Graduate Degree Program Assessment Plan Cover Sheet: Degree Program: Speech Pathology

Graduate Degree Program Assessment Plan Cover Sheet:
Degree Program: Speech Pathology
Department and College: Audiology and Speech Pathology/College of Professional Studies
Degree Type (AA, AS, BA. BS, BBS, BSE, BSW): _____B.S.____________
Prepared by: Laura Smith-Olinde, Ph.D.
Date submitted to college committee: 4/2/12
Approved on: _4/30/12_____________________________
Submitted to Provost Assessment Advisory Group on
____________________________________________
Approved on_______________________________________________
Respond to all four questions, following the Degree Program Assessment Plan Form
Instructions. Attach additional pages as needed.
(1) What are your student learning goals for this degree program? Include which core
competencies are addressed by these goals where applicable (See list at
http//www.ualr.edu/provost/assessment/competencies.shtml )
The goals of the undergraduate program in Audiology and Speech Pathology are to:
1. provide undergraduate students with a foundation in the physical, psychological, and
cognitive-linguistic bases of normal and disordered speech, language, hearing and balance;
2. increase students’ critical thinking abilities;
3. prepare undergraduate students as viable candidates for graduate school or other
employment.
(See Curriculum Map)
(2) What are your learning objectives or outcomes associated with each student learning
goal?
At completion of the undergraduate Audiology and Speech Pathology program, students will:
1. have increased their knowledge of the physical, psychosocial and cognitive-linguistic bases
of normal and disordered speech, language, hearing and balance;
2. have increased their ability to apply critical thinking skills to clinically relevant scenarios and
questions across diverse populations;
3. acquire appropriate clinical behaviors and demonstrate knowledge and skills related to
clinical practice;
4. continue their education in a graduate program, or be otherwise employed after
graduation.
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AUSP Revised UG Asses Plan 2012
(3) Where will the objectives be addressed in your program? In which courses and through
which activities will they be assessed? (Attach Curriculum Assessment Map).
All undergraduate courses are used to perform the assessment, as well as clinical practicum,
instruments administered outside of any particular course (Capstone Evaluation, Critical
Thinking Evaluation, Post-Graduation Plans form, Service Learning Summary) and grade point
average (GPA). See Curriculum Map below for core competencies addressed.
Curriculum Assessment Map: Degree Program Assessment
Audiology and Speech Pathology B.S. Degree
Emphasis:
Extensive
Somewhat
Little
None
Assessed:
Exam
Paper
Project
Other
Not Assessed
Goal # 1 - provide undergraduate students with a foundation in
the physical, psychological, and cognitive-linguistic bases of
normal and disordered speech, language, hearing and balance
Courses and
Activities
How
Outcomes are
Addressed
and Assessed
Objective # 1 - increase UG students’
Core Competencies
knowledge of the physical, psychosocial &
Addressed
cognitive-linguistic bases of normal and
disordered speech, language, hearing and
balance
AUSP 2360
Intro. to Speech
& Hearing
Disorders
AUSP 3350
Phonetics
Emphasis:
Assessed:
Somewhat
Exam
Other
Emphasis:
Assessed:
Extensive
Exam
AUSP 3360
Language &
Speech
Acquisition
AUSP 3361
Speech Anat. &
and Physiology
AUSP 3362
Hearing Science
Emphasis:
Assessed:
Extensive
Exam
Project
Emphasis:
Assessed:
Extensive
Exam
Emphasis:
Assessed:
Extensive
Exam
AUSP 3364
Speech Science
Emphasis:
Assessed:
Extensive
Exam
Capstone
Assessment
Emphasis:
Assessed:
Extensive
Exam
- Critical Thinking
- Ethical and Moral
Consciousness
- Verbal Literacy
- Critical Thinking
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Verbal Literacy
- Critical Thinking
- Mathematics
- Verbal Literacy
- Critical Thinking
- Mathematics
- Verbal Literacy
(Pre-professional
knowledge base)
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AUSP Revised UG Asses Plan 2012
Goal # 2 - increase undergraduate students’ critical thinking
abilities
Courses and
Activities
How
Outcomes are
Addressed
and Assessed
Objective # 2 - increase ability to apply Core Competencies
critical thinking skills to clinically relevant Addressed
scenarios/questions across diverse
populations
