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CLINICAL EDUCATION PRACTICUM POLICIES, REQUIREMENTS, AND PROCEDURES

PURPOSE OF PRACTICUM

The clinical education component of the CDIS program is designed to provide students with the opportunity to apply the theories learned about speech, language, and hearing disorders in diagnostic and remediation contexts. In addition, clinical practicum is the primary vehicle for achieving skill outcomes on the KASA form. The clinical education component of the Program is accomplished through enrollment in a series of practicum courses (CDIS 501, 502, 503, 505, and 589). Clinical practicum is an integral part of your training in communicative disorders. While the completion of degree and certification requirements is the result of participation in clinical practicum, the ultimate goal is to develop knowledge and skills that will enable the provision of quality services. Clinical practicum should be viewed first as an important learning opportunity, and second as a vehicle for completion of requirements. Quality patient care must always take precedence over completion of degree and certification requirements. Completion of the full practicum sequence is designed to result in student proficiency for: 1. Planning goal-oriented therapy programs that are tailored to individual client needs, for clients

of varying ages, disorders, and cultural backgrounds 2. Developing treatment plans that accurately reflect long-range goals for the client and utilize

appropriate materials and techniques for achieving therapy goals 3. Utilizing a variety of clinical techniques 4. Writing informative clinical reports with appropriate use of professional terminology and

reasonable observation of written language conventions 5. Exhibiting a competent and confident image to the client and/or parent in all clinical contexts 6. Self-evaluation of clinical strengths and weaknesses 7. Exhibiting competence and confidence as a diagnostic evaluation team member, a team leader,

and as the sole diagnostician 8. Exhibiting the necessary skills to deal appropriately with other professionals 9. Using research and exhibiting resourcefulness when faced with a situation not previously

encountered or not directly covered by textbooks or academic theories 10. Gathering and using evidence to make efficacious practice decisions 11. Developing and implementing the full repertoire of professional practice competencies The student will be assisted in achieving these goals through interaction with supervisors. Supervisors will perform several responsibilities toward this end that include, but are not limited to, the following: 1. Observation of the student clinician during diagnostic and therapy sessions 2. Providing the student clinician with written and oral feedback regarding observations,

treatment plans, and other aspects of clinical practice

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3. Conferencing or consultation with the student regarding observations, planning, special problems, or other aspects of clinical practice

4. Providing suggestions for alternative procedures for implementing goals or encouraging the student to seek out and develop alternative procedures

5. Editing and providing final approval of all written work pertaining to client care including treatment plans, diagnostic reports, task analyses, and final reports

6. Demonstration of therapy techniques by working directly with the client 7. Participation in parent and/or client counseling sessions 8. Providing a support system for the student clinician while keeping in mind the ultimate goal of

developing independent and critical thinking skills within the student.

The supervisor is responsible for all clinical decisions. Students may not implement changes in the treatment plan or schedule without the supervisor’s prior approval.

PROFESSIONAL PROTOCOL

Faculty members of the Communicative Disorders program require a clinical environment that is professional in appearance and attitude. This is characterized as:

Clean, calm, organized, collegial, and efficient Showing a positive, caring attitude where people strive to be open and honest in their

communication Considerate of each individual’s needs, valuing differences, and conducive to the setting and

achievement of personal and professional goals Conducive to experiential learning and encouraging for self-esteem Evident of critical reasoning, independent thinking and creative problem solving Welcoming to clients and are providing of the highest quality care and maximum personal

attention possible Productive and enjoyable for students, faculty, staff, and clients in all aspects of clinical activity To help maintain a calm, professional atmosphere, everyone is reminded that clinical sites are, in fact, a classroom where interruptions are to be minimized. Preparations should be made prior to the beginning of the session. Student clinicians should leave the room with their clients only if that is an approved part of the assessment/treatment plan or if the client requires a break. Messages will not be delivered to students who are engaged in a clinical activity unless a legitimate emergency occurs. Cell phones must be turned off during assessment and intervention sessions or left outside the room. Other students must obtain permission from the supervisor before interrupting any assessment or treatment session for any reason. Personal Appearance The clinician’s personal appearance should be should be professional at all times and appropriate to the practicum site in which the student is placed. Practicum sites will vary in specific dress code requirements. Students must always follow the dress code policies for their site placement.

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If no dress code is specified, students should follow the dress code for the ENMU Speech and Hearing Rehabilitation Outreach Center (aka, the SHROC or “the Clinic”).

1. Optimal personal hygiene is essential. As you will be working in close proximity with other humans, please exercise good oral care at all times. Hair must be kept neat and clean and should not interfere with the provision of therapy services in any way. Please be advised that therapy rooms can sometimes be warm, so clinicians should always exert good effort to remain “odor-neutral” as often as possible.

2. Students in the ENMU SHROC should wear a shirt with the clinic logo and khaki pants or a khaki skirt. Capri pants, “skinny pants”, leggings, or shorts of any kind (including Bermuda/walking shorts) are NOT allowed. Students should exercise good judgment in choosing shoes. Tennis shoes and sandals may be acceptable (at some sites) if they have a professional appearance with prior supervisor approval. Open toed shoes are NOT permissible in the ENMU SHROC or in ANY medical setting. ENMU SHROC green polo shirts should be obtained from the ENMU bookstore. Clinic T-shirts are only to be worn with supervisor approval on designated days. Scrubs are required in some settings and may be used as an alternate uniform in certain situations and settings with specified clients, but only with supervisor approval.

3. Shorts, tank tops, halters/bare-backed tops, and T-shirts with messages or logos are considered inappropriate at any practicum site. Bra straps and underwear should NOT show at any time during therapy. Cleavage should not be visible when leaning across a table to assist a client. Tattered or excessively worn clothing is not appropriate for professional attire.

4. Name badges must be worn in the ENMU SHROC and all other practicum sites. Students are responsible for obtaining these badges at the ENMU bookstore.

5. Protective gloves should be worn during all oral examinations. New gloves will be worn for each new client.

6. Strong perfume, cologne, lotion, oil, hair spray, and aftershave, which may trigger allergies or asthma or be unpleasant to others in close proximity is prohibited. Please be aware that some clients and supervisors have strong pet allergies so you must keep your clothing stimulus materials and other clinical supplies free of pet hair as well. This statement also applies to smoke. Please be mindful that the smell of smoke on your clothing may be a dangerous irritant to your clients, your supervisors, and your classmates.

7. Jewelry should be worn with discretion as some clients may grab for it or may find it distracting. Larger items may need to be removed at the discretion of the supervisor prior to entering the therapy session.

8. Facial and/or tongue piercings may also need to be removed when working with some clients. This will be dictated by your supervisor and the setting in which you are practicing.

9. Some practicum sites will not allow any visible tattooing. If required by the site or supervisor, tattoos will need to be covered by clothing, gauze, bandages, or flesh covered makeup during therapy.

10. Practicum supervisors reserve the right to judge the appropriateness of each clinician’s attire individually.

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If a student arrives for a practicum assignment in inappropriate attire, he or she may be dismissed for that session. Any dress code violation may result in a grade reduction.

FACULTY ROLES The faculty members of the ENMU Communicative Disorders Program were hired for their areas of clinical, professional and educational expertise; interpersonal skills; and interest in acting as professional role models and mentors. They want to encourage and assist students to become competent speech-language pathologists. Faculty will model exceptional clinical skills and professional at all times, but will also attempt to challenge students in a positive manner to take personal responsibility for their own learning. Faculty members are expected to objectively evaluate and document student performance, provide constructive written and verbal criticism/feedback, and help ensure that all CDIS graduates are competent, ethical clinicians. Faculty are also charged with the responsibility of overseeing patient care, ensuring safe, high quality care, and acting as liaison to other health care providers and the community. Whenever possible, they will involve students in a variety of professional development activities outside of the routine clinical assignments.

STUDENT ROLES The student’s role in the clinical setting is to develop the intellectual, interpersonal and technical skills of a professional speech-language pathologist through clinical practice. Each student is expected to: Have a significant impact on his/her community by providing quality care in a variety of

settings. Follow the ASHA Code of Ethics and operate within the Scope of Practice in Speech-Language

Pathology (with recognition of student status) Operate within the Professional Functions for Speech-Language Pathologists as established by

the program Provide optimal speech-language pathology services by:

o Developing outstanding clinical skill and judgment o Applying basic and social science background and clinical theory in decision making o Applying academic knowledge learned (Academic Standards) to clinical settings o Integrating relevant research outcomes (Research Standards) into the practice of

speech-language pathology Develop and apply clinical student learning competencies as specified by the Clinical Standards

(Student Learning Outcomes) Develop and apply Professional Practice Competencies during interactions with others Develop interpersonal skills which will:

o Reflect both physical and emotional composure at all times

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o Enable one to work with a diverse population of clients, peers, faculty, and other health care professionals

o Develop self-esteem in self and others o Ensure open, honest communication o Enhance client-faculty communication by introducing faculty members using an

appropriate title and name. Faculty members should be asked in advance how they prefer to be introduced and addressed.

Take responsibility: o For self-learning by setting personal and professional goals and for performing self-

evaluation o For providing total patient care within the scope of personal knowledge and skill, and

seeking guidance from qualified faculty and staff when appropriate o By interacting with peers as teachers and mentors o By using problem solving skills creatively o By making ethical decisions based on knowledge and values consistent with

professional standards of conduct Encourage individual differences by:

o Learning to work with clients of varying ages; ethnic and cultural backgrounds; and physical, mental and social capabilities

o Developing an awareness of personal strengths, gifts, talents, and limitations o Appreciating the different roles faculty, peers, and other health care professionals play

in providing total patient care o Working with fellow health care providers in collegial relationships.

