Part 7: Undergraduate Clinical Education: Practicum
Requirements
Purpose
The undergraduate B.A.S. degree in Communication Sciences
and Disorders is designed to accomplish two goals:
- To provide the student with a broad and comprehensive
undergraduate scholastic experience.
- To provide the student paraprofessional preparation for
eventual application and entry into a professional degree program of his/her
choice.
As a part of your undergraduate education, you will complete
a minimum of 25 hours of supervised observation, and you will complete a
minimum of 1 clinical practicum (CSD 4197) under the supervision of Clinic
Instructor. All hours must be carefully documented (See Appendix A: Clock
Hours Documentation Instructions and Forms).
Only students who are CSD Majors or Graduate Students in the
CSD Program are considered for practicum. Students must meet certain knowledge
standards to qualify for supervised clinic practicum.
Undergraduate CSD Majors are required to take CSD 4197:
Clinic Practicum (3 cr) toward their degree. As a part of CSD 4197, students
participate in direct service provision under an ASHA certified and state
licensed speech-pathologist or audiologist.
As supervision and client availability permit, the
Department offers two elective clinic practicum courses:
- CSD 4097: Introduction to Clinic Practicum: This course typically
is offered during Summer Session, with limited spaces for students entering
their senior year in Communication Sciences and Disorders
- CSD 4297: Advanced Clinic Practicum: This course typically is
offered in Spring Semester, with limited spaces for students who have
successfully completed CSD 4197.
Students must meet a number of prerequisites in order to
qualify for any of the practicum courses (CSD 4097, CSD 4197, and CSD 4297)
- Successful Completion of CSD 3241: Treatment Methods
- Admission: The student who has earned a grade of B or above in CSD 3230:
Treatment Methods and meets other practicum requirements is given permission to
enroll in CSD 4197.
- Admission with Probation: Students who earn a C during in CSD 3230 will be
allowed to enroll in CSD 4197, but will be considered to be on clinical
probation, subject to established counsel-out procedures
- No Admission: Students who earn a grade lower than a C in CSD 3230 will NOT be
allowed to enroll in CSD 4197: Clinical Practicum. That student must retake
the course and receive a grade of C or better in order to enroll in CSD 4197.
- Clinic Observation Completed
The American Speech-Language-Hearing Association (ASHA) requirements for the
Certificate of Clinical Competence state that an individual must have 25 hours
of supervised observation. The Department of Communication Sciences and
Disorders requires that these observation hours be completed BEFORE beginning
clinic practicum. Your goal is to complete 25 hours of observation before the
end of your junior year.
All Observation Hours must be properly documented and submitted for Department
approval before you begin Clinic Practicum.
- Grade Point Average of 2.8 or higher
To be in good academic standing, an undergraduate student must maintain an
overall grade point average of 2.8 or higher. Any student failing to maintain
the required average is considered to be on academic probation. A student on
academic probation will have one semester to increase their grade point average
to the minimum requirement of 2.8. Students failing to meet the grade point
average requirements will not be allowed to register for further Communication
Sciences and Disorders courses, including CSD 4097, CSD 4197, and CSD 4297.
- Completion of HIPAA Courses 1 and 4:
All students, faculty, and staff who have access to Protected Health
Information (PHI) must comply with the Federal Health Information Portability
and Accountability Act (HIPAA). Undergraduate students will be assigned HIPAA
courses 1 and 4, which must be completed before the student is allowed to
participate in practicum.
- Immunizations
To ensure a clinic environment which minimizes the risk of the spread of serious
infectious disease, all students and staff provided services in the Robert F.
Pierce Speech-Language-Hearing Clinic must submit documentation of the
following health requirements:
- Mantoux Test: This test must be repeated annually, with
results submitted on an annual basis to the RFP Clinic. The Mantoux Test is a
tuberculin skin test which shows if a person has ever been infected by
tuberculosis (TB) germs. If there is a positive test result from the Mantoux
Test, follow-up care by a physician is mandatory to determine the presence of
active TB.
