaredevelopment/editing SOAPnoteeditingapproving(eachsession) PracticePerfectlogapproval(eachsession) Semestersummaryreportdevelopment/editing CompletionofClinicforms Mid-termevaluation Finalevaluation IEPmeetings Remediation Consultation
Total: 4
REMEDIATION
ConflictResolutionConflictsariseinmanysituations.Mostconflictscanberesolvedbyremainingthoughtful,respectful,andcourteouswiththeotherparty.Intheeventthataconflictcannotberesolved,thefollowingproceduresarerecommended:
1. Thestudentshouldtrytoresolvetheconflictthougharespectfuldiscussionwiththeotherparty.
2. Thestudentshoulddiscussthesituationwiththeiradvisororclinicaleducator(iftheconflictiswiththeadvisor/clinicaleducator).
3. Thestudent’sadvisororclinicaleducatormayrequestamediateddiscussionwiththeotherparty.
4. Ifthestudent’sconflictisnotresolvedfollowingdiscussionwiththeiradvisor/clinicaleducator,ameetingwillbescheduledwiththeclinicalexternshipcoordinator.
5. Iftheconflictisnotresolvedfollowingdiscussionwiththeclinicalexternshipcoordinator,ameetingwiththeSRCwillbescheduled.
Forfurtherinformation,refertoASHAClinicalEducationandSupervision.
ClinicalPerformanceSupportPlanGraduatestudentclinicianswhoexperiencedifficultyacquiringand/ordemonstratingsatisfactoryclinicalskillsmayberequiredtodevelopaclinicalperformancesupportplan.Theseplansareindividualizedforthestudent.Thegoalsandobjectivesoftheplanaredeterminedbasedonspecificfeedbackfromtheclinicalfacultyandthegraduatestudent.Theprocessforremediationisasfollows:
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• Theneedforaclinicalperformanceplanmaybedeterminedatanytimebuttypicallyitwillbedeterminedatmidterm.Studentclinicianswhoearnmostlytwogrades(Likertof1-5)onanysectionofthemidterm,ordemonstrateatriskbehaviorsinworkingwithclientsortheclinicaleducatorwillberequiredtodevelopaclinicalperformancesupportplan.
• Duringthemidtermgradingmeetingsorclinicaleducatormeeting,thestudent’sclinicaleducator(s)willprovidespecificinputregardingareasofconcern.
• Eachstudentwillhelpdevelophis/herownclinicalremediation/supportplanthatincludesgoals,objectives,andproceduresformeetingthesegoalsbasedonfeedbackfromallclinicaleducators.Thetimelineformeetingthegoalsandobjectiveswillbeincludedintheplan.
• ThestudentwillmeetwiththeDirectorofClinicalEducation,clinicalexternshipcoordinator,andGraduateProgramDirectororDepartmentChairtodiscussthedetailsoftheclinicperformanceplanandanynecessarychangesthatmayberequired,suchasnumberortypeofclients,changesinclinicaleducators,DeWitRiteCareClinic,oroffcampusplacements.
• Thefinalplanwillbesignedanddatedbythestudentandallmembersofthestudentremediationcommittee(SRC).
• Asdescribedintheremediationplanthestudentclinicianwillturnindetailed,type-writtenfeedbackdocumentinghoweachgoalandobjectiveisprogressing,alongwithcompletingweeklyself-evaluationforms.Theclinicaleducator’sobservationsandprogressnotesmustbeincludedinthefinalsubmissionoftheremediationplan.
• Theremediationteamwillmeetwiththestudenttodetermineifthestudentmetthegoalsandobjectivesoftheclinicperformanceplan.SeetheClinicalSupportPlanFlowChartintheappendicesfornextsteps.
• Thestudentremediationcommittee(SRC)iscomprisedoftheclinicalexternshipcoordinator,DirectorofClinicalEducation,andtheGraduateProgramDirectororDepartmentChair
Ifthegoalsandobjectivesoftheclinicperformanceplanwerenotmetinthespecifiedtimeline,andthestudentreceivesanoverallfinalgradebelowaB-orcontinuedtoscorealargepercentageoftwogradesorlower,anewremediationclinicalperformanceplanwillbecreatedandapprovedbytheSRC.ClinicalconcernsaredocumentedinTyphonusingtheStudentSupportPlandocument.Thisdocumentrecordsand/orreviewstheconcernandoutlinestheactiontakenbythestudent.TheflowchartisusedasaguideandallmeetingsmustbedocumentedusingtheStudentSupportPlan,bothfoundintheappendices.