AUSP 3363
Disorders in
Articulation
Emphasis:
Assessed:
Extensive
Exam
Project
AUSP 4162
Practicum I
Emphasis:
Assessed:
Extensive
Other
AUSP 4163
Practicum II
Emphasis:
Assessed:
Extensive
Other
AUSP 4364
Differential
Diagnosis
Emphasis:
Assessed:
Extensive
Exam
Project
AUSP 4366
Language
Disorders
Emphasis:
Assessed:
Extensive
Exam
Project
AUSP 4368
Audiology
Emphasis:
Assessed:
Extensive
Exam
Project
AUSP 4369
Audiologic
Rehabilitation
Emphasis:
Assessed:
Somewhat
Exam
- Critical Thinking
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Ethical and Moral
Consciousness
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Ethical and Moral
Consciousness
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Information
Technology
- Mathematics
- Verbal Literacy
- Critical Thinking
- Information
Technology
- Mathematics
- Social and Cultural
Awareness
- Verbal Literacy
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AUSP Revised UG Asses Plan 2012
Critical Thinking
Assessment
Emphasis:
Assessed:
Extensive
- Critical Thinking
Exam
Goal # 3 - prepare undergraduate students as viable candidates
for graduate school or other employment
Courses and
Activities
How
Outcomes are
Addressed
and Assessed
Emphasis:
Assessed:
Objective # 3 - acquire appropriate
clinical behaviors and demonstrate
knowledge and skills related to clinical
practice
Extensive
Exam
Project
AUSP 3365
Clinical
Management
Emphasis:
Assessed:
Extensive
Exam
AUSP 4162
Practicum I
Emphasis:
Assessed:
Extensive
Other
AUSP 4163
Practicum II
Emphasis:
Assessed:
Extensive
Other
AUSP 4363
Voice and
Stuttering
Emphasis:
Assessed:
Extensive
Exam
AUSP 4364
Differential
Diagnosis
Emphasis:
Assessed:
Extensive
Exam
Project
AUSP 4366
Language
Disorders
Emphasis:
Assessed:
Extensive
Exam
Project
AUSP 3363
Disorders in
Articulation
Core Competencies
Address
- Critical Thinking
- Ethical and Moral
Consciousness
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Ethical and Moral
Consciousness
- Verbal Literacy
- Critical Thinking
- Ethical and Moral
Consciousness
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Ethical and Moral
Consciousness
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Philosophy and
Methods of Science
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Philosophy and
Methods of Science
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AUSP Revised UG Asses Plan 2012
AUSP 4368
Audiology
Emphasis:
Assessed:
AUSP 4369
Audiologic
Rehabilitation
Emphasis:
Assessed:
AUSP 4101,
4201, 4301
Independent
Study
Clinical
Practicum
Evaluation
Emphasis:
Assessed:
Critical Thinking
Skills
Assessment
Grade Point
Average
Emphasis:
Assessed:
Emphasis:
Assessed:
Extensive
Exam
- Social and Cultural
Awareness
- Verbal Literacy
- Critical Thinking
- Information
Technology
- Mathematics
- Social and Cultural
Awareness
- Verbal Literacy
Somewhat
- Critical Thinking
Exam
- Information
Technology
- Mathematics
- Social and Cultural
Awareness
- Verbal Literacy
Somewhat
- Critical Thinking
Exam
- Philosophy and
Methods of Science
- Verbal Literacy
Extensive
-Critical Thinking
Other
-Ethical and Moral
Consciousness
-Social and Cultural
Awareness
-Verbal Literacy
Objective # 4 - continue education in a graduate program, or be
otherwise employed after graduation
Extensive
-Critical Thinking
Exam
Exit Survey
(grad school/
employed)
(4) How will you assess each objective? (a) Methods; b) Design; c) Assessment cycle; d)
Stakeholder involvement.
We are presenting no data for 2011, as we have decided to review and retool our assessment
processes. Below are the anticipated analyses for the various instruments.
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AUSP Revised UG Asses Plan 2012
Undergraduate Exit Survey – Descriptive statistics
Undergraduate Course Evaluations – Descriptive statistics
Undergraduate Student Practicum Evaluation – Descriptive statistics
Student Practicum Evaluations – Descriptive statistics
Evaluation of Undergraduate Clinical Services – Descriptive statistics
Undergraduate Site Evaluations – Description and descriptive statistics
Graduate Capstone Examination – Descriptive statistics and pre-/post-t-tests
Critical Thinking Evaluation – Descriptive statistics and pre-/post-t-tests
Service Learning Summary – narrative
The assessment plan for the undergraduate program in the Department of Audiology and Speech
Pathology can best be explained in terms of a five-year cycle, as delineated below.
