department of communication sciences and disorders school ...€¦ · american speech language and...
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DepartmentofCommunicationSciencesandDisorders
SchoolofHealthandRehabilitationSciences
2018-2020
Revised:August2018Note:Thisisanactivedocumentthatisupdatedandredistributedtoincorporatechangesinnational,
state,andinstitutionalprocessandprocedures
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INTRODUCTION..................................................................................................................................5
Overview:EntryLevelPracticumExperiences....................................................................................5
Overview:Intermediate/AdvancedPracticumExperiences................................................................5
ConcentrationPractica........................................................................................................................6
MAStateDESEReadingLicensurePracticum......................................................................................6
MAStateEarlyInterventionLicensurePracticum...............................................................................6
IMPACTPracticeCenter’sSpeechLanguageandLiteracyCenter......................................................6
CERTIFICATIONANDLICENSUREINFORMATION................................................................................7
CouncilonAcademicAccreditation(CAA)inAudiologyandSpeech-LanguagePathology.................7
StandardsandImplementationProceduresfortheCertificateofClinicalCompetence(CCC)inSpeech-LanguagePathology............................................................................................................................7
AmericanSpeechLanguageandHearingAssociationPraxisExamination..........................................8
MassachusettsDepartmentofEducationTeachingLicensure............................................................8
MassachusettsDepartmentofPublicHealth(DPH)EarlyIntervention(EI)Specialist........................9
GENERALCLINICALPOLICIESANDPROCEDURES.................................................................................9
TotalHoursRequiredbyASHA...........................................................................................................9
EvaluationofClinicalCompetency....................................................................................................10
EvaluationofSupervisionandPracticum..........................................................................................11
ProfessionalConduct........................................................................................................................11
Supervision.......................................................................................................................................12
Referrals...........................................................................................................................................13
ClientSchedules................................................................................................................................13
ContactwithFamilyandProfessionals.............................................................................................13
ClientPlanofCare............................................................................................................................14
CancellationsbyClientandAbsenceofStudentsduetoIllness.......................................................14
ProfessionalPractice.........................................................................................................................14
ProfessionalDuty..............................................................................................................................14
Communication................................................................................................................................14
CulturalCompetence........................................................................................................................14
CollaborativePractice.......................................................................................................................15
ProfessionalPracticeGrading...........................................................................................................15
OUTPLACEMENTPRACTICUM:ADDITIONALPOLICIESANDPROCEDURES........................................15
ClinicalPlacementsinExternalSites.................................................................................................15
PracticumCommittee.......................................................................................................................15
FactorsConsideredforPlacement....................................................................................................15
TimingandScheduleofClinicalExperiences.....................................................................................16
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ExpensesandTravel..........................................................................................................................16
DifferentSites...................................................................................................................................17
Grades..............................................................................................................................................17
Non-PassingGrades..........................................................................................................................17
RefusalofPracticum.........................................................................................................................17
TerminationofPracticum.................................................................................................................18
Mediation.........................................................................................................................................18
PolicyforDocumentationofSupervisedClinicalHoursandClinicalPracticumEvaluations.............19
LocationofForms.............................................................................................................................19
SPEECHLANGUAGEANDLITERACYCENTERPOLICIESANDPROCEDURES........................................19
PatientFiles.......................................................................................................................................19
GettingStarted.................................................................................................................................20
ContentsofNewClientFilesShouldContain:...................................................................................20
ContentsofEstablishedFiles(ReturningClients)..............................................................................20
OngoingResponsibilitiesforMaintenanceofClientFiles.................................................................20
ConfidentialityandCommunication.................................................................................................20
DocumentationofClinicalPracticeFormat......................................................................................20
LessonPlans......................................................................................................................................20
EvaluationofDocumentation...........................................................................................................21
Supervision.......................................................................................................................................21
HourDocumentation........................................................................................................................21
Materials...........................................................................................................................................21
Toys...................................................................................................................................................21
TherapyRoomsandSessions............................................................................................................21
Scheduling.........................................................................................................................................22
Holidays............................................................................................................................................22
SnowCancellations...........................................................................................................................22
EdiblesinTherapy.............................................................................................................................22
ClinicalTeamCaseDiscussions(CT)Groups.....................................................................................22
Mission/Outcomes...........................................................................................................................22
Structure...........................................................................................................................................22
StudentExpectations........................................................................................................................22
ElectronicClientDocumentationandInformation...........................................................................23
APHASIACENTERMANUAL...............................................................................................................24
2018-2020.........................................................................................................................................24
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APHASIACENTERPOLICIESANDPROCEDURES.................................................................................25
PreparingforAphasiaCenterPlacement..........................................................................................25
StudentClinicianOrientation............................................................................................................26
Client/ClinicianSchedules.................................................................................................................26
SchedulingChanges..........................................................................................................................26
PreparingfortheFirstSession..........................................................................................................26
Supervisor/ClientSessions................................................................................................................27
PreparingforSubsequentSessions...................................................................................................27
ClientDiagnosticEvaluationsandDiagnosticReports......................................................................27
PatientFiles.......................................................................................................................................28
AphasiaGroupsandGroupBinder/Box............................................................................................28
Co-Treatments..................................................................................................................................29
ObservationatSpauldingRehabilitationHospital............................................................................29
AphasiaCenterOutingsandParties..................................................................................................29
DocumentationofClinicalPractice...................................................................................................29
Studentsshouldmakeeveryefforttocompletedocumentationasifeverydraftwereafinaldraft.30
ClientReassessments........................................................................................................................30
StandardAphasiaTherapyPrograms................................................................................................30
FamilyMeetings................................................................................................................................31
AACDevices......................................................................................................................................31
ResearchOpportunities....................................................................................................................31
InterprofessionalActivities...............................................................................................................31
RequiredReflectiveWriting(Journaling)Exercise............................................................................31
StudentPracticumContract..............................................................................................................32
SharedResourceBinder....................................................................................................................32
RoomSchedule.................................................................................................................................32
EndofSemesterTreatmentPlansforIncomingClinicians................................................................32
Materials...........................................................................................................................................32
AphasiaCaseDiscussion(CD)Groups...............................................................................................33
Structure...........................................................................................................................................33
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INTRODUCTIONTheclinicalmanualisdesignedtoassistCSDstudentsthroughouttheclinicalpracticumcomponentsoftheirgraduateprogram.Themanualincludesclinicalpoliciesandproceduresforinternalandexternalpracticumexperiences,AmericanSpeech-Language-HearingAssociation(ASHA)certificationstandards,andMAStateandDepartmentofElementaryandSecondaryEducation(DESE)licensingstandards,andoperatingguidelines,andproceduresfortheMGHInstitute’sIMPACTPracticeCenter.ClinicalpracticaarepartofthepreparationformasteryinthesixdomainsoftheIHP’sCoreCompetencies(https://www.mghihp.edu/impact-practice-core-competencies).Inaddition,studentswillbeorientedinclassandclinicalmeetingstoclinicalpolicies,forms,andproceduresthatareaccessiblethroughtheInstitute’sD2LCourseware.
Overview:EntryLevelPracticumExperiencesAllbeginningCSDstudentscompletetheirfirsttwotermsofclinicalpracticumintheMGHInstitute’sSpeechLanguageandLiteracyCenter(SLLC)supervisedbyCSDfaculty.TheSLLCishousedwithintheInstitute’sinter-professionalIMPACTPracticeCenter. Studentsspendonetermworkingwithchildrenwithoraldisordersofcommunicationandonetermworkingwithchildrenandadultsutilizingexplicit,structuredandsystematicapproachestointerventionforwrittenlanguagedisorders.Thepurposeoftheinitialclinicalexperiencesistheestablishmentoffoundationalcompetenciesrelatedtoexcellenceinclinicalpractice,professionalpracticecompetencies,andtheintegrationofacademiccourseworkknowledgeintoclinicalskillapplicationthroughfacultymentorship.Eachbeginningstudentisassignedasleadcliniciantooneclientandtoagraduatedyadpartnerandclient.Dyadpartnersshareequallyintheprovisionofservicesineachsession.Clientscometwiceweeklyforsessions.Experienceswithclientsareaccompaniedbythreehoursaweekofpracticumseminars,taughtbyfaculty,thatfocusondiagnosisandremediationofcommunicationdisorders.Inaddition,studentsattendfacultyguidedclinicalteammeetings(CTGroups)weeklywheretheypresenttheirclients,analyzecases,andlearntoapplytheoreticalinformationtopractice.Experiencesarecloselylinkedtocourseworkinacademiccourses.Overview:Intermediate/AdvancedPracticumExperiencesThreeTermsofIntermediate/AdvancedPracticumExperiencesAllstudentsparticipateinthreetermsofintermediatetoadvancedclinicalpractice.Studentsworkwithclientsacrossthelifespanwithdiversedisordersofvariedseverity.Allstudentsworkwithculturallyandlinguisticallydiversepopulationsandparticipateinintervention,diagnosis,andpreventionactivities.Allstudentswillcompleteaschool-basedplacement,whichwillmakethemeligibleforlicensurebytheMADepartmentofElementaryandSecondaryEducationasaSpecialistinSpeech,Language,andHearing
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Disorders.TheCSDDepartmentisaffiliatedwithover200hospitals,schools,earlyinterventioncenters,andspecialsettingsintheNewEnglandarea.TheSpeechLanguageandLiteracyCenterwithintheIMPACTPracticeCenteralsohasanAdvancedAcquiredDisordersCenter,whichprovidesservicestoadultswithacquiredcommunicationdisorders,suchasaphasia,andconductsresearchintheareaofacquireddisorders.Studentsmayparticipateinthisadvancedclinicduringtheirtermsofadvancedclinicalpractice.Advancedstudentsseemultipleclientsweekly.Generally,8graduatestudentseachtermareassignedtothispracticum,andaresupervisedbyfacultyexperts.ConcentrationPracticaAllstudentswhochoosetoenrollinaconcentrationarea(autism,adultneurogenicdisorders,medical,literacywithlicensure,literacywithoutlicensure,earlyintervention,orvoice)willparticipateinoneclinicalrotationwithintheirconcentrationpopulation.MAStateDESEReadingLicensurePracticumAllstudentswhoconcentrateinliteracyandwhowanttobecomelicensedbytheMADepartmentofElementary&SecondaryEducation(DESE)asReadingSpecialistswillspend150hoursinareadingpracticum.ThispracticumwillbebasedintheschoolsandsupervisedbyaMA-licensedReadingSpecialist,inadditiontothethreeabove-mentionedSLPsettings(a4thplacement).This3-credit4thplacement,underthesupervisionofaDESElicensedReadingSpecialist,doesnotcounttowardASHAhoursortheminimumacademic/clinicalcreditsneededtograduate.StudentsconcentratinginLiteracywhodonotwishtobecomeeligibleforMAlicensurearenotrequiredtocompletea4thplacement.MAStateEarlyInterventionLicensurePracticumStudentswhowanttobelicensedbytheMADepartmentofPublicHealthasEarlyInterventionSpecialistsmustdooneoftheir3requiredadvancedclinicaloutplacementsinaMassachusettsEarlyInterventionsettingandcompletetheEarlyInterventionelective.
