29
OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK Washington University School of Medicine Program in Audiology and Communication Sciences (PACS) Doctor of Audiology (AuD) Program 2020-21 Academic Year Updated August 10, 2020

OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

  • Upload
    others

  • View
    7

  • Download
    0

Embed Size (px)

Citation preview

Page 1: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK

Washington University School of Medicine Program in Audiology and Communication Sciences (PACS)

Doctor of Audiology (AuD) Program

2020-21 Academic Year

Updated August 10, 2020

Page 2: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

1

TABLE OF CONTENTS

General Requirements and Philosophy 2

Course Requirements 2

Clinical Experience Requirements 3

Practicum Coordination, Meetings, and Staffings 3

Practicum Sites 4

Practicum Placements 4

Practicum Schedules 5

Practicum Attendance 5

Practicum Evaluations and Grading 5

Practicum Progression 6

Documentation of Hours 6

Requirements for Supervision of Practicum 6

Employment and Payment 7

Student Titles 7

Professionalism 7

Clinic Dress 7

Course, Practicum, and Externship Evaluations 8

Observation and Practicum: First-Year Students 8

Practicum: Second-Year and Third-Year Students 8

Fourth-Year Externship 9

Locating and Securing the Externship Site 9

Paperwork 10

Student Feedback and Evaluation 10

Contacts 11

Appendix A: Suggested Timeline: Securing an Out-of-Town Summer Practicum Placement

Appendix B: Clinical Site Form

Appendix C: CALIPSO Practicum Evaluation

Appendix D: Grading Scale

Appendix E: CALIPSO Clock Hour Form

Appendix F: Student Non-Patient Clinical Activities: Sample 1

Appendix G: Student Non-Patient Clinical Activities: Sample 2

Appendix H: AAA Externship Timeline Guideline

Appendix I: Externship Summary (Blank Sample)

Page 3: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

2

GENERAL REQUIREMENTS AND PHILOSOPHY

It is the philosophy of PACS that AuD students should begin supervised hands-on clinical training immediately upon

matriculation, in the first year. Students may begin actual patient contact, or practicum, after 25 hours of supervised

clinical observation in audiology and/or speech-language pathology have been completed. Students who have not

previously completed these observation hours will have the opportunity to complete this requirement through PACS.

Students who have previously completed these observation hours are asked to submit official documentation of such to

PACS and may receive credit for up to 25 clinical observation hours completed in audiology and/or speech-language

pathology prior to matriculation. Similarly, AuD students may receive credit for up to 100 clinical practicum hours

completed in audiology and/or speech-language pathology prior to matriculation; official documentation of completion of

these hours must be submitted to PACS for review and approval before being credited to the student’s hours.

The AuD program involves a heavier course load and lighter observation and practicum load in the first year and gradually

progresses toward a lighter course load and heavier practicum load in subsequent years, culminating in a full-time

externship experience in the fourth year. The curriculum evolves from year-to-year, but every effort is made to ensure that

students have had, or concurrently have, the coursework applicable to the practicum experiences.

COURSE REQUIREMENTS

Students earn academic credit for observation, practicum, externship, and staffings through the following courses:

Year: Semester Course Number Course Name Credit Hours

Year One: Fall PACS 460 Staffing 1

Year One: Fall PACS 4611 Observation and Practicum in Audiology 1

Year One: Spring PACS 460 Staffing 1

Year One: Spring PACS 4612 Observation and Practicum in Audiology 1

Year One: Summer PACS 4613 Practicum in Audiology 4

Year Two: Fall PACS 460 Staffing 1

Year Two: Fall PACS 4621 Practicum in Audiology 2

Year Two: Spring PACS 460 Staffing 1

Year Two: Intersession PACS 4622 Practicum in Audiology 2

Year Two: Summer PACS 4623 Practicum in Audiology 4

Year Three: Fall PACS 460 Staffing 1

Year Three: Spring PACS 460 Staffing 1

Year Three: Spring PACS 4632 Practicum in Audiology 2

Year Three: Summer PACS 4633 Clinical Externship 6

Year Four: Fall PACS 4641 / 4651 Clinical Externship 9

Year Four: Spring PACS 4642/4652 Clinical Externship 9

TOTAL 46

Page 4: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

3

CLINICAL EXPERIENCE REQUIREMENTS Students must complete all required practicum courses and placements, as outlined above, prior to beginning the fourth-

year externship. In addition, all students will complete some observation experience prior to beginning practicum, as well

as some clinical experiences in an SLP and/or deaf education setting. Students must complete a minimum of 12 months of

full-time equivalent clinical experience to meet the requirements of the Council for Academic Accreditation (CAA) in

Audiology, though the focus of PACS is on measurable outcomes, as related to clinical competencies across the scope of

practice, rather than clock hour minima. Students must continue in full-time practicum rotations through the spring

semester of the third year, and full-time in the externship year, even if competencies have been met or exceeded. In

addition, students are expected to be proactive in making certain they are on target for accrual of clinical experiences

across the scope of practice.

A clinical competency checkpoint is required for AuD students in their first year. In years 2-4, students will gain experience

across the scope of practice via practicum placements and the externship year, with competencies evaluated at checkpoints

via a combination of performance evaluated completed by the supervisor in CALIPSO and evaluations of performance

during clinical experiential labs. If a student is not meeting minimum competency standards, the student will be referred to

the CAPES for consideration of a remediation plan or other outcome, as appropriate. In some cases, clinical practice

exercises or extended clinical practicum experiences may be required, which may extend the student’s length of study.

If admitted to a formal summer research training program, this experience may be substituted for one summer practicum

rotation (typically completed in the summer following the first or second year).

These experiences meet and exceed the requirements of CAA, and subsequently ASHA, for certification in audiology.

Exceptions to these requirements may only be granted by the Committee on Academic and Professional Evaluation of

Students (CAPES).

PRACTICUM COORDINATION, MEETINGS, AND STAFFINGS

The Director of Audiology Studies serves as the Practicum Coordinator and works in close collaboration with the WUSM

Clinical Audiologist at WU/CID. This arrangement helps to ensure consistency and carry-over across academic and practical

experiences, and provides an opportunity to observe students’ abilities to apply the knowledge base under actual

conditions of professional practicum.

A member of the practicum team will conduct an annual informational meeting during orientation to outline practicum

expectations and procedures. One or more members of the team will also teach the weekly audiology staffing course

during the fall and spring semesters. Attendance at these staffings is required for all AuD students in the first, second, and

third years.

Page 5: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

4

The Externship is coordinated by the Director of Audiology Studies. Please see the Fourth-Year Externship section for

information.

PRACTICUM SITES

There are approximately 50 affiliated sites within the St. Louis metropolitan area and over 100 additional sites around the

country. Students who are interested in exploring the opportunity for placement at an out-of-town site for the summer

rotation should do so in close consultation with the Practicum Coordinator. (At this time, international placements cannot

be pursued.) A suggested timeline for arranging such an out-of-town practicum rotation is included here as Appendix A. A

Clinical Site Form must be submitted when requesting a new site; a copy of this form can be found here as Appendix B.