REFERENCESAmericanSpeech-LanguageHearingAssociationAnderson,J.(1988).Thesupervisoryprocessinspeech-languagepathologyandaudiology.Boston,MA:
College-Hill.CouncilofAcademicProgramsinCommunicationSciencesandDisordersCouncilonAcademicAccreditation
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APPENDICESA.GraduateStudentClinicalCompetencyRemediationFlowChartsandPlan
B.ClinicianCheckList
C.HIPAAQuickGuide
D.ResourcesforClinicalEducators
E.SchoolExternshipScheduleF.Healthcare/ClinicExternshipScheduleG.Healthcare/ClinicExternshipSchedule(10-week)
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ClinicalSupportPlanFlowChart
Studentidentifiedas"atrisk"byClinicalEducator ↓
ClinicalSupportplanisdeveloped ↓ ↘
Studentdevelopsskillstosatisfactory
Studentcontinuestoperformbelowlevelofsatisfactory
↓ ↓
Studentreturnstogoodstanding
2ndClinicalSupportPlanisdeveloped
↓ ↘
Studentdevelopsskillstosatisfactory
Studentcontinuestoperformbelowlevelofsatisfactory
↓ ↓
Studentreturnstogoodstanding
3rdClinicalSupportplanisdevelopedORreferraltoSRCismade
↓ ↘
Studentdevelopsskillstosatisfactory
StudentisreferredtoSRC
↓ ↓
Studentreturnstogoodstanding
Studentclinicalactivityismodified
↓
StudentResourceCommitteeisFormed
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StudentCo-treating/ObservingSupervisororRemovedfromClinicalActivity
StudentResourceCommittee(SRC)meetstodeviseintensive,individualizedremediation ↓ ↘
Studentcompletesanddocumentsremediation
Studentfailstocompleteremediation
↓ ↓
SRCmeetstoconsiderpetitionanddocumentation
Studentdismissedfromfurtherclinicalexperiences
↓
SRCmakesdetermination ↓ FurtherremediationisdeterminedbySRC ↓ ↘ Studentdevelopsskillstosatisfactory
Studentdoesnotmeetsatisfactoryskilllevel
↓ ↓
Studentreturnstogoodclinicalstandingwithfurtherperformancemonitoring
Studentisdismissedfromcurrentclinicalexperience
↓
SRCmeetstodeterminefutureplacementconsiderationsorparticipationinclinicalexperiences
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GRADUATESTUDENTCLINICALCOMPETENCYREMEDIATIONPLANStudentName: Semester:DateDeveloped: ProjectedDateofCompletion:StudentRemediationCommittee:DidacticCourseName&Instructor:ClinicalEducator:ClinicalSite:Learningindicator(e.g.scoresof2onthemidterminaparticularsection,observations,etc.)Descriptionofareaofdifficulty:Goal(s):RemediationPlan:Signatureofstudent:SignatureofSRCMember
SignatureofSRCMember SignatureofSRCMember
DateofSRCfollow-upmeeting:Resultsofplan:
Comments: Remediationwas:___SatisfactorilyCompleted___Requiresfurtherremediation
Signatureofstudent:SignatureofSRCMember
SignatureofSRCMember SignatureofSRCMember
Date:Usethissametemplateforsubsequentremediationplans
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ClinicianCheckListfor_____(clientinitials)Clinician:_______________________SemesterStart
r Reviewfileo Writeuphistoryforplanofcare
r CheckwiththeOfficeManagertoseeifyourclientneedsanupdatedprescriptionr Talktoyoursupervisoraboutschedulingoptions
o Scheduleyourclient,clinicmuststartthesecondweekofclasseso Requesttheprescriptionifneededo PutyourclientintheschedulerofPracticePerfecto Reserveatherapyroom,bothonPracticePerfectandontheroomdoor
r Requestrecordso MayhavetowaitifAuthorizationtoExchangeInformationisnotcurrent(goodfor1
year)r Completepaperworkwithyourclient(firstsession)
o Reviewdemographicandinsurancesheet(providedbyOfficeManager)§ Haveclientmakechangesandsignanddatethedocument§ ReturndocumenttotheOfficeManager
o Attendancepolicyo AuthorizationtoExchangeInformationo HIPAAsignatureform
§ BesuretoaskiftheywouldliketoreadtheHIPAAinformationagain§ AskiftheywouldlikeacopyoftheHIPAAform
