Master of Public Health (MPH)

Practicum Experience Manual2012-2013

June 7, 2012

Practicum Experience Manual 2012-2013

TABLE OF CONTENTS

Introduction......................................................................................................................................1MPH Practicum Deliverables and Due Dates..................................................................................2The Practicum Experience – Definitions, Roles, and Responsibilities...........................................3

Student.........................................................................................................................................3Faculty mentor.............................................................................................................................3Blackboard...................................................................................................................................3Practice site..................................................................................................................................4Site mentor...................................................................................................................................4Site affiliation agreement.............................................................................................................4Student practicum agreement.......................................................................................................5Practicum concept document.......................................................................................................5Learning agreement.....................................................................................................................5Time commitment........................................................................................................................5Practicum funding........................................................................................................................5Practicum enrollment...................................................................................................................5Practicum course syllabus............................................................................................................5

Steps to Complete the Practicum Experience..................................................................................60. Assignment of faculty mentor..............................................................................................61. Identification of practice site and site mentor......................................................................62. Completion of the site affiliation agreement.......................................................................63. Completion of the student practicum agreement.................................................................74. Submission and approval of the practicum concept document............................................75. Completion of the practice site profile.................................................................................86. Completion and approval of the learning agreement...........................................................87. Performance of activities specified in learning agreement at the practice site....................98. Preparation of practicum report, presentation, and poster.................................................109. Submission of practicum evaluation forms........................................................................1010. Grading of practicum experience: Refer to the syllabus in Appendix 9............................10

Appendix 1: Practicum Concept Document..................................................................................11Practicum Concept Document Sample......................................................................................11Practicum Concept Document Form..........................................................................................11Evaluation Rubric......................................................................................................................11

Appendix 2: Learning Agreement.................................................................................................12Learning Agreement Sample.....................................................................................................12Learning Agreement Form.........................................................................................................12Evaluation Rubrics.....................................................................................................................14

Appendix 3: Practice Site Profile..................................................................................................16Appendix 4: Student Evaluation of Practicum Experience...........................................................17Appendix 5: Site Mentor Evaluation of Student............................................................................20Appendix 6: Practicum Report......................................................................................................22Appendix 7: Practicum Presentation.............................................................................................23Appendix 8: Practicum Poster.......................................................................................................24Appendix 9: Practice Site and Site Mentor Information...............................................................26

Practicum Form: Practice Site and Site Mentor Information....................................................26

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Practicum Experience Manual 2012-2013

Introduction

The goal of the practicum experience is to bridge the gap between academia and practice. The practicum experience serves as a vehicle to introduce future public health professionals to the field during their formal education. Additionally, the practicum experience creates a snapshot of what may be expected of public health professionals after formal schooling. To achieve this goal, MPH students are required to synthesize conceptual information presented in their core courses and concentration track, and utilize this information in writing the learning agreement, in conducting the work specified in the learning agreement and in evaluating the completed work.

Within the field of public health, there are three core functions: assurance, assessment, and policy development (Institute of Medicine, The Future of Public Health. Washington, DC: National Academy Press, 1988). Ten essential services of public health have been developed to aid in interpreting and achieving the three core functions (see Figure 1):

Monitor health status to identify community health problems; Diagnose and investigate health problems and health hazards in the community; Inform, educate and empower people about health issues; Mobilize community partnerships to identify and solve health problems; Develop policies and plans that support individual and community health efforts; Enforce laws and regulations that protect health and ensure safety; Link people to needed personal health services and assure the provision of health care

when otherwise unavailable; Assure a competent public health and personal health care workforce; Evaluate effectiveness, accessibility and quality of personal and population-based

health services; Research new insights and innovative solutions to health problems.

http://www.cdc.gov/od/ocphp/nphpsp/EssentialPHServices.htm

Figure 1. Ten Essential Services

It is a goal of the MPH program to assure that the practicum experience combines didactic learning with practical experience to enable the student to achieve the public health competencies that are necessary to carry out the core functions of public health. It is our vision that relationships garnered through the practicum experience with our partners and fellow stakeholders in public health be a fruitful, positive opportunity for all involved—our students, our school, and our community.

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Practicum Experience Manual 2012-2013