Students should note that the Affiliation Agreement and any other necessary paperwork must be complete and fully

approved for new sites no later than April 1st to facilitate summer placements. The student should keep this in mind when

making summer living plans. Once initial agreements are in place, a formal Affiliation Agreement must be developed

between PACS and the site. All practicum sites must have an Affiliation Agreement in place before a student can be placed

at that site and begin observation, practicum, and/or the externship.

Copies of affiliation agreements for their current placement site(s) are available to students upon request. In addition, for

the fourth-year externship, once the Externship Summary has been finalized, students will receive a copy and are strongly

encouraged to familiarize themselves with the terms of the document. Please see the “Fourth-Year Externship” section for

complete information on Affiliation Agreement and Externship Summary requirements during the externship.

PRACTICUM PLACEMENTS

To the extent possible, observation, practicum, and externship placements are made to accommodate individual student

interests, abilities, availability, and needs. This includes, but is not limited to, ensuring each student engages in a variety,

depth, and breadth of experience; to meet the needs and interests of sites; and student requests. However, PACS reserves

the right to determine all final observation, practicum, and externship placements for all students, without exception.

Placements are not elective and students are expected to complete all placements, as made, or in the case of the

externship, as agreed upon (verbally and/or in writing) by the student.

If a change is requested, a written request must be submitted to the Practicum Coordinator (1st through 3rd-year AuD

students) or Externship Coordinator (4th-year AuD students) as soon as possible after the placement is known, and prior to

the first day of the rotation. Students should not communicate and/or negotiate with the site directly on these matters.

Only under extreme circumstances will an alternate placement be considered, and assuming an alternate option is

available. Failure to follow these policies and procedures may result in a lowered or failing grade, rejection of the request,

and/or referral to the CAPES.

In the event a student encounters difficulty during a rotation, students should report these issues to the Practicum

Coordinator and/or Externship Coordinator immediately so that problem-solving steps can be taken.

Page 6: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

5

PRACTICUM SCHEDULES

Practicum schedules follow the published program academic calendar, including scheduled holidays. Observation and

practicum start and end dates for each semester will be published on the PACS Academic Calendar. Once a practicum

assignment has been made, it is the student’s responsibility to contact the site supervisor to arrange for the practicum

schedule and other details. All students are encouraged to work cooperatively with practicum placement sites regarding

specific schedules, including days, times, and locations. Occasionally, students may be asked to complete practicum hours

on scheduled academic holidays (including spring break, fall break and similar days of clinical operation), weekends,

evenings, or at alternate locations. In addition, students may be expected to make up days missed.

While summer rotation schedules will vary from site to site, students are expected to complete a minimum of six weeks of

full-time effort (240 hours), or the equivalent, during each summer rotation. The more practicum experience, the better;

therefore, exceeding the minima will serve to enhance learning.

PRACTICUM ATTENDANCE

Please refer to the attendance policies outlined in the PACS Student Handbook for complete information. Students are

expected to attend practicum experiences, as assigned. Any absence or other professionalism concern may negatively

impact grading and/or result in disciplinary action by the CAPES.

PRACTICUM EVALUATIONS AND GRADING

The practicum team will work together to ensure that all students are achieving the requisite clinical competencies. These

competencies will be evaluated through formative and summative feedback and in-person competency exams. The

evaluative input from the practicum supervisor is one important factor considered in determining the final semester grade

(see Appendices C and D). Additional factors that may be taken into consideration include overall progress/improvement,

communication between coordinator and practicum supervisor, and participation in other required activities related to

observation, practicum or externship.

A member of the practicum team will meet individually with each student (1st, 2nd and 3rd-year) near the end of the

semester to review the student’s evaluation(s) and discuss his/her performance. When possible, students will be notified

of the final semester grade at this time.

Grades during the fall and spring semesters of the first year are on a Pass/Fail basis. Letter grades are assigned in the

summer semester of the first year and in subsequent years. Practicum grades may not be reported until hours and

evaluations have been submitted. Copies of practicum evaluations are kept on file in the PACS Office as well as in CALIPSO;

students may review their evaluation within CALIPSO once it is finalized by the practicum supervisor.

Page 7: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

6

PRACTICUM PROGRESSION

Decisions about a student’s progression from one course/placement to a subsequent course/placement during the first

three years are made by the Practicum Coordinator. He/she will consult, as necessary, on such decisions with the Director

of Audiology Studies and/or the Committee on Academic and Professional Evaluation of Students (CAPES). A student may

not be permitted to progress unless satisfactory performance and progress has been demonstrated.

DOCUMENTATION OF HOURS

Students are responsible for documenting clinical practicum hours in our web-based clinical practicum tracking platform

called CALIPSO, as appropriate. Each student will be given a private and unique CALIPSO account at orientation as well as

all instructions for using the web-based application. All of our approved clinical preceptors have a unique CALIPSO account

so that they can approve submitted hours and submit student evaluation forms. An example of the CALIPSO Clock Hour

Form can be found as Appendix E. Any miscellaneous hours (i.e., SLP hours, screening hours) should be recorded via

CALIPSO. For transfer hours, appropriate documentation must be submitted to the PACS Office before the student’s record

will be credited.

The PACS Office will maintain an official record of each student’s practicum sites, supervisors, and accrued hours in

CALIPSO. Students will have access to an updated copy of this record following each completed rotation via their CALIPSO

account. Other forms and documents related to practicum can also be found on the CALIPSO website.

Clinical practicum is defined by ASHA as “hours spent in direct patient/client contact, consultation, recordkeeping, and

administrative duties relevant to audiology service delivery.” Hours recorded in CALIPSO must follow the guidelines above,

as well as ASHA requirements for supervision.

Please note that current AuD students may not use the practicum hours completed and/or supervision received, in whole

or in part, during a practicum rotation completed in PACS toward Hearing Instrument Specialist (HIS) licensure.

Furthermore, PACS does not support either the obtaining of licensure prior to the student’s graduation or the earning of a

master’s degree for the sole purpose of licensure and/or billing. See “Certification and Licensure” in the PACS Student

Handbook for more information. On rare occasion, a student may require provisional licensure for fourth year students.

When this occurs, the student must be fully supervised and paperwork / costs absorbed by the site/students. Advance

approval by PACS is required.

REQUIREMENTS FOR SUPERVISION OF PRACTICUM

Requirements of ASHA for supervision of practicum and qualifying practicum hours are strictly followed. Complete

information is available from the ASHA website at www.asha.org. Students are trainees, not employees of the site, and

may not replace any site staff.