o TreatmentandObservationformo Semesterupdateformo Parkingpass
r Conductbaselinetesting(firstandsecondsessioniftwosessionsisneeded)r Writegoalsandhavethemapprovedbyyoursupervisorbeforeyournextsession
o Insertthemintoyourplanofcarer Writeplanofcarewithyoursupervisor,uploadPDFtopracticeperfect
o Printhardcopies§ Oneforparents(ifatwofamilyhome,sendonetoeachparent)§ Onemailedtoprimarycareorreferringphysician(whomeverwrotethescript)
Mid-Semesterr KASATyphonevaluationwithsupervisor
SemesterEndr Conductpost-therapybaselinetestingr Completethesemestersummarywithyoursupervisor,uploadPDFtopracticeperfect
o TakeyourPlanofCareandmodifyittogiveasummaryofservicesandspeaktoeachgoalandhowtheyprogressed
o Includerecommendationso Printhardcopiesandmail
§ Parents§ Physician
r Reviewsummarywithfamilymembersorclient(maybeadraftthatyoureviewbecauseoftiming)
r Completesemesterreturnformwithyourclient/familyr KASATyphonevaluationwithsupervisor
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HIPAAQuickGuide
PhysicalSecurity• Locks,alarmsandotherphysicalsecuritydevicesareusedtokeepareassecureatalltimes.• Unattendedareasarekeptsecurewithlocksandotherdeviceswheneverpossible,evenduring
businesshours.• Accesstosensitiveequipmentanddataiscontrolled--thatincludesaccesstoprinters,fax
machines,computers,andpaperfiles.• Visitorsareappropriatelymonitoredand,asnecessary,escorted.• Keys,IDbadges,andanythingelsethatcontrolsphysicalaccessarekeptsecurefromvisitors.
Theftorlossofsuchitemsisreportedimmediately.
OralCommunication(Talking)• Conversationsinvolvingsensitiveinformationtakeplace,wheneverpossible,innon-publicareas
wheretheycannotbeeasilyoverheard.• Sensitiveconversationsarenotpermittedinpublicareas.• Namesorotherinformationthatcouldidentifyindividualsareavoidedwheneverpossible,in
caseaconversationisoverheard.• Onlyinitialsareusedinpublicareas(foremergenciesonly).
TelephoneUse• Telephoneconversationsinvolvingsensitiveinformationareconductedinnon-publicareas,
wheretheycannotbeoverheard–Ifyouareintheclinicoffice,thedoorandwindowmustbeshut.
• Whendiscussingconfidentialinformationonthephone,theotherperson'sidentitymustbeconfirmedbeforeproceedingwiththeconversation.
• Onlynamesandcallbacknumbersareleftonvoicemailoransweringmachines--orwiththepersonthattakesthemessage--ifapersoncannotbereacheddirectly.Suchas:“ThisisShelbyfromtheDeWitRiteCareClinic.Pleasecallmebackat(406)243-2405.”
• Thespeakervolumeisturneddownonansweringmachinesorvoicemailsystemssothatincomingmessagescannotbeoverheardwhenleftorplayedback.
InformationonPaper• Sensitivedocumentsarekeptinsecureplaces,likealockedfilingcabinet,andneverleftin
unsecuredareassuchasunattendedcomputerprinters,photocopiers,faxmachines,orpersons'desktops.
• Documentsthatarenolongerneededareshreddedimmediately.• Sensitivedocumentsareneverleftinplainviewinareaswherevisitorscouldbepresent.(Ifsuch
materialsmustbekeptinpublicareas,theyshouldbefacedownorotherwiseconcealed.)• Sign-insheetsaskforonlylimitedinformation--onlyinitials.(Inhealthcaresettings,patient
schedulesshouldnotbeleftinpublicareasorwheretheycanbeeasilyviewedbynon-staff.)
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FaxMachineUse• Allnewfaxnumbersareconfirmedbeforeuse.• Wheneverpossible,faxesaresentonlytomachinesatknownlocations,wherethesecurityof
thereceivingmachinecanbeassured.• Allfaxescontainingsensitiveinformationincludeacoversheetidentifyingtherecipientand
includingaconfidentialitynotice.(Thatnoticeshouldrequestthatfaxessenttoanincorrectdestinationbedestroyed,andalsorequestnotificationtothesenderofsucherrors.Notethatit'snotclearthesenoticeshaveanylegaleffect,buttheyareastandardpractice.)