MPH Practicum Deliverables and Due Dates

Date Due Late

pe

nalt

Deliverable Instructions in Submit to Format

09/01/12 * Practice site and site mentor information

Step B, below&

Blackboard assignment

Blackboard group assignment electronic form

09/01/12 * Site Affiliation Agreement

already in place

Step C, below&

Blackboard assignment

Blackboard group assignment

electronic notice

not already in

place

Step C, below&

Blackboard assignment

Dean’s Office electronic form via email

Blackboard group assignment

electronic notice

09/01/12 * Student Practicum Agreement

Step D, below&

Blackboard assignment

MPH Program Officesigned

hardcopy of online form

Blackboard group assignment

electronic notice

09/01/12 Yes Practicum Concept Document

Step E, below&

Blackboard assignment

Blackboard group assignment electronic form

09/01/12 Yes Practice Site ProfileStep F, below

&Blackboard assignment

Blackboard group assignment electronic form

10/01/12 Yes Learning AgreementStep F, below

&Blackboard assignment

Blackboard group assignment electronic form

Determined by faculty

mentorYes Practicum Report

Step G, below&

Blackboard assignment

Blackboard group assignment

electronic Word document

Determined by faculty

mentorYes Practicum Presentation

Step H, below&

Blackboard assignment

live audience oral

Blackboard group assignment

electronic PowerPoint document

Determined by faculty

mentorYes Practicum Poster

Step I, below&

Blackboard assignment

Blackboard group assignment

electronic PowerPoint document

04/22/13 Yes Student Evaluation of Practicum Experience

Step J, below&

Blackboard assignmentMPH Program Office electronic form

via email

04/22/13 ** Site Mentor Evaluation of Student

Step K, below&

Blackboard assignmentMPH Program Office electronic form

via email

* Required prior to start of formal practicum field work** No extra credit if submitted late

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Practicum Experience Manual 2012-2013

Definitions, Roles, and Responsibilities

Student: The master of public health degree candidate who is conducting the practicum at a public health-related agency or organization (see Practice site, below). If for any reason the student experiences difficulty of any kind, personal, professional or otherwise, the student is to communicate those difficulties to his or her faculty mentor and site mentor to ensure prompt action.

Faculty mentor: The faculty member who is assigned as the student’s practicum instructor. The faculty mentor is a member of the practicum mentoring team, which consists of faculty from each of the departments in SPHIS. The faculty mentor is responsible for understanding all requirements of the practicum experience and ensuring, as far as possible, that the student satisfies these requirements. The faculty mentor is responsible for evaluating the student and for submitting the student’s final grade.

Blackboard: The primary mechanism for communication among the student, the student’s faculty mentor, and the MPH program director and staff.

Students utilize Blackboard for the course using PHPH-679-01 regardless of the section they registered for; all sections other than 01 are unavailable for student access. The Blackboard contents, groups, and group contents are cumulative over the duration of the practicum.

Each student-faculty mentor pairing is in its own Blackboard group, whose name is that of the student. The group is a mechanism for communication between student and faculty mentor, for the student to optionally keep a blog on his or her experience, and for completion and submission of deliverables.

Each Blackboard group consists of: Description, including contact information for the faculty mentor Members, viz., the student and his or her faculty mentor Tools

o Campus Pack Blog – for student to document practicum experience on daily, weekly, or event basis (optional)

o File Exchange – for exchanging drafts of documents and comments (optional)o Group Discussion Board – for communicating and documenting communications

with the other group member; both members subscribe to the board, which enables email notification when additions or changes are made (required)

o Group Tasks – for keeping track of things to do (optional)o Send Email -- to the other group member (optional; the Group Discussion Board,

above, is better way to communicate for most purposes) Assignments, each including instructions and templates for development and submission

by the student, except as noted (see Student Evaluation, below, for additional details):01: Practice site and site mentor information02: Site affiliation agreement (legal document; initiated by the student but completed

by the Dean’s Office)03: Student practicum agreement (legal document)

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Practicum Experience Manual 2012-2013

04: Practicum concept document05: Practice site profile06: Learning agreement (not a legal document)07: Practicum report08: Practicum presentation09: Practicum poster10: Student evaluation of practicum experience11: Site mentor evaluation of student

Important note: The Group Discussion Board is designed and used as the primary method of communication between the student and the faculty mentor. The discussion board documents in a single place the communications for future reference by both group members and serves as a notification mechanism for additions and changes to the ongoing discussion. The latter requires both group members to subscribe to the discussion board.

Practice site : The location at which the student performs his or her practicum. Typically, the practice site’s location and agency or organizations are one and the same. If the site and location are different, the physical location of the agency or organization serves as the practicum location for recordkeeping purposes. It is the responsibility of the practice site to ensure that all necessary materials (e.g., work space, work equipment) are in a location conducive to carrying out the practicum experience. Should the agency or organization be unable to provide needed materials, it should notify the student in consultation with the student’s faculty mentor and the MPH program director prior to accepting a student at the site. A listing of the currently active practice sites is available at Active Practice Sites.

Site mentor : The individual within the practice site responsible for overseeing the student’s duties and experience at the practice site.

The site mentor is responsible for ensuring that the objectives of the learning agreement are in line with the needs of the practice site. The site mentor serves as the point of contact for the MPH program. Activities of the site mentor typically include:

Regularly monitoring the student’s progress towards fulfillment of the learning agreement

Discussing the student’s performance with the faculty mentor Participation in the preparation and review of the student’s final paper, oral presentation,

and electronic poster Completing a student evaluation (see Appendix 4)

Additionally, the site mentor is encouraged to facilitate the student’s learning experience by making the student aware of opportunities available within the site organization that are relevant to the practicum, professional interests and development, and overall growth as public health professionals.

