Demystifying the Clinical Fellowship Experience and 4 th Y ear Experience
S ession Reminders: • Please silence your cell phones • Email nsslhaexp@asha.org for all session handouts • Complete your session evaluation form & leave it in the NSSLHA Experience Raffle Box found in the NSSLHA Experience Lounge • Don’t forget your Region badge for the luncheon-take your luncheon ticket to the NSSLHA Experience Lounge to get your badge! • Don’t forget to vote for your favorite Chapter Poster which can be found in the NSSLHA Experience Lounge
Rene Utianski Current CFY S tudent Rene Utianski, M.S., CF-SLP is a Clinical Fellow at Pediatric Speech and Language Specialists in Scottsdale, Arizona. She is enjoying completing her CF part-time, while completing her PhD in speech science at Arizona State University. She expects to graduate May 2014 and earn her Cs July 2014. Rene holds her Master's in CSD from ASU and BA in Psychology and Speech and Hearing Science from The George Washington University. Rene is also the immediate Past- President of the National Student Speech Language Hearing Association.
Demystifying the Clinical Fellowship Rene L. Utianski, M.S., CF-SLP rutiansk@asu.edu Twitter: @utianski
Part- time CF PhD M.S. B.A. About Me
What is the purpose of the CF? Evaluate Advance • Theoretical • Clinical Skills knowledge • Strengths • Independent practitioner • Areas for improvement Integrate Develop and and Apply refine ASHA website: http://www.asha.org/Certification/Clinical-Fellowship.htm
Requirements for S LP-CF • 36 weeks of full-time (35 hours/ week) • Part-time, with a 5 hour/week minimum 1260 hours • No more than 4 years/48months from the date of initiation of the experience • 80% of time must be spent in direct clinical contact • e.g. assessment/diagnosis/evaluation, screening, treatment, report writing, family/client consultation, and/or counseling 80% • A score of "3" or better on the core skills in the final segment of the experience (rated by Mentor using the SLP CFSI Form). 3 • Mentoring by an individual holding ASHA certification in speech-language pathology. • Completion of CF Report and Rating Form CCC ASHA website: http://www.asha.org/Certification/Clinical-Fellowship.htm
S upervision • 6 hours of direct supervision per segment (each segment is 1/ 3 the length of the fellowship). • 6 indirect monitoring activities (e.g. reviewing diagnostic reports/ treatment plans, monitoring CF's participation in professional meetings, and/ or evaluating the CF ’ s work by consulting with colleagues or clients and their families.
Council for Clinical Certification • Committee Charge: “Define the standards for clinical certification and apply those standards in the certification of individuals; (the CFCC) shall have final authority to withdraw certification in cases where certification was granted on the basis of inaccurate information.” http://www.asha.org/Certification/NewsAndAnnounceme nts/
Timeline for CF Paperwork Completion Before During After • Apply for • 3 ratings, • Completed CF certification* (requires completed at Report and program director signature) equal Rating form • Transcript intervals, on • Praxis Scores CF Report and • Payment • Check state licensure! Rating Form *critical for graduates in May/ August 2014, planning to apply under 2005 standards; Is not required until after completion of the CF, but new standards go into effect September 1, 2014
LPCF Report and Rating Form S
CF S kills Inventory (CFS I) • Questions related to: ▫ Evaluation Skills ▫ Treatment Skills ▫ Management Skills ▫ Interaction Skills • Ratings made from 1-5, with 5 representing most effective performance, and 1 representing least effective • Performance ratings consider: ▫ Accuracy —the degree to which CF performs a skill without error ▫ Consistency —the degree to which CF performs a skill at the same level of proficiency across cases ▫ Independence —the degree to which CF performs a skill in a self-directed manner ▫ Supervisory Guidance —the degree to which CF seeks consultations when needed
Continuing Education Units (CEUs) • The CF does not have CEU requirements. • Once you are certified, however, CEU requirements will go into effect. • You cannot “ bank ” CEUs during a CF to count them later. • ALWAYS check with your state licensure board regarding CEU requirements.
