CLINICAL EDUCATION



MASTER OF SCIENCE IN COMMUNICATIVE DISORDERSCLINICAL EDUCATIONPRACTICUM POLICIES, REQUIREMENTS, AND PROCEDURES 2020-2022 CatalogPURPOSE OF PRACTICUMThe 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 pletion of the full practicum sequence is designed to result in student proficiency for:Planning goal-oriented therapy programs that are tailored to individual client needs, for clients of varying ages, disorders, and cultural backgroundsDeveloping treatment plans that accurately reflect long-range goals for the client and utilize appropriate materials and techniques for achieving therapy goalsUtilizing a variety of clinical techniquesWriting informative clinical reports with appropriate use of professional terminology and reasonable observation of written language conventionsExhibiting a competent and confident image to the client and/or parent in all clinical contextsSelf-evaluation of clinical strengths and weaknesses Exhibiting competence and confidence as a diagnostic evaluation team member, a team leader, and as the sole diagnosticianExhibiting the necessary skills to deal appropriately with other professionalsUsing research and exhibiting resourcefulness when faced with a situation not previously encountered or not directly covered by textbooks or academic theoriesGathering and using evidence to make efficacious practice decisionsDeveloping and implementing the full repertoire of professional practice competenciesThe 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:Observation of the student clinician during diagnostic and therapy sessionsProviding the student clinician with written and oral feedback regarding observations, treatment plans, and other aspects of clinical practiceConferencing or consultation with the student regarding observations, planning, special problems, or other aspects of clinical practiceProviding suggestions for alternative procedures for implementing goals or encouraging the student to seek out and develop alternative proceduresEditing and providing final approval of all written work pertaining to client care including treatment plans, diagnostic reports, task analyses, and final reportsDemonstration of therapy techniques by working directly with the clientParticipation in parent and/or client counseling sessionsProviding 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 PROTOCOLFaculty 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 efficientShowing a positive, caring attitude where people strive to be open and honest in their communicationConsiderate of each individual’s needs, valuing differences, and conducive to the setting and achievement of personal and professional goalsConducive 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 possibleProductive and enjoyable for students, faculty, staff, and clients in all aspects of clinical activityTo 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 unless specifically designated otherwise by your clinical supervisor. Students must obtain permission from the supervisor before interrupting any assessment or treatment session for any reason. Personal AppearanceThe clinician’s personal appearance must 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. 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”). 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 dress in layers and always exert good effort to remain “odor-neutral” as often as possible.Students in the ENMU SHROC should wear:Tops:ENMU SHROC green polo shirts should be obtained from the ENMU bookstore. Shorts, tank tops, halters/bare-backed tops, and T-shirts with messages or logos are considered inappropriate at any practicum site. Bra straps should NOT show at any time during therapy. Cleavage should not be visible when leaning across a table to assist a client. Bottoms:Khaki or black slacks??-Please note:? If you choose the black option, this garment must be solidly black and must be made from a non-jean, non-100% cotton fabric.? Slacks cannot be faded to ANY degree.? You cannot wear "form-fitting" pants.? This specifically means leggings, super slims, and skinnies.? You CAN wear straight, girlfriend, boyfriend, bootcut, trouser, and wide-leg fits.? Capris are NOT currently allowed. Ankle and cropped length options ARE allowed.?Shorts of any kind (including Bermuda/walking shorts) are NOT allowed.Skirts are acceptable, as long as the skirt falls below the knee (not at the knee) while sitting.? Skirts must be khaki or black, and if black must be made of a?non-jean, non-100% cotton fabric.Underwear should NOT show at any time during therapy.Shoes:Students should exercise good judgment in choosing shoes. Open toed shoes are NOT permissible in the ENMU SHROC or in ANY medical setting. Tennis shoes and sandals may be acceptable at some off-campus sites if they have a professional appearance with prior supervisor approval. Neon colored shoes are not permitted in the SHROC.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.Tattered or worn clothing is not appropriate for professional attire. 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.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. Please be aware that some clients and supervisors have strong allergies 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. 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. 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.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. Protective gloves should be worn during all oral examinations. New gloves will be worn for each new client.Practicum supervisors reserve the right to judge the appropriateness of each clinician’s attire individually.