Practice site affiliation agreement : One of two documents: a legal document with an entity outside the University or a memo of understanding with an entity within the University. If the site identified by the student is not already under a site affiliation agreement with the School of

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Practicum Experience Manual 2012-2013

Public Health and Information Sciences, the Dean’s Office is responsible for negotiating and executing an agreement with the site. Once the practice site agrees to host students, the site agreement must be in place prior to students beginning any work.

Student practicum agreement : This agreement, between the student and SPHIS, provides practice guidelines and specifies a code of conduct for the student while at the practice site. Once the practice site and SPHIS agree to the overall terms of the affiliation agreement, each student must complete and sign a student practicum agreement.

Practicum concept document. A one-page description of the proposed practice site and primary activities for the practicum. This document is approved by the faculty mentor and MPH program director prior to preparing the learning agreement.

Learning agreement : A document specifying the goals, objectives, and deliverables of the practicum experience. The student is expected to achieve or carry out all items contained in the learning agreement. However, the learning agreement is a living document and can be modified as needed based on agreement by the student, site mentor, and faculty mentor. The learning agreement must be approved and signed by the site mentor and the faculty mentor. If substantial changes (determined by the faculty mentor) are made in the learning agreement during the the practicum, an updated learning agreement must be submitted.

Time commitment : A minimum of 336 contact-hours at or for the practice site. Students should note that all time spent on any items pertaining to the practicum experience, preparatory or otherwise, counts towards their time commitment. NOTE: The time commitment serves as a guide. Successful completion of the objectives and deliverables specified by the learning agreement provides the ultimate framework for the time commitment of the practicum experience.

Practicum funding: The practice site is responsible for any costs of supplies, printing, postage, and other out-of-pocket costs associated with student assignment, excluding travel costs of the student or university personnel, unless university has agreed in writing to assume all or part of these costs. If the practice site cannot cover costs associated with the assigned responsibilities, the student must either identify resources to cover the cost or select another practicum activity.

Practicum enrollment: A student generally cannot enroll in the practicum until the core courses have been completed. A total of 6 credit hours of PHPH-679 is required to complete the practicum. Generally, students register for one credit hour the summer after their first year in the MPH program then three credit hours in the fall of their second year and two credit hours in the spring of their second year.

Practicum course syllabus: The practicum course syllabus can be found in Appendix 9.

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Practicum Experience Manual 2012-2013

Steps to Complete the Practicum Experience

Step 00: Assignment of faculty mentor

The student’s faculty mentor is assigned by May 1 in the spring semester of the student’s first year in the MPH program. The list of students and their assigned faculty mentors is available at Current Practicum Students and Advisors. The student and his or her faculty mentor are the members of the Blackboard group that is named after the student.

Step 01: Identification of practice site and site mentor

Identification of a practice site involves finding a site, identifying a site mentor, obtaining the organization’s agreement to both serve as the site and sponsor the practicum, and working with the MPH program and Dean’s Office to ensure a site affiliation agreement is in place.

From the Blackboard group assignment “01: Practice Site and Site Mentor Information” (which see):

This assignment needs to be completed before the following can be completed by September 1:

Practice site Affiliation Agreement Student Practicum Agreement Practicum Concept Document Practice Site Profile

Work with faculty mentor to identify and finalize practice site and mentor before submitting them for this assignment.

Complete this assignment by copying and completing 01: Practice Site and Site Mentor Information Form, then submitting the completed form as an attachment under Assignment Materials, Attach File.

See Appendix 01 for Practice Site and Site Mentor Information form.

Step 02: Completion of the site affiliation agreement

AN AFFILIATION AGREEMENT MUST BE MUST BE IN PLACE PRIOR TO THE STUDENT’S BEGINNING WORK AT THE PRACTICE SITE.

From the Blackboard group assignment “02: Site Affiliation Agreement” (which see):

Due by September 1 and may require up to two weeks (or more) to get done if not already active or in process (see below).

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Practicum Experience Manual 2012-2013

Check to see if your identified site already has an agreement:

active sites sites in process Questions? Not sure? Ask your faculty mentor.

If your site already has an agreement, you can report this assignment as "Already Done" (see below).

If not, read and follow instructions:

for site outside UofL for site inside UofL Questions? Not sure? Ask your faculty mentor.

Most of the work needed for new agreements is done by the Dean's Office and may take up to 10 working days to complete with all required signatures.

All listings, information, forms, and instructions are at MPH Practicum.

Complete this assignment by submitting either "Done" if new agreement or "Already Done" if existing agreement in the gray area under Assignment Materials, Submission.

Step 03: Completion of the student practicum agreement

THE STUDENT MUST SIGN AND SUBMIT THE STUDENT PRACTICUM AGREEMENT PRIOR TO BEGINNING ACTIVITIES AT THE SITE.

