clinical supervision handbook 2017-2018 final[2]health.umt.edu/slhos/clinical...

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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

↓ ↘


Studentcontinuestoperformbelowlevelofsatisfactory

↓ ↓


3rdClinicalSupportplanisdevelopedORreferraltoSRCismade

↓ ↘


StudentisreferredtoSRC

↓ ↓


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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• manages100%oftargetedcaseload• completesotherassignments(meetings,conferences,in-services)• schedulemeetingtimewithClinicalExt.Coordinatorduringweek7formid-termconference


• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks6and7)

completemid-termKASAevaluationviaTyphon


• 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?


• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• scheduleEndofTermMeetingwithClinicalExternshipCoordinatorandclinicaleducator.



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• completeFinalKASAevaluationviaTyphon


• 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.



• 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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• manages100%oftargetedcaseload• completesotherassignments(meetings,conferences,in-services)• schedulemeetingtimewithClinicalExt.Coordinatorduringweek7formid-termconference





• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Mid-TermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-

termKASAevaluation



o Describeyourlevelofindependencewithyourclientsatthispointinthepracticum.o Whataresomethingsthataregoingwellinyourplacement?Anychallenges?o Whatorganizationalsystemsandbillingsystemsareyouusinginyourplacement?Any

suggestionsforimprovingthosesystems?ExternWeek12:Activities/Responsibilities



• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks13and14)• completeFinalKASAevaluationviaTyphon

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• 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



• continuesobservingandparticipatinginothertherapysessionsasdirectedbytheclinicaleducator.



• participatesinotherpatients’therapysessionsasdirectedbysupervisor• schedulemeetingtimewithClinicalExt.Coordinatorduringweek5formid-termconference• E-mailsClinicalExternshipCoordinatortoreportonprogress:

o Howisyoursupervisorprovidingyouwithfeedback?o Whatthingsareyouenjoyingthemostabouttheplacement?Whatdoyoufindthe

mostchallenging?o Anyopportunitiesforinterprofessionaleducationorcollaboration?Ifso,pleaselistthe

otherprofessionalsandbrieflydescribetheinteraction.

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• takesover70%-100%oftargetedcaseloadatclinicaleducator’sdiscretion• participatesinotherpatients’therapysessionsasdirectedbysupervisor• InternandSupervisor:(betweenweeks4and5)



• manages100%oftargetedcaseload• completesotherassignments(meetings,conferences,in-services)• Mid-TermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-term

KASAevaluation



o Describeyourlevelofindependencewithyourclientsatthispointinthepracticum?o Whatorganizationalsystemsandbillingsystemsareyouusinginyourplacement?o Anysuggestionsforimprovingthesesystems?o Anyconcernsaboutthenumberofhoursyouareobtainingduringthisplacement?




• continuesinroleofSLP,carryingcompletetargetedcaseload• completesotherassignments(meetings,conferences,in-services)• InternandSupervisor:(betweenweeks13and14)• completeFinalKASAevaluationviaTyphon

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• Completesreportsandotherpaperwork• Finishesupwithpatientsasassignedbyclinicaleducator• EndofTermConference:ClinicalExtCoordinator,StudentandSupervisormeettodiscussmid-

termKASAevaluation