Explore personal characteristics by: o Clarifying personal goals and values in relation to the profession o Challenging oneself, in a positive manner, to learn and apply new concepts and

techniques related to speech-language pathology o Providing leadership and acting as a role model in community and professional

activities o Balancing personal and professional roles o Developing management skills related to the practice of speech-language pathology

including the ability to train, delegate and supervise other team members Maintain a neat, clean, secure environment by:

o Using common courtesy and following procedures detailed in this handbook Follow Administrative and Program Standards at all times

CLINICIAL STANDARDS and PRACTICUM POLICIES In addition to observance of professional protocol, the following are minimal standards for participating in clinical activity. These policies have been established to provide a quality education appropriate to each individual student, to allow the Program to monitor each student’s progress toward attainment of ASHA CCC standards, and to document such progress for each student.

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Code of Ethics In all graduate activities and during all aspects of patient care, it is expected that the student clinician will adhere strictly to the Code of Ethics (COE) presented by ASHA. Failure to do so may result in the establishment of a remediation plan, the student’s removal from practicum, and/or dismissal from the Program. All students are required to know and abide by the COE at all times.

Confidentiality Confidentiality is addressed in the Code of Ethics under Principle of Ethics I. All information pertaining to clients is confidential. Client information used in the context of a learning experience, a case presentation, or in research must be anonymous unless the instructor and/or supervisor have obtained informed written authorization for release/consent. Client information will not be released to any referring person or agency without the express written permission of the client or the client’s parent or guardian. Such permission must be obtained on of a Release of Information Form that is signed, witnessed, and dated.

Client files/information must remain intact and accurately filed unless in-use by authorized parties in the clinical building. FILES MUST REMAIN IN THE CLINIC OFFICE, CLINICIANS’ WORKROOM (AKA “CLEAN LAB”), OR FACULTY OFFICES AT ALL TIMES. Student clinicians may hold files in their personal possession only when waiting for supervisory conferences immediately outside of the supervisor’s office, or when transporting files from one approved location to another. A BREACH OF CONFIDENTIALITY WILL RESULT IN DISCIPLINARY ACTION AND UP TO AND INCLUDING DISMISSAL FROM THE COMMUNICATIVE DISORDERS PROGRAM. To ensure confidentiality standards are met, the student SHALL:

1. Consider ALL information concerning clients to be confidential and refrain from discussing the client in any setting outside designated clinical locations.

2. NEVER use client names, initials, or any identifying or protected information on any document or correspondence. Alphanumeric codes as assigned by the Clinical Director AND SUPERVISOR must be used at all times. All electronic information must be kept on encrypted drives.

3. Dispose of all audio and video tapes, digital or any other computer files used in the therapy setting following the termination of the clinician’s involvement with the client.

4. Provide the Clinic Director (via Certified Background) with a signed CDIS Clinical Practicum Confidentiality and Security Policy. This document is binding. All students in the ENMU CDIS Program must abide by the statements contained therein. Please see the policy for specific requirements.

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Availability Students must understand that their accrual of practicum hours will be negatively impacted by limited availability. Deferring practicum for an entire semester will negatively impact any full-time student’s projected graduation date. Students should understand that deferring enrollment in practicum for a semester should be a planned event (and not a default one). This practice, while acceptable to the program, is not commensurate to a 2-year matriculation plan. Ideally, students should volunteer for experiences and never turn-down additional opportunities which will enrich their competency base. This will ensure that all requirements will be met when they apply for graduation (e.g., screening hours, assessments, prevention hours). Students should strive to complete 2-3 evaluations per semester in their first year and 4-5 each semester in their second year. Students should complete additional observations whenever able (30 observation hours are required before graduation). Dependability The student is expected to prepare for and conduct all clinical activities during scheduled times. This includes therapy and diagnostic sessions, as well as meetings, conferences and consultations with clients, significant others and supervisors. The student must complete all assignments and necessary clinical records in a timely manner and carry out all duties to accomplish total case management (e.g., forms, phone calls, referrals, etc.). The student must secure supervisory permission (from both the immediate supervisor and the Clinical Director), make appropriate arrangements, and notify all concerned regarding any change in schedule, location, or cancellation. Permission must be obtained PRIOR to making any changes.

Punctuality/Absences The student must keep appointments for all clinical obligations within the appropriate timeframe. The student must attend all meetings, conferences, and/or consultations promptly. Students must schedule all personal business outside of scheduled clinic appointments. Excused absences will only be granted for major events such as illness, family death, etc. and must be substantiated with appropriate documentation (e.g., a doctor’s note). Clinicians will NOT MISS THERAPY for any other circumstance without prior authorization from their DIRECT SUPERVISOR AND the CLINICAL DIRECTOR. An unexcused absence is a violation of KASA Clinical: Administrative and Professional Behaviors. This may result in a grade of “C” for the course. The Clinic Director must EXCUSE all absences, including those from off-campus practicum sites PRIOR to the student requesting excusal from the direct supervisor. The Clinic Director may be reached at (575) 562-4232. Please record the date, time, reason for the absence, supervisor’s phone number, and a number at which you can be reached when leaving messages.

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You can also email this message to Laura.Bucknell@enmu.edu. In case of emergency (or if the matter is urgent and you cannot reach the Clinical Director), you may contact the Program Director at Suzanne.Swift@enmu.edu or 575.562.2724. The Program Director can also be reached via cell phone at 575.714.3806. Once again, please note: Both the supervisor at the site and the Clinic Director must approve any absence from an off-campus practicum site. Failure to gain approval by both constitutes a lack of compliance of KASA Clinical: Administrative and Professional Behaviors (discussed further later in this section). This may result in a grade reduction and possible inability to use the clock hours for that site. When an absence has been approved, clinicians are required to find director approved substitutes for clinical sessions missed as often as possible so as not to disrupt the client’s schedule. Any missed or cancelled appointments must be rescheduled (made-up) as approved by the supervisor and as patient schedules allow.

Supervision Only SLPs who hold the Certificate of Clinical Competence (CCC-SLP) may provide supervision of clinical activities for ENMU student clinicians. Clinical supervision may be completed in a variety of ways. Direct observation may occur with the supervisor in the therapy room, through one-way glass, or via closed-circuit television. Direct observation may also involve the supervisor demonstrating techniques with the client while the student clinician observes. It is the responsibility of the supervisor to determine the most appropriate mechanism of observation. In addition to direct observation, supervision must also necessarily take many forms. These include individual conferences between the student and the supervisor, confidential video reviews, and the monitoring of the student’s written work. Many ENMU supervisors hold weekly group meetings with their clinicians to facilitate review, critique, reflection, and strategic remediation to improve clinical skills. Each supervisor will determine additional types of supervision depending on the needs of the student, client, and/or site. Faculty supervisors will use a variety of strategies to encourage student development toward competency. This is encouraged so students receive as broad a perspective as possible. Ultimately, the determination of the type, frequency, and intensity of each student’s supervision must be commensurate with the clinical knowledge and skills of each student and must be designed to ensure that the welfare of each person served by students is protected, in accordance with recognized standards of ethical practice and relevant state and federal regulations. The supervisor carries the legal and professional obligation to hold paramount the welfare of the client. This charge must be the highest priority for the supervisor, and though also charged with fostering student learning and growth, student needs must remain secondary to client care. As the supervisor has the ultimate responsibility for client care in all practicum settings. Student clinicians should implement decisions and procedures only after approval by the supervisor. Students must be directly supervised at least 25% of the time. The manner and amount of each’s student’s supervision is variable and is completely dependent on the level of student skill in

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conjunction with the specific needs of the clients/patients served. There are times when students will need more than this, and this must be provided when necessary. Students must communicate with their supervisors during/after each day of therapy to discuss their clients/client progress, as well as to acquire specific knowledge about their own personal strengths and weaknesses as student clinicians. Students who are not receiving the amount and type of supervision that they feel is necessary for their needs should discuss this situation with the Clinical Director prior to speaking with their supervisor. Academic Pre-Requisites: Students may not see clients for assessment or treatment of any communication disorder that they do not have the knowledge or skills to serve competently. This means that each level of practicum has academic course pre-requisites that must be completed to ensure that knowledge outcomes have been met prior to working with specific clients. Some clinical experiences are allowable with concurrent enrollment and 1:1 clinical supervision; however, some are not. STAT 213: Statistical Methods. This course is a pre-requisite to CDIS 500.

CDIS 243: Survey of Communicative Disorders.

CDIS 300: Speech-Language-Hearing Anatomy and Physiology. This course is a pre-

requisite to CDIS 511, 512, 526, 527, 528, 529, and 540. You may not see clinical clients with

articulation or neurological disorders until this course is completed.

CDIS 303: Language Science. This course is a pre-requisite to CDIS 516. You may not

complete language assessments until this course is completed.

CDIS 310: Phonetics. This course is a pre-requisite to CDIS 511 and 527. You may not see

clinical clients with articulation disorders or complete articulation assessments until this course

is completed.

CDIS 311: Articulation Disorders. This course is a pre-requisite to CDIS 511 and 527. You

may not see clinical clients with articulation disorders or complete articulation assessments until

this course is completed.

CDIS 330: Speech & Language Development. This course is a pre-requisite to CDIS 516 and

CDIS 517. You may not see clinical clients with language disorders or complete language

assessments until this course is completed.

CDIS 332: Language Disorders. This course is a pre-requisite to CDIS 516 and CDIS 517. You

may not see clinical clients with language disorders or complete language assessments until this

course is completed.