From the Blackboard group assignment “03: Student Practicum Agreement” (which see):

Due by September 1 and can't be completed before Site Affiliation Agreement is completed.

When your site's agreement is in place, fill out, print, and sign your Student Practicum Agreement using the appropriate form:

form for site outside UofL form for site inside UofL

Submit signed copy to the MPH Office; you will get it back to make a copy for yourself and give the original to the site.

Complete this assignment by submitting "Done" in the gray area under Assignment Materials, Submission.

Step 04: Submission and approval of the practicum concept document

Once a practice site has been identified, the student must develop and submit a one-page description of the proposed site activities to the faculty mentor. The document must be approved by the faculty mentor and MPH program director prior to continuing further with the practicum experience. The purpose of the reviews is to make sure the student’s practicum is conceived as onsite field experience at and for a public health-related site.

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Practicum Experience Manual 2012-2013

From the Blackboard group assignment “04: Practicum Concept Document” (which see):

Due by September 1.

5% of final grade: on time, 100 points; late, 0 points.

Work with your faculty mentor to develop your Practicum Concept Document by copying and completing Practicum Form: Practicum Concept Document. Use Save as Draft function in this assignment or save in your group’s File Exchange until document is finalized for submission.

Practicum Concept Document Sample

Complete this assignment submitting the completed form as an attachment under Assignment Materials, Attach File.

Final submission by you constitutes your signature.

Assignment feedback of “Approve” or equivalent by your faculty mentor constitutes his or her signature.

See Appendix 1 for Practicum Concept Document sample, form, and evaluation rubric.

Step 05: Completion of the practice site profile

The completed practice site profile is reviewed with the faculty mentor.

From the Blackboard group assignment “05: Practice Site Profile” (which see):

Due by September 1.

5% of final grade: on time, 100 points; late, 0 points.

Work with your faculty mentor to develop your Practicum Concept Document by copying and completing Practicum Form: Practice Site Profile. Use Save as Draft function in this assignment or save in your group’ s File Exchange until document is finalized for submission.

Complete this assignment by submitting your completed form as an attachment under Assignment Materials, Attach File.

Final submission by you constitutes your signature.

Assignment feedback of “Approve” or equivalent by your faculty mentor constitutes his or her signature.

See Appendix 3 for Practice Site Profile sample, form, and evaluation rubric.

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Practicum Experience Manual 2012-2013

Step 06: Completion and approval of the learning agreement

The student works with his or her faculty and site mentors to develop a learning agreement. The learning agreement must be approved by the faculty mentor and the site mentor. The learning agreement may be modified by submitting a revised version that is approved and distributed as was the initial version.

From the Blackboard group assignment “06: Learning agreement” (which see):

Due by October 1.

20% of final grade: assessed using rubrics, including late penalty.

Copy Practicum Form: Learning Agreement. Use Save as Draft function in this assignment or save in your group’ s File Exchange until document is finalized for submission. Work with your faculty and site mentors to develop your Learning Agreement.

Learning Agreement Sample

Complete this assignment by submitting your completed form as an attachment under Assignment Materials, Attach File.

Final submission by you constitutes your signature.

Email from Site Mentor stating concurrence with the Learning Agreement constitutes his or her concurrence.

Assignment feedback entry of “Approve” or equivalent by Faculty Mentor constitutes his or her concurrence with the Learning Agreement but does not imply an assessment for grading purposes.

The Learning Agreement may be modified by submitting either an entirely new agreement or a revised copy of the agreement, either of which requires the above signature and concurrences.

See Appendix 2 for Learning Agreement sample, form, and evaluation rubric.

Step 07: Performance of activities specified in learning agreement at the practice site

See Time Commitment, above.

It is recommended that students keep a blog in their Blackboard groups while performing their practice activities. Entries may include:

Brief synopsis of activities for the day or week Specific accomplishments or activities completed Problems that occurred and how they were resolved Experiences that provided learning and professional growth, specifically in reference

to the MPH core and concentration specific competencies

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Practicum Experience Manual 2012-2013

The blog facilitates preparation of the practicum report, below.

Step 08: Preparation of practicum report, presentation, and poster

On completion of the activities at the practice site, the student must prepare a written report, an oral presentation, and an electronic poster on the practicum experience. The student’s faculty mentor and site mentor provide guidance in the preparation and review of the written report, oral presentation, and electronic poster. Guidelines for preparation of these materials are in Appendices 6, 7, and 8, respectively. The MPH program develops and posts an oral presentation schedule.

Electronic copies of all deliverables are due to the MPH Program Student Services office by noon on the Thursday before SPHIS Convocation. This is a program requirement in order to meet your degree requirements.

Step 09: Submission of practicum evaluation forms

Student evaluation of practicum experience: On completion of the practicum each student must complete an evaluation of their practicum experience. See Appendix 4. This survey will be completed electronically through a web based survey package. You will receive a notification email and several reminders until you complete the survey.