IMPACTPracticeCenter’sSpeechLanguageandLiteracyCenterTheSpeech,LanguageandLiteracyCenter(SLLC)isoperatedbytheDepartmentofCommunicationSciencesandDisordersattheMGHInstituteofHealthProfessions.TheCenterisanintegralpartofthedepartment’sclinicaleducationcurriculum.TheclinicaleducationexperienceswithintheSLLChavebeendesignedtointegratescience,theory,andpracticeunderthementorshipanddirectionoflicensedCSDfacultysupervisors.Theseclinicalexperiencesarecoordinatedcloselywithclassroom-basedcourseworkandpracticumseminarstopromoteknowledgeandskillsintegrationandtomeetknowledgeandskillstandardsestablishedbyASHA.TheSLLCprovidesprevention,assessment,andinterventionservicesintheareasofspeech,language,andliteracytochildrenandadults.Itdoesnotdiscriminateinthe
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deliveryofprofessionalservicesonthebasisofrace,ethnicity,gender,age,religion,nationalorigin,sexualorientation,ortheabilitytopay.Thegraduatestudentclinicians,workingunderthesupervisionofnationally-certifiedandstate-licensedfaculty,performtheservicesprovidedattheSLLC.Thefacultyofrecordoneachcaseistheindividualresponsibleforallaspectsofthatclient’scareandco-signsalldocuments.Supervisionisprovidedthroughdirectobservation,collaborativehands-onworkwithclients,reviewandrevisionofdocumentation,andweeklycasediscussion/clinicalteammeetingswhichincludevideoreviewofsessions.Studentsaregenerallyobserveddirectlybytheirfacultysupervisor100%ofthetimeinitially,withagoalofincreasedindependenceoverthecourseoftwoterms.ASHAstandardsfor25%directobservationofinterventionandassessmentaremet.Supervisionisbasedonclientandstudentneedsandmodifiedaccordingly.ThereisalwaysalicensedfacultymemberonsiteandinchargeoftheSLLCwhenclientsarebeingseen.
CERTIFICATIONANDLICENSUREINFORMATIONTheAmericanSpeech-Language-HearingAssociation(ASHA)ASHAisthenationalscientific,professional,andcredentialingassociationforspeech-languagepathology/hearingscientists.ASHApromotesappropriateacademicandclinicalpreparationandprovidesopportunitiesforcontinuingprofessionaldevelopmenttokeeppractitionerscurrentwiththelatestknowledge.ASHAcanbereachedatwww.asha.orgor800-498-2071.CouncilonAcademicAccreditation(CAA)inAudiologyandSpeech-LanguagePathologyTheCAAaccreditsclinicaldoctoralprogramsinaudiologyandmaster’sdegreeprogramsinspeech-languagepathology.TheCAAestablishesaccreditationstandardsandfacilitatescontinuousqualityimprovementofaccreditedprograms. TheMGHInstitutemaster’seducationprograminCommunicationSciencesandDisordersisaccreditedbytheCAA.TheCAAcanbereachedat800-498-2071,2200ResearchBoulevard,#310,Rockville,MD.https://caa.asha.org/
StandardsandImplementationProceduresfortheCertificateofClinicalCompetence(CCC)inSpeech-LanguagePathologyStudentsareorientedtotheStandardsandImplementationProceduresfortheCertificateofClinicalCompetence(CCC)inSpeech-LanguagePathologyinthecontextoftheirclinicalpracticumseminar,whichtakesplaceduringtheirfirsttermintheprogram.Standardsandapplicationproceduresformembershipandcertificationarereviewedduringclinicalseminarspriortograduation.Thecurrentstandardscanbeviewedatthefollowinglink:http://www.asha.org/Certification/2014-Speech-Language-Pathology-Certification-
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Standards/.AmericanSpeechLanguageandHearingAssociationPraxisExaminationThenationalexaminationinspeech-languagepathologyisdesignedtoassess,inacomprehensivefashion,theapplicant’smasteryofknowledgeofprofessionalconceptsandissuestowhichtheapplicanthasbeenexposedthroughoutprofessionaleducationandclinicalpractica.TobeeligibleforcertificationbyASHA,graduatesmustobtainapassingscoreonthePraxisSeriesexaminationinspeech-languagepathology.Theprogramrecommendsthatstudentstaketheexaminationnoearlierthanthesummeroftheirfinaltermintheprogram,whenthemajorityofcourseworkhasbeencompletedandstudyingfortheprogram’ssummativecomprehensiveexaminationhaspreparedthemforthisexam.ASHAprovidesinformationaboutthePraxisexaminationat:http://www.asha.org/certification/praxis/praxis_registration/
Registrationfortheexaminationcanbecompletedonlineat:http://www.ets.org/praxis/asha/
StudentsshouldsendtheirscoresdirectlytoASHA(code:R5031),tothestatelicensureboardwherethestudentplanstowork(MA:R7421),andtotheMassachusettsStateDepartmentofElementary&SecondaryEducation(copiesareaccepted).MassachusettsDepartmentofEducationTeachingLicensureTheprogramisaccreditedbytheMassachusettsDepartmentofElementary&SecondaryEducation(DESE)topreparestudentsforanInitialLicenseintheareasofTeacherofStudentswithSpeechLanguageandHearingImpairments,andtheInitialLicenseforReadingSpecialist.AllgraduatingstudentsmustmeettheacademicandclinicalstandardsforanInitialLicenseintheareasofTeacherofStudentswithSpeech,Language,andHearingImpairments.Inadditiontocompletingtheprogram’sacademicandclinicalrequirements,allapplicantsforDESElicensureinMassachusettsmustpasstheASHAPraxisexaminationandtheMassachusettsTestsforEducatorLicensureintheareasofCommunicationandLiteracySkills.GraduatesoftheCSDmaster’sprogramwhowanttoapplyforlicensureasReadingSpecialistmustpasstheReadingSubjectMatterTestoftheMassachusettsTestsforEducatorLicensure(MTEL),andholdanInitialLicenseinanotherarea.GraduateswhodonotalreadyholdanInitialTeachingLicensecanmakeanapplicationforReadingSpecialistfollowingoneyearofemploymentinMAintheroleofSLPunderanInitialLicense.StudentswillbeadvisedontheprocessofobtainingDESElicensurethroughadvisingseminars.TheMADESEcanbereachedat:http://www.doe.mass.edu/licensure/
AllstudentsmustcompleteanEducatorLicensureandRecruitment(ELAR)profilewith
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DESEbyfollowingthelinkabove.ThisresultsintheassignmentofaMassachusettsEducationPersonnelID(MEPID)number,whichallowstheprogramtoendorsestudentsforlicensureupongraduation.QuestionsshouldbeaddressedtoDr.CharlesHaynes,DESEliaison,[email protected].
MassachusettsDepartmentofPublicHealth(DPH)EarlyIntervention(EI)Specialist
StudentswhowanttobecomecertifiedbytheMassachusettsDepartmentofPublicHealthinEarlyIntervention(ages0-3)mustcompleteaplacementinEIataDPH-approvedsiteandsuccessfullycompletetheclass,“EarlyIntervention:Birthto3”.GraduatesareeligibleforProvisionalCertificationwithAdvanceStandingasEarlyInterventionSpecialists.StudentswillbeorientedtotheEIspecializationprocessintheclinicalseminars.FormoreinformationonthisEIcertification,contacttheDPHatwww.eitrainingcenter.org.
