Demystifying the Clinical Fellowship and 4th Year Experience · self-directed manner ... Send out...

Demystifying the Clinical Fellowship Experience and 4th Year Experience

Session Reminders: • Please silence your cell phones

• Email nsslhaexp@asha.org for all session handouts

• Complete your session evaluation form & leave it in the NSSLHA Experience Raffle Box found in the NSSLHA Experience Lounge

• Don’t forget your Region badge for the luncheon-take your luncheon ticket to the NSSLHA Experience Lounge to get your badge!

• Don’t forget to vote for your favorite Chapter Poster which can be found in the NSSLHA Experience Lounge

Rene UtianskiCurrent CFY Student

Rene Utianski, M.S., CF-SLP is a Clinical Fellow at Pediatric Speech and Language Specialists in Scottsdale, Arizona. She is enjoying completing her CF part-time, while completing her PhD in speech science at Arizona State University. She expects to graduate May 2014 and earn her Cs July 2014. Rene holds her Master's in CSD from ASU and BA in Psychology and Speech and Hearing Science from The George Washington University. Rene is also the immediate Past-President of the National Student Speech Language Hearing Association.

Demystifying the Clinical Fellowship

Rene L. Utianski, M.S., CF-SLPrutiansk@asu.eduTwitter: @utianski

About Me

B.A.

M.S.PhD

Part-time CF

What is the purpose of the CF?

ASHA website: http://www.asha.org/Certification/Clinical-Fellowship.htm

• Theoretical knowledge

Integrate and Apply

• Strengths• Areas for

improvement

Evaluate• Clinical Skills

Develop and refine

• Independent practitioner

Advance

Requirements for SLP-CF

1260 hours

• 36 weeks of full-time (35 hours/ week) • Part-time, with a 5 hour/week minimum• No more than 4 years/48months from the date of initiation of the experience

80%

• 80% of time must be spent in direct clinical contact• e.g. assessment/diagnosis/evaluation, screening, treatment, report writing,

family/client consultation, and/or counseling

3

• A score of "3" or better on the core skills in the final segment of the experience (rated by Mentor using the SLP CFSI Form).

CCC

• Mentoring by an individual holding ASHA certification in speech-language pathology.

• Completion of CF Report and Rating Form

ASHA website: http://www.asha.org/Certification/Clinical-Fellowship.htm

Supervision• 6 hours of direct supervision per segment (each

segment is 1/3 the length of the fellowship). • 6 indirect monitoring activities (e.g. reviewing

diagnostic reports/treatment plans, monitoring CF's participation in professional meetings, and/or evaluating the CF’s work by consulting with colleagues or clients and their families.

Council for Clinical Certification• Committee Charge: “Define the standards for clinical

certification and apply those standards in the certification of individuals; (the CFCC) shall have final authority to withdraw certification in cases where certification was granted on the basis of inaccurate information.”

http://www.asha.org/Certification/NewsAndAnnouncements/

Timeline for CF Paperwork Completion

Before • Apply for

certification* (requires program director signature)

• Transcript• Praxis Scores• Payment• Check state licensure!

During• 3 ratings,

completed at equal intervals, on CF Report and Rating Form

After• Completed CF

Report and Rating form

*critical for graduates in May/ August 2014, planning to apply under 2005 standards;Is not required until after completion of the CF, but new standards go into effect September 1, 2014

SLPCF Report and Rating Form

CF Skills Inventory (CFSI)• Questions related to:▫ Evaluation Skills▫ Treatment Skills▫ Management Skills▫ Interaction Skills

• Ratings made from 1-5, with 5 representing most effective performance, and 1 representing least effective

• Performance ratings consider:▫ Accuracy—the degree to which CF performs a skill without error▫ Consistency—the degree to which CF performs a skill at the

same level of proficiency across cases▫ Independence—the degree to which CF performs a skill in a

self-directed manner▫ Supervisory Guidance—the degree to which CF seeks

consultations when needed

Continuing Education Units (CEUs)

• The CF does not have CEU requirements.• Once you are certified, however, CEU

requirements will go into effect.• You cannot “bank” CEUs during a CF to count

them later.• ALWAYS check with your state licensure board

regarding CEU requirements.

Important Reminders• If you change settings, supervisors, or the number of

hours you work per week, please complete a separate CF Report and Rating Form for each change.

• Professional experience of less than 5 hours per week cannot be used to meet the Clinical Fellowship requirement.

• The total number of weeks and hours submitted must clearly show that the minimum requirement of 36 weeks, totaling an accumulation of 1,260 total hours, has been fulfilled.

• Check out the Certification page on ASHA’s web site: http://www.asha.org/certification/

▫ Standards▫ FAQs▫ Slides from the SLP Standards webinar in January▫ Other useful information (Mentors, Licensure, etc.)

For More Information

How do you find a CF?• ASHA Career Center▫ http://asha.org/careers/

• NSSLHA (local and national!) Career Fairs• Internship/ Externship supervisors• Don’t be afraid to ask!▫ Send out your resume and cover letter▫ Don’t just apply for CF positions▫ Network!