• Faxesshouldnotbeleftsittinginoraroundthemachine.• Wheneverpossible,postalmailisusedforwrittentransmissions.(It'sgenerallymoresecure,
andthereareclearlegalprotectionsforit.)
Email• Careisexercisedwitheveryemailmessagereceived,especiallyemailcontainingattachedfiles
thatmaybeinfected.(Spam,spoofsandhoaxesshouldjustbedeleted.Donotreply.)• Everyarrivingattachmentshouldbeconfirmedasoriginatingwithatrustedsource,orchecked
withantivirussoftwarebeforeopening.• Linksinemailsareonlyaccessedwhenthemessageisconfirmedtooriginatefromatrusted
source.• Sensitiveinformationisnotsentinemailmessages,includingemailattachments.(Ourschool
emailisnotsecure.)• Iftransmissionofsensitiveinformationviaemailcannotbeavoided,aconfidentialityagreement
signedbytheclientmustbeincludedinthechart.• Emailrecipientsandcontentsshouldbere-readbeforesending.(Confirmthatyouhavethe
correct"to","cc"and"bcc"addresses.)
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RESOURCESFORCLINICALSUPERVISIONElectronicResourcesCounselofAcademicProgramsinCommunicationSciencesandDisordersResourcesWhitePaper:PreparationofSpeech-LanguagePathologyClinicalEducatorsCAPCSDClinicalEducationModules
1. Gotothissite:http://elearning.capcsd.org(youmayhavetocreateanaccount)2. Selectoneofthefollowingareas:
CourseTitle/CEUProvider URL Enrollment
CodeFoundationsofClinicalEducation/ASHACEUs
http://elearning.capcsd.org/course/view.php?id=6 r7W@8CRk
EffectiveStudent-ClinicalEducatorRelationships/ASHACEUs
http://elearning.capcsd.org/course/view.php?id=8 V5Jem&h!
AmericanSpeech-LanguageHearingAssociationResourceseWorkshop:EssentialSupervisorySkillsforClinicalEducators(ASHA),.3CEUs.TheUMCSDDepartmentwillreimburseclinicaleducatorsfortakingthiscourse.Pleasetalkwiththeclinicalexternshipcoordinatorabouteligibilityforreimbursement.FrequentlyAskedQuestionsaboutStudentSupervisionStudentSupervisionNewsletterArticlesASHAhasdevelopedtwoofficialstatementsabouttheknowledgeandskillsrequirementsforaclinicaleducator:
KnowledgeandSkillsNeededbySpeech-LanguagePathologistsProvidingClinicalSupervision
ClinicalSupervisioninSpeech-LanguagePathologyTechnicalReportIssuesinEthics:SupervisionofStudentClinicianspublished2010byASHA.ThisIssuesinEthicsstatementisarevisionofSupervisionofStudentClinicians(2003).TheBoardofEthicsreviewsIssuesinEthicsstatementsperiodicallytoensurethattheymeettheneedsoftheprofessionsandareconsistentwithASHApolicies.SupervisionandtheProfessions:ResourcesforSupervisionbyCherylGunter,PhD,CCC-SLPprovideslinkstotheASHAstandardsofSupervision,ASHAspecialinterestGroup11,TextsForClinicalsupervisioninCommunicationDisorders,PerspectivesonSupervisionfromrelatedDisciplines,PracticalSupervisionAids,andClinicalResearchandSupervision.
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Self-EvaluationoftheSupervisorAsnotedonASHA’sClinicalEducationandSupervisionPracticePortal,“theclinicaleducationprocessincorporatesself-assessmentonthepartofthestudentclinicianandtheclinicaleducator.Self-assessmentenhancesprofessionalgrowthanddevelopmentandprovidesanopportunityforeachpersontoidentifygoalsanddeterminewhetherthesegoalsarebeingmet.”TheSelf-AssessmentofCompetenciesinSupervisiontoolwasdevelopedbythe2016ASHAAdHocCommitteeonSupervisionTraining(AHCST)toassistallaudiologistsandspeech-languagepathologistsengagedinsupervisioninconductingaself-assessmentoftheknowledgeandskillsforsupervisionidentifiedbytheAdHocCommitteeonSupervision(ASHA,2013).BooksScienceofSuccessfulSupervisionandMentorshipbyLindaCarozza,Ph.D.