CDIS 342: Basic Audiology. This course is a pre-requisite to CDIS 517 and 527. You may not

see clinical clients with hearing disorders until this course is completed.

CDIS 400: Speech & Hearing Science. This course is a pre-requisite to CDIS 512. You may not

see clinical clients with voice disorders or complete voice assessments until this course is

completed.

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CDIS 421: Neuroscience of Communication. This course is a pre-requisite to CDIS 512, 526,

528, and 529. You may not see clinical clients with neurological disorders until this course is

completed.

CDIS 434: Aural Rehabilitation. This course is a pre-requisite to CDIS 517. You may not see

clinical clients with hearing disorders until this course is completed.

CDIS 441: Preclinical. This course is a pre-requisite to CDIS 504. You may not see clinical

clients of any type until this course is completed unless concurrently enrolled in CDIS 504.

CDIS 441L: Preclinical Observation Laboratory. This course is a pre-requisite to CDIS 504.

You may not see clinical clients of any type until this course is completed unless concurrently

enrolled in CDIS 504.

CDIS 454: Speech and Language Assessment. This course is a pre-requisite to CDIS 516.

You may not complete assessments until this course is completed.

CDIS 578: Professional Writing in SLP. This course is required for all students who score

below 4.0 on the GRE Writing Assessment. It must be taken in the first semester of

matriculation.

CDIS 504 Fundamentals of Clinical Practice. This course is a co-requisite with CDIS 501.

You may not see clients of any kind unless you are enrolled in or have completed this course.

CDIS 511 Articulation/Phonological Disorders. This course is a pre-requisite to CDIS 503.

CDIS 512 Voice Disorders. This course is a pre-requisite to CDIS 589.

CDIS 516 Language Assessment. This course is a pre-requisite/co-requisite to CDIS 502.

CDIS 517 Language Intervention. This course is a pre-requisite to CDIS 589.

CDIS 525 Fluency Disorders. This course is a pre-requisite/co-requisite to CDIS 502.

CDIS 526 Neurogenic Speech Disorders. This course is a pre-requisite to CDIS 503.

CDIS 527 Craniofacial Anomalies. This course is a pre-requisite to CDIS 589.

CDIS 528 Dysphagia. This course is a pre-requisite to CDIS 503.

CDIS 529 Neurogenic Language Disorders. This course is a pre-requisite to CDIS 503.

CDIS 540 Oral Motor Disorders. This course is a pre-requisite to CDIS 503.

CDIS 550 Augmentative and Alternative Communication. This course is a pre-requisite to

CDIS 589.

CDIS 554 Current Trends and Professional Issues in Communicative Disorders. This

course is a pre-requisite to CDIS 589.

CDIS 590 Graduate Seminar. This course is a pre-requisite to CDIS 589.

Students may never register themselves for practicum. Practicum enrollment is completed by the

Graduate Coordinator after review of records during advising to ensure that student have the pre-

requisite knowledge to serve their clients in the level of practicum they are assigned to. Students

will not be placed in practicum without evidence of necessary knowledge.

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Pre-Practicum Activities: Prior to being accepted for clinical placements, students participating in practicum will need to complete various trainings and present a variety of health records (including but not limited to proof of current vaccinations and immunization records). Students must register with ENMU’s chosen background check/compliance agency (currently Castle Branch), and provide all documents as requested. Clinical placements will also require drug and alcohol testing, driving records checks, and completion of a physical examination by a physician. Students will also need to complete a criminal records/background check and secure various items such as liability insurance, clinical uniforms, and clinical supplies. Students should be advised that some clinical sites may specify additional requirements, including completion of additional drug testing, repeated background checks, and/or a payment of a fee or stipend to the clinical affiliated site or supervisor. Students who complete clinical practicum in NM must be verified with new fingerprints by the Department of Health annually.

Currency of Records: Students must always meet and maintain all practicum and internship placement requirements as specified, including all Castle Branch requirements. This includes semester in which they are not enrolled in clinical practicum but are otherwise enrolled in any CDIS courses at ENMU. Students who are suspended or who are on an approved Leave of Absence do not have to maintain currency. All others must. Students who do not maintain currency with these requirements are subject to immediate removal from practicum and loss of all clinical hours for the semester. Students are responsible for providing verification of these requirements to both the university and the clinical practicum site. ENMU personnel will not release medical information to practicum personnel, even when a student has given consent.

On Campus Practicum Requirements: Each student accepted into the ENMU CDIS Program must take practicum on campus for their first regular (16 week) semester of enrollment after admission. Enrolling in CDIS 501 requires a minimum of 2 half days per week on campus. Additional semesters on campus may be required if all CDIS 501 outcomes are not met by the end of the enrolled semester (including assessment outcomes). Students who have not completed a 3 SCH speech and language assessment course must do so before they can complete a clinical evaluation. This may necessitate that students who are lacking this pre-requisite remain on campus for two semesters. Occasionally, students may complete an evaluation between semesters (over the break) to complete their 501 assessment requirements. This might allow such students to leave campus after one semester. Students who are interested in this option should contact the Clinical Director as soon as possible for placement on the evaluation waiting list. Please note that this is possible, and not probable. Students admitted with the “must be on campus 2 semesters” caveat should plan to remain on campus in case intersession evaluations are not available. Also note that intersession activities require new enrollment in CDIS 501 – this will require the student to pay for an extra credit of practicum.

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CDIS 501 must be taken concurrently with CDIS 504, unless a student is repeating 501 and has been specifically excused from repeating 504 (e.g., intersession 501 enrollment). CDIS 501 and CDIS 504 are only available on campus. Off-Campus Practicum: Students may only complete off-campus practicum with the approval of the Clinical Director and/or Program Director each semester. This permission may be revoked with an unfavorable off-campus student practicum rating. Students may additionally be called back to campus to complete evaluations or specific deficiency remediation tasks if needed to ensure KASA outcome completion. Only students accepted into the CDIS Graduate Program may be enrolled in practicum, and practicum activities (including screening) can only be completed when students are registered in 501, 502, 503, 505, or 589. Practicum activities of ANY kind CANNOT be completed outside of active practicum enrollment. Again, any student in any level of practicum may be called back to campus to complete evaluations or to conduct therapies if progress toward outcome mastery in any area is unsatisfactory. Permission may be revoked following any unfavorable off-campus student practicum rating Relocation and Travel: Relocation is sometimes necessary for CDIS 503 and is often necessary for CDIS 505. For on-campus students, moving from the Roosevelt County area to a larger metropolitan setting is expected for CDIS 589. Though the ENMU CDIS Program will assist with locating sites and will handle all affiliation agreement negotiations, students are responsible for securing a list of possible facilities and contact numbers for these facilities and forwarding these to the Practicum Placement Liaison at least two semesters prior to expected enrollment in the course. (Exceptions are made for first semester students requesting 502 placements). The ENMU CDIS Program does not assist with travel or housing arrangements for students. We will not approve any placement unless suitable housing is secured by the student.

Expenses: All practicum expenses (including uniforms, badges, Castle Branch requirements, Calipso clock hour log tracking, Simucase simulations, Master Clinician observations, travel, housing, and relocation) are the sole responsibility of the student. Students enrolled in CDIS 502, 503, 505, and 589 should expect to travel to complete these rotations. All students in practicum will be assessed a practicum fee each semester. This fee is included in your tuition bill. All practicum fees are spent exclusively for practicum related expenses (e.g., clinical materials, equipment, computers, etc.).

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Evaluation of Student Clinicians The ENMU CDIS Program is based on the philosophy that all quality of care must be of the same high standard, regardless of who provides the care. CDIS faculty members and supervisors do recognize that students advance through stages as they develop as clinicians. This is true globally, as well as for each new skill encountered. We further recognize that students move through these stages at varying rates. The goal of the Communicative Disorders Program is that each student will have achieved a minimal entry-level competence upon graduation. Further development will occur throughout each individual’s professional career. Toward this end, supervisors are interested in facilitating student progress – The supervisor-student clinician relationship is intended to increase student growth by helping the student strengthen professional, clinical, and interpersonal skills. Grading and evaluation give both student and faculty a measure of skill and knowledge development. They also give the faculty/supervisor a means to provide input, which should be helpful in a student’s professional growth and development. With this philosophy in mind, CDIS faculty members have developed the Clinical Practicum Student Assessment (CPSA) – available at https://my.enmu.edu/web/cdis/10/clinical-forms. This assessment is based on the Clinical Standards (Student Learning Outcomes) and Professional Practice Competencies. Descriptions of the outcomes contained within will be presented below. The CPSA system allows for measurement of student growth in clinical skills and, ultimately, the assessment of student competence in a variety of areas. Each student’s progression through practicum (and their subsequent grade), is determined as follows:

1. Each student presents a written self-assessment of their practicum performance (using CPSA ratings/KASA outcome standards) to their clinical supervisor at mid-term and during final evaluations. This rating should be discussed with the supervisor. The supervisor will then provide feedback on whether these ratings are accurate, or whether or not (and why) they will be adjusted. The CPSA corresponds directly to the clinical portion of each student’s KASA outcome tracking checklist.

2. The clinical supervisor uses the Clinical Practicum Student Assessment (CPSA) to rate each student during mid-term and during the final practicum week. This is done via SurveyMonkey. The Program will send each supervisor a secure link to complete this evaluation.

3. Students with more than one supervisor will complete a CPSA with each one. The Clinical Director (or assigned faculty member) will average these ratings. Each supervisor’s rating will be weighted according to the number of hours supervised, and the letter grade for the course assigned accordingly. If students do not submit CPSAs from all assigned sites, a grade of incomplete will be assigned until the required documents have been submitted.