GENERALCLINICALPOLICIESANDPROCEDURESObservationHoursTheobservationofpatientsinthediagnosisandtreatmentofspeechandlanguagedisordershasatwo-foldpurpose:
1. Tointroducestudentstoavarietyofdisordersandtheirmanifestations.2. Toobservetheapplicationoftheoryandtheclinicalmanagementofthepatientby
theclinician.ASHArequiresthecompletionof25hoursofobservationwithinthescopeofpracticeofspeech-languagepathology.Theprogrammaintainsdocumentationofthesehoursintheprogramoffice(seeD2LforacopyoftheSupervisedObservationHoursform).StudentsareinitiallyorientedtothisprocessthroughD2L“Orientation101”followingadmission.Studentswhohavecompletedtheir25hoursofobservationinothersettingspriortoenteringthisprogrammustsubmitwrittendocumentationoftheobtainedhoursalongwiththesupervisors’signaturesandASHAcertificationnumbers.ThesehoursmustbeprovidedtotheDepartmentOfficepriortobeginningtheprogram.(SeeAppendixA)
TotalHoursRequiredbyASHAASHArequiresthatapplicantscompleteatleast375hoursofsupervisedclinicalpracticathatincludetheevaluationandtreatmentofclient/patientpopulationsacrossthelifespan
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andfromculturally/linguisticallydiversebackgrounds.Practicummustincludeexperiencewithclient/patientpopulationswithvarioustypesandseveritiesofcommunicationand/orrelateddisorders,differences,anddisabilities.Applicantsforcertificationmusthavehadexperiencewithmulti-linguisticandmulti-culturalpopulations.Atleast325hoursmustbecompletedatthegraduatelevel.StudentswithundergraduatepracticumexperiencemustsubmitcopiesofofficialdocumentationfromtheirundergraduateprogramstotheCSDDepartmentOffice.Studentswillbeorientedtoclinicalpracticumstandardsinthecontextofclinicalseminars.Clinicalhoursarerecordedbystudentsandapprovedbysupervisorsinouronlinedatasystem,E*Value.StudentstracktheirhourtotalsandtheirprogresstowardscompletionusingE*Valueathttps://www.e-value.net/login.cfmandsubmitthosetotalstotheCSDDepartmenteachterminthecontextofaTotalHoursTrackingForm.(SeeAppendixB)EvaluationofClinicalCompetencyTheclinicalevaluationsystemisusedtoevaluateclinicalcompetencyandskillsacrosssettings.AllgradingforclinicalpracticeisPass/Fail.Thesystemusesdefinitionsforperformanceineachareaofcompetencybasedonamountofsupervisorysupportwithstandardsforindependencethatchangeasstudentsmovefromanentryleveltoanadvancedlevelofpractice.TheevaluationmeasureiscorrelatedwithASHAstandardsforclinicalknowledgeandskills,CAAProfessionalPracticeCompetencies,andtheMGHInstitute’sCoreInterprofessionalCompetencies.Studentsareevaluatedbyclinicalsupervisorseachtermatmidtermandduringthefinalweeksofpracticum.Self-evaluationisacentralpartoftheclinicalevaluationprocessacrossterms.Developmentalgoals,alistofstrengths,andaplanwithstrategiesformeetingthesegoalsareco-createdbythestudentandsupervisoraspartofeachclinicalevaluationandaredocumentedintheevaluation.Clinicalevaluationsareconductedinwrittenandverbalform.EvaluationsarerecordedelectronicallybysupervisorsintheE*Valueelectronicrecordkeepingsysteminindividualstudentportfolios.StudentswillbeorientedtoE*Valueinseminarsduringtheirfirsttermintheprogram.Thesameprocessisfollowedinexternalsites.Afacultypracticumcoordinatormeetswiththestudentandtheclinicalsupervisoronsiteatmidtermandfacilitatesthestudent’sreflectionontheirgrowthandtheirlearninggoalsaspartoftheevaluationprocess.Aformativeassessmentoforalcommunicationskillsisconductedinthecontextofaformalself-evaluationprocess,whichoccursprogressivelyoverthefirsttwotermsofpracticumintheSLLC.Inaddition,thereareitemsrelatedtooralcommunicationontheclinicalevaluationmeasure.Studentskeepcopiesoftheseassessments,andcopiesarekeptonfileintheDepartmentOffice.FormsrelatingtotheseassessmentsareavailableontheonlineD2Lcourseware.WrittencommunicationofclinicalinformationisevaluatedusingawritingrubricdevelopedbyCSDfacultytoassesscriticalthinking,content,organization,styleandform.Therubricisusedasawritingguide,asaself-reflectiontool,andasanevaluative
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toolduringTermIandTermIIofEntryLevelpractice.Systematicimplementationinadvancedsettingsisbeingpilotedin2018-19.Theclinicalevaluationsystemisreviewedwitheachstudentduringtheirfirsttermofenrollmentinthein-houseClinicalPracticum.Allchecklists,pointsystems,anddefinitionsareaccessibletoallontheonlineD2LCourseware.AcopyoftheClinicalEvaluationwillbereviewedwithstudentsinclinicalteammeetingsduringthefirstterm.Itisthestudent’sresponsibilitytoreviewthecompetenciesanddefinitionsofperformancerelatingtohisorherlevelofpracticeeachterm.CopiesoftheformscanbefoundinE*ValueandonlineintheCSDStudentResourceModuleonD2L.(SeeAppendixesC,D,E)EvaluationofSupervisionandPracticumStudentscompleteasupervisorevaluationeachterm.Thesupervisorevaluationisdesignedtogivefeedbacktothesupervisorinhoweffectivetheywereinsupportingthestudentstowardsdevelopingclinicalskillsandfoundationalcompetenciessuchascriticalthinking,effectivecommunication,collaboration,accountability,andself-knowledgeandreflection. StudentsareorientedtotheprocessofsupervisionduringclinicalteammeetingactivitiesduringTermI.AnonymoussupervisorevaluationsaresubmittedattheendoftheterminE*Valueforin-houseplacements.Supervisorevaluationsareusedaspartoftheannualreviewprocessforfaculty,andaspartofthepracticumplacementprocessbyclinicalpracticumcoordinators.Inexternalplacementswherethereisoftenonlyonestudentassigned,supervisorevaluationsarenotanonymous.Studentslearntogivefeedbackanddiscusssupervisorystrategiesthattheyfindfacilitativetolearninginaprofessionalmannerusingthesupervisorevaluationprocess.Studentsalsoevaluatetheirpracticumsiteseachterm.Thepracticumself-reflectionandevaluationprocessrequiresstudentstoreflectonhowtheirexperiencehasexpandedtheirclinicalknowledgeandskills,theircollaborativeability,criticalthinking,innovationandcreativity,communicationandperspectivetaking,growthmindsetinresponsetochallenges,andself-knowledgeandreflectionineachterm.AlloftheseformscanbefoundinE*Value.(PleaseseeAppendixesF,G)ProfessionalConductAllstudentsmustadheretotheprinciplesofethicsdescribedintheASHACodeofEthicswhichispostedonlineintheCSDStudentResourcemoduleandreviewedinSeminars.Inaddition,studentsintheCSDProgramareexpectedtoadheretotheguidelinesforprofessionalconductasstatedintheMGHInstitute’sIMPACTPracticeCenterPoliciesandProceduresManual,andtotheDepartmentofCommunicationSciencesandDisordersPoliciesandProceduresManual,aswellasfollowingallguidelinesspecifictotheprofessionalroleofspeech-languagepathologists.Theseguidelineshavebeenestablishedtoprotecttherightsofstudents,faculty,and
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clients,andcanbefoundhere:http://www.asha.org/Code-of-Ethics/
https://www.mghihp.edu/faculty-staff/handbooks-manuals-and-guidesImpactPracticeCenterManual(SeeIMPACTPracticemoduleinD2L)SupervisionThemannerandamountofsupervisionprovidedtostudentsisdeterminedandadjustedtoreflectthecompetenceofeachstudentandtoalloweachstudenttoprogresstowardstheindependencerequiredtoenterprofessionalpractice.Supervisionisadjustedtoensurethatspecificneedsaremetforeachindividualreceivingservice.Theclinicalcompetencyevaluationutilizedtoevaluatestudentseachtermatmidtermandfinalisbasedona1-5scale.Theamountofdirectinstructionneedediscorrelatedwiththestageofdevelopmentofthestudent.5=demonstratesbehaviorindependently4=demonstratesbehaviorwithminimalguidancefromsupervisor3=demonstratesbehaviorwithgeneralguidancefromsupervisor2=demonstratesbehaviorwithspecificinstructionfromsupervisor1=failstodemonstratebehaviorconsistentlyregardlessofamountofsupervisionorneedsexcessiveandrepetitiveinstructions
CompetencyScaleBasedUponLevelofExperience HighPass Pass PasswithConcerns FailCD761andCD762 3.0-5.0 2.0-2.99 1.5-1.99 1.0-1.49CD771,CD871,CD872 4.0-5.0 3.0-3.99 2.5-2.99 1.0-2.49CD873 4.5-5.0 3.5-4.49 3.0-3.49 1.0-2.99
UsingAnderson’scontinuumofsupervision(1988)studentswhoenterintoallclinicalplacements,bothinternalandexternalpracticumsitesareunderstoodtobeginintheevaluation/feedbackstageofthecontinuumforeachnewexperience,andadvancetothetransitionalandself-supervisionstageswithsupport.