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 ROLESThe 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 ROLESThe 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/their 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 programProvide optimal speech-language pathology services by:Developing outstanding clinical skill and judgment Applying basic and social science background and clinical theory in decision makingApplying academic knowledge learned (Academic Standards) to clinical settings Integrating relevant research outcomes (Research Standards) into the practice of speech-language pathologyDevelop and apply clinical student learning competencies as specified by the Clinical Standards Develop and apply Professional Practice Competencies during interactions with othersDevelop interpersonal skills which will:Reflect both physical and emotional composure at all timesEnable one to work with a diverse population of clients, peers, faculty, and other health care professionalsDevelop self-esteem in self and others Ensure open, honest communicationEnhance 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:For self-learning by setting personal and professional goals and for performing self- evaluationFor providing total patient care within the scope of personal knowledge and skill, and seeking guidance from qualified faculty and staff when appropriate By interacting with peers as teachers and mentorsBy using problem solving skills creativelyBy making ethical decisions based on knowledge and values consistent with professional standards of conductEncourage individual differences by:Learning to work with clients of varying ages; ethnic and cultural backgrounds; and physical, mental and social capabilitiesDeveloping an awareness of personal strengths, gifts, talents, and limitationsAppreciating the different roles faculty, peers, and other health care professionals play in providing total patient care Working with fellow health care providers in collegial relationships.Explore personal characteristics by:Clarifying personal goals and values in relation to the professionChallenging oneself, in a positive manner, to learn and apply new concepts and techniques related to speech-language pathologyProviding leadership and acting as a role model in community and professional activitiesBalancing personal and professional rolesDeveloping management skills related to the practice of speech-language pathology including the ability to train, delegate and supervise other team membersMaintain a neat, clean, secure environment by:Using common courtesy and following procedures detailed in this handbookFollow Administrative and Program Standards at all timesCLINICAL STANDARDS and practicum policiesIn 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.Code of EthicsIn 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. ConfidentialityConfidentiality 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. Client documents/artifacts must remain in the clinic office, clinicians’ workroom (AKA “CLEAN LAB”), or faculty offices at all times unless the student has secured written permission from their practicum supervisor. Without this permission, student clinicians may hold client documents 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. These documents/artifacts include but are not limited to:Client filesAssessment protocolsSpeech and language sample recordingsClient working foldersStudents may not video-record telepractice sessions under any circumstances. Audio-recording may only be completed with specific written permission from the client/guardian and the supervisor. ClinicNote may only be used in the Clean Lab or in authorized and specifically designated clinical spaces. Students must take special precautions to ensure that confidentiality is maintained if off-site entry is allowed.Students may NOT refer to clients by name/initials or use any other identifying information when communicating with their supervisor over any unencrypted electronic platform. 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:Consider ALL information concerning clients to be confidential and refrain from discussing the client in any setting outside designated clinical locations.NEVER use client names, initials, or any identifying or protected information on any unsecured document or correspondence. Alphanumeric codes as assigned by the Clinical Director AND SUPERVISOR must be used as directed. All electronic information must be kept on HIPAA compliant servers or on encrypted drives. 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.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. AvailabilityStudents 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).?DependabilityThe 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/AbsencesThe student must keep appointments for all clinical obligations within the appropriate timeframe. The student must attend all meetings, conferences, and/or consultations promptly. Students should schedule all personal business outside of scheduled clinic appointments. Absence from practicum:? For emergency absences or absences due to illness:? Call Ms. Bucknell and notify her of the absence.? Then call your supervisor (even if it is a SHROC supervisor).? Notify both people. ?If you are emailing, you can email both persons at the same time.? You do not need to wait for a response from Ms. Bucknell before contacting your supervisor.?For planned absences, Ms. Bucknell must approve this absence before you approach your supervisor about it.? Once Ms. Bucknell has authorized your absence, you may request this time off from your supervisor. ?An unexcused absence is a violation of KASA Clinical: Administrative and Professional Behaviors. This may result in a grade of “C” for the course. Students must contact the Clinic Director PRIOR to the student requesting excusal from the direct supervisor, including students at off-campus practicum sites. 