4. CPSA ratings are relayed to each student at both mid-term and at the end of the semester by the Supervisor and/or Clinical Director. Select comments may also be shared.

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5. Each student’s practicum placement is additionally monitored throughout the semester by the Clinical Director or by a member of the ENMU CDIS Clinical Supervisory Committee. This is an ongoing process and may occur via email or telephone conversation. Please know that we WILL be communicating with your supervisor about your performance on a regular basis throughout the semester.

6. The Clinical Director and members of the ENMU CDIS Clinical Supervisory Committee identify “at-risk students” based on these documents/feedback and discuss possible remediations on a regular basis.

7. Grades are assigned based on competency level, practicum level, and presence of KASA Clinical: Administrative and Professional Behaviors. Final CPSA ratings may further be impacted by the coursework portion of each practicum (the classroom assignments from the weekly meeting portion of practicum).

8. Please note that final grades will always be determined by ENMU faculty/staff based on multiple factors. These include the CPSA, but do not exclude other documentable issues (such as violations of KASA Clinical: Administrative and Professional Behaviors, the Code of Ethics, and Professional Practice Competencies). Site supervisors do NOT determine final grades.

9. The assessment of Professional Practice Competency (PPC) completion achievement is heavily influenced by CPSA ratings in conjunction with your weekly practicum classroom assignments. KASA PPC Outcomes will be marked as met or not met based on these activities.

10. The Clinical Director and/or the Clinical Supervisory Committee ultimately review all student progress in practicum each semester (collected via CPSA, supervisor observations and/or interview, and professional practice outcomes assessments in the weekly clinical course). Recommendations about future practicums come from the Clinical Supervisory Committee as a part of this process and significant findings are communicated to the Graduate Coordinator. Before allowing identified at-risk students to move forward in practicum, the Clinical Supervisory Committee along with the Clinical Director and Graduate Coordinator jointly determine in what areas each student lacks competence and/or experience (with consultation with academic program faculty and supervisors as appropriate). Assignments are then made accordingly. Should a student’s performance render him or her ineligible for advancement, the Clinical Director then informs the student and notifies the Graduate Coordinator regarding the student’s status. This is noted in the student’s file for registration and documentation purposes.

11. At the end of each semester and prior to enrollment in any additional practicum, the Clinical Director and the Graduate Coordinator review the breadth and depth of each student's clinical experiences from this data and process alongside the achievement of knowledge-based outcomes reflected in academic coursework assignments.

12. Students should request practicum placements based on their progress each semester. Students who meet all KASA outcomes for on campus placements may request external placements with CCC-SLPs within the United States. Students requesting such placements are discussed by the Clinical Supervisory Committee and potential matching sites are identified according to student strengths and needs.

13. Students who are denied advancement and who wish to appeal the process may do so by contacting the Graduate Coordinator. He or she will collect a statement from the student, the supervisor (if appropriate), and other relevant parties (if any). This information will be

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presented to the Clinical Supervisory Committee for reconsideration. The Academic/Supervisory Support Review Team may also be included in this discussion. The groups will (together) reach a decision regarding resolution of the student’s petition. Students may meet with the faculty committees/review teams as they like prior to any decision being rendered. Should a student disagree with the Disposition Report from this process, a student may appeal the Team’s decision to the Graduate Dean if the student so wishes.

Description of Clinical Practicum Student Assessment (CPSA): Grading The CPSA form is available for review from this page: https://my.enmu.edu/web/cdis/10. The Clinical Practicum Student Assessment (CPSA) is designed to evaluate a clinician’s performance in multiple areas. These categories are meant to cover the range of competencies that clinicians are expected to develop during the graduate program. (please see KASA at: https://my.enmu.edu/web/cdis/10 ). These exactly mirror the Clinical Standards (Student Learning Outcomes). These outcomes are influenced by the Professional Practice Competencies. Mandatory Behaviors:

KASA Clinical: Administrative Behavior Requirements (400.1-400.18) KASA Clinical: Professional Behavior Requirements (450.1-450.16) Students who do not continuously meet pre-requisite behavior expectations as listed in these administrative and professional KASA outcomes may receive a ‘C’ in their practicum course, irrespective of their CPSA point values earned. Depending on the specific offense (or pattern of offenses), a student may also be suspended from practicum. Suspension from practicum will result in a grade of ‘F’ for the course. These behaviors are:

KASA Clinical: Administrative Behavior Requirements (400.2-400.18)

o 400.2 Maintains clinical eligibility (including DOH clearance) at all times o 400.3 Demonstrates punctual and consistent attendance at therapy sessions,

supervisory/clinician meetings, and other scheduled appointments; Begins and ends on schedule

o 400.4 Follows absence policy, secures approval for absence from ENMU Clinical Director and site supervisor, provides adequate notice to site (excused absences: illness or family emergency)

o 400.5 Communicates with the supervisor regarding any changes in the client's schedule (e.g., scheduled appointments, therapy cancellations, no shows, etc.)

o 400.6 Completes clinical assignments, written documentation, reports, etc., completely and thoroughly in a timely manner, per site policy

o 400.7 Files clinical notes, therapy logs, time logs, etc., as required before leaving the site each day, per site policy; Maintains file in orderly fashion, adding current information as appropriate

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o 400.8 Follows site confidentiality policies and HIPAA and FERPA regulations/guidelines in all interactions regarding a patient (verbal and written communication, handling clinical/professional records, chart/file access and documentation, faxing, etc.)

o 400.9 Complies with site regulations, policies, and procedures (e.g., use of credentials/name badge, parking permit, fraudulent practices, carrying weapons, etc.)

o 400.11 Does not waste site resources (does not copy and/or print unnecessary or personal documents, controls excess use of consumable supplies, materials, protocols, etc.)

o 400.12 Follows infection control/universal precautions and hand washing procedures, and implements hygienic practices at each site

o 400.13 Maintains a clean therapy environment (e.g., sanitizing toys/materials after use, washing tables, rearranging furniture, etc.) per site policy

o 400.14 Follows procedures for materials use (checking out and returning materials promptly, organizing materials before returning, and reporting damaged or missing parts, etc.)

o 400.15 Follows dress code and appearance requirements by dressing appropriately for the site (e.g., no visible tattoos/piercings, distracting hair styles, excessive jewelry, strong perfume etc.) per site policy

o 400.16 Does not report to a site or return to a site unless accompanied by a supervisor o 400.17 Waits for clients and/or supervisor in designated area per site policy o 400.18 Follows cell phone and email policies of program and site

KASA Clinical: Professional Behavior Requirements (450.1-450.16)

o 450.1 Works within practice guidelines and the ASHA Code of Ethics; Does not overstep

professional boundaries (e.g., contacting or interacting with clients/families offsite or through social media, giving professional advice, making prognostic statements, and providing additional clinical services without supervisor knowledge or approval).

o 450.2 Demonstrates positive clinical/professional demeanor with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues

o 450.3 Demonstrates cultural competence when interacting with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues (verbally, nonverbally, and in written documentation/correspondence)

o 450.4 Implements prevention and/or conflict management strategies with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues

o 450.5 Independently researches client condition to design interventions using Evidence Based Practice (EBP) frameworks

o 450.6 Collaborates with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues to initiate and improve clinical services

o 450.7 Demonstrates adequate preparation for therapy (reviewing client file, determining session objectives, selecting activities/materials, completing therapy logs/lesson plans, and conducting session in organized manner) and/or

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evaluations (reviewing client file, selecting testing materials, determining sequence of administration, and conducting evaluations in organized manner)

o 450.8 Works independently but seeks guidance as appropriate to practicum level, supervisor/faculty requirements, and site policies

o 450.9 Works to improve productivity (does not waste time, does not unnecessarily disrupt the therapy session, and avoids conversations or activities that have no therapeutic value)

o 450.11 Ensures clinical equipment is operational prior to use and reports malfunctioning or damaged equipment to appropriate personnel

o 450.12 Demonstrates professional behavior by not eating, drinking, or chewing gum in the presence of the client, per site expectations

o 450.13 Documents post session data related to outcomes, implementation of session objection, self-reflection, etc. and presents oral summary to supervisor after the session, as required

o 450.14 Listens and responds professionally to supervisor criticism/critique; Communicates productively to find collaborative solutions and/or resolve issues

o 450.15 Implements explicit supervisor instructions and/or recommendations as directed

o 450.16 Does not discuss clinical performance with the client, family, or other professionals without the supervisor being present or without prior supervisor approval

Pre-Requisite Behaviors That Typically Result in Suspension or Expulsion from the Program

1. Any violation of the ASHA Code of Ethics Lying Cheating

2. Breach of confidentiality Removing client files Discussing client outside appropriate professional conference

1. Overstepping professional boundaries Implementing assessment and/or treatment decisions without supervisor

approval Failure to implement supervisor instructions after explicit direction Giving professional advice or making prognostic statements Meeting with clients or parents outside of therapy situations Holding sessions outside clinic

2. Repeated violations of KASA Clinical: Administrative and Professional Behaviors following TWO warnings

Professional Practice Competency deficiencies may also result in a failing grade.

Assignment of a passing grade does not guarantee successful completion of practicum outcomes.