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Supervisorsareresponsibleformakingfinaldecisionsregardingallclientcareconductedbystudentclinicians.Supervisorsmustdirectlysuperviseaminimumof25%ofthestudent’stotalcontacttimewitheachclientduringinterventionandassessmentinaccordancewithASHAstandards.Practicumsitescanandwillestablishtheirownguidelinesregardingthespecificissuesaddressedbelow.Studentsmustalwayscollaboratewithsupervisorsintheplanningandprovisionofservices.(AppendixH)
ReferralsStudentsshouldnotmakereferralstooutsidesourceswithoutspecificpermissionfromtheirsupervisor.Allservicedeliverymustbeprovidedincollaborationwiththesupervisor.ClientSchedulesStudentsshouldnotalteraclient’sschedulewithoutconsultingtheirsupervisor.Allservicedeliverymustbeprovidedincollaborationwiththesupervisor.ContactwithFamilyandProfessionalsStudentsprovidecareandinteractwithclientsandfamiliesinaccordancewithrecognizedstandardsofethicalpractice.Allinteractionswithpersonsassociatedwiththeclientshouldbemadeonlywithspecificapprovalofthesupervisor.Supervisorsareresponsibleforoverseeingtheformandcontentofallinteractionsassociatedwithclientcare.Studentsshouldnotinteractwithclientsinnon-professionalcontexts.Studentsarenotallowedtoprovidepersonalservices(babysitting,petsitting,housesitting)whiletheyaredirectlyinvolvedwithaclientand/orclient’sfamily.
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ClientPlanofCareSupervisorsareresponsibleforallfinaldecisionsregardingclientcare.Discussionsofalternativecareplansshouldbeconductedwithinthecontextofsupervisorymeetings.
CancellationsbyClientandAbsenceofStudentsduetoIllnessStudentsareresponsibleforknowingtheprocedurespertainingtoclientandcliniciancancellationasoutlinedbyeachclinicalsetting.Studentsmustnotifytheirsupervisorandestablishaplanofactionforclientcoverageintheeventthattheyareabsentduetoillness.Mostabsencesotherthanillnessarenotallowedduringclinicalterms.Vacationsmustbeplannedduringthebreaksbetweenacademicterms.Exceptforexceptionalsituations,illnessistheonlyapprovedreasonforcancellationbystudents.Exceptionalsituationsmustbeapprovedbythesupervisorandthepracticumcoordinator.
ProfessionalPracticeAccountabilityandIntegrityStudentsareresponsibleforpracticinginamannerthatisconsistentwiththeASHAcodeofethicsandthescopeofpracticedocumentsforspeech-languagepathology.Studentsmustadheretoallstateandinstitutionalregulationsandpoliciesandusethehighestlevelofintegritywitheachindividualserved.ProfessionalDutyStudentsmustunderstandandfollowallsiterulesrelatedtomaintainingthesafetyofallindividualsserved.Confidentialityrulesmustbestrictlyfollowedtoprotecttheprivacyandrightsofthosethatareserved.Studentsmustmeetallclinicalresponsibilitiesinatimelyandpunctualmanner.Studentsshouldplantoarriveearlyandbeconsistentlywellpreparedforclinicalpractice.Standardsfortimelysubmissionofdocumentationmaybeestablishedbyeachclinicalsetting.Studentsareresponsibleforunderstandingandadheringtoallstandardsforeachsetting.CommunicationStudentsshouldutilizeprofessionalcommunicationacrossmodestoensurethatthehighestqualityofcareisdelivered.Alldraftsofclinicaldocumentationshouldbeeditedandproofedforaccuracy,grammar,spelling,andpunctuationpriortosubmission.Studentsshouldmakeeveryefforttocompletedocumentationasifeverydraftwereafinaldraft.CulturalCompetenceStudentsshouldunderstandtheimpactofhisorherownsetofculturalandlinguisticvariablesandthoseofindividualsservedonthedeliveryofeffectivecare.Theseinclude,butarenotlimitedto,variablessuchasage,ethnicity,linguisticbackground,nationalorigin,race,religion,genderandsexualorientation.Studentsshouldunderstandthe
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characteristicsofindividualsserved(e.g.,age,demographics,culturalandlinguisticdiversity,educationalhistoryandstatus,medicalandcognitivehistoryandstatus,socioeconomicstatus,andphysicalandsensoryabilities)andhowthesecharacteristicsrelatetoprovidingcaretoindividualsserved.CollaborativePracticeStudentsshouldunderstandanddemonstrateinterprofessionalteamcompetenciesandutilizethosecompetenciestoperformeffectivelyonIPteamstodeliverclientcenteredcare.ProfessionalPracticeGradingStudentswhodonotmeetsitestandardsforprofessionalismconsistentlywillreceiveafailinggradeundertheprofessionalismcompetencyonthePracticumCompetencyEvaluationChecklistforthattermandwillberequiredtoimprovethatcompetencypriortograduationtoaminimumvalueof3.Studentswithfailingorlowprofessionalismgradeswillnotbeconsideredforadvancedpractica.
OUTPLACEMENTPRACTICUM:ADDITIONALPOLICIESANDPROCEDURES
(Pleasereviewthepriorsectionsforgeneralguidelines)ClinicalPlacementsinExternalSitesPrerequisitesforenrollinginCD771,871,872,873:Outplacementpracticumincludethefollowing:
• acumulativegradepointaverageof3.0;• meetcompetenciesandreceiveapassinggradeintwotermsofCD760-01and02
(in-houseclinical);• statusasamatriculatedstudent;• sufficientcourseworkrelatedtothepopulationtobeserved.
PracticumCommitteeThemembersofthePracticumCommitteeincludetheDirectorofClinicalEducation,theAssociateDirectorofClinicalEducationandtheAssistantPracticumCoordinator.ThePracticumCommitteeisresponsibleforoverseeingclinicaleducationinIntermediateandAdvancedplacements,monitoringandmentoringeachstudent’sclinicalcompetencygrowthduringCD771,871,872and873,assigningplacements,anddevelopingplansofactionforissuesrelatedtoplacements.Studentsshouldtakeconcernsrelatedtoplacementsdirectlytotheplacementcoordinatorassignedforthatplacement.ConcernsthatthecoordinatorisunabletomediatewillbereferredbythecoordinatortothePracticumCommittee.FactorsConsideredforPlacementIntroductionEachstudentisexpectedtoparticipateactivelyintheirclinicalcompetencydevelopmentby
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settingpersonalgoalsfordevelopmentutilizingon-goingassessmentandfeedbackfromsupervisorsandself-reflection.Facilitatedbythisself-assessmentandinconsultationwiththeClinicalPracticumCommittee,AcademicAdvisor,otheracademicfaculty,and/orclinicalinstructors,studentsareexpectedtoplayanactiveroleinidentifyingandrequestingclinicaleducationexperiencesthatwillfostergrowthinidentifieddevelopmentalareas.Ultimately,theClinicalPracticumCommitteemakesallclinicaleducationassignments.Factorswillincludeaccuracyofstudentself-assessment,prioracademicandclinicalperformance,andcharacteristicsofthelearningenvironmentattheclinicalsite.Studentsmaynotdeclineaclinicalplacement;suchactionwillbeconsideredrefusaltotakearequiredcourse.Thereisnoguaranteethatassignmentswillbeinthefacilitiesorgeographiclocationsrequestedbystudentsorthatstudentswillcompleteafull-timeclinicalexperienceorinternshipinthemetropolitanBostonarea.Studentsareadvisedthatnotallfacilitiesareavailableforallclinicaleducationexperiences.AvailabilityisbasedonresourceconstraintsoftheclinicalfacilitiesandontheClinicalPracticumCommittee’sdecisionsregardingappropriatenessofthefacilitytospecificclinicalexperiencesinthecurriculumand/ortoaspecificstudent’slearningneeds.PlacementplanningmeetingdocumentscanbefoundinAppendixI.TimingandScheduleofClinicalExperiencesThespecifictiming(includingstartandenddates,day(s)ofweek,andhours)ofanygivenclinicaleducationexperiencemayvaryfromfacilitytofacilityandyeartoyearbasedonresourceavailability.Studentsareexpectedtocomplywiththefacility’stimingofclinicaleducationexperiencesandmustflextheirpersonalschedulestoaccommodatespecifictimeconstraintsofthefacility.TheClinicalPracticumCommitteewillincludeanticipatedtimingofclinicalplacementsininformationprovidedtostudentsaspartoftheclinicaleducationmatchprocess.Ifthetimingofaclinicaleducationexperienceischangedbyaclinicalfacility,theClinicalPracticumCommitteewillcommunicatethechangetothestudent(s)immediatelyuponnotificationbythefacility.ExpensesandTravelStudentsareresponsibleforallexpensesassociatedwithclinicaleducation.Clinicaleducation,especiallyafull-timeclinicalexperience,typicallyinvolvessomeexpensetothestudent.Thecostassociatedwithagivenclinicaleducationexperiencewilldependonmanyvariablesincluding,butnotlimitedto,thecostoftransportation,andmeals.Studentsareadvisedtoplanforsuchexpenses,asstudentswillbeassignedtoclinicalfacilitiesrequiringtraveloutsideoftheBostonareaoroutsidethepublictransportationsystem.Studentsareresponsibleforalltraveltoandfromclinicaleducationexperiences.Thisincludeslocaltravel(e.g.dailyorweeklytravelforafull-timeexperienceorpracticum).