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. 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 or via cell phone at 575.714.3806. Failure to notify both the Director and the supervisor will constitute a lack of compliance in 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.Try to provide your supervisor with as much lead time as possible.? The minimum time necessary for a cancellation is 2 hours.? We need to make sure that we can notify the client in a timely manner - We do not want a client to arrive, only to be told that their session was cancelled.? Any missed or cancelled appointments must be rescheduled (made-up) if required by the supervisor as patient schedules allow (see below).On campus SHROC students will make up missed sessions at the discretion of their supervisor.? Off campus practicum students will make up days missed at the site to make sure you have met the minimum length/time on site (as required by the catalog and as you scheduled in your practicum packet). ?Clinicians are not required to provide a doctor's note for short-term absences (missing 1-2 consecutive days of a practicum). ?Longer absences may require medical clearance. SupervisionOnly 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, via closed-circuit television, or electronically (with teletherapy). 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 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. MATH 1350: Introduction to Statistics. This course is a pre/co-requisite to CDIS 561. CDIS 300: Speech-Language-Hearing Anatomy and Physiology. This course is a pre-requisite to CDIS 511, 513, 526, 528, 528 Lab, 529, and 540. You may not see clinical clients with articulation, voice, resonance, swallowing, or neurological disorders until this course is completed.CDIS 301: Survey of Communicative Disorders. This course is a pre/co-requisite to CDIS 504.CDIS 303: Language Science. This course is a pre/co-requisite to CDIS 515 and 516. You may not complete language assessments until this course is completed.CDIS 310: Phonetics. This course is a pre-requisite to CDIS 511. 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. 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 515, 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 515, 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 531. 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 513. You may not see clinical clients with voice disorders or complete voice assessments until this course is completed.CDIS 421: Neuroscience of Communication. This course is a pre-requisite to CDIS 513, 526, 528, 528 Lab, 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 and 531. You may not see clinical clients with hearing disorders until this course is completed.CDIS 441: Preclinical. This course is a pre/co-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/co-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/co-requisite to CDIS 515 and a pre-requisite to 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 as a pre/co-requisite to 501. 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.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 health insurance, 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 semesters 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 complete their initial 501 and 508 practicums on campus as scheduled by their Graduate Coordinator. This is typically the second semester of enrollment for full-time students who have completed all pre-requisites before beginning the graduate program. Students must also complete their 501 and 508 labs on campus as directed by their instructors. CDIS 501 and 508 may not be taken for the first time in a summer semester. CDIS 501 enrollment requires that students be available to deliver treatments in the ENMU SHROC 2 half days per week and available on campus for clinical meetings with their supervisor an additional 1 day per week minimally. One credit of initial 508 enrollment requires that students be available on campus at least 1 day per week. Students must provide therapy services for one to five clients and complete three evaluations minimally.Additional semesters on campus may be required if all CDIS 501 and 508 outcomes are not met by the end of the enrolled semester. Students who have not completed a 3 SCH speech and language assessment course must do so before they can complete a clinical evaluation in either 501 or 508. This may necessitate that students who are lacking this pre-requisite remain on campus for two semesters. Students may not complete an evaluation between semesters (over holiday breaks) to complete their 501 or 508 requirements unless they are enrolled in an intersession practicum section. These are sometimes (but not always) available. Intersession courses require the student to pay for an extra credit of practicum. CDIS 504 must be taken before or concurrently with CDIS 501. CDIS 501 must be taken concurrently with 501 Lab unless a student is repeating 501 and has been specifically excused from repeating 501 Lab and 504. CDIS 508 must be taken concurrently with 508 Lab unless a student is repeating 508 and has been specifically excused from repeating 508 Lab. First semester enrollments for 501/501 Lab and 508/508 Lab must be completed on campus. Both 501 and 508 may be repeated for credit at off-campus practicum sites. 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, 508, 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 ratingRelocation and Travel:Relocation is sometimes necessary for CDIS 503 and is often necessary for CDIS 505 and 589. 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.). Evaluation of Student CliniciansThe 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 . 