Important Reminders • If you change settings, supervisors, or the number of hours you work per week, please complete a separate CF Report and Rating Form for each change. • Professional experience of less than 5 hours per week cannot be used to meet the Clinical Fellowship requirement. • The total number of weeks and hours submitted must clearly show that the minimum requirement of 36 weeks, totaling an accumulation of 1,260 total hours, has been fulfilled.
For More Information • Check out the Certification page on ASHA’s web site: http://www.asha.org/certification/ ▫ Standards ▫ FAQs ▫ Slides from the SLP Standards webinar in January ▫ Other useful information (Mentors, Licensure, etc.)
How do you find a CF? • ASHA Career Center ▫ http://asha.org/careers/ • NSSLHA (local and national!) Career Fairs • Internship/ Externship supervisors • Don’t be afraid to ask! ▫ Send out your resume and cover letter ▫ Don’t just apply for CF positions ▫ Network!
Finding the right CF • Recognize your value, skills • Worry about pay later • Ask questions: ▫ Talk to staff, managers, district circles • Look on Yelp, http://www.azdhs.gov/als/index.htm • Ensure adequate quality supervision
The Interview- Questions to ask • Is a mentor available? (Meet them, if possible!) ▫ What are their strengths and weaknesses? ▫ Where are they located? ▫ Will they be my daily supervisor? ▫ Do they hold current CCCs? • Will the minimum requirements be satisfied (i.e. work hours, supervision)? • How will supervision be supplied (e.g., weekly meetings, co-treating with supervisor)?
Prevent mismatched expectations Roles Expectations Processes • Definition • Job- specific • How is mastery • Flexibility • Support developed? needed/ • Evolution available • Scientific method • Balance independence • Implicit/ & willingness explicit to learn action
The CF Framework Licensure Code of Ethics Scope of Practice http://www.asha.org/docs/html/SP2007-00283.html http://www.asha.org/policy/ET2010-00309/
Clinical Decision-Making Setting- determined restrictions EBP • High-quality research Inter- • Clinical expertise professional • Family/ patient consultation preference Decision
Other resources for successful practice • Compendium of EBP Guidelines and Systematic Reviews ▫ http://www.asha.org/members/ebp/compendium/ • Cochrane Reviews • www.cochrane.org/cochrane-reviews • Evidence Maps • http://www.ncepmaps.org/ • ASHA journals • ASHA SIGs ( Perspectives & ASHA Community) • Pinterest • Blogs
Melanie Hudson Recent Professional & CF S upervisor Melanie W. Hudson, M.A., CCC-SLP and ASHA Fellow is a native of the Washington, D.C. area and currently resides in suburban Atlanta. She received her undergraduate degree from James Madison University, and completed her graduate studies at George Washington University. Prior to her current position as a Director with EBS Healthcare, she worked in both public schools and private practice. She also served as an adjunct faculty member at Georgia State University. She currently serves on the ASHA Speech-Language Pathology Advisory Council and on ASHA’s Board of Special Interest Group Coordinators as the Coordinator for Special Interest Group 11, Administration and Supervision. She recently served on ASHA’s ad hoc committee on Supervision and is the co-editor and chapter author for the 4 th edition of “Professional Issues in Speech-Language Pathology and Audiology,” (Lubinski & Hudson; Delmar, Cengage Learning, 2013). She is the Past-President of the Georgia Speech-Language and Hearing Association. Melanie presents nationally at universities, school districts, and conferences in the areas of clinical supervision, autism spectrum disorders, and topics related to school-based practice. She has supervised and mentored numerous graduate student clinicians and Clinical Fellows in her 30-plus years in the profession.
S tudent Clinician to Clinical Fellow: Making the Transition Melanie W. Hudson, M.A., CCC-SLP ASHA Fellow melanie.hudson@ebshealthcare.com
S tudent Clinician • Supervisor provides more direct style of supervision
Clinical Fellow • Goal of the CF Experience is to achieve independence
CF Mentor • Mentor serves as a coach or guide with less direct style of supervision
Interview Questions • Will you provide the CF Mentor as part of my employment? • If not, may I provide my own? • If so, will my mentor be qualified? • Will my mentor be familiar with his/her roles and responsibilities? • Before you start your CF Experience, go to www.asha.org/certification/
Will you provide the CF Mentor as part of my employment?
If not, may I provide my own?
If so, will my mentor be qualified?
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