Page 8: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

7

EMPLOYMENT AND PAYMENT

Students may not accept any employment or position in which they are expected to fulfill the role and/or duties typically

reserved for fully certified and/or licensed professional, including the position of Audiology Assistant, without receiving

authorization from PACS in advance. This includes, but is not limited to, maternity leave coverage or other substitute

coverage for a fully certified and/or licensed professional. Furthermore, any AuD student offered a paid position in any

facility providing audiology services must first obtain the authorization of PACS before accepting the position. The student

and/or facility may be asked to provide specific details on the position, such as the types of activities in which the student

will be engaged, payment rate, and supervision. No student is exempt from this requirement; for students in the fourth

year, a completed and signed Externship Summary generally serves as the document authorizing such payment. Students

completing the fourth-year externship who are receiving payment of any kind must report complete and accurate

information to the Office of Student Financial Planning and such payments may reduce or eliminate eligibility for

financial assistance.

STUDENT TITLES

During practicum experiences, and in this handbook, the student completing observation and/or practicum will be referred

to as the “student clinician”. Students may not use the term “candidate,” as this title may only be used by doctoral

students under special circumstances and after all requirements for the degree have been completed.

PROFESSIONALISM

From the first day of training, students are considered members of our professional community. As such, they are expected

to exhibit professional behavior at all times. Students must demonstrate the highest standards of professionalism, ethics,

judgment, and responsibility. Students are expected to follow the guidelines in the PACS Student Handbook, which includes

more detailed information on issues such as attendance, cell phone use, code of ethics, confidentiality, feedback,

complaints, and dress. Student professionalism will also be evaluated on a regular basis by the Committee on Academic

and Professional Evaluation of Students (CAPES), as described in detail in the PACS Student Handbook.

CLINIC DRESS

Students should check with their practicum site for specific requirements, but the information below provides general

guidelines to follow unless otherwise specified by the site.

• Attire should be professional, with students maintaining a neat, clean appearance at all times.

• Closed toe shoes are required.

• Professional attire for females may include slacks, dresses, skirts (just above the knee or longer), and blouses. Care

should be taken that the top provides adequate coverage when bending over patients.

• Professional attire for males may include slacks and button-down shirts. Some sites may require a tie or allow polo-

style shirts.

• Some sites may require white coats and/or scrubs.

Page 9: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

8

• Unacceptable attire includes jeans, t-shirts, tennis shoes, sandals, shorts, and “athleisure” wear.

COURSE, PRACTICUM, AND EXTERNSHIP EVALUATIONS

Students are expected to participate in regular evaluation of observation, practicum, and externship experiences. These

processes provide PACS faculty and staff with the opportunity to identify areas of strength, identify areas needing

improvement, and to implement changes that will improve the processes and experiences for everyone. These evaluations

are completed at the end of every semester; the primary evaluation mechanism is an on-line course evaluation, which

provides general feedback on the observation, practicum, and/or externship experience and the weekly staffing course.

Students will have an opportunity to evaluate the site via the Supervisor Feedback form found within CALIPSO.

OBSERVATION AND PRACTICUM: FIRST-YEAR STUDENTS

First-year AuD students are generally assigned to approximately one-half day per week of clinical observation and

practicum under the supervision of a fully certified and licensed audiologist. These placements are generally made at an

on-campus clinic, but may also occur at another location in the St. Louis metropolitan area. Placements are scheduled

around students’ class schedules, and students are often grouped in pairs for these experiences. When patients are not

being seen, students are expected to practice techniques on each other and attain additional experience with the

equipment. Examples of suggested student activities from two current practicum sites have been included as Appendices F

and G.

By the end of the spring semester of the first year, the goal of these experiences is to have prepared students to begin their

first external rotation, which is typically scheduled for the summer following the first year. Summer academic courses are

generally scheduled as intensive experiences ranging from one to three weeks that immediately follow the spring semester.

This allows students to focus their efforts for the remainder of the summer on the summer practicum rotation, which may

take place locally or out of town.

PRACTICUM: SECOND-YEAR AND THIRD-YEAR STUDENTS

Following the first-year summer rotation, there are generally four additional rotations during the second and third years.

The student schedule for each rotation is outlined below, with emphasis upon gaining as much valuable experience as

possible. These take place as follows:

1. Year Two: Fall Semester (minimum 2 days/week)

2. Year Two: Spring Inter-session (full-time effort)

3. Year Two: Summer Session 2 (full time effort)

4. Year Three: Spring Semester (minimum 3 days/week)

Page 10: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

9

These experiences are varied, so students will gain extensive experience across the lifespan and across the scope of

practice. This provides students with an excellent foundation that is further fortified during the fourth-year externship

experience.

Students are expected to be self-motivated and use “down” time to assist the site and/or improve upon their own

knowledge and skills. Examples of suggested student activities from two current practicum sites have been included as

Appendices F and G.

FOURTH-YEAR EXTERNSHIP

Locating and Securing the Externship Site:

The student should begin to explore possible fourth-year externship sites as he/she approaches the third year of study, at

the latest. Close mentoring is provided by the Director of Audiology Studies, Practicum Coordinator, Externship

Coordinator, and/or other members of the faculty and staff who have nation-wide contacts.

During the course PACS 470: Practice Management, students will learn enhanced skills for professional cover letter and

résumé writing. Assistance is available from PACS faculty, and students may also utilize University resources, such as the

Career Center.

Students will also gain exposure to researching various sites via regular meetings with the Director of Audiology Studies and

support from other PACS faculty members. Potential sites may be located via a variety of avenues, including networking

with area audiologists; experience with previous practicum sites; discussing possible sites and resources with faculty

members; information-gathering at professional meetings; and on-line research. There are also a number of

“clearinghouse” avenues developing professionally, such as through the Externship Registry of the American Academy of

Audiology (AAA) at www.audiology.org/education/academia/externship/ and through Audiology Online’s Career Center at

www.audiologyonline.com/careers/.

If a student is interested in an externship opportunity, the recommended procedure is for the Director of Audiology Studies

to make the initial contact, by either e-mail, phone call or letter. The student may then send a cover letter of inquiry and

résumé. The Director of Audiology Studies, student, and potential site will remain in close contact throughout the process.

The timeline recommended for this process by the American Academy of Audiology (AAA) is included here at Appendix H,

and this timeline will be followed as closely as possible. Students should know that variability does exist during the

interview and offer phase of the externship search.

During the seeking and interviewing processes, each potential site should know that the student is exploring a number of

opportunities for his/her fourth-year externship. The Director of Audiology Studies is closely involved in negotiations and

plan-making with the site. The final placement requires approval of the Director of Audiology Studies. Emphasis will be

upon quality, depth, and breadth of the experience.

Page 11: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

10

Paperwork

To finalize the fourth-year externship placement, certain paperwork must be completed between PACS and the site. This

includes the Affiliation Agreement and the Externship Summary. Additional paperwork may also be required by the site.

Students may share a copy of the sample Externship Summary prior to accepting an offer, included here as Appendix I, but

should do so for informational purposes only and to ensure that the sites understand that the sharing of these documents

should not be interpreted as a definitive commitment.