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: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. 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. 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. 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.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. 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. Grades are assigned based on competency level, practicum level, and presence of KASA Clinical: Administrative and Professional Behaviors. 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. The assessment of Professional Practice Competency (PPC) completion achievement is heavily influenced by CPSA ratings in conjunction with your weekly practicum lab classroom assignments. KASA PPC Outcomes will be marked as met or not met based on these activities.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.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. 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. 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 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): GradingThe CPSA form is available for review from this page: . 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: ). 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 (400.1-400.17)KASA Clinical: Professional Behavior Requirements (450.1-450.15) 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 (400.2-400.17)400.2 Maintains clinical eligibility (including DOH clearance) at all times 400.3 Demonstrates punctual and consistent attendance at therapy sessions, supervisory/clinician meetings, and other scheduled appointments; Begins and ends on schedule400.4 Follows absence/notification policy (ENMU Clinical Director and site supervisor); provides adequate notice 400.5 Communicates with the supervisor regarding any changes in the client's schedule (e.g., scheduled appointments, therapy cancellations, no shows, etc.) 400.6 Completes clinical assignments, written documentation, reports, etc., completely and thoroughly in a timely manner, per site policy400.7 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 appropriate400.8 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.) 400.9 Complies with site regulations, policies, and procedures (e.g., use of credentials/name badge, parking permit, fraudulent practices, carrying weapons, etc.) 400.10 Does not waste site resources (does not copy and/or print unnecessary or personal documents, controls excess use of consumable supplies, materials, protocols, etc.)400.11 Follows infection control/universal precautions and hand washing procedures, and implements hygienic practices at each site400.12 Maintains a clean therapy environment (e.g., sanitizing toys/materials after use, washing tables, rearranging furniture, etc.) per site policy400.13 Follows procedures for materials use (checking out and returning materials promptly, organizing materials before returning, and reporting damaged or missing parts, etc.)400.14 Follows dress code and appearance requirements by dressing appropriately forthe site (e.g., no visible tattoos/piercings, distracting hair styles, excessive jewelry, strong perfume etc.) per site policy400.15 Does not report to a site or return to a site unless accompanied by a supervisor400.16 Waits for clients and/or supervisor in designated area per site policy 400.17Follows cell phone and email policies of program and siteKASA Clinical: Professional Behavior Requirements (450.1-450.15)450.1Works 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).450.2Demonstrates positive clinical/professional demeanor with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues; Behaves professionally at all times450.3Demonstrates cultural competence when interacting with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues (verbally, nonverbally, and in written documentation/correspondence)450.4Implements prevention and/or conflict management strategies with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues450.5Independently researches client condition to design interventions using Evidence Based Practice (EBP) frameworks450.6Collaborates with clients, families, supervisors, faculty, other professionals, and fellow students/colleagues to initiate and improve clinical services450.7Demonstrates 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 evaluations (reviewing client file, selecting testing materials, determining sequence of administration, and conducting evaluations in organized manner) 450.8Works independently but seeks guidance as appropriate to practicum level, supervisor/faculty requirements, and site policies450.9Works to improve productivity (does not waste time, does not unnecessarily disrupt the therapy session, and avoids conversations or activities that have no therapeutic value) 450.10Ensures clinical equipment is operational prior to use and reports malfunctioning or damaged equipment to appropriate personnel450.11Demonstrates professional behavior by not eating, drinking, or chewing gum in the presence of the client, per site expectations 450.12Documents post session data related to outcomes, implementation of session objection, self-reflection, etc. and presents oral summary to supervisor after the session, as required450.13Listens and responds professionally to supervisor criticism/critique; Communicates productively to find collaborative solutions and/or resolve issues450.14Implements explicit supervisor instructions and/or recommendations as directed450.15Does not discuss clinical performance with the client, family, or other professionals without the supervisor being present or without prior supervisor approvalPre-Requisite Behaviors That Typically Result in Suspension or Expulsion from the Program Any violation of the ASHA Code of EthicsLyingCheating2. Breach