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Manyclinicaleducationfacilitiesarenotaccessiblebypublictransportation.Everystudentshouldanticipateneedingaccesstoacarforsomeportionoftheclinicaleducationcomponentofthecurriculum.DifferentSitesTomeetASHAcertificationrequirements,studentsarerequiredtocomplete375hoursofclinicalpracticum.InordertomeettheMassachusettsDESErequirementsforinitiallicensure,oneofthesesitesmustconsistof100hoursinaM.G.L.c71-approvedprivateschool,aneducationalcollaborative,apublicschool,oranycombination.AfourthtermofoutplacementclinicalpracticuminreadingisrequiredforstudentsseekinglicensureasaReadingSpecialistfromtheMassachusettsDESE.ThecreditsfromthispracticumdonotcounttowardtheCSDProgramminimumcreditrequirementstograduate,nordothehourscounttowardASHA’s375-hourrequirement,unlessthesupervisorisASHA-certifiedandtheworkiswithinthescopeofpracticeforwrittenlanguageasoutlinedbyASHA.GradesPracticumisgradedonaPass/Failbasis.SupervisorsdeterminearecommendedgradeusingtheClinicalPracticumEvaluationofClinicalCompetencyChecklists.TheDirectorofClinicalEducation,inconsultationwiththepracticumcoordinators,isthefacultyofrecordforallclinicalpracticumcoursesandisresponsibleforassigningthefinalgradesforthosecourses.Non-PassingGradesStudentsreceivingaFailanytwotermsofclinicalpracticumwillbedismissedfromtheProgram.Studentsreceivinganon-passinggradeinpracticummustparticipateinaClinicalandAcademicReviewwhereaninterventionplanisdeveloped,baseduponASHAandprogramclinicalcompetencyrequirements,withstrategiestosupportacquisitionofclinicalcompetencies.Studentsmustpasseachclinicalcompetencywithanaveragegradeacrosstermsof3orhighertomeetASHA’sstandardsforclinicalskillcompetency.StudentsfallingbelowthisstandardinpracticummustparticipateinaClinicalandAcademicReviewwhereaninterventionplanisdeveloped,baseduponASHAandprogramclinicalcompetencyrequirements,withstrategiestosupportacquisitionofclinicalcompetencies.RefusalofPracticumPracticumcoursesarerequired,justasacademiccoursesare.Studentsenrolledinclinicalpracticumareexpectedtoattendtheirassignedplacement.Studentswhorefuseaclinicalplacementwillnotbeassignedtoanotherplacementforthattermandmaynotgraduateontime.
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TerminationofPracticumTherearefourcategoriesofissuesthatareconsideredgroundsforremovalofastudentfromaclinicalpracticumexperiencebytheClinicalDirectorincollaborationwiththePracticumCoordinators.Categoriesofissuesconsideredgroundsforterminationofapracticumarelistedbelow:
1. Unethicalbehavior,accordingtotheASHACodeofEthics,onthepartofstudentorsupervisor.
2. Unprofessionalbehavioronthepartofthestudentorsupervisorthatisunabletobemediated.
3. Significantsafetyorhealthissues.4. SignificantandpersistentdeviationsfromacceptedASHApracticepatternsacross
clinicalcontextsatthepracticesite.StudentsremovedfromplacementforunethicalbehaviorontheirpartwillreceiveagradeofFail,aswillstudentswhoarenotabletomeetclinicalcompetenciesrelatedtoprofessionalism.Studentswhohaveaplacementterminatedduetosite-relatedissuesorillnesswillreceiveagradeofIncomplete.Everyeffortwillbemadetofindanewsiteinthesecases.MediationIssuescanbereferredbythePracticumCoordinatortothePracticumCommitteeformediation,whereuponamediationprocessledbythePracticumCoordinatorswillfollow.Thefollowingareasofconcernareconsideredgroundsfortheinitiationofamediationprocess:
• Concernsregardingthesupervisoryprocess.• Communicationbreakdownsbetweensupervisorandstudent.• Personalstyleconflictsbetweenthesupervisorandstudent.• Healthissuespertainingtotheplacement.• Unprofessionalbehavioronthepartofthestudentorsupervisor.• Contractissuesrelatedtotime,studentorsupervisorresponsibilities,and
opportunitiesforlearning.MediationProcess
1. ContacttheIHPpracticumcoordinatorassignedtoyoursite.2. Provideasummaryofissue(s)relatedtoitemsabove.3. PracticumCoordinatormayscheduleameetingwithstudentandsupervisorto
developaplanofaction. Planofactionmayinclude:a. Formalinterventionplan,ClinicalAcademicReview(CAR)b. Continuedcurrentcommunicationwithsite,supervisor,andstudentc. Additionalvisits
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PolicyforDocumentationofSupervisedClinicalHoursandClinicalPracticumEvaluationsSubmissionofCompletedFormsDocumentationforclinicalpracticumissubmittedutilizingtwosystems,E*ValueandD2L.Documentationmustbecompletedbythefinaldayofclasseseachsemester.StudentswillbeorientedtotheclinicaldocumentationsystemduringthefirsttermintheSpeechLanguageandLiteracyCenterandinanexternalclinicalplacementmeetingduringTermII.Alldocumentationmustbecheckedbythestudentforaccuracypriortosubmission.DocumentationsubmittedfollowingthatdatewillresultinagradeofIncompletefortheterm.Studentssubmittingincomplete,inaccurate,and/orlatedocumentationwillreceiveanotationintheareaofProfessionalCompetencyontheirClinicalEvaluationfortheterm.Studentsarerequiredtokeepcopiesofallcompletedforms.LocationofFormsCopiesofformsforclinicaldocumentationcanbefoundonlineintheCSDStudentResourceModuleunderExternalPlacementinD2LandintheelectronicE*Valuesystem.
SPEECHLANGUAGEANDLITERACYCENTERPOLICIESANDPROCEDURES
(PleasereviewtheIMPACTPracticeCenter(IPC)Manualforpoliciesandproceduresrelatedtoall
practiceintheIPC.ThefollowingpoliciesandproceduresarespecifictotheCSDDepartment’sprograms):
PatientFilesREDCapStartingwiththe2018-2019year,allclientdemographicandbackgroundinformationwillbeelectronicallystoredinREDCap.REDCapisasecure,web-basedapplicationsystemthatsupportsdatastorage.AllclientsattendingtheSLLCwillbeprovidedwithalinktotheprogramandcompleteallnecessarypermissionforms,demographicinformationandcasehistoryformsforstudentreview.FurtherproceduresregardingstudentaccesstotheREDCapprogramwillbeprovidedinSeptember,2018.PaperFilesManyoftheSLLCclientinformation,specificallyclinicalassignments,attendancerecords,outsideinformationandreportsandothermaterialswillcontinuetobestoredinpaperfilefolders.FilesdonotleavetheIMPACTPracticeCenterandstudentsmaynotcopyorcarryanythingwithclientidentifiersincludingtestingprotocolsoutsideofthecenter.HoursofaccesstoclientfilesisbasedontheoperatinghoursoftheIPCandwillbepostedinthestudentworkroomintheIPC.
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GettingStartedChecktomakesurethatyourclienthasahangingfilewithamanilafileinthestudentworkroomintheIPC. Reporttoyoursupervisoranymissingmaterials.ContentsofNewClientFilesShouldContain:
• Attendancesheets• Contactsheets• Tabsectiondividers
ContentsofEstablishedFiles(ReturningClients)
• Allinformationlistedfornewfiles(seeabove)• Acompletedcasehistoryform• Writteninformationprovidedbyfamily/clientsuchasIEPs(IndividualEducational
Planswrittenbyschoolsystems)andpreviousreports• Diagnosticassessmentassignments,onewithidentifyinginformationandone
without• Family/clienthandoutsummarizingdiagnosticinformation• TreatmentPlan• 2SampleLessonPlans(mostrecent)• FinalProgressNotesummarizingtheprogressfortheyear,onewithidentifying
informationandonewithout• Finalfamily/clienthandoutsummarizingprogressfortheyear
OngoingResponsibilitiesforMaintenanceofClientFiles
1. Allclientrelatedcontactmustbeapprovedbythefacultysupervisor.2. Fileinformationshouldbemaintainedinthetabbedsections.3. Fileallclientinformationsuchasreports,testprotocolsassoonasitisreceived.4. Documentattendanceforeachsessionthedayofthesession.5. DiagnosticInformationshouldbefiledassoonasitiscompleted.6. TwoSampleLessonPlansattheendofeachterm.7. FinalProgressNotenolaterthanthelastdayoftheterm.