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Reminder: Please be advised that external supervisors recommend a grade, but only an ENMU supervisor can assign a grade. Observations Students must complete a minimum of 30 hours of supervised observations prior to completion of the degree (observation of diagnostic evaluations and therapy prior to or during enrollment in practicum). Observations must be done under the supervision of a clinical supervisor, the Clinical Director, or an ENMU faculty member. Written reports may be required at the discretion of the supervisor. Students are required to complete observations if so directed by the Clinical Director or supervisor, even if they have already completed the minimal 30 hours. This may include observations of assessments. All students must sign up to Master Clinician upon admission to the Program and complete additional observations as assigned by their clinical supervisor or Clinical Director. This must occur even if the student has accrued the minimum 30 observation hours. Observations may be used to strengthen a student’s clinical skills throughout their matriculation.

Evaluations and Assessments Students should strive to complete supervised evaluations and assessments in every level of practicum. All students will need to complete multiple evaluations/assessments to obtain “entry-level competence” prior to completion of the degree. Some students will necessarily require more clock hours than others to achieve this competence, but all students must demonstrate experiences across the lifespan and across different types of communication disorders. Students must complete all assessments under the supervision of a clinical supervisor, the Clinical Director, or an ENMU faculty member. At least one assessment must be completed in 501. All 501 assessment outcomes (501.600 to 501.604) must also be met before students will be allowed to complete off-campus practicum. Students are required to complete additional assessments if so directed by the Clinical Director or supervisor, even if they have already demonstrated entry-level competence with completed assessments. All students must sign up to Simucase upon admission to the Program and complete additional assessments as assigned by their clinical supervisor or Clinical Director. This must occur even if the student has accrued a minimum number of assessment hours. Unapproved Practices: Students may NOT count any hours (observation or otherwise) accrued as a part of their

ASL/SLPA program if these hours were not commensurate to those required of a bachelor’s

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degree seeking CDIS student. The ENMU CDIS Program will NOT accept ASL/SLPA practicum or licensure hours under any circumstances.

Students may NOT count any hours that accrued outside of a formal university course. All hours must have been supervised by a CCC-SLP and have been certified as authentic by a university CDIS Program Director or Coordinator.

Students may NOT count ANY HOURS accrued during employment as an ASL/SLPA. Students who are working as a licensed ASL/SLPA may NOT complete practicum at the site

at which they are or were employed as an ASL/SLPA (or are/were employed in any other capacity).

Students may NOT accrue any clock hours under the supervision of a current or prior ASL/SLPA supervisor (or other supervisor) at any site.

Students may NOT complete practicum at any site, district, or agency/company from which they receive any scholarship or financial support.

Students may NOT be supervised by a relative, a significant other, or any individual with whom they may have a prior or standing “personal relationship” that may potentially interfere with the objectivity of experiences or ratings. Students may NOT be placed at any site in which they may provide services to any relative, significant other, or any individual with whom they may have a prior or standing “personal relationship” which may potentially interfere with the objectivity of therapy services delivered.

Students may NOT provide any semblance of clinical advice to any client, any client’s family, or post advice of any kind to any online forum. This will be considered unethical (practicing without a license) and infractions will likely result in suspension from the program.

Students may NOT miss class to attend practicum. Students should not withdraw from any practicum course after placements have been secured

on their behalf. When a site has agreed to take them, the student should honor that commitment. This is only allowed with Clinical Director and Graduate Coordinator approval. Students MAY NOT withdraw from any practicum course after they have begun their placement and have had contact with their clients. This unethical behavior is called client abandonment. Students who abandon their clients are subject to disciplinary sanctions up to and including suspension and dismissal from the ENMU CDIS Graduate Program.

Student Requirements: Students enrolled in any practicum course must understand and follow the policies and

procedures established by each clinical site at which they are participating. All practicum and internship placements require successful completion of pre-requisite

academic/clinical coursework and KASA outcomes as necessary to execute procedures required by the clinical site to serve clients competently. Students must verbally advise all supervisors of coursework not completed or in-progress, as well as listing these courses for the supervisor in writing via forms in the Practicum Packet.

Students will also need to apprise their practicum supervisors of any relevant personal medical data. ENMU personnel will not release detailed medical information to practicum personnel, even when the student has given us consent to do so.

Students must ALWAYS meet ALL KASA Clinical: Administrative and Professional Behaviors. Failure to do so may result in a ‘C,’ even if all other work completed was rated at

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the ‘A’ or ‘B’ level. Professional Practice Competency deficiencies may also result in a failing grade.

Students must achieve KASA outcomes and clock hour requirements for each level of practicum to advance from one level of practicum to the next. Students who do not meet KASA requirements but who have passed the course must meet with the Clinical Director to outline a remediation plan for meeting these outcomes in the next available practicum experience, and for determining the most appropriate next practicum placement for the student.

Students must take practicum courses in numerical order (i.e., 501, 502, 503, 505, 589). Students should not expect to accrue sufficient clock hours to advance to the next level unless

they are available for a sufficient number and type of clinical assignments. The program cannot guarantee students will accrue clock hours at any specified or predictable rate.

Students must provide the Practicum Placement Liaison with the names and addresses of potential sites as directed before published deadlines when requesting any practicum placement. Students may request specific sites, but they must not contact those sites until the Practicum Placement Liaison has instructed them to contact that site. Students should contact sites before submitting their placement requests ONLY to verify contact information and to see if the site is appropriate for placement and is accepting students.

The Clinical Director has final approval for all off-campus practicum site placements. The Program places students at sites based on a number of factors. These include but are not limited to the projected date of graduation, coursework completion, clinician competency, supervision available, and the skill level required by the site.

Students may obtain off-campus hours only at approved ENMU off-campus sites. Every placement must be governed by formal written agreements between the Program and the external facility. Approved sites are those that with whom we have a fully signed affiliation agreement detailing supervision requirements, expectations of the student, and types of assignments made for the student. Students CANNOT begin practicum until all parties involved have signed the written Affiliation Agreement.

Reminder: Off-campus clinical assignments (practicum outside the clinic) do not preclude additional assignments in the ENMU CDIS Speech and Hearing Rehabilitation Outreach Center if these assignments are necessary for the student to meet KASA outcomes. Students enrolled in any level of practicum may be assigned one or more speech/language evaluations at the ENMU SHROC during the semester. Students who are involved in assessments at off-campus sites may be excused in some circumstances from this requirement during that semester.

As a general rule, distance students are not afforded special consideration in practicum placements. A student’s lack of reliable transportation and the distance required for travel to a site is not considered in the assignment of practicum sites. Students ARE permitted to refuse practicum sites based on personal reasons such as those listed above; however, the Program is under no special obligation to provide an alternate, more “amenable” site for a student in such cases. Exceptions to these policies are granted only in situations where a student’s participation restrictions are secondary to a documented physical condition, identified disability, etc.

Student must be continuously current in CastleBranch (www.CastleBranch.com). All practicum and internship affiliation agreements require that students meet and maintain all requirements as listed on this site. Please be advised that requirements must be updated annually, and verification of requirement maintenance must occur at the beginning of each semester and placement. Students who do not maintain currency with these

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requirements at all times while enrolled at ENMU will receive a Letter of Reprimand. This includes semesters in which the student is enrolled at the university but is not enrolled in practicum.

a. Students who are not current in CastleBranch cannot be enrolled in practicum. b. Students enrolled in practicum who are not current in CB are subject to immediate

removal from practicum and loss of all clinical hours for the semester. The applicant must achieve all KASA skills outcomes in practicum settings before graduation. Practicum Procedures: Each semester a student is requesting enrollment in practicum, s/he must provide the

Practicum Placement Liaison with a completed Clinical Placement Request form (https://my.enmu.edu/web/cdis/10 ). This must be submitted by the due date each semester.

Prior to seeing clients in any practicum course, each student must complete all trainings and provide all documents as listed on our verification/monitoring agency site, www.CastleBranch.com. These requirements are listed at https://my.enmu.edu/web/cdis/10.

At the beginning of each semester of practicum enrollment (within the first week), the following paperwork must be filed with the Accreditation Data Support Specialist. This must be done for each site/supervisor.

a. Complete the ASHA Certification Verification for each supervisor. b. Complete the Practicum Packet. This includes:

i. The Plan for Meeting Competencies section - This will provide supervisors with information regarding the student’s academic and clinical deficiencies, their self-assessment, their semester objectives, and their career objectives.

ii. The Student Clinician’s Schedule and Clinical Schedule Agreement section All students in practicum must follow the terms as specified in the Practicum Packet - the

signed and submitted Practicum Packet is binding and may not be changed unless specifically requested by the practicum/internship facility and approved in writing by the ENMU Clinical Director. If students miss any days of practicum or internship, they must extend this contract to make up these days unless prohibited by the practicum or internship facility and approved in writing by the Clinical Director. Students must complete the entirety of this schedule, from beginning date through ending date, unless asked to leave the facility by the practicum or internship supervisor. Such a change would need to be routed through and approved in writing by the Clinical Director. Failure to complete the practicum/internship in its entirety may result in disciplinary action including, but not limited to one or more of the following:

o A grade of "Incomplete" for the course o A grade of “F” for the course o An inability to count clinical clock hours earned during the course o Additional practicum/internship assignments in the current semester o Re-enrollment in a same level practicum/internship in a subsequent semester (failure

to advance) o Delayed graduation o Suspension or dismissal from the ENMU CDIS Graduate Program

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When students are earning a grade of ‘C’ or lower at any practicum site during a mid-term evaluation, the Clinical Director will conference with the supervisor, and then the Clinical Director and Graduate Coordinator will discuss relevant issues with the student. The purpose of this conference will be to develop a plan for improving the student’s performance at that site. If it is determined that a grade of ‘B’ or better is not probable, the Program may remove the student from the site at the Program’s discretion or at the supervisor’s request for the remainder of the semester.