Site mentor evaluation of student: Students are to request that each site mentor complete a student evaluation form. See Appendix 5. This survey will be completed electronically through a web based survey package. The site mentor will receive a notification email and several reminders until the survey is completed. It is the student’s responsibility to also remind the site mentor to complete the survey.

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Appendix 01: Practice Site and Site Mentor Information

Appendix 01: Practice Site and Site Mentor Information

Practicum Form: Practice Site and Site Mentor Information

Practice Site and Site Mentor Information

Student: Click to enter your name.

Use note: Click item title, e.g., Name:, to enter information if clicking item text box doesn’t work.

Practice Site Information

Name: Click to enter Practice Site’s name.Address: Click to enter Practice Site’s address. Multiple lines enabled.City: Click to enter Practice Site’s city.State: Click to enter Practice Site’s state.Zip code: Click to enter Practice Site’s zip code.

Site Mentor Information

Name: Click to enter Site Mentor’s name.Title: Click to enter Site Mentor’s title.Email: Click to enter Site Mentor’s email.Phone: Click to enter Site Mentor’s phone.

Address: Click to enter Site Mentor’s address, if different from Site’s.City: Click to enter Site Mentor’s city, if different from Site’s.State: Click to enter Site Mentor’s state, if different from Site’s.Zip code: Click to enter Site Mentor’s zip code, if different from Site’s.

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Site Mentor's address is same as Practice Site's.

Appendix 02: Practice Site Affiliation Agreement

12

Appendix 03: Student Practicum Agreement

13

Appendix 04: Practicum Concept Document

Appendix 04: Practicum Concept Document

Practicum Concept Document Sample

Practicum Concept Document Form

Practicum Concept Document

Student: Click to enter your name.

Practice Site: Click to enter name of practice site.

Proposed Practicum Activities:

Click to enter activities. Copying and pasting from Word recommended. Area expands as needed.

Final submission by Student in corresponding Blackboard assignment constitutes Student’s signature.

Feedback entry of “Approve” or equivalent by Faculty Mentor in corresponding Blackboard assignment constitutes Faculty Mentor’s signature.

Feedback entry of “Approve” or equivalent by MPH Program Director in corresponding Blackboard assignment constitutes MPH Program Director’s signature.

Evaluation Rubric

Rubric for Scoring Practicum Concept Document

Standard Meets Standard(100%)

Unacceptable(0%)

Net Score %

Timeliness On or before September 1 After September 1 %

Raw Score 100

Net Score (Raw Score x Net Score %) =

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Appendix 05: Practice Site Profile DUE BY SEPTEMBER 1

Appendix 05: Practice Site Profile

Practice Site Profile Sample

Practicum Form: Practice Site Profile

Practice Site Profile

Student: Click to enter your name.

Practice Site:

1. When and how did your site originate? Discuss your site’s history and development.

Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

2. What are your site’s mission, major goals, and values?

Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

3. What services are provided by your site? Who are your site’s clients? What are the client demographics?

Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

4. How is the staff of your site organized? Discuss the leadership structure.

Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

5. Who are the stakeholders for your site?

Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

6. Describe and discuss the major funding streams (e.g., income, parent organization allocations, grants, philanthropic donations) and budget for your site.

Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

7. Elaborate on laws or policies that impact the operation of your site.Click to enter response. Copying and pasting from Word recommended. Area expands as needed.

Final submission by Student in corresponding Blackboard assignment constitutes Student’s signature.

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Appendix 05: Practice Site Profile DUE BY SEPTEMBER 1

Feedback entry of “Approve” or equivalent by Faculty Mentor in corresponding Blackboard assignment constitutes Faculty Mentor’s signature.

Evaluation Rubric

Rubric for Scoring Practice Site Profile

Standard Meets Standard(100%)

Unacceptable(0%)

Net Score %

Timeliness On or before September 1 After September 1 %

Raw Score 100

Net Score (Raw Score x Net Score %) =

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Appendix 06: Learning Agreement DUE BY OCTOBER 1

Appendix 06: Learning Agreement

Learning Agreement Sample

Learning Agreement Form

Learning AgreementUse note: Click item title, e.g., Name:, to enter information if clicking item text box doesn’t work after

(un)checking checkbox. Keep trying; it will work eventually. (Word bug)

Student Information

Name: Click to enter your name.Email: Click to enter your email address.Concentration: Enter your concentration from list

Faculty Mentor Information

Name: Click to enter Faculty Mentor’s name and degree(s).Email: Click to enter Faculty Mentor’s email.Phone: Click to enter Faculty Mentor’s phone.

Practice Site Information

Name: Click to enter Practice Site’s name.Address: Click to enter Practice Site’s address. Multiple lines enabled.City: Click to enter Practice Site’s city.State: Click to enter Practice Site’s state.Zip code: Click to enter Practice Site’s zip code.Website: Click to enter Practice Site’s URL (if any).