First Year Assessments (2012): The first year of the new five-year cycle involves gathering data
related to the overall assessment of the undergraduate program. This assessment process will
include the following instruments: Graduation Rates, Retention Rates, Undergraduate Exit
Survey, (Appendix A, under revision), Course Evaluations (Appendix B), Diversity of Students
Admitted and Student Financial Support. These data will be used to evaluate overall program
effectiveness by obtaining input from the primary consumer of our services, students. Results
from these instruments will be used to guide decisions regarding program improvement.
Second Year Assessments (2013): During the second year of the five-year cycle, assessment
efforts will focus on undergraduate clinical training, looking at the following items: Student
Practicum Evaluation (Appendix C), Number of Practicum Hours Earned, Practicum Supervisor
Evaluation – Undergraduate (Appendix D), Consumer Evaluation of Clinical Services (Appendix
E; 13 of 19 Questions), Diversity of Clients Served (Appendix F) and Site Evaluation (Appendix
G). These data will be used to assess how well the program is meeting the clinical needs of our
undergraduate students and to make quality improvement decisions about the undergraduate
clinical training program.
Third Year Assessments (2014): During the third year of the five-year cycle assessment efforts
will focus on assessment of professional preparation of our undergraduate students.
Assessment will be conducted using the following performance measures: Undergraduate
Capstone Assessment ( under revision), Critical Thinking Assessment (instrument not yet
decided), Undergraduate Grade Point Average, Student Scholarships and Awards and Consumer
Evaluation of Clinical Services (Appendix E; 6 of 19 Questions). These data will be used to
monitor quality improvement efforts and to indicate how well the undergraduate program is
meeting the needs of our students.
Fourth Assessment Year (2015): During the fourth year of the five-year cycle, professional
community perception will be the focus. The professional community is our second largest
consumer group, desirous of well-trained, competent professionals from our program. Tools to
assess professional community perception include the following: Service Learning Participation
Summary and Post Graduation Plans (To be developed). The data collected from these
assessment tools will inform the program on knowledge, attitudes, and beliefs about the
undergraduate program at the local level.
Fifth Year Assessment (2016): During the fifth year of the five-year cycle the focus of
assessment will be on the third major group of consumers, clinic clients. Clinical services and
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AUSP Revised UG Asses Plan 2012
consumers thereof will be assessed using the following information: Consumer Evaluation of
Clinical Services (Appendix E; 13 of 19 Questions), Diversity of Clients Served (UALR clinic;
Appendix H) and Diversity of Services Provided (UALR clinic). The data collected from these
measures will be used to assess the quality of services provided to clients in our clinic and will
be used when making decisions regarding marketing and quality improvement initiatives.
Stakeholder Involvement
We currently include clients we serve in our on-campus clinic as well as community professional
stakeholders in our assessment of the undergraduate program. We are looking at trying to
include graduate programs and employers in future years. The primary stakeholders in our preprofessional undergraduate program are the students. Student input about the undergraduate
program is actively sought. Additionally, the faculty was actively involved in the assessment
process.