Once the student has secured the offer and required approvals from PACS, the PACS Office will negotiate with the site to

complete the required paperwork. The student will be asked to provide the details to be included in the Externship

Summary to the PACS Office during this process by completing the Externship Summary Data Form online (link available in

Box in the Audiology Practicum folder and at https://wustl.az1.qualtrics.com/jfe/form/SV_0Th9RtA3ZugX1eR). Completion

and approval of this paperwork generally takes several weeks to several months, but can often take longer. However,

students should be aware that there might be instances where the site and the University cannot come to mutually-

agreeable terms. In such cases, negotiations will be terminated and an alternate externship must be located by the

student. Students may not begin the fourth-year externship until all required paperwork has been completed, signed,

and returned to the PACS Office. The student should keep this in mind when making relocation plans. Once the Affiliation

Agreement and Externship Summary have been finalized, students will receive a copy of the Externship Summary and are

strongly encouraged to familiarize themselves with the terms of the document. Copies of documents are also available to

students upon written request. Please note that some sites may have requirements beyond what is typical and any related

costs may fall on the student (e.g., 12-panel drug screening, background check completed by the site). In addition, once the

paperwork has been finalized, it is important to exert the utmost in professionalism in letting other sites know of your

decision in a timely manner.

In addition, the policies and procedures outlined in the “Practicum Placements” section of this Handbook must also be

followed. Students should pay special attention to the information in this section on verbal and written agreements,

requests for changes, and communication with sites. The student should keep in mind that verbal and written

agreements are commitments that should be honored.

Student Feedback and Evaluation:

• The student should maintain regular communication with the Director of Audiology Studies regarding the student’s

perception of how the externship is progressing. This communication should be at least monthly, and may be by

phone and/or e-mail. Formal communication regarding goals and progress during the externship will be monthly

via assignments in Canvas. Additional communication with the students may be by phone and/or email, as needed.

• The Director of Audiology Studies will be in (at least) quarterly contact by phone and/or e-mail with the preceptor

regarding his/her perception of how the student is progressing within the externship experience.

Page 12: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

11

• An evaluation form will be sent to the preceptor at the beginning of each fall and spring semester for a formal

evaluation of the student’s performance. This should be completed by the preceptor, reviewed with the student,

and submitted to the PACS Office at the end of the semester via CALIPSO. Students will have an opportunity to

evaluate the site via the Supervisor Feedback form found within CALIPSO.

• Semester grading will follow the same process as during the first through third years, as detailed in the “Practicum

Grading” section above.

• Documentation of practicum hours should follow the same process as during the first through third years, as

detailed in the “Documentation of Hours” section above. As a reminder, semester grades may not be submitted,

including final grades and paperwork required for graduation, certification, and/or licensure, until hours and

practicum evaluations are submitted. Due dates will be communicated by PACS.

• A member of the PACS faculty will visit local sites at least once during the externship experience. Efforts will also be

made to visit sites in other cities, as schedules and budgets allow.

CONTACTS

Questions should be addressed to the following key contacts within PACS:

Amanda Ortmann, PhD, CCC-A Program Director / Director of Audiology Studies [email protected] Voice: (314) 747-0106 Lauren Felton, AuD, CCC-A Clinical Education Coordinator [email protected] Voice: (314) 747-0133 Steven Smith, AuD, CCC-A Clinical Audiologist [email protected] Voice: (314) 747-7190

Beth Elliott, MAT Director, Finance and Student/Academic Affairs [email protected] Voice: (314) 747-0102 Beth A. Fisher Grant Specialist / Faculty Coordinator [email protected] Voice: (314) 747-0108 Rene’ P. Miller Academic Records Assistant and Coordinator [email protected] Voice: (314) 747-0103

Page 13: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Suggested Timeline: Securing an Out-of-Town Summer Practicum Placement

September o Make a list of the programs and contact info in the desired area, including any pre-approved sites (this information is

available from the PACS Office).

October o Check PACS Calendar and summer course schedules for dates of summer practicum rotation.o Determine dates you will be in the desired area.o Allow at least 6-10 weeks for summer practicum experience. The minimum requirement is the equivalent of six weeks,

full-time experience (e.g., six weeks @ five days per week or 10 weeks @ three days per week). However, exceeding thisminimum and obtaining as much experience as possible is optimal.

November o Contact programs via phone and/or e-mail. A contact in early November may allow you the possibility of a visit to the

site over the Thanksgiving break or between semesters.o Inquire about possible position, summarizing key information (see prompt below):

⇒ Dates available⇒ Length of rotation⇒ Supervision requirements (ASHA-certified audiologist)⇒ Activities in which students generally participate

o There is no cost to the site for hosting a studento If there is a possible position, ask:

⇒ Is there an application/selection process?⇒ What information do you need from the student? The program/university?

o As soon as possible after a site has expressed an interest, complete the Practicum Site Information Form and submit thecompleted form to the PACS Office, with copies to the Director of Audiology Studies and Practicum Coordinator.

⇒ The Practicum Coordinator will be in touch with the site with additional information.⇒ An Affiliation Agreement is required to finalize the placement. This will be sent to the site for

review/signature by the PACS Office. When it has been returned by the site, she will send a notificationvia e-mail that the paperwork is complete. No placement can be finalized until this Affiliation Agreementis in place.

December – March

o The Affiliation Agreement must be complete by April 1st to approve a student’s placement at a new site for thesummer rotation.

Prompt:

Hello, I’m ________________. I am a ___ year audiology student at Washington University in Saint Louis, Missouri. I am calling to see if your facility is accepting student clinicians for this summer.

If you’ve never had a student clinician before, it is really easy and it’s free. All that my program asks is that I am able to work with an ASHA certified audiologist for 6-10 weeks in the summer from (insert dates available).

I would be earning practicum hours at your site by performing supervised tasks at my level, such as pure-tone and speech audiometry, immitttance audiometry, hearing aid evaluations, as well as other clinical procedures.

If possible, could I get your contact information so that my clinical supervisor could explain the summer practicum guidelines in more detail?

Thank you. Here is my contact information ________________________ as well as my supervisor’s contact information.