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SchoolExternshipSchedule
Scheduleforthe14-WeekInternship(IncludesSuggestedTimelineforAssumingCaseload)
ExternWeek1:
Activities/Responsibilities
• beginsdirectclientcontact• participatesinsessionsasdirectedbysupervisor• observesallothersessionsandservices• E-mailClinicalExternshipCoordinator([email protected])andtoreportonfirst
week:
o HaveyoucompletedtheClinicalPracticumAgreement?o Describethecaseloadyouwillbeseeingduringthispracticum?o Doyouhaveanyconcernsatthistime?
• Beginslogofhours,activities,caseload
ExternWeek2:Activities/Responsibilities
• assumesresponsibilityforstudents(approximately30%-40%oftargetedcaseload,atclinicaleducator’sdiscretion)
• continuesobservingandparticipatinginotherprogramsasdirectedbytheclinicaleducator.
ExternWeek3Activities/Responsibilities
• assumesresponsibilityforstudents(approximately40%-60%oftargetedcaseload,atclinicaleducator’sdiscretion)
• participatesinotherstudents’programsasdirectedbysupervisor• E-mailClinicalExtCoordinatortoreportonprogress:
o Howisyoursupervisorprovidingyouwithfeedback?o Whatthingsareyouenjoyingthemostandwhatmostchallengingand/or
frustrating(i.e.,kids,aspectsofthejob,teachers,etc)o Anyopportunitiesforinterprofessionaleducationorcollaboration?Ifso,pleaselistthe
otherprofessionalsandbrieflydescribetheinteraction.ExternWeek4:Activities/Responsibilities
• takesover60%-85%oftargetedcaseloadatclinicaleducator’sdiscretion• participatesinotherstudents’programsasdirectedbysupervisor
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ExternWeek5:Activities/Responsibilities
• manages100%oftargetedcaseload• completesotherassignments(meetings,conferences,in-services)• schedulemeetingtimewithClinicalExt.Coordinatorduringweek7formid-termconference
ExternWeek6:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks6and7)
completemid-termKASAevaluationviaTyphon
ExternWeek7:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Mid-TermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-
termKASAevaluation
ExternWeeks8-11:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Atendofweek9,emailClinicalExternshipCoordinatortoreportonprogress:
o Whatservicedeliverymodelsareyouusing?(i.e.,Group,Individual,Push-in)o Whataretheadvantagesanddisadvantagesofthemodelsyouarecurrentlyusingin
yourinternship?o Howareyourelatingtreatmenttotheclassroomforyourstudents?
ExternWeek12:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• scheduleEndofTermMeetingwithClinicalExternshipCoordinatorandclinicaleducator.
ExternWeek13:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks13and14)
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• completeFinalKASAevaluationviaTyphon
ExternWeek14:Activities/Responsibilities
• Completesreportsandotherpaperwork• Finishesupwithstudentsasassignedbyclinicaleducator• EndofTermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-
termKASAevaluation
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Healthcare/ClinicExternshipSchedule
Scheduleforthe14-WeekInternship(IncludesSuggestedTimelineforAssumingCaseload)ExternWeek1:Activities/Responsibilities
• beginsdirectpatientcontact• participatesinsessionsasdirectedbysupervisor• observesallothersessionsandservices• E-mailClinicalExternshipCoordinator([email protected])andtoreportonfirst
week:o HaveyoucompletedtheClinicalPracticumAgreement?o Describethecaseloadyouwillbeseeingduringthispracticum?o Doyouhaveanyconcernsatthistime?
• Beginslogofhours,activities,caseloadExternWeek2:Activities/Responsibilities
• assumesresponsibilityforpatients(approximately30%-40%oftargetedcaseload,atclinicaleducator’sdiscretion)
• continuesobservingandparticipatinginothertherapysessionsasdirectedbytheclinicaleducator.