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AUSP Revised UG Asses Plan 2012
Audiology and Speech Pathology Department
Undergraduate Program
Five-Year Assessment Plan (2012 - 2016)
Assessment Tool
Undergraduate Objective(s)
Assessment of Overall Program
Undergraduate Graduation
Undergraduate Retention Rates
Undergraduate Exit Survey (Appendix A)
Undergraduate Course Evaluations (Appendix B)
Diversity of Students Admitted
Student Financial Support
1, 2, 3, 4
Cycle
Year
Year 1
2012
Assessment of Student Clinical Training
1, 2, 3
2013
Undergraduate Student Practicum Evaluation (Appendix C)
Number of Practicum Hours
Practicum Supervisor Evaluation – Undergraduate (Appendix D)
Consumer Evaluation of Clinical Services (13 Questions; Appendix E)
Diversity of Clients Served (Appendix F)
Site Evaluation (Appendix G)
Year 2
Assessment of Undergraduate Students
1, 2, 3, 4
Undergraduate Capstone Assessment
Undergraduate Critical Thinking Assessment
Undergraduate Grade Point Average
Student Scholarships and Awards
Consumer Evaluation of Clinical Services (6 Questions; Appendix E)
Year 3
2014
Assessment of Professional Perceptions
Service Learning Participation Summary
Post Graduation Plans
Year 4
2015
1, 2
Assessment of Consumers of Clinical Services
2, 3
2016
Consumer Evaluation of Clinical Services (13 Questions; Appendix E)
Diversity of Clients Served (UALR clinic)
Types of Services Provided (UALR clinic)
Year 5
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AUSP Revised UG Asses Plan 2012
AUSP ASSESSMENT PLAN
Bachelor’s Degree in Audiology and Speech Pathology
College of Professional Studies (UALR)
College of Health Related Professions (UAMS)
Thomas Guyette, Ph.D., Chair
Betholyn Gentry, Ph.D., College Assessment Committee
ANNUAL REPORT
April 2012
UNDERGRADUATE ASSESSMENT COMMITTEE
Laura Smith-Olinde, Ph.D., Chair
Jennifer Franklin, Au.D., Member
Greg Robinson, Ph.D., Member
Department Mission
The mission of the Audiology and Speech Pathology (AUSP) department is to educate
professionals who serve persons with communication, swallowing, and balance disorders at
local, state, national, and international levels. The department is dedicated to excellence in (a)
teaching and lifelong learning in a student-centered environment (b) service in a patientcentered environment based on academic excellence, leadership, and the ethic of community
responsibility and (c) research that supports communication science and the practice of
audiology and speech-language pathology (AUSP Strategic Plan, 2007). The department
contributes to the College of Professional Studies (CPS) mission by advancing collaborative
problem-solving, entrepreneurial public leadership and effective use of communication to
develop dynamic, healthy and safe communities through theoretic and applied research and
instruction (CPS Strategic Plan, 2007); and to the mission of the University of Arkansas at Little
Rock (UALR) by developing the intellect of students; discovering and disseminating knowledge;
serving and strengthening society by enhancing awareness in scientific, technical, and cultural
arenas; and by promoting humane sensitivities and understanding of interdependence. Within
this broad mission are the responsibilities to use quality instruction to instill in students a
lifelong desire to learn; to use knowledge in ways that will contribute to society; and to apply
the resources and research skills of the University community to the service of the city, the
state, the nation, and the world in ways that will benefit humanity (Adopted by the UALR
Faculty Senate, 1988).
Undergraduate Mission
The primary mission of the undergraduate program in audiology and speech pathology is to
provide pre-professional, fundamental knowledge and skills needed to pursue graduate training in
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AUSP Revised UG Asses Plan 2012
audiology or speech-language pathology. These skills and knowledge co-occur with students’
exposure to a wide range of academic experiences across the university for general enrichment.
This mission is compatible with the UALR mission to enhance awareness and knowledge in
scientific, technical and cultural areas while developing independence and sensitivity to society and
to lifelong learning. The goals and objectives of the program are listed below.
Goals
The goals of the undergraduate program in Audiology and Speech Pathology are to:
4. provide undergraduate students with a foundation in the physical, psychological, and
cognitive-linguistic bases of normal and disordered speech, language, hearing and balance;
5. increase students’ critical thinking abilities;
6. prepare undergraduate students as viable candidates for graduate school or other
employment.
Objectives
At completion of the undergraduate Audiology and Speech Pathology program, students will:
5. have increased their knowledge of the physical, psychosocial and cognitive-linguistic bases
of normal and disordered speech, language, hearing and balance;
6. have increased their ability to apply critical thinking skills to clinically relevant scenarios and
questions across diverse populations;
7. acquire appropriate clinical behaviors and demonstrate knowledge and skills related to
clinical practice;
8. continue their education in a graduate program, or be otherwise employed after
graduation.
Five-Year Plan, Undergraduate
The Audiology and Speech Pathology Department met to discuss the assessment
process currently in place. After much discussion the faculty decided to review our assessment
process this year pursuant to future assessment reports. We decided to revamp the current
assessment plan to make it more efficient and useful for program growth and success. The
assessment plan for the undergraduate program in the Department of Audiology and Speech
Pathology can best be explained in terms of a five-year cycle, as delineated below.