of confidentialityRemoving client files or emailing client namesDiscussing client outside appropriate professional conferenceOverstepping professional boundaries Implementing assessment and/or treatment decisions without supervisor approvalFailure to implement supervisor instructions after explicit directionGiving professional advice or making prognostic statementsMeeting with clients or parents outside of therapy situationsHolding sessions outside clinicRepeated violations of KASA Clinical: Administrative and Professional Behaviors following TWO warningsProfessional Practice Competency deficiencies may also result in a failing grade. Assignment of a passing grade does not guarantee successful completion of practicum outcomes. ObservationsStudents 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 AssessmentsStudents 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 three assessments must be completed in 508. Students must meet ?508 assessment outcomes before they will be allowed to complete off-campus practicums. 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. Prohibited 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 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 was rated at 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 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. 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 ( HYPERLINK "" ). 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 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. Students who are not current in CastleBranch cannot be enrolled in practicum. 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. Requesting and Enrolling in PracticumEnrollment in any practicum or internship experience requires admission to the Graduate Program. Practicum and internship are supervised clinical experiences that include screening/evaluating patients, administering speech/language therapy, holding client conferences, and maintaining records. 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). Practicum courses include the following:CDIS 501: Practicum I: ENMU SHROC or other ENMU site (RGH, etc.)CDIS 502: Practicum II:K-12 school setting (but MUST include K-5 children)CDIS 503: Practicum III:Birth to 3, preschool, or private practice setting that includes young childrenCDIS 505: Practicum IV:SNF, home health, and outpatient medically based practicums with adultsCDIS 508: Practicum in AssessmentENMU SHROC or other ENMU site (RGH, etc.)CDIS 589: InternshipOutpatient/inpatient hospitals/clinics, rehabilitation centers, acute care settings, and specialized clinics/centersSpecific competencies must be achieved at each level prior to enrollment in the next level. Any practicum course may be repeated for credit. 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 for CDIS 501 and 508.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.Practicum placement and practicum enrollment are two distinct process: Placement: Each semester, all students must provide the Practicum Placement Liaison with a completed Clinical Placement Request form ( ). Students who do not complete the Clinical Placement Request in a timely manner (by the published deadline) may not be assigned a practicum site. Please note: Students must complete this form, even if they are not requesting placement – NO PLACEMENT REQUESTED should be indicated.Enrollment: Students may never enroll themselves in practicum. The Graduate Coordinator will solicit student enrollment for practicum/internship each semester via email to the list serve. 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. Students may be required to 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:Completing specific observations on Master Clinician or other video observation or live observation of therapy. Completing assessment simulations on Simucase. Passing “pre-requisite quizzes” over prescribed assessment pleting practice activities with non-disordered “practice” clients.Students may also be required to complete assignments as listed above when necessary for clinical remediation. 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 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. This can be terminated at any time. Some intersession practicum experiences will require enrollment in an intersession practicum section. These are sometimes (but not always) available. Intersession courses require the student to pay for an extra credit of practicum. If intersession enrollment is not required, 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. 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. Practicum Procedures:Each semester a student is requesting enrollment in practicum, s/he/they must provide the Practicum Placement Liaison with a completed Clinical Placement Request form ( ). 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, . These requirements are listed at . 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/plete the ASHA Certification Verification for each plete the Practicum Packet. This includes: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. The Student Clinician’s Schedule and Clinical Schedule Agreement sectionAll 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:A grade of "Incomplete" for the courseA grade of “F” for the courseAn inability to count clinical clock hours earned during the courseAdditional practicum/internship assignments in the current semesterRe-enrollment in a same level practicum/internship in a subsequent semester (failure to advance)Delayed graduationSuspension or dismissal from the ENMU CDIS Graduate ProgramWhen 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. Time Commitments and Variable CreditPlease note that 502, 503, 505, 507, 508, and 589 are available for variable credit. This means you may enroll in these practicums 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 1 more credit in the spring to total 2 cumulative credits). This option, though available from the program, may not be available at each site. Some facilities require a minimum of 3 days per week for placement at their site (requiring enrollment in 3 SCH of practicum). 