Finding the right CF

• Recognize your value, skills• Worry about pay later• Ask questions: ▫ Talk to staff, managers, district circles

• Look on Yelp, http://www.azdhs.gov/als/index.htm• Ensure adequate quality supervision

The Interview- Questions to ask

• Is a mentor available? (Meet them, if possible!)▫ What are their strengths and weaknesses?▫ Where are they located?▫ Will they be my daily supervisor?▫ Do they hold current CCCs?

• Will the minimum requirements be satisfied (i.e. work hours, supervision)?

• How will supervision be supplied (e.g., weekly meetings, co-treating with supervisor)?

Prevent mismatched expectations

Roles

• Definition• Flexibility• Evolution

Expectations

• Job- specific• Support

needed/ available

• Balance independence & willingness to learn

Processes

• How is mastery developed?

• Scientific method

• Implicit/ explicit action

The CF Framework

http://www.asha.org/docs/html/SP2007-00283.htmlhttp://www.asha.org/policy/ET2010-00309/

Scope of Practice

Code of Ethics

Licensure

Clinical Decision-Making

Decision

EBP• High-quality

research• Clinical expertise• Family/ patient

preference

Setting-determined restrictions

Inter-professional consultation

Other resources for successful practice• Compendium of EBP Guidelines and Systematic

Reviews▫ http://www.asha.org/members/ebp/compendium/

• Cochrane Reviews• www.cochrane.org/cochrane-reviews

• Evidence Maps• http://www.ncepmaps.org/

• ASHA journals• ASHA SIGs (Perspectives & ASHA Community)• Pinterest• Blogs

Melanie HudsonRecent Professional & CF Supervisor

Melanie W. Hudson, M.A., CCC-SLP and ASHA Fellow is a native of the Washington, D.C. area and currently resides in suburban Atlanta. She received her undergraduate degree from James Madison University, and completed her graduate studies at George Washington University. Prior to her current position as a Director with EBS Healthcare, she worked in both public schools and private practice. She also served as an adjunct faculty member at Georgia State University.She currently serves on the ASHA Speech-Language Pathology Advisory Council and on ASHA’s Board of Special Interest Group Coordinators as the Coordinator for Special Interest Group 11, Administration and Supervision. She recently served on ASHA’s ad hoc committee on Supervision and is the co-editor and chapter author for the 4th edition of “Professional Issues in Speech-Language Pathology and Audiology,” (Lubinski & Hudson; Delmar, Cengage Learning, 2013). She is the Past-President of the Georgia Speech-Language and Hearing Association.Melanie presents nationally at universities, school districts, and conferences in the areas of clinical supervision, autism spectrum disorders, and topics related to school-based practice. She has supervised and mentored numerous graduate student clinicians and Clinical Fellows in her 30-plus years in the profession.

Student Clinician to Clinical Fellow: Making the TransitionMelanie W. Hudson, M.A., CCC-SLP ASHA Fellowmelanie.hudson@ebshealthcare.com

Student Clinician• Supervisor provides more direct style of

supervision

Clinical Fellow• Goal of the CF Experience is to achieve

independence

CF Mentor• Mentor serves as a coach or guide with

less direct style of supervision

Interview Questions• Will you provide the CF Mentor as part of my

employment?• If not, may I provide my own?• If so, will my mentor be qualified?• Will my mentor be familiar with his/her roles and

responsibilities?• Before you start your CF Experience, go to

www.asha.org/certification/

Will you provide the CF Mentor as part of my employment?

If not, may I provide my own?

If so, will my mentor be qualified?

Will my mentor be familiar with his/her roles and responsibilities?

Remember: It is YOUR CF Experience

• Before you start your CF Experience, go to www.asha.org/certification/

Support!

Congratulations!

Caleb McNieceCurrent 4th Year Extern for Aud.

Caleb McNiece is a 4th year Au.D. student at the University of Memphis. He is currently completing his 4th year externship at an ENT practice in Memphis. Caleb is the former Region 3 Representative on the NSSLHA Executive Council. He is the former president of the University of Memphis NSSLHA Chapter and is a student member of NSSLHA, SAA, ADA, NHCA, AAS, and EAA. He currently sits on the Educational Audiology Association Social Media Committee Caleb aspires to one day own a multispecialty private practice.

The 4th Year ExternshipCaleb McNiece, B.A.

Where do I find one?

• HearCareers.audiology.org• Your program director• Conferences• Message Boards & List Servs• Hospital Job Pages• Military Recruiters• Cold Calling

Considerations• Type of practice• Caseload• Location, location, location• Your skillset• Long term job opportunities• Compensation

On the Job•Licensure/Registration•Supervision•Personalities•Co-workers•Communication

Don’t forget…• Fill out your session evaluations and put them in

the NSSLHA Experience Raffle box

• Get your Regional badge in the NSSLHA Experience Lounge

• Email nsslhaexp@asha.org for all session handouts

THANK YOU SO MUCH AND ENJOY THE REST OF YOUR DAY!