First Year Assessments (2012): The first year of the new five-year cycle involves gathering data
related to the overall assessment of the undergraduate program. This assessment process will
include the following instruments: Graduation Rates, Retention Rates, Undergraduate Exit
Survey, (Appendix A, under revision), Course Evaluations (Appendix B), Diversity of Students
Admitted and Student Financial Support. These data will be used to evaluate overall program
effectiveness by obtaining input from the primary consumer of our services, students. Results
from these instruments will be used to guide decisions regarding program improvement.
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AUSP Revised UG Asses Plan 2012
Second Year Assessments (2013): During the second year of the five-year cycle, assessment
efforts will focus on undergraduate clinical training, looking at the following items: Student
Practicum Evaluation (Appendix C), Number of Practicum Hours Earned, Practicum Supervisor
Evaluation – Undergraduate (Appendix D), Consumer Evaluation of Clinical Services (Appendix
E; 13 of 19 Questions), Diversity of Clients Served (Appendix F) and Site Evaluation (Appendix
G). These data will be used to assess how well the program is meeting the clinical needs of our
undergraduate students and to make quality improvement decisions about the undergraduate
clinical training program.
Third Year Assessments (2014): During the third year of the five-year cycle assessment efforts
will focus on assessment of professional preparation of our undergraduate students.
Assessment will be conducted using the following performance measures: Undergraduate
Capstone Assessment ( under revision), Critical Thinking Assessment (instrument not yet
decided), Undergraduate Grade Point Average, Student Scholarships and Awards and Consumer
Evaluation of Clinical Services (Appendix E; 6 of 19 Questions). These data will be used to
monitor quality improvement efforts and to indicate how well the undergraduate program is
meeting the needs of our students.
Fourth Assessment Year (2015): During the fourth year of the five-year cycle, professional
community perception will be the focus. The professional community is our second largest
consumer group, desirous of well-trained, competent professionals from our program. Tools to
assess professional community perception include the following: Service Learning Participation
Summary and Post Graduation Plans (To be developed). The data collected from these
assessment tools will inform the program on knowledge, attitudes, and beliefs about the
undergraduate program at the local level.
Fifth Year Assessment (2016): During the fifth year of the five-year cycle the focus of
assessment will be on the third major group of consumers, clinic clients. Clinical services and
consumers thereof will be assessed using the following information: Consumer Evaluation of
Clinical Services (Appendix E; 13 of 19 Questions), Diversity of Clients Served (UALR clinic;
Appendix H) and Diversity of Services Provided (UALR clinic). The data collected from these
measures will be used to assess the quality of services provided to clients in our clinic and will
be used when making decisions regarding marketing and quality improvement initiatives.
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AUSP Revised UG Asses Plan 2012
Audiology and Speech Pathology Department
Undergraduate Program
Five-Year Assessment Plan (2012 - 2016)
Assessment Tool
Undergraduate Objective(s)
Assessment of Overall Program
Undergraduate Graduation
Undergraduate Retention Rates
Undergraduate Exit Survey (Appendix A)
Undergraduate Course Evaluations (Appendix B)
Diversity of Students Admitted
Student Financial Support
1, 2, 3, 4
Cycle
Year
Year 1
2012
Assessment of Student Clinical Training
1, 2, 3
2013
Undergraduate Student Practicum Evaluation (Appendix C)
Number of Practicum Hours
Practicum Supervisor Evaluation – Undergraduate (Appendix D)
Consumer Evaluation of Clinical Services (13 Questions; Appendix E)
Diversity of Clients Served (Appendix F)
Site Evaluation (Appendix G)
Year 2
Assessment of Undergraduate Students
1, 2, 3, 4
Undergraduate Capstone Assessment
Undergraduate Critical Thinking Assessment
Undergraduate Grade Point Average
Student Scholarships and Awards
Consumer Evaluation of Clinical Services (6 Questions; Appendix E)
Year 3
2014
Assessment of Professional Perceptions
Service Learning Participation Summary
Post Graduation Plans
Year 4
2015
1, 2
Assessment of Consumers of Clinical Services
2, 3
2016
Consumer Evaluation of Clinical Services (13 Questions; Appendix E)
Diversity of Clients Served (UALR clinic)
Types of Services Provided (UALR clinic)
Year 5
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AUSP Revised UG Asses Plan 2012
APPENDIX A
UNDERGRADUATE STUDENT EXIT SURVEY FORM
UNIVERSITY OF ARKANSAS AT LITTLE ROCK
AUDIOLOGY AND SPEECH PATHOLOGY DEPARTMENT
1. Please indicate the semester and year you graduated.
Term____________
Year___________
2. Have you applied to a graduate program in speech pathology or audiology?
Yes_____________
No____________
If “no” please indicate the reason:
_____ Grade point average too low for graduate school
_____ Financial considerations were prohibitive
_____ Pursued another field of graduate study
_____ Other (Please explain)
________________________________________________
________________________________________________________________________
______
If “yes” please indicate your area of study in graduate school.