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 any particular accommodation. 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. Fall and Spring: 1 credit = 1 day (or 2 half days) per week X 14 weeks = 14 days 2 credits = 2 days (or 4 half days) per week X 14 weeks = 28 days3 credits = 3 days per week X 14 weeks = 42 daysSummer: 1 credit = 2 days per week X 7 weeks = 14 days 2 credits = 4 days per week X 7 weeks = 28 days3 credits = 6 days per week X 7 weeks = 42 days3 credits = 5 days per week X 8 weeks + 2 days = 42 daysCDIS 507 and 508 also follow the above hour requirements. Other schedules may be available with the consent of the Clinical Director and/or the Graduate Coordinator. Days must be at least 7 hours on site with 50% productivity to count as full days. Days must be at least 3.5 hours on site with 50% productivity to count as half days. CDIS 589 Internship credit hours are based on 1 credit = 2 weeks on site (e.g., 4 credits = 8 weeks). CDIS 589 is the final practicum course for ENMU CDIS graduate students. Clinical internships must be full-time (5 days per week, 36-40 hours per week minimum) and have a minimum term of full-time 8 weeks (or approved equivalent). 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 unless exigent circumstances have been established. CDIS 589 cannot be taken for less than 4 credits, but may be taken for more if a clinical placement requires. Variable credit options in CDIS 589 are:4 SCH = 5 days per week on site for 8 weeks5 SCH = 5 days per week on site for 10 weeks6 SCH = 5 days per week on site for 12 weeks7 SCH = 5 days per week on site for 14 weeks8 SCH = 5 days per week on site for 16 weeksAll students in practicum must follow the terms as specified in their Student Clinician’s Schedule and Clinical Schedule Agreement sections of the Practicum Packet. Please be advised that some sites will require evening and weekend work in addition to 5 days per week (40+ hours per week). When students agree to a placement, they must agree to follow the established schedule of the site and their supervisor. 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 5011 SCH of CDIS 501 Lab2 SCH of CDIS 5021 SCH of CDIS 502 Lab2 SCH of CDIS 5031 SCH of CDIS 503 Lab2 SCH of CDIS 5051 SCH of CDIS 505 Lab1 SCH of CDIS 5081 SCH of CDIS 508 Lab4 SCH of CDIS 589Practicum Lab Requirements:CDIS 501, 502, 503, 505, and 508 practicum courses have lab requirements. These are published in the academic course schedule each semester. All labs meet 110 minutes per week. Students are expected to be in class synchronously when the course meets on campus (501, 502, 503, 508) 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 the practicum lab.Practicum Prerequisites:501 pre-reqs/co-reqs: 504, 508/508L, 511, 515, 516, 517, 525502 pre-reqs: 501/501L, 504, 508/508L, 511, 515, 516, 517, 525Completion of approximately 10-15 clock hours503 pre-reqs: 501/501L, 504, 508/508L, 511, 515, 516, 517, 525, 540Completion of approximately 100 clock hours505 pre-reqs: 502/502L, 503/503L, 526, 528/528 L, 529Completion of approximately 200 clock hours589 pre-reqs: All coursework Completion of 300 clock hoursStudents may not obtain clock hours for a category in 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. Specific Practicum Requirements and Policies - Levels of PracticumPracticum 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 are expected to complete assessments and evaluations as a part of each practicum experience. 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: ENMU SHROC or other ENMU site (RGH, etc.)This practicum must initially be taken during a regular 16-week semester.Students should expect to earn a minimum of 12-15 hours in 501.Students must provide services for one to five clients, but will also be required to complete additional assignments as deemed necessary by the Program. CDIS 502: Practicum II:K-12 school setting (MUST include K-5 children)Students should plan to acquire 100 hours in this practicum. CDIS 503: Practicum III:Birth to 3, preschool, or private practice setting that includes young childrenStudents should plan to acquire 100 hours in this practicum. CDIS 505: Practicum IV:SNF, home health, and outpatient medically based practicums with adults to obtain significant swallowing and adult neurogenic experienceStudents should plan to acquire 100 hours in this practicum. CDIS 508: Practicum in AssessmentENMU SHROC or other ENMU site (RGH, etc.)Students should plan to complete at least 3 evaluations in this practicum.CDIS 589: InternshipOutpatient/inpatient hospitals/clinics, rehabilitation centers, acute care settings, and specialized clinics/centersStudents should plan to acquire 100 hours in this practicum. Additional Information and RequirementsCDIS 502 and 503 placement sites do not have to be completed in any particular order.Students may repeat a school site 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 ExperiencesExperience at the ENMU SHROC, RGH, 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. Clinical Clock Hour Policies and RequirementsThe 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 yearsHours were obtained under the auspices of an accredited program in CDIS/SLPHours 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.Students must earn a minimum of 400 clock hours of supervised clinical practicum. These must include prevention, observation hours, screening, evaluation, and treatment of children and adults with disorders of speech, language, and hearing. It is frequently necessary to obtain more than this minimum number of clock hours to satisfy other requirements listed below and to achieve the skill outcomes specified as the minimal competencies for graduation.All of the hours used to satisfy the 400 minimum must be obtained in direct patient care activities. Conferences/counseling with the client and/or family 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 clock hours. 