Site Mentor Information

Name: Click to enter Site Mentor’s name and degree(s).Title: Click to enter Site Mentor’s title.Email: Click to enter Site Mentor’s email.Phone: Click to enter Site Mentor’s phone.

Anticipated Student

Schedule at Practice Site

Monday Tuesday Wednesday Thursday FridayClick to enter times. Multiple lines enabled.

Click to enter times. Multiple lines enabled.

Click to enter times. Multiple lines enabled.

Click to enter times. Multiple lines enabled.

Click to enter times. Multiple lines enabled.

Additional Scheduled Events and ActivitiesClick to enter events and schedules. Multiple lines enabled.

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Appendix 06: Learning Agreement DUE BY OCTOBER 1

Student Supervision Plan

Days, Times, and Participants in Addition to Site Mentor

Click to enter supervision plan. Multiple lines enabled.

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Appendix 06: Learning Agreement DUE BY OCTOBER 1

Student Assessment Method(s)

Click to enter additional assessment methods. Multiple lines enabled.

Physical Work Space and Equipment

Click to enter additional items. Multiple lines enabled.

Learning Objectives

Objective Learning Activities Deliverable Target Date

Use Note: Enter text directly in cells; add rows by placing cursor to right of end of row and pressing Enter key.

Final submission by Student for corresponding Blackboard assignment constitutes Student’s signature

Email from Site Mentor stating concurrence with this Learning Agreement constitutes Site Mentor’s concurrence.

Feedback entry of “Approve” or equivalent by Faculty Mentor for corresponding Blackboard assignment constitutes Faculty Mentor’s concurrence with this Learning Agreement but does not imply an assessment for grading purposes.

The Learning Agreement may be modified by submitting either an entirely new agreement or a revised copy of this agreement, either of which requires the above signature and concurrences.

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Direct observation Q&A session

Review of written products Co-worker inteview

Desk/workspace Computer

Telephone Internet access

Appendix 06: Learning Agreement DUE BY OCTOBER 1

Evaluation Rubrics

Rubric for Scoring Learning Agreement

StandardOn time(100%)

A bit late(85%)

Two bits late(75%)

Four bits late(50%)

Too late(0%)

Net Score %

Timeliness On or before October 1

After October 1 and on or before October 15

After October 15 and on or before November 1

After November 1 and on or before December 1

After December 1 %

Raw Score (calculated using Rubric for Assessing a Written Deliverable)

Net Score (Raw Score x Net Score %) =

Rubric for Assessing a Written Deliverable

Topic

(weight)

Assessment of Topic(Note: Assigned score within a range is subjective assessment of degree criterion is met.) Topic

Points Wt.

Topic Score(=Topic Points x Wt.)

Exceptional(range 9.0-10.0)

Acceptable(range 8.0-8.9)

Marginal(range 7.0-7.9)

Unacceptable(range 0-6.9)

Organiza-tion

&Style

(1.5)

Information is presented in a logical, interesting way, which is easy to follow.

Purpose is clearly stated and explains the structure of work.

Information is presented in a logical manner, which is easily followed.

Purpose of work is clearly stated assists the structure of work.

Work is hard to follow as there is very little continuity.

Purpose of work is stated, but does not assist in following work.

Sequence of information is difficult to follow. No apparent structure or continuity.

Purpose of work is not clearly stated.

_____ x1.5 = _____

Content&

Know-ledge

(5.0)

Relates the goals of the learning Agreement to the learning experience

Demonstration of full knowledge of the core and cross-cutting public health competencies with explanations and elaboration

Relates most of the goals of the learning Agreement to the learning experience.

Demonstration of full knowledge of the core competencies of public health with explanations and elaboration

Relates the goals of the learning Agreement to the learning experience.

Fails to demonstrate knowledge of the public health competencies

Fails to relate the goals of the learning Agreement to the learning experience.

Fails to demonstrate knowledge of the public health competencies

_____ x5.0 = _____

Format&

Aesthe-tics

(1.5)

Format is consistent throughout including heading styles and captions.

Figures and tables are presented logically and reinforce the text.

Format is generally consistent including heading styles and captions.

Figures and tables are neatly done and provide intended information.

Mostly consistent format.

Figures and tables are legible, but not convincing.

Work is illegible, format changes throughout, e.g., font type, size, etc.

Figures and tables are sloppy and fail to provide intended information.

_____ x1.5 = _____

Spelling&

Grammar(1.0)

Negligible misspellings and/or grammatical errors.

Minor misspellings and/or grammatical errors.

Several spelling and grammatical errors.

Numerous spelling and grammatical errors. _____ x1.0 = _____

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Appendix 06: Learning Agreement DUE BY OCTOBER 1

Rubric for Assessing a Written Deliverable

Topic

(weight)

Assessment of Topic(Note: Assigned score within a range is subjective assessment of degree criterion is met.) Topic

Points Wt.

Topic Score(=Topic Points x Wt.)