Appendix A

Page 14: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

APPENDIX VI-A: AUDIOLOGY CLINICAL POPULATION

Name and type of facility (e.g., hospital, school, industry, government agency, private practice, college/university,

research/science/lab, etc.):

Location/distance from campus:

Type of activities students typically engage in:

Site Contact Information (address, email and phone)

Appendix B

Page 15: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

CALIPSO Practicum Evaluation

Young Child (0-5)

Child (6-17)

Adult (18-64)

Older adult (65+)Performance Rating Scale

1 - Unacceptable 6 - Present

2 - Developing Understanding 7 - Present Consistenty

3 - Early Emerging 8 - Developing Mastery

4 - Emerging 9 - Gaining Independence

5 - Emerging Consistently 10 - Independent/Outstanding

Client(s)/Patient(s) Multicultural Aspects (check all that apply) Client(s)/Patient(s) Linguistic Diversity (check all that apply)

Ethnicity English

Race English Language Learner

Culture Primary English dialect

National origin Secondary English dialect

Socioeconomic status Bilingual

Gender identity Polyglot

Sexual orientation Gender identity

Religion Sign Language (ASL or SEE)

Exceptionality Cognitive / Physical Ability

Other Other

Foundations of Practice Score

1. Utilizes universal precautions and infectious/contagious disease control practices (std IV-A21, std 3.1.1A)

2. Determines whether instrumentation is in calibration according to accepted standards (std IV-A25, std 3.1.2A)

3. Demonstrates knowledge of equipment operation. Uses instrumentation according to manufacturer's specifications/recommendations (std IV-A24, std 3.1.2A)

4. Applies principles and applications of counseling to patients, families, and other appropriate individuals. Uses counseling that effectively communicates results/recommendations and addresses concerns inan effective and culturally senstive manner. (std IV-A26, IV-D2c, std 3.1.4A)

5. Understands and functions within the policies, procedures, protocols and business practices of the clinical facility including prompt completion of all billing, including assigning correct CPT and ICD codes,tracking forms, data entry and other documentation as required (std IV-A28, std 3.1.4A)

6. Consults/collaborates as appropriate with interprofessional teams in assessment and in coordination of care while maintaining a climate of mutual respect and shared values. Maintains or establishes linkswith external programs (std IV-A29, IV-F6, std 3.1.1A, 3.1.4A, 3.1.6A)

Number of items scored: 0 Number of items remaining: 6 Section Average: 0.00

Prevention and Identification Score

1. Implements protocols, activities, and screening measures that are clinically appropriate, culturally sensitive, age- and site- specific to prevent and identify hearing and communication dysfunction FORCHILDREN (i.e., newborn hearing screening/follow-up and school screenings). (std IV-B1, IV-B2, IV-B3, std 3.1.3A)

Page 1/4 Appendix C

Page 16: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Prevention and Identification Score

2. Implements protocols, activities and screening measures that are clinically appropriate, culturally sensitive, age- and site- specific to prevent and identify hearing and communication dysfunction FORADULTS. Administers programs designed to reduce the effects of noise exposure, tinnitus, and toxic agents to the auditory and vestibular systems (i.e., community & occupational conservationprograms). (std IV-B1, IV-B2, IV-B3, std 3.1.3A)

3. Screens individuals for speech and language impairments and other factors affecting communication function using clinically appropriate, culturally sensitive, and age- and site-specific screening measures(std IV-B4, std 3.1.3A)

4. Educates individuals on potential causes and effects of hearing loss, loss of vestibular system function, development of tinnitus, and development of communication disorders. (std IV-B5, std 3.1.3A)

5. Identifies individuals at risk for balance problems and falls who require further vestibular assessment and/or treatment or referral for other professional services (std IV-B1, IV-B6, std 3.1.4A)

Number of items scored: 0 Number of items remaining: 5 Section Average: 0.00

Assessment Score

1. Obtains a case history from appropriate sources to facilitate assessment planning. Determines contextual factors by asking appropriate and investigative questions in a clear and organized manner.Administers clinically appropriate and culturally sensitive scales of communication function to communication partners of the individual being served. (std IV-C2, IV-C3, std 3.1.4A, 3.1.5A)

2. Performs audiologic assessment using clinically appropriate and culturally sensitive behavioral, psychophysical, and self-assessment measures FOR CHILDREN (std IV-C2, std 3.1.3A, 3.1.4A, 3.1.5A)

3. Performs audiologic assessment using clinically appropriate and culturally sensitive behavioral, psychophysical, and self-assessment measures FOR ADULTS (std IV-C2, std 3.1.3A, 3.1.4A, 3.1.5A)

4. Performs an otoscopic examination. Demonstrates proficiency in recognizing normal landmarks, otoscopic abnormalities, and the need for medical referral. (std IV-C4, std 3.1.4A)

5. Removes cerumen, when appropriate (std 3.1.4A)

6. Demonstrates ability to accurately determine Air Conduction & Bone Conduction thresholds using appropriate techniques (std IV-C2, IV-C5)

7. Demonstrates proficiency in determining the need to mask when performing pure tone air/bone conduction testing. Demonstrates proficiency in performing masking procedures using accepted practicetechniques (std IV-C5)

8. Demonstrates ability to administer and accurately interpret speech tests including threshold and suprathreshold tests in quiet and in noise (std IV-C5)

9. Demonstrates proficiency in determining the need to mask when performing threshold and suprathreshold speech audiometry. Demonstrates proficiency in performing speech masking procedures usingaccepted practice techniques. (std IV-C5)

10. Demonstrates ability to efficiently and accurately complete the basic audiological test battery in a timely manner (std IV-C2, IV-C5)

11. Performs acoustic immittance tests efficiently and appropriately for differential diagnosis of site of lesion. Accurately identifies and interprets tympanogram types and acoustic reflex configurations (stdIV-C2, IV-C7)

12. Demonstrates the ability to perform and interpret Otoacoustic Emissions (std IV-C2, IV-C5, IV-C7)

13. Performs auditory evoked potentials for neurodiagnostic applications and estimation of peripheral hearing sensitivity. Demonstrates proficiency in waveform analysis and interpretation (std IV-C1, IV-C2,IV-C5, std 3.1.4A)

14. Demonstrates the ability to perform a vestibular assessment and determine the need for vestibular rehabilitation. Interprets tests of balance function (std IV-C2, IV-C6, std 3.1.4A)

15. Demonstrates ability to perform pediatric behavioral audiological assessment. Selects appropriate tests and testing technique (VRA, CPA, or other) (std IV-C2, IV-C5)

16. Demonstrates ability to perform and select behavioral and electrophysiological tests of auditory processing. Demonstrates appropriate analysis of test battery results for differential diagnosis andmanagement strategies (std IV-C2, IV-C8)

17. Demonstrates ability to perform audiological rehabilitation assessment (use of self-assessment measures, speech reading assessment, aided testing) to establish functional use of hearing (std IV-C9, IV-C2, std 3.1.4A)

18. Prepares a report, which includes evaluation procedures, interpretation of data to establish type and severity of disorder, summarization of findings, generation of recommendations and referrals, anddevelopment of an audiologic treatment/management plan (std IV-C10, std 3.1.4A)

19. Communicates results and recommendations orally and in writing in a culturally senstive and age appropriate manner to the individual being served and other appropriate individual(s) (std 3.1.4A, 3.1.6A)

Number of items scored: 0 Number of items remaining: 19 Section Average: 0.00

Intervention (CFCC IV-D) Score

1. Evaluates need for and selection of hearing aids, sensory aids, hearing assistive devices, alerting systems and captioning (std IV-D1, IV-D2a, std 3.1.6A)