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 hoursA minimum of 325 at the graduate levelA minimum of 25 hours of observationA 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 in various settings. Students must show practicum experience with client/patient populations having various types and severities of communication and/or related disorders, differences and disabilities. Range of Required Practicum Hours for Entry Level Competence Development at ENMUThe number of student clock hours earned is but one of several benchmarks that programs use to conclude when students have met ASHA CFCC requirements. Clock hours are the primary mechanism by which programs can document that students have acquired a sufficient variety of clinical experiences with different disorders, in different settings, and with different populations prior to graduation. These experiences are the foremost way that students develop entry level competence for the profession. Your clock hour records are kept in CALIPSO, a web-based application, that allows you to view and track your records in real time.Your 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 clock hours and requesting appropriate sites to meet clinical outcomes. Active participation in this process is EXPECTED. ENMU students MUST meet minimum clock hour requirements as established in CALIPSO in order to graduate (shown below). Guided Observation Hours30Total Clock Hours at Grad Level325Clin. Simulation (Max 75)?ChildAdultTotalHearingGuided Observation151530?Dx?ChildAdultTotalHearingSpeech101020?Language101020?Total202040Total Dx hours:?Tx?ChildAdultTotalHearingSpeech502575Language5050100Total10075175Total Tx hours:?Total?Grand Total135110245The tables that follow are provided to students as a reference point for planning purposes only. The ranges of hours listed are in no way a contractual agreement regarding minimum clock hour requirements for students. Completing the minimum (or even maximum) number of hours in any given are does NOT mean that you are automatically approved as “entry-level competent.” The number of clock hours must always be considered in conjunction with supervisor comments, CPSA ratings, academic competencies, and KASA outcome achievement. The clock hour ranges in this document as meant as a GUIDELINE for students. Again, students will not automatically meet all requirements after minimums have been met. Please note that “minimums only” totals to 348 clock hours. This is not enough to graduate in any event. Some students will require additional clinical contact hours beyond the ranges listed below in order to meet clinical KASA outcome standards in specific areas. This is an individual determination made by the program for each student based on CPSA ratings, supervisor comments, academic and clinical performance competencies, KASA outcome achievement, and other pertinent performance records. Entry-level competence for any individual student CANNOT be established by any pre-determined number of hours. All students are different. Students who scored an A in their academic coursework and met all competencies in class may be able to show entry-level clinical competency after completing the lower range of hours. Students who earned a B or students who did not meet all competencies in their academic course will likely need to complete additional practicum hours (the higher end of the range) in order to achieve clinical entry-level competence. Students who struggled in one or more areas of coursework should expect to complete the higher range of hours in order to acquire entry-level competent performance levels. Recommendations for best use of this information are below.Students should review their existing clock hours prior to requesting practicum placements. Students should request placements in which they can earn clock hours they are lacking in specific areas.Students must review and include their clock hours with every practicum packet submission. This is required to remind students that they should make a plan with their supervisor to obtain specific hours and experiences they have not yet completed, at their upcoming practicum site.Students should make sure their practicum schedule includes “evaluation days” at their sites. Evaluation hours are the most frequent deficiency for all students.Students who need guidance should review their clock hours with their instructors while taking their practicum labs. This is an opportune time to ask questions about how to meet clinical deficiencies both in and outside of practicum. Practicum lab instructors can assist you in completing supplementary simulations to augment “live” clock hour accruals.Master Clinician provides all students with observation opportunities.Simucase can provide you with critical clock hours in less common practice areas (e.g., fluency, voice, hearing, AAC). Your scores must be above 90% in each area in order to log clinical clock hours in CALIPSO. The program is currently approving prior semester hours with a comprehensive score at 90% or better, but scores must be 90% or better in each area moving forward from this semester. Please follow your current instructor’s guidelines for hours accrued this semester. MBSImP can provide you with 15 hours of adult assessment in swallowing. You