As students are required to make a grade of ‘B’ or better in all clinical practicum experiences, students earning a ‘C’ or lower cannot count any clock hours accrued during the experience toward the required ASHA clinical clock hours. Students at multiple practicum sites may receive a ‘C’ for one supervisor and higher grades from others. The grade for the course will be computed based on the number of hours obtained at each site; however, students will NOT be allowed to count any hours accrued from the site at which the ‘C’ was obtained. These students must meet with the Clinical Director and Graduate Coordinator prior to the next semester of enrollment to establish a plan for future assignments as well as a remediation plan to address deficiencies.

The ENMU CDIS Program will typically revoke permission to complete off-campus practicum following any unfavorable off-campus student practicum rating. The ENMU CDIS Program may additionally “call back” students to campus to complete evaluations if needed to ensure KASA outcome completion.

Requesting and Enrolling in Practicum Students who do not complete the Clinical Practicum Placement Request in a timely manner (by the published deadline) may not be assigned a practicum site.

Practicum and internship are supervised clinical experiences that include evaluating patients, administering speech/language therapy, holding client conferences, and maintaining records. Enrollment in any practicum or internship experience requires admission to the Graduate Program. Also, clock hours cannot be accrued outside of practicum enrollment. This includes observation and/or screening hours (with the only exception being hours earned through Master Clinician or Simucase)

Students cannot complete specific practicum activities unless they are enrolled in or have successfully completed appropriate CDIS coursework for their assigned practicum site or level of practicum (see levels of practicum, pre-requisites below).

Students must enroll in and complete clinical practicum on campus during their first 16-week semester after admission into the program. Students are further required to enroll in and complete clinical practicum at least one time per year throughout their matriculation in the program. This means that students must be enrolled in practicum a minimum of every 3rd semester (including summer). For example, if your last practicum was fall, you must be enrolled in practicum no later than the following fall.

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Students may never enroll themselves in practicum. The Graduate Coordinator will solicit student enrollment for practicum/internship each semester via email to the. Failure to reply to this email with the requested information prior to the deadline may result in a “missed” semester of practicum. If your request is too late, you will NOT be enrolled. Practicum courses include the following:

o CDIS 501: Practicum I o CDIS 502: Practicum II o CDIS 503: Practicum III

o CDIS 505: Practicum IV o CDIS 589: Internship

Specific competencies must be achieved at each level prior to enrollment in the next level. Any practicum course may be repeated for credit until competencies are achieved.

Students must complete “pre-assessment” or “pre-treatment activities” as assigned by the Clinical Director or practicum supervisor prior to beginning treatment with clients. These may include:

o Completing specific observations on Master Clinician or other video observation or live observation of therapy.

o Completing assessment simulations on Simucase.

o Passing “pre-requisite quizzes” over prescribed assessment instruments.

o Completing practice activities with non-disordered “practice” clients.

Students enrolled in practicum who decline a requested OR appropriate placement

without proper justification should not expect another practicum placement in the same semester in which they declined an appropriate placement.

Students may occasionally have an option to begin a practicum early or to continue working at their practicum site and accruing additional clock hours “outside” of the 16-week academic semester. This must be pre-approved by the Clinical Director and included in the Clinical Schedule section of the Practicum Packet. This will be approved AT THE COMPLETE DISCRETION of the Clinical Director and supervising therapist. Students are not entitled to this option and faculty and supervisors are not required to provide rationales should a request for this option be declined at any time. The Clinical Director and the supervising therapist will make the decision to continue supervision during official university breaks based on the needs of present clients and can be terminated at any time. Any student accruing practicum hours following the last official day of the semester must have an incomplete grade form filed at the end of the semester. Students who acquire additional hours beyond the first date of the subsequent semester must re-enroll in practicum to gain these hours. Students who have been afforded additional opportunities to accrue clinical hours beyond what is expected for their level of practicum assignment may decline these opportunities without penalty. These kinds of student choices have been and will continue to be respected by the program; however, the program is not obligated to make special accommodations at a later date to compensate for the results of these choices.

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PLEASE NOTE: Students currently enrolled in practicum during the regular academic semester are not permitted to refuse client or evaluation assignments unless they are not clinically qualified to participate in these activities.

Time Commitments and Variable Credit Fall and spring clinical practicums have a minimum term of 14 weeks (or approved equivalent). Summer practicums are also available, with the length of term adjusted based on the number of days per week each student is at the site.

Clinical internships have a minimum term of full-time 8 weeks (or approved equivalent). Equivalents are approved by the Clinical Director or Graduate Coordinator when exigent circumstances have been established.

Students are expected to complete all required weeks of practicum, including those days that may be university holidays. Students must be at their site through the last day of practicum. Students who fail to do so without a specific excusal from the Clinical Director or Graduate Coordinator will fail their practicum course.

Students may repeat any practicum or internship courses for credit, as long as that experience is scheduled with a new supervisor at a new site (or is specially approved by the Clinical Director). Financial aid reimbursement for repeated courses may or may not be available. It is the student’s responsibility to check with financial aid to determine their individual eligibility for funding.

Students MUST complete the following to meet graduate degree requirements: 1 SCH of CDIS 501 2 SCH of CDIS 502 3 SCH of CDIS 503 3 SCH of CDIS 505 4 SCH of CDIS 589

Please note that 502, 503, 505, and 589 are available for variable credit. This means that a student may enroll in 502 for 1, 2, or 3 credit hours. This allows for part time students to “split-up” practicums (e.g., completing 1 credit of 503 in the fall and 2 more credits in the spring to total 3 cumulative credits). This option, though available from the program, may not be available at each site. Some facilities will allow for less time on site, but some will not. This must be negotiated with each placement. The Program will assist with this, but we make no guarantee that a student’s placement of choice will agree to this accommodation. Variable credit options in CDIS 502, 503, and 505 assume different time commitments. These are:

1 SCH = 1 day per week on site (or equivalent, such as 2 half days) 2 SCH = 2 days per week on site (or equivalent) 3 SCH = 3 days per week on site (or equivalent)

Variable credit options in CDIS 589 also assume different time commitments. These are:

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4 SCH = 5 days per week on site for 8 weeks 5 SCH = 5 days per week on site for 10 weeks 6 SCH = 5 days per week on site for 12 weeks 7 SCH = 5 days per week on site for 14 weeks 8 SCH = 5 days per week on site for 16 weeks

CDIS 589 is the final practicum course for ENMU CDIS graduate students. Internships must be full-time (5 days per week, 36-40 hours per week minimum) and must be at least 8 weeks in duration. Some sites require days that are longer than 8 hours. Some sites will require weekend work in addition to 5 days per week. Students must follow the established schedule of the site. Some clinical internship sites require 10- to 16-week commitments. Credit hour enrollments for 589 are calculated as 1 credit = 2 weeks of full-time practicum. All students in practicum must follow the terms as specified in the Practicum Packet form. Part-time equivalents (fewer hours per week for 9+ weeks) may be arranged if available and approved by the Clinical Director. This is not typically approved. Class Meeting Requirements: CDIS 501, 502, 503, and 505 practicum courses have concurrent class meeting requirements. These are published in the academic course schedule each semester. Students are expected to be in class synchronously when the course meets on campus (501, 502, and 503) or asynchronously (505) as their instructor and level of practicum requires. Failure to attend these meetings and assignments will result in a failing grade for practicum, even if CPSA scores are in the passing range.

Specific Practicum Requirements and Policies - Levels of Practicum Practicum experiences are structured for each student to ensure development of clinical skills. In addition, practicum is structured so that students meet the standards for the CCC-SLP. Students must complete multiple levels of practicum as required by their degree plan for graduation. Each level encompasses a different setting with diverse client ages and disorders as required elements. These include:

CDIS 501 – Practicum I

Students must complete a minimum of 1 SCH (but may be repeated for credit): CDIS 501 must be completed at ENMU SHROC or CDC

1 SCH is 2 half days of therapy per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

This practicum must initially be taken during a regular (16 week) semester – the first

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semester after admission to the program. CDIS 502 placements must be a minimum of 14 weeks in length unless otherwise approved by

the Clinical Director. Students should expect to earn a minimum of 12-15 hours in 501. Students are expected to complete assessments and evaluations as a part of this

practicum experience. Students will also be required to complete additional assignments in the ENMU Clinic as

deemed necessary by the Program. Additional semesters in 501 or a return to campus may be required if all CDIS 501 outcomes

(including assessment) are not met by the end of the semester.

Prerequisites/Corequisites:

o Concurrent enrollment or prior passing of CDIS 504;

Students who have not secured client assignments by the 4th week of therapy must withdraw from

CDIS 501 and CDIS 504 unless specifically advised not to do so by the Graduate Coordinator.

o Completion of a speech and language assessment course is pre-requisite to assessment

assignments in CDIS 501

o Completion of an articulation/phonological disorders course is prerequisite to serving

articulation clients

o Completion of a language disorders course is prerequisite to serving language disordered clients

o Completion of a language science course is prerequisite to completing complex language samples

CDIS 502 – Practicum II

Students must complete a minimum of 2 SCH (but may be repeated for credit): CDIS 502 must be completed in a K-12 school-based setting

1 SCH is 2 half days (or 1 full day) per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

2 SCH is 2 full days per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

3 SCH is 3 full days per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

CDIS 502 placements must be a minimum of 14 weeks in length unless otherwise approved by the Clinical Director.

Enrollment in any public school setting typically requires that students be available either on M/W or T/TH from 8 until 4 for both days.