Exceptional(range 9.0-10.0)

Acceptable(range 8.0-8.9)

Marginal(range 7.0-7.9)

Unacceptable(range 0-6.9)

Refer-ences

(1.0)

Reference section complete and comprehensive.

Consistent and logical referencing system.

All appropriate persons and organizations appropriate acknowledged

Minor inadequacies in references.

Consistent referencing system.

Some organizations or persons not acknowledged

Inadequate list of references or references in text.

Inconsistent or illogical referencing system.

Some organizations or persons not acknowledged

No acknowledgements given

No referencing system used.

_____ x1.0 = _____

Net Score for Assessment of Written Deliverable (transfer to deliverable scoring rubric; maximum of 100) ∑ =

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Appendix 07: Practicum Presentation DUE BY XXXX

Appendix 07: Practicum Presentation

(NOTE: The following is only as only a guideline.)

Presentation: Each student’s manner of dress and deportment during their presentation must reflect the standards required in any professional forum.

The time allotted for the oral presentation is 15 minutes, including a period for questions. The verbal report should take 10 minutes, and are timed. Brevity is considered a key element in professional platform presentations; consequently, students should practice their presentations aloud to assure they remain within time limits.

The presentation should be made with 12 to 15 PowerPoint slides and include: Overview of the practice site and background for assigned activities at the site Methodology used to complete the assigned activities Results Conclusions and recommendations

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Appendix 08: Practicum Poster DUE BY XXXX

Appendix 08: Practicum Poster

Poster Templates: Electronic power point poster templates are made available to students in the second semester of their practicum. These templates are located at https://sharepoint.louisville.edu/sites/sphis/acprogs/mph/Shared%20Documents/Forms/AllItems.aspx

Poster Content: In general, a poster presents the key elements of a study or program in an easy-to-read format. It should summarize the study or program in enough detail to educate people without overwhelming them with information. The poster should use graphics (photos, figures, charts), tables, and text to describe your work in a logical sequence. Organize the material into sections (for example: Title, Purpose, Methods, Data Analysis, Results, Conclusions, etc.). Use numbers to help sequence the sections of the poster. Arrange the material into columns. The poster should not need your verbal explanation to link together the various portions.

1. The Title . The title banner includes the title of the work, the authors’ names, and the institutional affiliations.a. The title for the poster should be short, around 10 words if possible.b. Use first names for authors to facilitate interactions, but avoid middle initials and titles

unless necessary.c. To conserve space, city names, states, and countries may be dropped from institutional

affiliations, and abbreviations should be used where possible.d. The title should lure people closer to see your work.e. The print should be bold.

2. General Guidelines . Self-explanatory graphics should dominate the poster; a minimal amount of text should supplement the graphic materials. In general, there should be about 20% text, 40% graphics and 40% empty space.a. Use active voice when writing the text;b. Delete all redundant references and filler phrases, such as see Figure…c. Use short sentences and avoid jargon, acronyms, and unusual abbreviationsd. Use bullets to illustrate discrete points.e. Graphic materials should be visible from at least 6 feet.f. In general, remove all material extraneous to the focal point of the poster.g. For graphs and tables, remove any non-essential information not critical to

understanding the content of the posterh. The poster is not a publication of record, so excessive detail about methods, or vast tables

of data are not necessary.

3. Purpose of Study, Project, or Program . A brief introduction stating the purpose of the study, project, or program should appear in the upper left portion of the poster below the title.

4. Methods or Processes used during the practicum . This section should follow the introduction and include a brief discussion of any methods or data collection processes used in completing identified activities for the practicum. .

5. Results . The results include the major findings from activities of the practicum.

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Appendix 08: Practicum Poster DUE BY XXXX

6. Conclusions . This section should appear in the lower right portion of the poster. It’s important to keep in mind that many people read the conclusion first! If they believe the conclusion is valuable and applicable to them, then they tend read the rest of the poster.

7. Acknowledgements . If you would like to acknowledge someone or a sponsoring organization, that can be done in this section.

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Appendix 09: Practicum Report DUE BY XXXX

Appendix 09: Practicum Report

The practicum each master of public health student conducts as part of the practicum experience is summarized in a written report. Following are guidelines for the report.

Report Format:A number of sections of the original Learning agreement and Practice Activities Proposal are to be included in the final report. However, the accepted format of the final report requires that the tense be changed from the future to the past. This requires a careful reading to assure correct grammar and agreement of subjects/verbs as well as tense.

1. At a minimum, the report should contain the following information and be in APA format:

Name of organization and mentor where practicum experience was done Introduction (overview of site and specific activities performed by the student) Materials and Methods (How the assigned activities were carried out, what,

where, when, how, with whom, etc., i.e. what did the student do) Results (presentation of the data) Discussion of any pertinent literature related to the assigned activities Challenges encountered and how they were addressed and/or successes in

carrying out the practicum activities Conclusion and recommendations

2. The report should be no more than 20 double spaced pages of narrative, with additional pages for references, data display, or other appendices, if needed.