must complete these hours with 75% reliability for clock hour inclusion.Students should submit hours accrued during any semester at the end of that semester. Though we are currently approving “old” hours, this is very burdensome for all of us. Approval of hours more than 1 semester old will not be available in our program beyond August 1, 2020. If you have hours that have not been submitted, you have until August 1 to do so. Extensions to this timeline will not be granted. Students are responsible for tracking and monitoring their own clinical contact hours. CALIPSO gives you the information you need to make informed decisions about practicum placement requests. You need to actively examine your own clock hours and make your placement requests based on your clock hour records. You are responsible for ensuring that you request appropriate sites in which to obtain the experiences you need. This is why students choose their own clinical sites. Please choose them based on the site’s opportunity to gain specific experiences rather than for location, convenience, or ease of access. Please let the program know if and when you need additional experiences to augment your clinical sites. We will do our best to secure the placements that you request. BE PROACTIVE AND ACCOUNTABLE: Develop a plan to accrue the hours needed and monitor your progress each and every semester.The tables that follow are two different views of the same information. Layout #1 is organized to show evaluation vs. treatment hours. Layout #2 separates these into speech vs. language hours.Student Guidelines Range of Required Practicum Hours for Entry Level Competence DevelopmentLayout #1ChildAdultTotalObservation151530151530Range Totals15-1515-1530-30EvaluationArticulation/Speech sound production5-102-57-15Fluency1-51-52-10Voice and resonance1-51-52-10Expressive/Receptive Language30-3515-2045-55Hearing1-51-52-10Swallowing/Feeding1-520-2521-30Cognitive aspects of communication1-515-2016-25Social aspects of communication2-51-53-10Augmentative and alternative communication modalities1-51-52-10Range Totals43-8057-95100-175TreatmentArticulation/Speech sound production20-2510-1530-40Fluency1-51-52-10Voice and resonance1-51-52-10Expressive/Receptive Language60-7530-3590-110Hearing1-51-52-10Swallowing/Feeding5-1020-3535-45Cognitive aspects of communication10-1530-3540-50Social aspects of communication10-155-1015-25Augmentative and alternative communication modalities1-51-52-10Range Totals109-16099-150218-310Grand Totals167-255171-260348-515Student Guidelines ChildAdultTotalObservation151530151530Range Totals15-1515-1530-30Speech Evaluation101020Speech sound production5-102-57-15Fluency1-51-52-10Voice1-51-52-10Swallowing/feeding1-520-2521-30Range Totals8-2524-4032-65Speech Treatment502575Speech sound production20-2510-1530-40Fluency1-51-52-10Voice1-51-52-10Swallowing/feeding5-1020-3535-45Range Totals27-4532-6069-105Language Evaluation?? 101020Hearing1-51-52-10Language30-3515-2045-55Cognitive aspects of communication1-515-2016-25Social aspects of communication2-51-53-10AAC1-51-52-10Range Totals35-5533-5568-110Language Treatment5050100Hearing1-51-52-10Language60-7530-3590-110Cognitive aspects of communication10-1530-3540-50Social aspects of communication10-155-1015-25AAC1-51-52-10Range Totals82-11567-90149-205Grand Totals167-255171-260348-515Range of Required Practicum Hours for Entry Level Competence DevelopmentLayout #2Off Campus SitesEach 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 PlacementsA list of ten potential sites and 10 potential supervisors must be submitted to the Program at least SIX MONTHS prior for practicum and ONE FULL YEAR prior for internship.Contact information for the agency and the supervisor must be provided (if different).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.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 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.When using the internship request form please ERASE WHAT IS LISTED. 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 in courses 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. Telepractice ExperiencesThe 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.Telepractice and/or telesupervision must not be used for the convenience of the graduate or student/clinical educator.Students’ experiences with telepractice will begin with taking CDIS 542. Students will only provide telepractice while concurrently enrolled or having completed CDIS 542. The individual receiving services and/or the individual’s caregiver must provide written consent to receiving services by tele-methods.The university program must determine the appropriateness of telepractice or telesupervision for the student and the client/patient.The clinical site using telepractice must take into account the availability and accessibility of technology for clients.Telepractice and telesupervision must be completed in real time (i.e., video recordings of sessions are not permitted).Clinical educators and graduate student clinicians must complete 16 clock hours of training prior to using telepractice or telesupervision. This includes : ? ? ? ? ? ? *?8 classroom hours and *?8 additional hours obtained through continuing education, academic coursework, and/or practical experience.Clinical supervisors will follow state guidance and policy for training regarding telepractice. ENMU will provide direction to telepractice resources for various settings and client disorders. 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.Record KeepingAccurate 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.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 approve 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. ................
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