ConfidentialityandCommunicationConfidentialityiscentraltoprotectionofclientprivacyandrights.TheprocedureswillbereviewedinorientationtoclinicandseminartermI.PleaseReviewGeneralPoliciesandProceduresstatedintheIPC’sPoliciesandProceduresManualDocumentationofClinicalPracticeFormatAllpaperworkshouldbecomputergeneratedandeditedforgrammar,spelling,andpunctuationpriortosubmissiontoyoursupervisor.Finaldraftsofdocumentationmustcontainnoerrors.LessonPlansLessonplansmustbesubmittedweeklytothesupervisoratleast24hourspriortoeach
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sessionviathedistancelearningcoursewareoremail.Supervisorsmayrequestspecifictimelinesrelatedtotheirschedulesthatrequiresubmissionofplansmorethan24hoursinadvanceofsessions.Emailmaybeutilizedwithpermissionofthesupervisorandadherencetoconfidentialitypolicies.EvaluationofDocumentationTheuseofreportmodelsandsupervisorwrittenfeedbackwillbeprovidedtostudentsforallclinicalwritingassignments.TheuseoftheClinicalWritingRubricwillbeusedontheDiagnosticReport/AssignmentandtheFinalProgressNote.(seeforminAppendixandinD2LSeminar).SupervisionStudentswillbeprovidedwithguidelinesformovingtowardsindependenceoverthecourseoftheTermIandTermIIwiththegoalofdecreasedspecificfeedbackandincreasedself-supervision.Nostudentwillbesupervisedlessthan25%ofthetimeforinterventionor25%ofthetimeforassessment.HourDocumentationASHAhoursandonsitehoursmustbesubmittedweeklyviatheE*Valueelectronicsystem.StudentscancreateacomputergeneratedTotalHourReportwiththeirhourtotalssotheycantracktheirprogresstowardsgraduation.TheCSDDepartmentwillgenerateatotalhoursheetattheendofeachtermtotrackstudentprogress.MaterialsTestsTestsandmaterialsdonotleavethebuildingandmustbeusedwithintheIPCorotherdesignatedareasin2CC.SignoutteststhatyouarereviewingorusingintheCenteronthesignoutformthatcanbefoundintheStudentWorkRoom.ReplacealltestsintheappropriatefilewhenfinishedToysCleanandreplacealltoysandmaterialsontheappropriateshelforcontainerimmediatelyfollowingatherapysession(pleaserefertocleaningproceduresoutlinedintheIMPACTPracticeCenter’sPoliciesandProceduresManual).TherapyRoomsandSessionsNoeatingordrinkingispermittedinthetherapyroomsorwaitingareaintheIPC.Nowaterorgumchewingisallowedduringsessions.Cleanandreplaceallmaterialsfollowingeachsession.Removeallgarbageandwipedowntableswithdisinfectantfollowingeachsession.Cleanwritingboardsandreplacepensintheirappropriateslots.
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SchedulingThe clinical faculty conducts all scheduling and schedule changes.Cliniciansmust notchangetheirclient’ssessiontimewithoutfirstclearingchangeswiththeirsupervisor.HolidaysTheIPCisaneutralentitythathonorsallculturalandreligiousbeliefsandseekstocreateaninclusiveenvironment.Insupportofthispolicy,noreligiousholidaysarecelebratedorrepresentedbythefacultyandgraduatestudentsprovidingservicesinthecenter.Thismeansnodecorationsforholidaysorgiftsorholidayspecificactivitiesareutilized.Clientsarewelcometobringitemsrelatedtotheircelebrationsandbeliefsintothecenteriftheychoosetodoso.SnowCancellationsThecenteroperatesonthesnowcancellationscheduleoftheInstitute. Clinicianswillbenotifiedbyemail,phone,ortextdependingonpreferencethroughtheautomatedIonlinesystemortheycancalltheIHPSnowHotlineat617-724-8484iftheInstituteclosesduetoweather.Studentcliniciansmustnotifytheirclientsifthecenterisclosedduetoweather.EdiblesinTherapyBoththeparents/guardiansandthesupervisormustapproveanyediblesusedinsessionsbeforethetherapysessionbegins.Disinfectallsurfacesthatcomeincontactwithfoodproducts.Ediblesfortheclientshouldbeprovidedbytheclientand/orparent/caregiver.GiftsStudentsshouldnotgivegiftstotheirclients.Prizeswillbeavailableforallclientsandsuppliedbythecenter.Clientsmaygivesmallgiftstostudentsiftheychoosetodoso.Studentsarenotallowedtoacceptgiftsofcash.ClinicalTeamCaseDiscussions(CT)GroupsPleaserefertoproceduresintheCSDClinicalSeminarsD2L.YouwillbeorientedtotheseproceduresbyfacultyinthecontextofCTgroupsduringSeptemberandinweeklyClinicalTeamMeetingagendasprovidedbyyoursupervisor.Mission/OutcomesStudentswilldeveloptheirabilitytoapplytheorytoclinicalpracticewhilelearningtothinkcritically,analyzeandsynthesizeinformation,collaborateandcommunicateprofessionally.StructureStudentsparticipateinfacultymentoredclinicalteammeetingsfor2hoursweeklyingroupsof4-8. Studentspresenttheirclinicalcasesweeklyfordiscussionbythegroup.StudentExpectations
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• CometoCT-Groupmeetingsontime.• Communicatewiththesupervisorpriortothegroupmeetingtimeifthediscussion
grouphastobemissedduetoillnessorfamilyemergency.• Preparea15-minutediscussionoftheclienteachweek.Presentationsshould
include:o digitalsystemcuedtokeyaspectsofthesessiono asummarizationofthesessionortask’sobjectiveso asummarizationofthetheoreticalrationalessupportingtheobjectivesand
theprocedureso adiscussionofthesession’sstrengthsandweaknesseso questionsforthesupervisorandfortheteamo considerations/planforfuturesessionsbaseduponthedatafromthesession
underdiscussion• Participateactivelyingroupdiscussionsofallclientsby:
o askingquestionso makingsuggestionso addinginformationo listeningactively
• Useprofessionalcommunicationstyle,specifically:o professionspecificvocabularyo MAEgrammaro appropriatespeechrateo cleararticulationo professionalvoicequality
ElectronicClientDocumentationandInformation
• Noidentifyinginformationregardingclientsshouldbetransmittedviaemailinanysetting.
• Alldraftsofclientdocumentationshouldincludetheclient’scode(firstinitialandlastinitialoftheclient)inlieuofanyidentifyingpersonalinformation.
• Allclientinformationthatisidentifying,suchascasehistories,mustbefiledintheclient’sofficialfileinthebadge-accessibleIPCdesignatedarea.CLIENTCHARTSMUSTNEVERLEAVETHECENTERorothersettings.
• Allfinaldraftsofdocumentationcontainingidentifyinginformationonstudent’sH:drivesshouldbedeletedfollowingfinalapprovalofthedocumentbysupervisors.
• Client-specificidentifyinginformationwillbeincludedonlyinthefinalcopyofdiagnosticreports,andotherdocumentation,andwillbefiledintheIPC’slockedfilearea.
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APHASIACENTERMANUAL
2018-2020
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APHASIACENTERPOLICIESANDPROCEDURES(PleaseseeIMPACTPracticeCenterManualforpoliciesandproceduresrelatedtoallpracticeinthe
IPC.ThefollowingpoliciesandproceduresarespecifictotheCSDDepartment’sprograms)TheAphasiaCenterprovidesassessment,andinterventionservicesintheareasofspeech,language,andliteracytoadultswithacquiredcommunicationdisorders;specifically,aphasia,dysarthria,apraxiaofspeechandcognitivedisorders.ResearchintheareaofacquireddisordersisalsocompletedwithinthisCenter.TheAphasiaCenterisconsideredtobeanIntermediateorAdvancedplacement.TheAphasiaCenterdoesnotdiscriminateinthedeliveryofprofessionalservicesonthebasisofrace,ethnicity,gender,age,religion,nationalorigin,sexualorientation,ortheabilitytopay.AphasiaCenterservicesareprovidedfreeofcharge,thoughanominalclinicsupportfeemayberequestedeachsemester.ThegraduatestudentcliniciansareassignedtotheAphasiaCenterfora13-weeksemesterandworkunderthesupervisionofASHAcertifiedandstatelicensedfaculty.StudentcliniciansperformtheservicesprovidedattheAphasiaCenter.Thestudentcliniciansprovideindividualtreatmentsessionstoapproximately6-9clientsperweek.Mostclientsparticipateintherapysessionstwiceweeklyforone-hourindividualsessionsandatleastonehourofgrouptherapy. Manyclientswillrequirecompletionofaninitialdiagnosticassessmentorperiodicre-assessment.Generally,sevengraduatestudentseachtermareassignedtothispracticum,andsupervisedbyonefull-timeandtwopart-timefacultysupervisors.Thefacultyoneachcaseistheindividualresponsibleforallaspectsofthatclient’scareandwillco-signalldocuments.Supervisionisprovidedthroughdirectobservation,collaborativehandsonworkwithclients,reviewandrevisionofalldocumentation,andbi-weeklycasediscussiongroupswhichmayincludevideoreviewofsessions.Studentsaregenerallyobserveddirectlybytheirfacultysupervisor50%ofthetimeinitiallywithagoalofincreasedindependenceoverthecourseofthesemester.ASHAstandardsrequire25%directobservation.ThereisalwaysalicensedfacultymemberonsiteandinchargeattheAphasiaCenterwhenclientsarebeingseen.TheAphasia Center program is coordinated byCSDdepartment facultymembersRachelPittmann,MSCCC-SLPandMarjorieNicholas,PhDCCC-SLP. RachelPittmannistheprimarycoordinatorandsupervisorandMarjorieNicholas,SuzannePennington,andotherfacultymembersserveassupervisors.PreparingforAphasiaCenterPlacementPrior to starting a placementwithin theAphasia Center, it is recommended that studentcliniciansreviewnotesfromAphasiaClass,CD839.TextbooksthatwillbehelpfulincludetheManualofAphasiaandAphasiaTherapyandAphasiaandRelatedNeurogenicLanguageDisorders.It is helpful to review the administration and scoring of the Boston Diagnostic AphasiaExamination-3 (BDAE-3), Standard Form, Boston Naming Test (BNT), and the Cognitive
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LinguisticQuickTest(CLQT).StudentClinicianOrientationAll Aphasia Center student clinicians are required to complete an orientation with theprimary supervisor. This meeting will take place approximately one week before thebeginning of direct client contact. During this meeting, caseloads will be assigned andclient/clinicianscheduleswillbeprovided.Also,thesupervisorandstudentclinicianswillprovideeachotherwiththeircontactinformation(phonenumber).Manyofthefollowingtopicswillbediscussedandexplainedduringtheorientation.Client/ClinicianSchedulesAphasiaCentersupervisorswillprovideeachstudentclinicianwithatherapyscheduleapproximatelyoneweekpriortothebeginningofthesemester. Thisschedulewillbeprovidedelectronicallyandwillincludeindividualsessiontimes,therequiredgrouptimesaswellastherequiredclinicalcasediscussiongroupmeetings(CDGroups).SchedulingChangesTheclinicalfacultyconductsallschedulingandschedulechanges.Cliniciansmustnotchangetheirclient’ssessiontimewithoutfirstclearingchangeswiththeirsupervisor.PreparingfortheFirstSessionUponcaseloadassignment,clientfilesshouldbecarefullyreviewed.Eachfilewillcontaintheinformationoutlinedbelow.Thepastsemester’sstudentclinicianwillhaveplacedaClientTreatmentPlanandthemostcurrentSOAPnoteinthefrontofeachfile.Pleaseusethesedocumentsinplanningyoursessions.Thesewillincludedetailsaboutclientgoalsandperformanceaswellasinformalinformationaboutclient’spersonalitiesandneeds.Thetreatmentplanshouldalsohavenotedthedate,time,androomnumberofapreviouslyrecordedtreatmentsessionthatcanbereviewedontheviewingsystem.Pleasereviewatleastonepreviousdigitallyrecordedsessionperclientpriortomeetingtheclients.Contactinformationforthelaststudentclinicianshouldalsobeprovided.Itisrecommendedthatincomingstudentclinicianscontactthelaststudentcliniciantoexchangeclientinformation.(PleaseseeConfidentialityGuidelinesoutlinedintheIMPACTPracticeCenter’sPoliciesandProceduresmoduleinD2L.)Ifneeded,studentcliniciansmayscheduletomeetindividuallywiththesupervisortodiscusstheclientsonthecaseload.Pleasecontacteachclientpriortotheirfirsttherapysessiontoremindthemofthetimeanddateoftheirfirstsessionthatsemester.(Clientsreceivetheirschedulesbyemailand/ormail).Clients/caregiversmaybecontactedviaphoneand/oremail.Clientcontactlistswillbeprovidedelectronicallypriortothestartofthesemester.Theinitialsessionisprimarilyspentinrapport-building,or“gettingtoknoweachother”.