ExternWeek3Activities/Responsibilities
• assumesresponsibilityforpatients(approximately40%-60%oftargetedcaseload,atclinicaleducator’sdiscretion)
• participatesinotherpatients’therapysessionsasdirectedbysupervisor• E-mailClinicalExtCoordinatortoreportonprogress:
o Howisyoursupervisorprovidingyouwithfeedback?o Whatthingsareyouenjoyingthemostabouttheplacement?Whatdoyoufindthemost
challenging?o Anyopportunitiesforinterprofessionaleducationorcollaboration?Ifso,pleaselistthe
otherprofessionalsandbrieflydescribetheinteraction.ExternWeek4:Activities/Responsibilities
• takesover60%-85%oftargetedcaseloadatclinicaleducator’sdiscretion• participatesinotherpatients’therapysessionsasdirectedbysupervisor
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ExternWeek5:Activities/Responsibilities
• manages100%oftargetedcaseload• completesotherassignments(meetings,conferences,in-services)• schedulemeetingtimewithClinicalExt.Coordinatorduringweek7formid-termconference
ExternWeek6:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks6and7)
completemid-termKASAevaluationviaTyphon
ExternWeek7:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Mid-TermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-
termKASAevaluation
ExternWeeks8-11:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Atendofweek9,emailClinicalExternshipCoordinatortoreportonprogress:
o Describeyourlevelofindependencewithyourclientsatthispointinthepracticum.o Whataresomethingsthataregoingwellinyourplacement?Anychallenges?o Whatorganizationalsystemsandbillingsystemsareyouusinginyourplacement?Any
suggestionsforimprovingthosesystems?ExternWeek12:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• scheduleEndofTermMeetingwithClinicalExternshipCoordinatorandclinicaleducator.
ExternWeek13:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks13and14)• completeFinalKASAevaluationviaTyphon
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ExternWeek14:Activities/Responsibilities
• Completesreportsandotherpaperwork• Finishesupwithpatientsasassignedbyclinicaleducator• EndofTermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-
termKASAevaluation
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Healthcare/ClinicExternshipSchedule(10-week)
Scheduleforthe10-WeekInternship(IncludesSuggestedTimelineforAssumingCaseload)
ExternWeek1:
Activities/Responsibilities
• beginsdirectpatientcontact• participatesinsessionsasdirectedbysupervisor• observesallothersessionsandservices• E-mailClinicalExternshipCoordinator([email protected])andtoreportonfirst
week:
o HaveyoucompletedtheClinicalPracticumAgreement?o Describethecaseloadthatyouareseeingduringthispracticum?o Doyouhaveanyconcernsatthistime?
• Beginslogofhours,activities,caseload
ExternWeek2:Activities/Responsibilities
• assumesresponsibilityforpatients(approximately30%-50%oftargetedcaseload,atclinicaleducator’sdiscretion)
• continuesobservingandparticipatinginothertherapysessionsasdirectedbytheclinicaleducator.
ExternWeek3Activities/Responsibilities
• assumesresponsibilityforpatients(approximately50%-70%oftargetedcaseload,atclinicaleducator’sdiscretion)
• participatesinotherpatients’therapysessionsasdirectedbysupervisor• schedulemeetingtimewithClinicalExt.Coordinatorduringweek5formid-termconference• E-mailsClinicalExternshipCoordinatortoreportonprogress:
o Howisyoursupervisorprovidingyouwithfeedback?o Whatthingsareyouenjoyingthemostabouttheplacement?Whatdoyoufindthe
mostchallenging?o Anyopportunitiesforinterprofessionaleducationorcollaboration?Ifso,pleaselistthe
otherprofessionalsandbrieflydescribetheinteraction.
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ExternWeek4:Activities/Responsibilities
• takesover70%-100%oftargetedcaseloadatclinicaleducator’sdiscretion• participatesinotherpatients’therapysessionsasdirectedbysupervisor• InternandSupervisor:(betweenweeks4and5)
completemid-termKASAevaluationviaTyphon
ExternWeek5:Activities/Responsibilities
• manages100%oftargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Mid-TermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-term
KASAevaluation
ExternWeeks6-7:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Atendofweek7,emailClinicalExternshipCoordinatortoreportonprogress:
o Describeyourlevelofindependencewithyourclientsatthispointinthepracticum?o Whatorganizationalsystemsandbillingsystemsareyouusinginyourplacement?o Anysuggestionsforimprovingthesesystems?o Anyconcernsaboutthenumberofhoursyouareobtainingduringthisplacement?
ExternWeek8:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• scheduleEndofTermMeetingwithClinicalExternshipCoordinatorandclinicaleducator.
ExternWeek9:Activities/Responsibilities
• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks13and14)• completeFinalKASAevaluationviaTyphon
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ExternWeek10:Activities/Responsibilities
• Completesreportsandotherpaperwork• Finishesupwithpatientsasassignedbyclinicaleducator• EndofTermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-
termKASAevaluation