Communication Sciences & Disorders
174 Chester Park, 31 West College Street, Duluth, MN 55812
Phone: (218) 726–7974; Fax: (218) 726–8693
Email: cd@d.umn.edu
CSD Clinical Education Handbook
Handbook Parts 1 - 16
- Part 1: Welcome!
- Part 2: Introduction to CSD Department
- Part 3: UMD
CSD Program and ASHA
- About ASHA
- ASHA Code of Ethics
- ASHA Membership and Certification Handbook
- Certificate of Clinical Competence
- Part 4: State Licensing Regulations
- Part 5: Clinical Education Mission Statement
- Part 6: Undergraduate
Clinical Education: Observation Requirements
- Purpose
- Prerequisites
- Rules for Participation
- Procedures for Arranging Observations at RFP Clinic
- Suggestions of Arranging Off-Site Observations
- Documentation of Observation Hours
- Transition to Practicum
- Part 7: Undergraduate
Clinical Education: Practicum Requirements
- Purpose
- Prerequisites
- Documentation of Clock Hours
- Course Objectives for CSD 4097, CSD 4197, CSD 4297
- Part 8: Graduate
Clinical Education: Practicum Requirements
- Prerequisites
- Department Experience Requirements for Grad Students
- Typical Clinical Education Sequence
- Documentation of Clock Hours
- Course Objectives for CSD 8097
- Course Requirements/Expectations for CSD 8197
- Off-Campus Internships and Externship
- Part 9: Evaluation
of Clinic Performance
- UMD Practicum Grading Protocol
- Performance Standards
- Tracking Progress
- Part 10: Remediation Procedures for Clinical Practicum
- Part 11: The
Robert F. Pierce Speech-Language-Hearing Clinic
- Introduction and History
- Mission Statement of the RFP Clinic
- Services Offered
- Student-Instructor Relationship
- Part 12: RFP
Clinic Policies and Procedures
RFP Clinic I: Case Managment Policies and Procedures
- Referral and Admission
- Discharge Policy
- Clinic Access Fees
- Client Records
- Diagnostic Assessment Teams
- Personal Appearance of Student Interns
- Scheduling Procedures
- Therapy Procedures for the Semester
- Hearing Screening Protocol for RFP Clinic
RFP Clinic II: Responsibilities toward Colleagues, Faculty and Staff
- Communication
- Conferences
- Cleaning
- Equipment and Materials
- Clock Hours Accrual
RFP Clinic III: Infection Control
- Administrative Responsibility
- Cleaning and Disinfecting Procedures
- Slove Wearing
- Diaper Changing
- Food Preparation Activities
- Play Water Table
- Direct Care Provider Precautions
RFP Clinic IV: Policy on Closings in the Event of Severe Weather or Other Emergency
RFP Clinic V: Fire Safety
RFP Clinic VI: Medical Emergencies and Incidence Reports
RFP Clinic VII:Vulnerable Adult Documentation
RFP Clinic VIII:Mandated Reporter Policies/Procedures
RFP Clinic IX: Responding to Seizures
RFP Clinic X: Recording Therapy Sessions
RFP Clinic XI: HIPAA and Confidentiality
Part 13: RFP Clinic Materials and Equipment
Location of Materials
Procedures for Check-Out
Materials/Equipment Return Policy
Part 14: University of Minnesota Policies
Sexual Harassment
Nepotism and Consensual Relationships
Part 15: CSD Department Policy: Letters of Reference
Part 16: Professional Resources
ASHA
NSSLHA
MSHA
Appendices A, B, C, D
Appendix A: Documenting Clinical Clock Hours
Documentation of Observation Hours
- Student Daily Observation Record (Word Document)
- Student Semester Observation Form (Word Document)
- Student Clock Hours Summary Form (Excel Document)
Documentation of Clinic Clock Hours
- Student Daily Clock Hours Record (Word Document)
- Student Semester Clock Hours Form (Word Document)
- Student Clock Hours Summary Form (Excel Document)
- Tracking Your Clock Hours (instructions) UPDATE
- End of Semester Clock Hours Submission Form (Word Document)
Appendix B: General Clinical Education Forms
Objectives of Clinic Practicum
- CSD 4097
- CSD 4197
- CSD 4297
- CSD 8097: RFP Clinic
- CSD 8097: Off-Site Internship
- CSD 8197: Off-Site Externship
- Sample Practicum Itinerary (Word Document)
- Infection Control Procedure: Therapy Rooms (Word Document)
Student Intern Forms
- ASHA Code of Ethics Agreement (Word Document)
- Remediation Process Acknowledgement (Word Document) UPDATE
- FERPA Release Form (Word Document)
- HIPAA Privacy Rules
- HIPAA Agreement for PHI (Word Document)
- Internship/Externship Planning Worksheet (Word Document) UPDATE
- Journal Article Review Format (Word Document)
- Intern Off-Site Observation of Client (Word Document)
- Daily Lesson Plan (Word Document)
- Guidelines for Videotape/DVD analysis (Word Document)
- Document De-Identification Checklist (Word Document) UPDATE
Student Observation Forms
- Observation Notes: Diagnostic (Word Document)
- Observation Notes: Treatment (Word Document)
- Observation Notes: Child WNL (Word Document)
Practicum Survey Forms
- Student Evaluation of Clinical Practicum: Off-Campus (Word Document)
- Clinic Instructor Evaluation Forms (Word Document)
- UG Clinic Education Evaluation Form (Word Document)
- Graduate Clinic Education Evaluation Form (Word Document)
Appendix C: RFP Clinic Forms and Letters
Check with your clinic instructor to determine which forms are appropriate for your practicum experience.
Client Documents
- Client Assignment Form (Word Document)
- Client Initial Intake Form (Word Document)
- Client Enrollment Information (Word Document)
- Client Service Agreement (Word Document)
- Client Notice of Notice of Privacy Practices Form (Word Document)
- Payment Agreement (Word Document)
- Notice of Fee Support Program
- Application for Fee Support (Word Document)
- Policies and Terms of Service (Word Document)
- Semester Treatment Plan
- Semester Treatment Summary (Word Document)
- Diagnostic Assessment Report (Word Document)
- Interact Report (Word Document)
- Socialize Report (Word Document)
- Consent to Release Private Data
- Clinic Fee Schedule (Word Document)
- Client Services Questionnaire (Word Document)
- Hearing Screening Form (Word Document)
- Service Summary Sheet (Word Document)
Sample Letters
- Semester Welcome Letter: Therapy Clients (Word Document)
- Audiologic Assessment (Word Document)
Appendix D: University of Minnesota Duluth Practicum Grading Protocol
- Grading Protocol (Word Document) UPDATE
- Practicum Class Rubric (Word Document)
- Diagnostic Assessment Clinic: Evaluation of Student Participation (Word Document) UPDATE
- Project Interact: Evaluation of Student Participation (Word Document) UPDATE