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Studentsshouldusethistimetobecomefamiliarwiththecommunicationskillsofeachclientandtoaskquestionsabouteachclient(studentsshouldhavesomepreviousknowledgeabouteachclientfromthefilereview).Itishelpfulforthestudentcliniciantoprepareandpresentpersonalinformationtosharewiththeclient.Appropriateexamplesincludeshortphotoalbums,scrapbooks,orslidepresentations.Pleaseprepareandgiveeachclient/caregiveryourcontactinformation,printedonpaper,includingphonenumber,emailaddress,andphotographforcommunicationofcancellations,illness,etc.
Supervisor/ClientSessionsThesupervisorwillconductaclienttherapysessionwithmanyoftheclientswithinthefirstthreeweeksofthesemester.Theschedulewillbedeterminedbythesupervisorandwillallowthestudentcliniciantoobserveamasterclinicianprovidingtreatmenttoaclient.Studentcliniciansareinvitedtoparticipateinthesesessionstotakedata.PreparingforSubsequentSessionsTreatmenttasksshouldbeadministeredinthesecondsessionofthesemester.Todetermineappropriatetasks,pleaseusetheinformationfromtheprevioussemester’streatmentplansandSOAPnotes,includingthegoals,andfromtheclientsessionstobecompletedbythesupervisor. Generally,theclientcompletesapproximatelythreetreatmentactivitiesforeachsession.Itisrecommendedthatadditionaltherapyactivitiesbepreparedandavailable.ClientDiagnosticEvaluationsandDiagnosticReportsEachclinicianwillberequiredtocompleteaminimumofonediagnosticevaluationanddiagnosticreport.ThiscaneitherbecompletedonaclientthatisnewtotheAphasiaCenterorwithaclientwhohasbeenattendingthecenterforatleasttwosemesters.Thesupervisorwillassignaminimumofoneclientpercaseloadforassessment.Diagnostictestingshouldbeginduringthefirstsession.Thisincludesthecompletionofaclient/caregiverinterviewwhereadetailedcasehistory/backgroundinformationwillbecompleted.AssessmentmeasuresthatshouldbecompletedincludetheBDAE-3(StandardForm),theBostonNamingTest,andtheCognitiveLinguisticQuickTest.Othertestingmeasuresmayalsoberequiredaspersupervisorrecommendation. Audiorecordingoftheassessmentisrecommended.Diagnosticreportsshouldincludeconcisewrittenbackgroundinformation,testingscoresandinterpretation,impressions,planofcare,and,long-andshort-termgoals.Multiplerevisionsofdiagnosticreportsmayberequired.Reportduedateswillbeassignedbythesupervisor.
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PatientFilesEach client has ahanging filewith amanila folder in the designated filing cabinet in theStudentWorkroomintheIMPACTPracticeCenter.ForFall2017anewfilesystemwillbeusedsoeveryclientthatisseeninFall2017shouldhaveanewfilemadeforthemandthatfile will be used going forward until it is full. Report to your supervisor any missingmaterials.Newandongoingclientfilesshouldcontain:
• Afileorganizationchecklist• Acompletedcasehistoryform• Asigneddigitalrecordingreleaseform• Anattendancesheet• Medicalrecordsorotherinformationfromoutsidefacilities• Dateddiagnosticprotocols(BDAE,BNT,CLQTetc)• DiagnosticreportsandmonthlySOAPnotes• Audiotapes(whenapplicable)
AphasiaGroupsandGroupBinder/BoxStudentsarerequiredtoplanandimplementAphasiaCenterGroups.Thesemayinclude,butarenotlimitedto,aDiscussionGroup,aMovieGroup,andWiigroup.Conversationgroupwillmeetasawholetwoweekspermonthandwillbealternatedwithtwosmallergroups(groupsplitintwo)theothertwoweeksofthemonth.Theresponsibilitiesofthestudentcliniciansduringtheconversationgroupincludeassistingclientsinunderstandingtheconversationwithinthegroupbywritingnotesforthemandbyclarifyinginformation.Theyarealsoresponsibleformakingsuretheconversationremainsongoingandthatallmemberswhowishtocontributetotheconversationhaveanopportunitytodoso. Inaddition,studentsshouldusetheirbestjudgmenttoguidetheconversationawayfromoffensiveorpoliticallyincorrecttopicsshouldthesearise.Thegroupboxandbinder(foundintheAphasiaworkroomonthetallmetalbookcase)shouldbetakentoeachgroup.Clientnametags,foundinthegroupbox,shouldbedistributedduringeachgroupandcollectedattheendofthegroup.MinutesforeachgroupwillberecordedintheGroupbinder.Theclient’sspouses/caregivershavechosentohavetheirownsupportgroupsimultaneoustotheAphasiaConversationgroup.ThisgroupisheldindependentlyfromtheAphasiaCenterstudentcliniciansorsupervisors.Therearenostudentresponsibilitiesforthisgroup.MovieGroup(FallandSpringSemesteronly)takesplaceonThursdaymorningsfrom10-11:00am.Thestudentclinicianswillbedividedinpairswhichwilleachbeassignedtoimplementmoviegroupfor3-4consecutiveweeks.Eachpairofstudentswillberotatedthroughthisgroup.PleaserefertotheMovieGroupProtocolfordetailsonplanningandleadingthisgroup.Studentsareresponsibleforpreparingtheclassroomsassignedtothegroupsaheadoftimetoaccommodatetheneedsofthegroupandforreturningtheclassroomchairsandtablestotheformerconfigurationafterthegroup.
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Co-TreatmentsVariousclientsareseenonceweeklyinaco-treatmentwithanotherclientwheresocialskillscanbepracticedandtherapeutictaskscanbeshared.TheseareparticularlyprominentduringtheSummersemester.Eachclientwhoparticipatesinaco-treatmentwillalsobeseenindividuallyonceweeklywithhis/herprimaryclinician.Occasionally,theprimaryclinicianwillnotbepresentintheco-treatmentsession,anditwillbetheresponsibilityoftheclinicianassignedtotheco-treatmenttoimplementtheco-treatmentsession.Itistheprimaryclinician’sresponsibilitytocompletetheclient’smonthlySOAPnote,includinganyimportantdataorfindingsfromtheco-treatments.ObservationatSpauldingRehabilitationHospitalDuringtheFallandSpringsemesters,eachstudent,inasmallgroupof2-3studentclinicians,willbeprovidedanopportunitytoobserveadultSpeechandLanguageassessmentsand/ortreatmentsatSpauldingRehabHospitalforapproximately2-3hourstotalwithSuzannePennington.Studentclinicianswillnotprovidedirectclientcare,butwilltakedataonsessionsandparticipateinadiscussionandthewrittenreportforeachsession.ThepurposeofthisobservationistobeexposedtothecontinuumofcarethatourclientsinTheAphasiaCenterhaveexperiencedandtoreflectuponsimilaritiesanddifferencesinthetwosettings.AphasiaCenterOutingsandPartiesStudentsarerequiredtocollaborateintheplanningandimplementationofagroupoutingthatwillgenerallytakeplaceduringthelastweekofthetreatmentsemester.Allclients,spouses/caregivers,supervisors,andstudentswillbeinvitedtotheoutings.Pleasecontactthesupervisorregardingthegivenbudgetforeachouting/party.Generalguidelinesincludedecidingonalocation6weekspriortotheevent,creatinginvitations5weekspriortotheevent,distributingtheinvitationsandadvertisingtheevent(inpersonandbymail)3&4weekspriortotheevent,collectingRSVPs(andmoneywhenapplicable)1&2weekspriortotheevent.DocumentationofClinicalPracticeAlldraftsofclinicaldocumentationshouldbecomputergenerated,edited,andproofedforgrammar,spelling,andpunctuationpriortosubmission.Studentsshouldmakeeveryefforttocompletedocumentationasifeverydraftwereafinaldraft.MonthlyS.O.A.P.notesarerequiredwheretheclient’sattendance,participation,data,andprogresstowardgoalswillbereported. Revisionofgoalsandestablishmentofnewgoalsshouldbeincludedasappropriate.Duringthesemester,atotalofthreeprogressnoteswillbewritten.SOAPnoteswillbesenttothesupervisorviaemail,usingtheclient’sinitialsonly. Duedatesforthenoteswillbespecifiedinthestudentpracticumcontract. SupervisorsmayrequirerevisionsoftheseSOAPnotesandsupervisorsmayrequestaduedateforrevisedreports.