Students should expect to earn a minimum of 75-100 hours while in 502. Students are expected to complete assessments and evaluations as a part of this

practicum experience. Students will also be required to complete assignments in the ENMU Clinic as deemed

necessary by the Program. Additional semesters in 502 or a return to campus may be required if all CDIS 502 outcomes

(including assessment) are not met by the end of the semester.

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Prerequisites/Corequisites:

o Successful completion (with outcomes passed) of CDIS 501 and CDIS 504

o Successful completion or concurrent enrollment in CDIS 516 and 525

o Completed of approximately 10-15 clock hours

CDIS 503 – Practicum III

CDIS 503 should be a SNF assignment. In the event that a SNF placement cannot be secured until 505, home health agencies, birth to three, private clinics, or other introductory medical sites may be considered. CDIS 503 placements may also include a school-based or preschool setting, as long as this site does not duplicate an already completed practicum and provides a unique learning experience for the student clinician. THESE EXCEPTIONS REQUIRE THE APPROVAL OF THE CLNINCAL DIRECTOR PRIOR TO ARRANGMENT. A SNF (or other approved medical placement that includes significant swallowing and adult neurogenic experience) is required in CDIS 503 or 505. Students who have not completed therapy with a birth to K child and a K-12 setting must do so in CDIS 503 or 505.

Students must complete a minimum of 3 SCH (but may be repeated for credit): CDIS 503 should be completed in a skilled nursing facility (SNF) or other introductory adult medical site with swallowing and neurogenic patients with approval

1 SCH is 2 half days (or 1 full day) per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

2 SCH is 2 full days per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

3 SCH is 3 full days per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

CDIS 503 placements must be a minimum of 14 weeks in length unless otherwise approved by

the Clinical Director. Students should expect to earn a minimum of 100-125 hours while in 503. Students are expected to complete assessments and evaluations as a part of this

practicum experience. Students will also be required to complete assignments in the ENMU Clinic as deemed

necessary by the Program. Additional semesters in 503 or a return to campus may be required if all CDIS 503 outcomes

(including assessment) are not met by the end of the semester.

Prerequisites: o Successful completion (with outcomes passed) of CDIS 501 and CDIS 502 o Successful completion (with outcomes passed) of CDIS 504, 511, 516, 525, 526, 528, 529, and

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540 o It is recommended that students complete approximately 100 clock hours before enrolling in

CDIS 503.

CDIS 505 – Practicum IV

CDIS 505 should be a home health agency, a birth to three, a private clinic, or an intermediate medical site. CDIS 505 placements may also include a school-based or preschool setting, as long as this site does not duplicate an already completed practicum and provides a unique learning experience for the student clinician. IF CDIS 503 WAS NOT A SNF PLACEMENT, THEN CDIS 505 MUST BE A SNF (or other approved medical placement that includes significant swallowing and adult neurogenic experience). A SNF (or other medical placement that includes significant swallowing and adult neurogenic experience) is required in CDIS 503 or 505. Students who have not completed therapy with a birth to K child and a K-12 setting must do so in CDIS 503 or 505.

Students must complete a minimum of 3 SCH (but may be repeated for credit): CDIS 505 is a floater site as needed to show diversity across the disorders and the lifespan.

1 SCH is 2 half days (or 1 full day) per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

2 SCH is 2 full days per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

3 SCH is 3 full days per week for 14 weeks, mandatory weekly supervisor and/or group meetings, plus 100 minutes weekly class seminar time

CDIS 505 placements must be a minimum of 14 weeks in length unless otherwise approved by

the Clinical Director. Students should expect to earn a minimum of 100-125 hours while in 505. Students are expected to complete assessments and evaluations as a part of this

practicum experience. Students will also be required to complete assignments in the ENMU Clinic as deemed

necessary by the Program. Additional semesters in 505 or a return to campus may be required if all CDIS 505 outcomes

(including assessment) are not met by the end of the semester.

Prerequisites:

o Successful completion (with outcomes passed) of CDIS 501, 502, and 503 o Successful completion (with outcomes passed) of CDIS 504, 511, 516, 525, 526, 528, 529, and

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o It is recommended that students complete approximately 200 clock hours before enrolling in CDIS 505.

CDIS 589 – Internship

CDIS 589 Internship in Speech-Language Pathology is a supervised clinical experience in evaluation and therapy at a cooperating institution, with selected study in pertinent areas. Enrollment in CDIS 589: Internship, requires that the student be placed full-time in a site a minimum of 5 days per week. The minimum term for a full-time internship is 8 weeks. Students should typically expect to be at the site for 8 hours per day but this will vary somewhat according to the needs of the site. Internship sites are not available in Portales and Clovis so students should expect to travel and/or relocate for their internship.

Students are expected to complete the entire term of their assignment, including those days that are university holidays. Students are expected to be at their site through the last day of practicum. Students are additionally expected to follow the established work schedule of the site. This may include non-standard work days (e.g., 7 am to 7 pm, weekend shifts). Failure to complete the entire term or follow the established schedule of the site is a violation of Mandatory Behaviors and KASA Clinical: Administrative and Professional Behaviors – students will earn a “C” (or lower) for such violations.

Students must complete a minimum of 4 SCH (but may be repeated for credit): CDIS 589 must be a medical site (hospital or rehab or other approved setting)

4 SCH is 5 full days per week for 8 weeks with mandatory weekly supervisor meetings. Weekly class seminar time may be required.

CDIS 589 placements must be a minimum of 8 weeks in length unless otherwise approved by

the Clinical Director. CDIS 589 cannot be taken on a part time basis. Students should expect to earn a minimum of 100-125 hours while in 589. Students are expected to complete assessments and evaluations as a part of this

practicum experience. Students will also be required to complete assignments in the ENMU Clinic as deemed

necessary by the Program. Additional semesters in 589 or a return to campus may be required if all CDIS 505 outcomes

(including assessment) are not met by the end of the semester.

Prerequisites:

o Successful completion (with outcomes passed) of CDIS 501, 502, 503, and 505 o Successful completion (with outcomes passed) of CDIS 504, 511, 512, 516, 517, 525, 526, 527,

528, 529, 540, 550, 554, and 590 o Students MUST have completed a minimum of 300 clock hours before enrolling in CDIS 589.

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Additional Information and Requirements

CDIS 503 and 505 placement sites are interchangeable and do not have to be completed in any particular order; however, it is STRONGLY suggested that you seek your SNF placement first as these can be difficult to obtain and may require a more lengthy procurement process. Enrollment in 503 must occur before 505.

Students may repeat a school site in 503 or 505, but they MUST be placed with a different age or population than previously completed by the student.

Other sites and populations are also available for students (acute care, specialized voice and swallowing centers, private practice, regional clinic, etc.).

All enrolled practicum students (regardless of practicum enrollment level) may be assigned ENMU SHROC clinical clients if necessary for student remediation or for quality client care.

Required Experiences

Experience at the ENMU SHROC or CDC site is required. An ENMU employee as supervisor is mandatory. This will occur in CDIS 501.

Experience at a school-based K-12 site is required. A school-based preschool will NOT meet this requirement. This will occur in CDIS 502.

Experience with a birth-5, early childhood, or preschool population is required. Kindergarten clients in a school-based site will not meet this requirement.

Experience with a SNF population is required (unless a site cannot be acquired and a suitable equivalent can be acquired – This requires Clinical Director Approval).

Experience at a primarily adult site is required. Adult clients in a school-based site will not meet this requirement.

Experience with older adults/geriatrics is required. Experience in a SNF (or comparable setting) is required.

Experience in a hospital/rehab (or other significant medical placement) is required.

Students must complete hours with young children (0 to 5), children (6 to 17), adults (18 to 64), and older adults (65+).

ENMU students must minimally complete practicum at the university clinic, a public or private K-12 school, and a medical facility prior to graduating.

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Clinical Clock Hour Policies and Requirements

The ENMU CDIS Program allows a maximum of 50 clock hours (including observation hours) to be used from an undergraduate program, if the following conditions have been met:

Hours were obtained within the last five years Hours were obtained under the auspices of an accredited program in CDIS/SLP Hours were obtained in conjunction with enrollment in CDIS coursework (e.g., a clinical

management, preclinical, or practicum course). Clock hour logs are provided with the supervisor’s signatures, state license numbers,

and ASHA certification numbers. The program will also accept an original and official statement from the supervising Program Director at the university program where the observation hours were approved. The letter must state in which course(s) the clock hours were accrued.

Clock hour logs/letter are provided on university letterhead/accrual logs.

A minimum of 400 clock hours of supervised clinical practicum, including observation hours, which concern the evaluation and treatment of children and adults with disorders of speech, language, and hearing. This represents a minimum. It is frequently necessary to obtain more than this minimum number of requirements to satisfy other requirements listed below and to achieve the skill outcomes specified as the minimal competency for graduation.

All of the hours used to satisfy the 400 minimum must be obtained in direct patient care activities. This includes observation, prevention, assessment, and treatment activities. Conferences/counseling with the client and/or family also count toward achievement of the minimum number of hours. Staffing hours with other professionals but without the client or family present will NOT be included. Only direct contact with the client or the client’s family in assessment, intervention, and/or counseling can be counted toward practicum. If you are speaking in the counseling or conference session, you may count these hours as treatment. If you are watching your supervisor do so, you may count these in the observation section.