2. Uses verification and validation measures to evaluate effectiveness of hearing aids and other assistive devices (std IV-D1, IV-D2a, std 3.1.6A)

Page 2/4 Appendix C

Page 17: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Intervention (CFCC IV-D) Score

3. Troubleshoots and adjusts hearing aids and other assistive devices (std IV-D1, IV-D2a, std 3.1.6A)

4. Determines candidacy of persons with hearing loss for cochlear implants and other implantable sensory devices (std IV-D2b, std 3.1.6A)

5. Fits, maps, adjusts, and troubleshoots cochlear implants and other implantable sensory devices (std IV-D2b, std 3.1.6A)

6. Educates/orients consumers, family and caregivers in the use of and adjustment to hearing technology (std IV-D1, IV-D2a, std 3.1.6A)

7. Counsels patients, caregivers, and others regarding prognosis and treatment options, psychosocial aspects of hearing loss & other auditory dysfunction, and processes to enhance communication competence(std IV-D2c, std 3.1.4A, 3.1.6A)

8. Provides comprehensive audiologic treatment for persons with hearing loss or other auditory dysfunction, including but not exclusive to communication strategies, auditory training, speech reading, andvisual communication systems (std IV-D1, IV-D2d)

9. Determines candidacy for vestibular and balance rehabilitation therapy to persons with vestibular and balance impairments (std IV-D3, std 3.1.6A)

10. Provides treatment and audiologic management of tinnitus (std IV-D1, IV-D4, std 3.1.6A)

11. Provides treatment services for infants and children with hearing loss; collaborates/consults with early interventionists, school based professionals, and other service providers regarding development ofintervention plans (i.e., individualized education programs and/or individualized family service plans) (std IV-D1, IV-D5)

12. Participates in the selection, purchase, installation, and evaluation of large-area amplification systems (std IV-D6)

13. Develops culturally sensitive and age appropriate management strategies and implements treatment plans using appropriate data (std 3.1.6A)

14. Monitors, summarizes and documents treatment and outcomes (std IV-D7, std 3.1.6A)

15. Encourages active involvement of the individual in his or her own care (std 3.1.1A)

16. Efficiently and effectively makes ear mold impression

Number of items scored: 0 Number of items remaining: 16 Section Average: 0.00

Professional Skills Score

1. Interacts effectively, using all forms of expressive communication, with individuals served, family members, caregivers, and others involved in the interaction to ensure the highest quality of care deliveredin a culturally competent manner. Uses interpreters, transliterators, and assistive technology as needed (std IV-A22, IV-A27, std 3.1.1A)

2. Demonstrates active/reflective listening skills, appropriate empathy and care/compassion, and the ability to adapt interactions to meet the needs of the individual, family members, caregivers, and othersinvolved in care (std IV-A26, std 3.1.1A)

3. Demonstrates openness and responsiveness to clinical supervision and suggestions. Engages in self-assessment to improve his or her effectiveness in the delivery of services (std 3.1.1A)

4. Displays organization and preparedness for all clinical sessions

5. Assumes a professional level of responsibility and initiative in completing all requirements

6. Appropriately refers to and collaborates with other professions, agencies, and/or consumer organizations (std IV-C11, std 3.1.1A)

7. Uses self-reflection to understand the effects of his or her actions and make changes accordingly (std 3.1.1A)

8. Maintains records in a manner consistent with legal and professional standards (std 3.1.4A, 3.1.6A)

9. Adheres to federal, state, and institutional regulations and demonstrates knowledge of legal and ethical practices, contemporary professional issues and advocacy (includes trends in best professionalpractices, privacy policies, models of delivery, and reimbursement procedures/fiduciary responsibilities) (std IV-A19, std 3.1.1A, 3.1.6A, 3.8A)

10. Adheres to the ASHA Code of Ethics and Scope of Practice documents and conducts him or herself in a professional, ethical manner (std 3.1.1A)

11. Understands the effects of cultural and linguistic diversity and family systems in professional practice (Std IV-A16, std 3.1.1A)

Number of items scored: 0 Number of items remaining: 11 Section Average: 0.00

Advocacy / Consultation (CFCC IV-E) Score

1. Educates and advocates for communication needs of all individuals that may include advocating for the programmatic needs, rights, and funding of services for those with hearing loss, other auditorydysfunction, or vestibular disorders (std IV-E1, std 3.1.6A)

2. Consults about accessibility for persons with hearing loss and other auditory dysfunction in public and private buildings, programs, and services (std IV-E2)

Page 3/4 Appendix C

Page 18: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Advocacy / Consultation (CFCC IV-E) Score

3. Identifies underserved populations and promotes access to care. Understands the roles and importance of professional organizations in advocating for the rights of access to comprehensive audiologicservices. (std IV-E3, std 3.1.1A)

Number of items scored: 0 Number of items remaining: 3 Section Average: 0.00

Education / Research / Administration (CFCC IV-F) Score

1. Measures functional outcomes, consumer satisfaction, efficacy, effectiveness, and efficiency of practices and programs to maintain and improve the quality of audiologic services in both assessment andtreatment (std IV-F1, IV-D7, std 3.1.4A, 3.1.5A, 3.1.6A)

2. Applies academic knowledge and principles of evidence-based practice to patient care using clinical reasoning while implementing new techniques and technologies (std IV-F2, IV-F3, std 3.1.1A, 3.1.4A,3.1.6A)

3. Understands the role of clinical teaching/modeling. Administers clinical programs and provides supervision of professionals as well as support personnel (std IV-F4, std 3.1.1A)

4. Identifies internal programmatic needs and develops new programs (std IV-F5)

5. Maintains or establishes links with external programs, including but not limited to education programs, government programs, and philanthropic agencies (std IV-F6)

Number of items scored: 0 Number of items remaining: 5 Section Average: 0.00

Page 4/4 Appendix C

Page 19: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Performance Rating Scale1

2

3

4

5

6

7

8

Unacceptable: Skill present < 20% of the time. Unacceptable Performance. Skill is not evident most of the time. Student requires direct instruction to modify behavior and is unaware of need to change. Supervisor must model behavior and implement the skill required for client to receive optimal care. Supervisor provides numerous instructions and frequent modeling.

Developing Understanding: Skill present 20-29% of the time with maximum support. Needs improvement/emerging with maximum support. Skill is emerging, but is inconsistent or inadequate. Student shows awareness of need to change behavior with supervisor input. Supervisor frequently provides instruction and support for all aspects of case management and services.

Early Emerging: Skill present 30-39% of the time with maximum support. Needs improvement/emerging with maximum support. Skill is emerging, but is inconsistent or inadequate. Student shows awareness of need to change behavior with supervisor input. Supervisor frequently provides instruction and support for all aspects of case management and services.

Emerging: Skill present 40-49% of the time with maximum support. Moderately meets performance expectations with maximum support. Skill is present and needs further development. Student is aware of need to modify behavior, but does not do this independently. Supervisor provides on-going monitoring and feedback; focuses on increasing student's critical thinking on how/when to improve skill.