Audiology_________
Speech Language Pathology____________
3. Why did you select UALR to obtain your undergraduate degree? __________________
4. Do you belong to any professional organizations (i.e. NSSLA, ArkSHA, ASHA, etc.)?
Yes____________
No_______________
If “yes” please indicate which one(s). _________________________________________
________________________________________________________________________
If “no” give reason (s). _____________________________________________________
________________________________________________________________________
5. Are you employed as support personnel (speech pathology assistant) in speech
pathology? Yes____________
No_______________
If “yes” indicate your job setting (i.e. public school, rehab center, hospital, etc.).
________________________________________________________________________
6. Do you feel that the undergraduate major in speech pathology offered at UALR
adequately prepared you for advanced graduate study?
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AUSP Revised UG Asses Plan 2012
Yes____________
No______________
If “yes” what areas of the program were most helpful in preparing you for advanced
study?
__________________________________________________________________
7. Would you recommend the undergraduate program in speech pathology to others?
Yes_____________
No______________
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AUSP Revised UG Asses Plan 2012
APPENDIX B
Undergraduate Course Evaluation Form
COLLEGE OF PROFESSIONAL STUDIES
DEPARTMENT OF AUDIOLOGY AND SPEECH PATHOLOGY
STUDENT EVALUATION OF INSTRUCTION
Instructor Name:_______________________
Year: 20____
Semester: Fall
Spring
Summer
Course Number: _______________________
Course Name: _________________________
Please mark your answers by filling in the bubbles on the attached Scantron sheet using a No. 2
pencil. Erase changed responses cleanly and completely. Mark only one response per
statement.
A = strongly agree; B = agree; C = neither agree or disagree; D = disagree; E = strongly disagree
1. The instructor speaks audibly and clearly.
2. The instructor speaks fluent English.
3. The instructor provides organized presentations.
4. The course lectures cover objectives/goals.
5. The instructor discusses current developments.
6. The instructor stimulates thinking and discussion.
7. The instructor keeps scheduled appointments.
8. The instructor treats students with respect.
9. The instructor demonstrates enthusiasm.
10. The tests cover course objectives.
UALR Course Eval.
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AUSP Revised UG Asses Plan 2012
APPENDIX C
PRACTICUM EVALUATION FORM
UALR/UAMS Department of Audiology and Speech Pathology
2801 South University, Little Rock, AR 72204
Ph: 501-569-3155
FAX: 501-569-3157
Student Name:________________________ Semester: Fall 20___ Spring 20___ Summer
20________
Practicum Site:______________________ Supervisor:_____________________ ASHA
#:___________
Competency Rating Code: Rate each competency from 1.0 to 3.0. Decimals may be used if
necessary (e.g. 1.5, 2.7, etc.) Use the following descriptors to rate each competency:
1.0 = Competency/skill is emerging but needs further development; requires frequent
supervisory instruction –Emerging
2.0 = Competency/skill is present but needs refinement; requires frequent supervisory
instruction—Meets Standard
3.0 = Competency/skill is developed; requires infrequent supervisory monitoring—Exceeds
Standard
(A) Articulation; (F) Fluency; (H) Hearing; (V) Voice/Resonance; (S) Swallowing;
(P) Pragmatics; (CM) Communication Modalities; (L) Rec./Exp. Language; (C) Cognitive
(please check the area(s) in which skills were obtained)
I. EVALUATION
MID
TER
M
FINA
L
A
F H V S P
C
M
A. Conducts screening and prevention activities.
B. Collects case history information and integrates
information from clients/patients, family,
caregivers, teachers, relevant others, and other
professionals.
C. Selects and administers appropriate evaluation
procedures, such as behavioral observations, nonstandardized and standardized tests, and
instrumental procedures.