Clinical Certification Standards (CFCC) require that, at the end of all clinical experiences, students must have accrued:

A minimum of 400 supervised practicum hours A minimum of 325 at the graduate level A minimum of 25 hours of observation A minimum of 375 clinical contact hours

These hours must encompass screenings, evaluations/assessments, and treatment hours serving multiple client/patient populations across the life span and from culturally/linguistically diverse backgrounds. Students must show practicum experience with client/patient populations having various types and severities of communication and/or related disorders, differences and disabilities. Students must additionally meet the minimum clock hour requirements listed below prior to graduation.

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Child Adult Total Observation 15 15 30 Evaluation Speech 10 10 20 Language 10 10 20 Treatment Speech 50 25 75 Language 50 50 100 Sub-Total 135 110 245 Other Graduate Clinical Contact 155 Grand-Total 400

Practicum Sites Students must obtain clinical clock hours from at a variety of types of practicum sites in order to meet CCC Standards. The following is a list of types of sites at which students may be placed:

University clinic Family- Infant-Toddler Programs Preschool programs Public schools Rehabilitation centers Hospitals Skilled nursing facilities Long-term residential care facilities Private clinics Home health care facilities Cleft palate clinics VA Centers Other sites as approved by the Program Again, all students must have at least one practicum placement in the ENMU SHROC, a medical site, and a K-12 school site. In addition, all students must demonstrate entry level competence with young children (birth to 5), children (6 to 17), adults (18-64), and with older adults (over 65 years of age). Practicum placements are made each semester by program faculty for the next semester. Students requesting specific practicum sites should consult with the Clinical Director and the Practicum Placement Liaison. Assignments are made based on student, program, and site needs. Students may not obtain clock hours for a category for which they have not taken appropriate coursework (e.g., students may not complete evaluations without completing an assessment course, students may not see an aphasic patient prior to course work in aphasia). Students must advise off-campus supervisors of coursework not completed or in-progress as listed on the Clinical Placement Request form. This should also be listed in their Practicum Packet form.

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Off-campus sites require various amounts of travel. Students should inform the Clinical Director and Practicum Placement Liaison of limitations regarding travel. It is the student’s responsibility to make travel arrangements. Placements are made according to the educational needs of the students. Students enrolled in practicum who decline a placement without proper justification should not expect another practicum placement in the same semester in which they declined an appropriate placement. Students must not make arrange their own practicums! The Program will make all practicum assignments.

Off Campus Sites

Students are expected to complete the entire term of their assignment, including those days that are university holidays. Students are expected to be at their site through the last day of practicum. Students are additionally expected to follow the established work schedule of the site. This may include non-standard work days (e.g., 7 am to 7 pm, weekend shifts). Failure to complete the entire term or follow the established schedule of the site is a violation of KASA Clinical: Administrative and Professional Behaviors – students will earn a “C” (or lower) for such violations.

Each student will work with the Clinical Director and Practicum Placement Liaison to determine the location of his or her off-campus sites. Students should provide the Practicum Placement Coordinator with the geographic locations and potential sites/contacts at which they would like to complete the rotation. Remember, students who refuse an Internship placement within their selected location should not expect to complete their internship until the following semester. If there is a reasonable explanation as to why a particular site would be inappropriate for the student (e.g., a personal relationship with the supervisor or administrator) that information should be conveyed to the Clinical Director as early as possible. Finding/Requesting Off Campus Placements

a) A list of ten potential sites and 10 potential supervisors must be submitted to the Practicum Placement Liaison MINIMUM of SIX MONTHS prior for practicum and ONE FULL YEAR prior for internship.

b) Contact information for the agency and the supervisor must be provided (if different). c) Students must turn in an updated resume and cover letter with their internship/off-

campus requests. If changes to your resume/cover letter are recommended, it is for your benefit and will likely aid in your placement, so please make the changes ASAP.

d) When you are looking for sites online, make sure that the site you are requesting has a webpage and that they provide SPEECH THERAPY. We have had many requests for sites that provide drug rehab, pain management, or physical therapy only. We need information about the site you are requesting! If you are not looking for sites online, then attach a brochure and/or information about the site. We need to know about the

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facility. You should really be choosing sites that you have an interest in, or those that have a great program, not just some site that came up first on Google.

e) When using the internship request form please ERASE WHAT IS LISTED and Please, do not change the formatting.

Requirements of off-campus sites vary and are not within the purview of the ENMU SHROC.

Students who wish to complete practicum or intern at a specific site must meet the requirements of that site. These requirements may include but are not limited to the provision of immunization records, completion of a physical examination, administration of additional vaccinations, completion of a criminal background check/security clearance, drug panel screening, and competitive on-site interviews. Expect to provide resumes and transcripts prior to being accepted by practicum sites.

All off campus clinical placements require affiliation agreements between the university and the clinical site. Students are responsible for requesting a copy of the appropriate governing agreement from the ENMU SHROC, for reviewing their obligations with the Clinical Director and/or Practicum Placement Liaison, as well as for abiding by the requirements set forth in each agreement. This may include the completion of other trainings or the provision of other requirements as directed by the clinical facility (e.g., personal health and accident insurance). Again, requirements of off-campus sites vary and are not within the purview of the ENMU SHROC. Please note that some academic accommodations available for students with disabilities may not be available for off-campus students at all sites.

If selected by the potential practicum site, students are bound to abide by all procedural rules

and regulations set forth by their practicum site (i.e., no copying protected materials, following dress code requirements, accepting all assignments, following the established schedule/hours of operation for the site, refraining from prohibited cell phone use and texting, abiding by computer use rules, completing all work before leaving the facility for the day, etc.). Students are not permitted to take “vacation” days during practicum unless the site is closed for business. If students do not wish to abide by a particular site’s regulations/policies, students should not complete practicum at that site. The ENMU SHROC is NOT obligated to find the student an alternate site when students have declined an appropriate placement unless extenuating circumstances are evident.

Again, students should have limited and focused contact with potential practicum and

internship sites unless specifically authorized to do so by the Clinical Director or Practicum Placement Liaison. Violation of this policy may result in “loss” of the placement for that student.

Students who are encountering difficulties at their practicum site should direct their concerns

and questions to the ENMU SHROC Clinical Director or Graduate Coordinator PRIOR to addressing them with their site supervisor. All suspected legal and/or ethical violations must be reported to the ENMU SHROC Clinical Director or Graduate Coordinator immediately.

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Telepractice Experiences The use of telepractice and telesupervision during the preparation of graduate student clinicians requires that the SLP with the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) as well as the student comply with all local, state, and federal laws (e.g., HIPAA, HITECH, FERPA, etc.) in the location of each party (i.e., the clinical educator, graduate student, and client/patient). Due to conflicting local, state, and federal laws both in the United States and abroad, all parties must reside within the United States.

Programs accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology (CAA) must have policies and regulations in place that address the use of telepractice and telesupervision—and these policies and regulations must include emergency procedures. The Program will address policies with students prior to serving any client via telepractice in CDIS 542 Telepractice and in CDIS 554 Current Trends and Professional Issues in CDIS.

The following information outlines the established guidelines for telepractice and telesupervision.

1. Telepractice and/or telesupervision must not be used for the convenience of the graduate or student/clinical educator.

2. Students’ initial experience with each population or disorder type must occur through face-to-face interactions with direct, in-person supervision prior to the use of telepractice or telesupervision; therefore, initial client/patient experience with a specific population or disorder cannot be conducted via telepractice or telesupervision.

3. Each student must have prior on-site clinical experience in the setting in which they will be telepracticing or being telesupervised.

4. Telepractice or telesupervision must be distributed across the students’ caseloads. 5. The individual receiving services and/or the individual’s caregiver must provide written

consent to receiving services by telemethods. 6. The university program must determine the appropriateness of telepractice or

telesupervision for the student and the client/patient. 7. The university program must take into account the availability and accessibility of

technology for clients. 8. Telepractice and telesupervision must be completed in real time (i.e., video recordings of

sessions are not permitted). 9. Clinical educators and graduate student clinicians must complete training prior to using

telepractice or telesupervision. The Committee recommends a minimum of 16 clock hours of training, which includes a minimum of: * 8 hours of continuing education and * 8 clock hours obtained through continuing education, academic coursework, or practical experience.

All telepractice/telesupervision training must include the acquisition of knowledge and skills related to: 1) Equipment (e.g., use, maintenance, trouble shooting, etc.) 2) Local, state, and federal laws 3) Modifications for the use of telepractice/telesupervision in clinical practice 4) Training of telefacilitators.

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Record Keeping Accurate record keeping is essential for the successful completion of degree and certification requirements. The Program’s system of record keeping enables the Program Director to track each student’s progress toward completion of clinical clock hour requirements set forth by ASHA and necessary for completion of the degree. The student is expected to maintain records according to this system. Forms and instructions are located on the CDIS website. Each student's practicum experiences are recorded in Calipso as they are accomplished, with detailed information about clock hours earned, clinical settings, client/patient populations, types of activities, and age groups the student has worked with. Students are responsible for monitoring their own hours and seeking appropriate sites to meet clinical outcomes. Active participation in this process is EXPECTED.

Alteration or falsification of clock hour records is a serious offense that represents a violation of ASHA’s Code of Ethics and the standards of conduct of the Graduate School of ENMU. Students are NOT permitted to ask a supervisor to sign a “blank” clock hour log or a clock hour log that is not entire and complete or that is knowingly inaccurate. Students are additionally prohibited from submitting hours they did not earn, or from submitting any hours which are NOT direct clinical contact hours. The Program will interpret this as an ethical violation of academic integrity and this will almost certainly result in suspension and/or expulsion from the Program. If it is determined that a student has purposefully altered or falsified any clock hour documents, the student will fail the practicum course for that semester and NO hours will be counted for that semester. In addition, the student may be suspended or dismissed from the Program.