Emerging Consistently: Skill present 50-59% of the time with increased support. Moderately meets performance expectations with increased support. Skill is present and needs further development. Student is aware of need to modify behavior, but does not do this independently. Supervisor provides routine monitoring and feedback; focuses on increasing student's critical thinking on how/when to improve skill.

Present: Skill present 60-69% of the time with moderate support. Adequately meets performance expectations with moderate support. Skill is developed most of the time and need continued refinement or consistency. Student is aware of behavior in-session and can self-evaluate. Problem solving is independent, however supervisor acts as collaborator to plan and suggest possible alternatives.

Present Consistently: Skill present 70-79% of the time with moderate support. Adequately meets performance expectations with moderate support. Skill is developed most of the time and need continued refinement or consistency. Student is aware of behavior in-session and can self-evaluate. Problem solving is independent, however supervisor acts as collaborator to plan and suggest possible alternatives.

Developing Mastery: Skill present 80-89% of the time with minimal support. Consistently meets performance expectations with minimal support. Skill is consistent and well developed. Student can modify own behavior as needed and is an independent problem-solver. Supervisor serves as a consultant and provides guidance on ideas initiated by student.

Gaining Independence: Skill present > 90% of time with minimal support. Consistently meets performance expectations with minimal support. Skill is consistent and well developed. Student can modify own behavior as needed and is an independent problem-solver. Supervisor serves as a consultant and provides guidance on ideas initiated by student.

Independent / Outstanding: Exceeds performance expectations/independent: Adequately and effectively implements the clinical skill/behavior. Demonstrates independent and creative problem solving.

9

10

Letter Grade Assignments

Letter Grade

10 - 9.01 A+

(reference only)

9 - 8.018 - 7.017 - 6.016 - 5.01

A+

5 - 4.01

A

4 - 3.01

B+3 - 2.01

B2 - 1.01

F1F

3rd Year

AA-B+BB-

CC-F

2nd Year

A+AA-B+

B-CF

1st Year Summer

A+AA-

BCF

1st Year Fall/Spring

PP

PFF

PB+BC+

Appendix D

Page 20: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

CALIPSO Clockhour Form

Child Adult Total

Total Observation Hours:

Observation

Evaluation

Treatment

Prevention & Identification

Hearing Screening

Hearing Conservation

Noise Measurements

Evaluation

Behavioral Assessment of Hearing

Cerumen Management

Electro-Physiological Assessment of Hearing

Tinnitus Evaluation

Assessment of Balance

Treatment

Selection, Verification, Use of Amplification

Selection, Verification; use of ALDs

Selection, Verification, Use of Implants (cochlear, brainstem,baha)

Perceptual Training (auditory and/or visual)

Counseling

Vestibular Therapy

Other

Administration

Consultation/Staffings

Speech and Language

Evaluation/Screening of Speech Disorders

Evaluation/Screening of Language Disorders

Treatment of Speech Disorders

Treatment of Language Disorders

Total Hours 0:00 0:00 0:00

Page 1/1

Appendix E

Page 21: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Last updated 11/30/12 by BC

Prior to your first day:

Read the orientation packet

Consider the areas we will be grading on your competency forms

Read or re-read your school information on adult and pediatric testing(including Conditioned Play and Visual Reinforcement Audiometry)

On your first day:

Wear your school badge (above the belt)

Dress appropriately (see orientation packet)

Bring:

a record of a TB test in the last 12 months

a record of CPR certification

a copy of your orientation packet

Appendix F

Page 22: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Last updated 11/30/12 by BC

GRADUATE STUDENT ORIENTATION

Locations and General Clinic Hours: We have three primary locations: Medical Tower A Suite 385 Audiology clinic, Medical Tower

A Suite 398 Audiology Administrative Offices and the Mercy Children’s Hospital/MCH Audiology clinic. Our clinic hours are officially 8:00am to 4:30pm. You will need to be in the appropriate office at approximately 7:45 or 7:50am. Our last patient is generally gone by 4:30pm. Most patient related administrative tasks are easily completed between patients, but we do occasionally need to stay after 4:30pm. Please check with the Audiologist(s) that you have been working with during the clinic day before you leave. Assignments for which office you’ll be working in each day will be provided by your supervising audiologist.

Craniofacial Team is at the Child Development Center (CDC) on some Fridays. If you are assigned to those clinics, you will meet there at 8:00am and return to campus after team is finished, generally around lunchtime. The office is at 641 N. New Ballas Rd., between Ladue and Olive, North of St. Louis Bread Co. and the Post Office. It has a “Mercy Blue” sign out front and a small blue entranceway.

Lunch Time: You are welcome to have lunch with us in the Admin Office lunch room in Suite 398. Should a

hearing aid rep come and visit our office while you are here, please join us. Feel free to keep your lunch in the refrigerator. There is a microwave available in the lunch room and in the cafeteria. Purses, briefcases, etc., can be stored in the “Staff” office (398.4) located within Suite 398. Additionally there is a cafeteria in the main hospital and a small café in Medical Tower A where you can buy drinks, snacks and lunch.

Attendance: Please submit all time off/vacation requests prior to your rotation start date. Academic

and religious holidays are not necessarily clinic holidays. If you have to be out of clinic during any of your scheduled clinic times, please let us know well in advance. Our schedule assumes you will be available in the Audiology clinic and may need to be adjusted if you will be absent. Attendance and reliability are aspects of a competent professional and numerous unscheduled absences will adversely influence your grade for the semester.

In the case of illness, car trouble or bad weather, call us as soon as possible (Not only to adapt the schedule, but because we get worried if you don’t show up). If you will be late or absent, contact Dr. Cristel at 618-910-2664 as soon as possible, and leave a voicemail. Please do not email. You may also leave a message at the main number (314) 251-5850 and follow-up in the morning to make sure the message was received. It is best to think of your time with us in the same way you would a paying job. We consider your practicum here on par with your coursework and just as important. We expect a professional attitude toward attendance, it reflects on your reliability and future conduct as a certified and licensed Audiologist.

Appendix F

Page 23: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Last updated 11/30/12 by BC

Transportation to and from our offices is your responsibility. If your mode of transportation begins to cause frequent tardiness or absences during the semester you will be expected to find another means of transportation.

Clinical Conduct: HIPAA: All conduct must adhere to HIPAA guidelines. If you are unfamiliar with HIPAA guidelines,

please contact your direct preceptor prior to your start date. It is necessary and required that all professionals at Mercy maintain privacy and confidentiality while interacting with patients.

Dress: Most of you will have had experiences in a patient clinic at some point before your first day at

Mercy, so please follow similar guidelines. Closed toe shoes are JCAHO compliant. (Flip-flops and athletic shoes are not acceptable.) Clothing should be neat, ironed, and conservative with regard to coverage. Excessive cleavage, visible undergarments, mid-thigh skirts and flashes of midriff while bending over to perform otoscopy are unacceptable. If you have long hair, please keep it from falling on patients. It is not hygienic for you or the patient.