D. Adapts evaluation procedures to meet clients’
needs.
E. Interprets, integrates and synthesizes
information to develop diagnoses and prognoses
and make appropriate recommendations for
intervention.
F. Completes administrative and reporting
functions necessary to support the evaluation.
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AUSP Revised UG Asses Plan 2012
L
C
G. Refers clients/patients for appropriate services.
II. INTERVENTION
MID FINA A
TERM
L
F
H V S
P C
M
A. Develops setting appropriate intervention plans
with measurable and achievable goals that meet
clients’ needs.
B. Collaborates with clients and relevant others in
the planning process.
C. Implements intervention plans.
D. Involves clients and relevant others in the
intervention process
E. Selects or develops and uses appropriate
materials and instrumentation for prevention and
intervention
F. Measures and evaluates clients’ performance
and progress.
G. Modifies intervention plans, strategies,
materials and instrumentation as appropriate to
meet the needs of clients.
H. Completes administrative and reporting
functions necessary to support intervention.
I. Identifies and refers clients for services
appropriate.
III. PROFESSIONAL, INTERACTIONAL & PERSONAL
MID FINA A F H V S P C
QUALITIES
TERM
L
M
A. Communicates effectively, recognizing the
needs, values, preferred mode of communication,
and cultural/linguistic background of the
client/family/caregivers and relevant others.
B. Collaborates with other professionals in case
management, when appropriate.
C. Provides counseling regarding communication
and swallowing disorders to client, family,
caregivers, and relevant others.
D. Adheres to the ASHA Code of Ethics and behaves
professionally.
E. Possesses oral skills sufficient for entry in to
professional practice.
F. Possesses written skills sufficient for entry in to
professional practice.
The student treated the following populations at this site:
_____Early Intervention (0-3) ______Preschool (3-5) _____School Age (5-16) _____Adult (16+)
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AUSP Revised UG Asses Plan 2012
L
C
L
C
The student treated the following types of disorders while at this site:
MID-TERM COMMENTS:
FINAL COMMENTS:
MIDTERM EVALUATION:
Student’s Signature:______________________________ Date:______________
Supervisor’s Signature:___________________________ Date:______________
I have read this evaluation and have had the opportunity to discuss its contents with the clinical
supervisor named above. (Comments may be written on a separate page, dated and attached.)
Clinical Hours Accrued to Date: This Site__________ All Sites__________
Supervisor’s phone #_____________________________
FINAL EVALUATION:
Student’s Signature:___________________ Date:______________
Supervisor’s Signature:__________________________ Date:________________
I have read this evaluation and have had the opportunity to discuss its contents with the clinical
supervisor named above. (Comments may be written on a separate page, dated and attached.)
Clinical Hours Accrued to Date: This Site__________ All Sites__________
Supervisor’s phone #_____________________________
Revised 8/2004
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AUSP Revised UG Asses Plan 2012
APPENDIX D
Practicum Supervisor Evaluation Form
Evaluation of Practicum Supervisors
(Developed from ASHA’s Position Paper: Clinical Supervision in Speech-Language Pathology and
Audiology)
Name of Supervisor:_______________________ Practicum Site:_________________
Semester/Year:____________/___________Date of Evaluation:__________________
A 5-point scale is to be used to rate the items listed below:
5 = Outstanding; 4 = Excellent; 3 = Good; 2 = Fair; 1 = Poor; NA = Non-applicable
The supervisor:
1. establishes and maintains an effective working relationship with the supervisee._____
2. assists the supervisee in developing clinical goals and objectives.
______
3. assists the supervisee in developing and refining assessment skills.
______
4. demonstrates for and participates with the supervisee in the clinical process. ______
5. assists the supervisee in analyzing assessment and treatment sessions.
______
6. guides the supervisee in maintaining clinical records.
______
7. interacts with the supervisee in supervisory conferences.
______
8. assists the supervisee in evaluating his/her clinical performance.
______
9. assists the supervisee in developing skills of report writing and editing.
______
10. models professional conduct.