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Appendix 10: Student Evaluation of Practicum Experience DUE BY XXXX

ELECTRONIC VIA E-MAILAppendix 10: Student Evaluation of Practicum Experience

INSTRUCTIONS: This evaluation is electronically completed by the student at the end of the practicum.

Student Name: _________________________________Date: __________

Practice Site Name: ___________________________________________

Faculty mentor: __________________________________

******************************************************************************Please answer each question according to selection of responses.

Guidance by MPH Program:1. How did you select your practice Site?

2. To what extent did the MPH Program provide adequate information and guidance in preparing for your practicum?

3. MPH Program Student Services was available throughout the practicum to answer questions and help troubleshoot.

__Strongly Agree ___Agree ___Neutral ___Disagree __Strongly Disagree

Guidance by faculty mentor : 4. The Faculty mentor was responsive throughout the practicum to answer questions and help troubleshoot.

__Strongly Agree ___Agree ____Neutral ___Disagree __Strongly Disagree

5. The individual meetings with the Faculty mentor throughout the practicum was useful in the development of learning objectives and monitoring practicum progress

__Strongly Agree ___Agree ____Neutral ___Disagree __Strongly Disagree

Guidance by Other SPHIS Faculty

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Appendix 10: Student Evaluation of Practicum Experience DUE BY XXXX

6. Did you have any help from any other SPHIS faculty to help in the preparation or throughout your practicum? _____Yes ______No

If yes, who were they, and how did they help?

Guidance by Site Mentor

7. The Site Mentor was available throughout the practicum to provide guidance and help troubleshoot.

__Strongly Agree ___Agree ___Neutral ____Disagree __Strongly Disagree

8. To what extent did your Site Mentor adequately provide orientation to administrative policies, physical facilities, and standards of practice at the site?

9. How often did you meet with your site mentor? Was this sufficient time to accomplish all your objectives?

10. Would you recommend this particular site mentor for future projects and student work? ____Yes ____NoWhy or why not?

Overall Practicum Experience11. The practicum increased my ability to work in and understand public health.

__Strongly Agree ___Agree ___Neutral ___Disagree __Strongly Disagree

12. The Practicum MPH Town Hall Meetings increased my understanding of the practicum and its requirements.

___Strongly Agree ___Agree ___Neutral ___Disagree __Strongly Disagree

13. The Integration course was useful in reflecting on my practicum experience and relating it to the learning objectives of my concentration, and more broadly, public health practice.

__Strongly Agree ___Agree ___Neutral ___Disagree __Strongly Disagree

14. The Practicum Poster Session was valuable use of time in sharing my practicum experience with my Advisory Committee and the SPHIS community.

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Appendix 10: Student Evaluation of Practicum Experience DUE BY XXXX

__Strongly Agree ___Agree ____Neutral ___Disagree __Strongly Disagree

15. Would you recommend your practice site to other SPHIS students? Why or why not? _______Yes ______No

16. Please list knowledge areas that would have been helpful in preparing you for your practicum. Also, write or attach any additional comments concerning your practicum:

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Appendix 11: Site Mentor Evaluation of Student DUE BY XXXX

ELECTRONIC VIA E-MAILAppendix 11: Site Mentor Evaluation of Student

INSTRUCTIONS: The site mentor completes this at the end of the practicum and evaluates the student’s performance throughout the entire practicum experience. This evaluation is electronically completed by the site mentor at the end of the practicum.

Site Mentor: _____________________________Date:_________

Email____________________________________

Phone____________________________________

Student Name:__________________________________________

Use the following scale; please evaluate the student's performance for the full practicum.

5=Outstanding. 4=Very Good, 3=Good, 2=Fair, 1=Poor, N/A=Not Applicable

_____Reliability (attendance, punctuality, etc.)

_____Motivation and Initiative

_____Organizational skills

_____Contributed innovative ideas to improve project(s)

_____Completed projects in timely manner

_____Worked independently when needed

_____Worked as a part of a team when needed

_____Exercised own judgment appropriately

_____Made efforts to develop and improve skills

_____Accepted feedback and suggestions objectively

_____Ability to research problems or issues pertaining to their project

_____Met specified goals and objectives (e.g. those in the learning agreement)

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Appendix 11: Site Mentor Evaluation of Student DUE BY XXXX

Please describe:

1. How many hours on-site did the student complete?

2. To what extent did the student meet the objectives stipulated in the Learning agreement?

3. To what extent did the student's work contribute to the mission of your agency/organization?

4. What recommendations for professional development do you have for the student?

5. Will you or your agency provide supervised practicum experiences in the future?

ADDITIONAL COMMENTS: You may provide more information about the student, and/or feedback about any aspect of the practicum, including the role of MPH Program Student Services.

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Appendix 01: Practice Site and Site Mentor Information

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