Supervision: We expect that if you have any questions or concerns that you address these with your direct

preceptor or an available staff audiologist – no question is stupid if you are unsure of the answer. We were all students once and we understand that you may not yet have experienced a similar clinical situation prior to coming here.

As students in a professional program, it is up to you to make sure you obtain the skills needed to function once you are out on your own. Take initiative to ask for exposure on things you need to work on a bit more. Let us know if there is an area in which you are already confident and hopefully competent. You may not always get to see the patients you want to see, but we try to accommodate your educational needs as much as possible. Once you are assigned to a clinic for the day we expect you to help out with that clinic. Should there be something else happening that you are interested in, you can speak to your direct preceptor to see if it is a possibility to let you float during that time, but you must ask permission before leaving a current assignment.

Downtime: During downtime in the clinic, there are a number of things you can do (Please see the next

page). Please understand that the Audiology staff often have projects they need to work on between patients and may need that time to concentrate on phone calls or computer work. Please bring some of your class work or reading assignments to work on during downtime in case we have no precepting experiences for you. Looking up syndromes or other medical issues that you encounter in the clinic is another great down-time activity that can help you with possible case-studies for school. Please do not bring novelty reading or personal tasks as these activities greatly reduce your appearance of professionalism.

Everyone really enjoys having you here. The semesters seem to fly by far too fast. Remember that this is a learning experience and ask questions.

Appendix F

Page 24: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Last updated 11/30/12 by BC

GRADUATE STUDENT PROTOCOL

Mornings

Turn on / Log on equipment in both booths and the HA labs and perform listening check. Determine your location and audiologist for the day.

During and After Test Session

Be ready for the patient. When patient is registered, be ready to interact with thepatient and the audiologist.

Discuss your role with the audiologist. Complete chart note in Microsoft Word at discretion of Audiologist. Review with Audiologist. Fill out fax cover sheet Fax/mail report to appropriate referral sources. Restock any missing materials. Organize test area for next patient.

During Slow or Free Time

Check with your scheduled preceptor for the day. Prepare clinic/test area for next patient. Perform biologic calibrations on audiometers. Change ultrasonic fluid. (1 to 2 times per week) Look up any syndromes or conditions you have come across in histories. Read articles or study for school.

Before Leaving

Check with Audiology staff. Refill any supplies that are low. (case history forms, tips, etc…) Straighten hearing aid lab, test booths, fitting rooms for next day. Restart NOAH computers and shut down all other equipment and computers. Turn off lights in testing areas.

Appendix F

Page 25: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Appendix G

millerr
Sticky Note
MigrationConfirmed set by millerr
Page 26: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

July Aug Sep Dec Apr May June

Student/Faculty Search Process

Application Period Open

Applications Submitted

Application Files Completed

Interviews

Offers Made

Offers Accepted (Round 1)

Paperwork Finalized Between PACS and Site

Adapted from the Externship Timeline Guideline published in Audiology Today, July/August 2006, p. 6.

MUST BE COMPLETE BEFORE EXTERNSHIP CAN BEGIN

MarEXTERNSHIP TIMELINE GUIDELINE

NovOct Jan Feb

Appendix H

Page 27: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

WASHINGTON UNIVERSITY EXTERNSHIP SUMMARY

FOR ITS PROGRAM IN AUDIOLOGY AND COMMUNICATION SCIENCES

Site Name: Student Name: Site Supervisor Name: Site Supervisor

ASHA #:

The above-named student agrees to:

1. Begin the externship placement on (no earlier than May 24, 2021)

2. Complete the placement on (no later than May 11, 2022)

3. Maintain the following hours:

4. Participate in clinical observation as required by the site before beginning to provide clinical services.

5. Complete no less than 36 weeks and 1450 hours of experience within the agreed-upon dates.

6. Be responsible for continuity of care by not canceling or postponing clinical services without prior

consent of the site and/or supervisor.

7. Submit evaluations, progress notes, therapy plans, and other reports within the site’s written

guidelines.

8. Implement decisions regarding evaluation and treatment only after receiving approval from the

supervisor.

9. Abide by all of the rules and expectations of the site, as supplied in writing, including observation of

appropriate dress codes and standards for professional conduct.

10. Recognize that the externship may be terminated anytime in consultation with the site, supervisor, and

Program.

11. Complete and submit the required forms and agreements, including evaluation forms and log sheets.

The above-named site agrees to:

1. Maintain and submit proof, upon request, of the Certificate of Clinical Competence (CCC) in Audiology

from the American Speech-Language-Hearing Association (ASHA) for the individual named as the

supervisor.

2. Provide appropriate supervision of the student, as defined by the Council on Academic Accreditation

(CAA) of ASHA.

3. Provide to the student written guidelines on submission of evaluations, progress notes, therapy plans,

and other reports.

4. Schedule regular meetings with the student to discuss progress and performance, with no fewer than

three such meetings (entrance, mid-point, exit).

FOR REVIEW U

SE ONLY

Appendix I

Page 28: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Updated 7/10/2020

5. Provide no less than 36 weeks and 1450 hours of experience within the agreed-upon dates.

6. Provide one release day per semester (summer, fall, spring) to allow the student to participate in an

educational activity required by the AuD program.

7. Complete and submit the required forms and agreements, including evaluation forms and log sheets.

8. Provide $ compensation to the above-named student.

9. Provide the following types of experiences to the student during the externship:

Population Treatment

Adults Selection/Verification/Use of Amplification

Pediatrics Selection/Verification/Use of Implants (CI, Baha, etc.)

Selection/Verification/Use of ALDs

Prevention and Identification Selection/Verification/Use f Tinnitus Re-Training

Hearing Screening Auditory Training

Hearing Conservation Vestibular/Balance Therapy

Community Service Outreach

Additional Experiences

Evaluation Counseling

Behavioral Assessment of Hearing Cerumen Management

Electrophysiology Staffing/Grand Rounds

Tinnitus, Hyperacusis, Misophonia Interprofessional Teamwork

Vestibular/Balance Assessment Report Writing

Research

Other clinical experiences not listed above:

10. Provide the following additional benefits to the student:

11. Abide by the terms set forth in the Affiliation Agreement.FOR REVIEW U

SE ONLY

Appendix I

Page 29: OBSERVATION, PRACTICUM AND EXTERNSHIP HANDBOOK...Aug 10, 2020  · Practicum Attendance 5 Practicum Evaluations and Grading 5 Practicum Progression 6 Documentation of Hours 6 Requirements

Updated 7/10/2020

Program Signatures

Student Date

Amanda Ortmann, Ph.D., Director of Audiology Studies Date

Site Signatures

Site Supervisor Date

Site Administrator (if applicable) Date

FOR REVIEW U

SE ONLY

Appendix I