______
Additional Comments:
Jan. 2001
19
AUSP Revised UG Asses Plan 2012
APPENDIX E
UALR Speech and Hearing Clinic
Form
31
2801 South University, Suite 600, Little Rock, AR 72204
501-569-3155 Phone 501-569-3157 Fax
EVALUATION OF CLINICAL SERVICES
CLIENT’S NAME:______________________________________ DOB:
____________________________
CLINICIAN: ___________________________________________
SUPERVISOR:
_____________________
DATE: ________________________________________________
5 – Excellent 4 - High Average
3 – Average 2 – Low Average
1 – Poor
0 - Does Not Apply
1. Prompt and accurate attention to request for information
or
or appointment scheduling following your first contact with the facility
5
4
3
2
1
0
2.
Efficient and prompt forwarding of reports
0
5
4
3
5
4
3.
1
Courteous treatment by all clinic personnel
0
4.
Special problems noted and assistance provided
0
5.
Considerate answers to all questions
0
6.
Appointments begun at scheduled time
10
5
4
7.
Instruction in how to manage the communication problem outside this clinic 5
1 0
4
8.
Clear communication of the results of the evaluation and/or therapy 5
0
9.
Referral to appropriate service facilities if necessary
0
5
5
10. Clear statement of recommendation
0
11. Clear statement of how recommendations are to be implemented
4
2
3
4
2
1
2
4
3
5
4
4
5
2
3
3
5
1
4
1
3
2
3
2
2
1
3 2
1
3 2
1
3
2
20
AUSP Revised UG Asses Plan 2012
1 0
12. Opportunity to ask questions after an evaluation or therapy
0
5
4
13. Treated with compassion, respect, dignity, and courtesy
0
5
14. Student clinician and supervisor modeled professional conduct and image
1
0
15. Level of confidence instilled in you by your student clinician
1
0
4
5
4
5
16. Professional appearance of student clinician
0
4
5
17. Conferences held away from the presence of nonprofessional personnel
1
0
18. Supervisor and student clinician were helpful and cooperative
0
3
5
19. Overall acceptability of services received at the Speech and Hearing Clinic
1
0
4
5
1
32
1
3
2
3
2
3 2
1
4
3
2
3
2
1
4
3
2
4
5
2
COMMENTS:_______________________________________________________________________________
__________________________________________________________________________________________
__________________________________
21
AUSP Revised UG Asses Plan 2012
APPENDIX F
Student Name:_____________________
Entry
Date:_______________________
Graduation Date:___________________
Diversity Checklist
UALR/UAMS
Department of Audiology & Speech Pathology
Graduate Program
Directions: Place a check mark in the square indicating the demographic category of the client and the semester and place. This table will serve to
demonstrate the range of diversity served, so there needs to be only one check mark per square, even if you had several clients in the same
category in the same or different placements.
Demographic
Fall, Year 1
Spring, Year 1
Summer
Fall, Year 2
Spring, Year 2
Category
Location
Eth./Nat.
Place
Eth./Nat.
Place
Eth./Nat.
Place
Eth./Nat.
Place
Eth./Nat.
Place
Ethnicity
North-European
American
African-American
Native American
Hispanic-American
Asian-American
Other
Nationality
American Cit.
Other (write in)
22
AUSP Revised UG Asses Plan 2012
Comments/Notes:
23
AUSP Revised UG Asses Plan 2012
UNIVERSITY OF ARKANSAS AT LITTLE ROCK
APPENDIX G
OFF CAMPUS SITE EVALUATION
SPEECH PATHOLOGY
Form 54
DATE:___________________ CLINICIAN:___________________________
SITE:____________________ SUPERVISOR:_________________________
What general experiences did you have? (ie swallow studies, autistic intervention programs,
laryngectomy, report writing, home health, etc)
How many hours in each area did you obtain?
__________ Adult Speech Evaluation
__________Child Speech Evaluation
__________ Adult Language Evaluation
__________Child Language Evaluation
__________ Adult Speech Treatment
_________ Child Speech Treatment
__________ Adult Language Treatment
_________ Child Language Treatment
__________ Hearing
__________ Other (please specify)
What do you think were the overall strengths of this site?______________________
What do you think were the overall weaknesses of this site?___________________
What type of tests or materials would you recommend for the next student at this site to
review?___________________________________________________________
Other comments:_____________________________________________________
Rate the site on the following scale:
1
2
3
Worst
4
5
6
7
Best
24
AUSP UG Asses Plan Cover Sheet 2012
UNIVERSITY OF ARKANSAS AT LITTLE ROCK
Experience
Experience
Disk 3 Rev. 8/2010
25
AUSP UG Asses Plan Cover Sheet 2012