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Finaldraftsofdocumentationmustcontainnoerrorsandshouldbeprintedout,signedbythestudentclinicianandsupervisor,andplacedineachclient’sfile.Besuretousethefollowingnamingconventionwhensavingandsendingfilestoyoursupervisors:clientfirst/lastinitial,year,semester,typeofdocumentandnumber,clinicianlastnameMD2017FallSOAP1PittmannMD2017FallSOAP2PittmannMD2017FallSOAP3PittmannStudentsshouldmakeeveryefforttocompletedocumentationasifeverydraftwereafinaldraft.OngoingResponsibilities
1. Attendanceshouldbedocumentedforeverysession2. DiagnosticreportsandSOAPnotesshouldbefiledassoonastheyarecompletedand
signedbythesupervisor3. File information shouldbemaintained in theorder listedon the file organization
checklistcontainedinthefile.ClientReassessmentsClientsshouldbereassessedapproximatelyeverysixmonths.ResultsofthereassessmentwillbeincludedinthemonthlySOAPnoteunlessotherwiseindicated.StandardAphasiaTherapyProgramsStudentcliniciansmaylearntoadministerthefollowingaphasiatherapyprogramsthattheylearnedaboutintheiraphasiacourse,dependingonthetreatmentplanoftheirparticularclients: (Thisisnotanexhaustivelist)
• MelodicIntonationTherapy(MIT)• VoluntaryControlofInvoluntaryUtterances(VCIU)• Boardmaker(forCommunicationNotebooks)• TreatmentofAphasiaPerseveration(TAP)• SentenceProductionProgramforAphasia(SPPA)• VerbNetworkStrengtheningTreatment(VNeST)• OralReadingforLanguageinAphasia(ORLA)• TreatmentofWernicke’sAphasia(TWA)• Varioustreatmentsforanomia• ResponseElaborationTreatment(RET)• AnagramCopyandRecallTreatment(ACRT)• MultipleOralRereading• Variousdrawingtherapyprograms• Amerindgesturetraining
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FamilyMeetingsStudentclinicianswillconductclient/family/caregivermeetingswithaminimumofoneclientduringthesemester(i.e.uponcompletingdiagnostictesting,atmidterm,oratendofsemester).Clientsmaychoosetoparticipateinthismeeting.Clientperformanceandprogresswillbediscussed,andfamily/caregiverwillbeeducatedregardingappropriatetasksortechniquesthatcanbeimplementedoutsideofthetherapeuticenvironment.AACDevicesAACdevicesusedbyAphasiaCenterclienteleincludesDynavox,Lingraphica,andvariousapplicationsontheiPadsuchasProloquo2Go,PictelloandSmallTalkAphasia.In-serviceswillbeprovidedasneeded.ThesupervisorisresponsiblefordownloadingnewapplicationsontotheiPad.ResearchOpportunitiesParticipationinvariousresearchprojectsmaybeavailableincoordinationwithIRBapprovedfacultyresearchprojectsand/orIRBapprovedresearchforastudentthesis.InterprofessionalActivitiesTheIMPACTPracticeCenteriscurrentlydevelopingofferingseachsemester.BelowareafewexamplesofinterdisciplinaryactivitiesthatoccurintheImpactPracticeCenter:Fall:
1. S-IHP’sCAPInterdisciplinaryprogram2. WellnessGroup3. CaregiverGroup4. ScreeningGroup
Spring:
1.PhysicalTherapyHealthPromotionsled-Group(asthetherapyscheduleallows).SLPstudentswillalsoberesponsibleforcreatinganin-serviceaboutaphasiaandpresentingittothePTstudentswithintheHealthPromotionsGroup.
RequiredReflectiveWriting(Journaling)ExerciseEachstudentwillberequiredtowritereflectivelyaboutoneclientonaweeklybasis.Thistoolistobeusedasameansforstudentclinicianstorespondtoandworkthroughevokedemotionsthatmaycomeaspartofthisclinicalexperience.Writingentrieswillbesubmittedforsupervisoryreviewaweekbeforemidtermandfinalevaluations. Furtherdetailswillbeprovidedinthesemester’sfirstCDgroup.
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a.Tests
StudentPracticumContractThestudentclinicianswillprovidetheirstudentpracticumcontracttothesupervisorduringthefirstweekofthesemester.Theclinicianisrequiredtocompleteasmuchoftheformashe/sheisable,includingtheContractClinicalGrowthGoals,andwillsigntheform.Thesupervisorwillcompletetheremainderoftheform,signit,andreturnacopytothestudent.Thecontractmaybesubmittedviathee*ValueSystem.SharedResourceBinderStudentcliniciansareencouragedtosharetherapyresourcesthattheyhavecreatedorfound.TheymaybeplacedintheSharedResourceBinderwhichisfoundonthetallmetalbookcaseintheaphasiaworkroom.RoomSchedulePleaserefertotheSLLCMasterScheduleforroomsthathavebeenassignedtotheAphasiaCenterduringthatday/time.EndofSemesterTreatmentPlansforIncomingCliniciansPriortothelastdayofthesemester,studentcliniciansarerequiredtocreateaTreatmentPlanforeachclientandplaceitintheclient’sfolders.Thisshouldincludeanyinformationthatyouwouldhavelikedtoknowabouteachclientpriortomeetinghim/her.Detailsaboutclientgoalsandperformanceaswellasinformalinformationaboutclient’spersonalitiesandneedsshouldbeoutlined.Thetreatmentplanshouldalsohavenotedthedate,time,androomnumberofapreviouslyrecordedtreatmentsessionthatthefuturestudentcliniciancanreviewontheMilestoneviewingsystem. Pleaseprovidecontactinformationsuchasemailorphonenumbersothatthefutureclinicianmaycontactyou,ifneeded.(PleaseseeConfidentialityGuidelinesbelow).Ahardcopyofeachtreatmentplanshouldbeplacedineachclient’sfolderbythelastdayoffinalsweek.Treatmentplansdonotneedtobesubmittedtothesupervisor.Materials
Tests and materials do not leave the building and must be used within the IPC and other designated areas.
TestsarekeptinalphabeticalorderinthedesignatedstoragecabinetintheStudentWorkroom.Testmanualsandformsarekepttogetherinthefiles. Pleasekeepalltestsinalphabeticalorder.
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Eachtestfilecontainsoriginalformswhicharetobeuseforadministeringformalteststoyourclients. Pleasedonotusethefinalforminafile. Notifyasupervisorifwearelowonforms.
• TreatmentMaterials:TreatmentmaterialsandkeptindesignatedfilingsystemsalsofoundintheStudentWorkroom.Materialsincludetherapymanuals,picturecards,lettertilesetc.Signoutofthesematerialsisnotnecessarythoughitisrequiredthatmaterialsbereturnedtotheirplaceeachday.
• Boardmaker:TwocopiesofBoardmakerarekeptintheFacultyObservationRoom.Eachcopyneedstobechecked-outfromasupervisoranddocumentedonthesign-outsheetprovided.Theyalsoneedtobechecked-inandreturnedtothislocation.
• LaptopsandiPads:LaptopsandiPadsarealsostoredintheFacultyObservationRoom.Theycanbechecked-outfromasupervisoranddocumentedonthesign-outsheetprovided.Theyalsoneedtobechecked-inandreturnedtothislocation.
AphasiaCaseDiscussion(CD)GroupsMission/Outcomes:Studentswilldeveloptheirabilitytoapplytheorytoclinicalpracticewhilelearningtothinkcritically,analyzeandsynthesizeinformation,andcollaborateandcommunicateprofessionally.StructureAllAphasiaCenterstudentsparticipatetogetherinfacultymentoredAphasiaCentercasediscussiongroupsapproximatelytwicemonthlyforonehour.(Pleaserefertothissemester’sCDGroupschedule).Whenrequired,studentspresenttheirclinicalcasesfordiscussion.Supervisorswillprovideinstructionontestadministrationandscoring,datacollectionandreporting,clinicaldocumentation,clientcounseling,clinicalexcellenceetc.Timelyarrivalandactiveparticipationarerequiredastheyserveasaformativeassessmentmeasureattheendofeachterm.Communicatewiththesupervisorpriortothegroupmeetingtimeifthediscussiongrouphastobemissedduetoillnessorfamilyemergency.PleaseseeIMPACTPracticeCenterManualandCSDPoliciesandProceduresManualsforadditionalimportantpoliciesandprocedures.