- Hepatitis B Vaccine: The Hepatitis B Vaccine is a series of
3 shots given over a period of months. Students may choose initiate the series
or sign a waiver stating they do not wish to start the series. Students who
choose to get the Hepatitis B Vaccine are responsible for initiating the series
before starting clinical activity at the RFP Clinic.
- Malpractice Insurance:
The Department of Communication Sciences and Disorders carries malpractice
insurance to cover staff, faculty and students who practice in the RFP Clinic.
This insurance also covers students who complete internships and externships
off-campus as a part of their degree through the UMD CSD Programs.
- Mandatory Clinic Orientation:
Prospective interns must complete the mandatory Clinic Orientation before
participating in practicum. In the Spring Semester of their junior year,
students will receive a letter announcing the orientation date.
Practicum is different from other courses students may have
taken. The RFP Clinic serves a vital role in the Duluth community, offering
quality services to individuals with communication disorders and differences.
When students enroll in a practicum, they become interns of a working clinic.
People who come to the clinic look to their interns for help, and interns have
the opportunity to expand and refine the skills they have studied and
researched in the CSD Program. All interns work and learn under the guidance
of clinic Instructors who hold the ASHA Certificate of Clinical Competence and
are licensed by the state of Minnesota.
Students enrolled in CSD 4197 should expect to have 1-2 client assignments
within the Robert F. Pierce Speech-Language-Hearing Clinic. The number of
clients assigned to each student is determined by the clinic director and is
based on factors such as client need, student experience, and clinic
operational factors. Students also should expect to have additional practicum
responsibilities such as hearing screening in the public schools, participation
in health fairs, and clinic maintenance duties.
Clock Hours Documentation
Students are responsible for documenting clock hours accrual
on forms provided by the Department, and clinic instructors must record their
observation time on these forms for each session. Student interns record each
session on the Daily Clock Hours Record (See Appendix A). At the end of the
Semester, students will generate a Semester Clock Hours Form (See Appendix A)
for each instructor with whom they worked. This Form must be verified and
signed by the Clinic Instructor. Finally, students will update the Clock Hours
Summary Form (See Appendix A) each semester, which is a running log of clock
hours accrued toward their degree. Up to 50 undergraduate clock hours may be
used toward the total 375 clock hours required by ASHA for certification.
Objectives of Clinic Practicum
Skills expected of senior students by the end of clinical
practicum this semester
- Develop appropriate semester treatment plan for assigned
client with specific direction from the clinical instructor.
The treatment plan will include measurable and achievable semester objectives,
rationale for objectives, and treatment procedures. This process includes
gathering baseline data by reviewing background information from the client,
family members or other involves sources.
- Demonstrate of evidence-based practice.
Present evidence of researching the disorder area either through a discussion
or written review of pertinent journal articles or other relevant literature.
- Formulate daily measurable and achievable objectives, with
specific guidance from clinical instructor.
- Implement intervention plan with specific guidance from
clinical instructor, using appropriate modeling of target behaviors, teaching
strategies, and feedback strategies.
- Select and use appropriate materials and instrumentation to
maximize intervention plan.
- Collect accurate data on client behavior to measure
progress.
- Write daily progress notes and semester treatment reports, including
pertinent and accurate information, in an organized clear and grammatically
correct style, with specific guidance from clinical instructor.
Session documentation guidelines may vary with the clinical instructor and the
needs of the client.
- Develop an understanding of goals and procedures with the
client and/or family members, with specific guidance from clinical instructor.
Staffings are held at the beginning and end of the semester.
- Interact with clients, caregivers, other professionals, and
clinical instructors in a respectful manner.
- Demonstrate ethical behavior, including adherence to ASHA
Code of Ethics and University and CSD Department policies and procedures for
implementation of HIPAA.
- Demonstrate professional behavior, including punctuality in
meeting deadlines for all items listed on the clinic itinerary, adhering to the
clinic dress code, and abiding by all clinic policies and procedures.
- Develop the ability to evaluate your own skills regarding
effectiveness of management techniques through use of taping, conferences with
clinic instructors, and structured observation techniques.
Refer to Appendix B for Course Outcomes and a sample
practicum itinerary.