1. careers
2. career planning

Program in Nutrition and
Exercise Physiology
(NEP)
NON-CLINICAL EXERCISE
INTERNSHIP MANUAL
2013-2014
Program in Nutrition and Exercise Physiology
Washington State University
College of Pharmacy
P.O. Box 1495
Spokane,WA 99210-1495
Last Revision: May, 2014
TABLE OF CONTENTS
Preface………………………………………………………………………………………………………………….
Purpose…………………………………………………………………………………………………………………
Preparation for a Non-Clinical Exercise Internship…………………………………..
BS NEP Advising Checklist…………………………………………………………………………………..
E-Value Account…………………………………………………………………………………………………
Acknowledgement of Understanding……………………………………………………………………
Pre-Internship Process…………………………………………………………………...........
Internship Timeline……………………………………………………………………………………………
Internship Site Identification ………………………………………………………………………………
Resume and Goals Statement Completion…………………………………………………………….
Internship Application Process ……………………………………………………………………………
Internship Offer………………………………………………………………………………………………….
Acceptance of an Internship………………………………………………………………………………..
Site-Specific Requirements…………………………………………………………………………………..
NEP 490 Registration ………………………………………………………………………………………….
Completing a Non-Clinical Exercise Internship…………………………………………
Ethical Standards of Conduct of a Student Intern…………………………………………………..
Computer Access……………………………………………………………………................................
Communication from Student to University Personnel………………………………………....
Expectations of Internship Preceptors……………………………………………….......................
Communication from Student to Internship Preceptor ………………………………………….
Internship Reassignment Process………………………………………………………………………...
Sexual Harassment …………………………………………………………………………………………..…
Requests for Accommodations………………………………………………………..
Assessment of the Student During the Non-Clinical Internship………….………
Internship Reports………………………………………………………………………………………………
Midterm and Final Assessment Forms…………………………………………………………………..
Rating Scale for Midterm and Final Assessments…………………………………………………….
Student Assessment Forms…………………………………………………………………………………..
Final Grade for a Non-Clinical Exercise Internship…………………..…………………………….
ACSM Clinical Hour Verification Form………………………………………………………………...
ACSM Audit……………………………………………………………………………………………………….
ACSM Certified Health Fitness Specialists Exam Requirements………………………………..
Additional Information Regarding the ACSM Certification Exam….……………….………..
1
2
3
3
3
6
6
6
7
8
9
10
11
11
12
12
12
13
13
13
14
14
15
15
15
16
17
18
18
19
21
21
22
22
APPENDICES
Appendix A: Acknowledgement of Understanding……………………..……………………………….
23
Appendix B: NEP Non-Clinical Exercise Internship Memorandum of Understanding……..
25
Appendix C: New Non-Clinical Exercise Internship Site Request Form…………………………..
31
Appendix D: Clinical Hours Distribution…………………………………………………………………...
34
s
Appendix E: ACSM Certified Clinical Exercise Specialist Clinical Hour Verification Form.
37
Appendix F: NEP Assessment Forms…………………………………………………………………………..
39
Appendix G: NEP 490 Non-Clinical Competency List……………………………………………..…..
54
PREFACE
The BS in Nutrition and Exercise Physiology (NEP) at Washington State University (WSU),
College of Pharmacy, has as its central and unique focus the preparation of students for
exercise- and-nutrition-related careers in disease prevention and rehabilitation, as well as
corporate and private health and fitness industries. In addition, it provides students with basic
scientific preparation necessary for the pursuit of advanced degrees in exercise, nutrition, and
other allied health and medical fields.
An important aspect of a student’s professional course work is the supervised non-clinical* or
clinical exercise internship experience. The internship is designed to provide NEP students with
practice and application of the knowledge and skills required for a lifetime of responsible
service in their desired profession. A student must complete a minimum of 400 internship
hours to satisfy the requirements for the NEP internship and BS NEP degree.
During the non-clinical internship, the student works under the supervision of a non-clinical
Internship Preceptor at an internship site approved by Washington State University (WSU) and
the WSU NEP Non-Clinical Internship Coordinator. Internship students are strongly
encouraged to be actively involved in their own learning to gain the most from the internship.
Assessment forms have been developed to facilitate this learning process, guide accurate and
fair assessment of each intern, and determine the final internship grade for each intern.
Additionally, the student will have an opportunity to assess the Internship Preceptor, the
Internship Site, and the didactic NEP program. This constructive feedback guides future
improvement in these learning experiences and of the Program in Nutrition and Exercise
Physiology.
The NEP Non-Clinical Exercise Internship Manual, hereinafter called the Internship Manual in
this document, is intended to provide guidelines for a non-clinical exercise internship. It will
assist the NEP Non-Clinical Internship Coordinator, hereinafter in this document called the
Internship Coordinator, the student, the Internship Preceptors, and other WSU NEP faculty
and staff members in understanding the purpose and logistics of the internship experience and
the policies and procedures that govern each party’s responsibilities.
*Note: For the purposes of the NEP internship, a clinical internship requires students to work in
settings that deal with patients with cardiovascular, pulmonary, or metabolic disease(s) or
clients being evaluated for these diseases. A NEP non-clinical internship may be performed at
sites dealing with sports performance, health, fitness, wellness, and other health care programs,
such as physical therapy, or other options that meet a student’s needs, if approved by the NonClinical Internship Coordinator and WSU.
1
PURPOSE
Specific purposes of the NEP non-clinical exercise internship for the student, the Internship
Site, and WSU are to:
1. Provide students with experiences: 1) upon which to build their professional careers;
2) to make practical application of theories and techniques; 3) to bring students into
contact with practitioners; 4) to provide an opportunity to discover and evaluate
professional strengths and weaknesses; 5) to improve professional preparation; and
6) to offer entry into the work place or graduate school;
2. Broaden students’ concepts of health, wellness, physical fitness, exercise physiology,
nutrition, allied health and medical fields, and to provide experiences to enhance
practical knowledge of the fields of exercise physiology, health, fitness, wellness,
nutrition, rehabilitation, medicine, medical research, and/or allied health;
3. Offer practitioners an opportunity to share in the education and preparation of
young health professionals;
4. Establish and enhance communication between the Internship Site and WSU in
order to facilitate problem solving, sharing of knowledge, mutual understanding of
each other’s programs, and employment opportunities;
5. Provide WSU (in collaboration with the Internship Preceptor) with a practical setting
for assessing the student’s preparation and performance; and
6. Enable NEP faculty to appropriately update and revise the curriculum based on
feedback from the Internship Preceptors and student interns.
2
PREPARING FOR A NON-CLINICAL EXERCISE INTERNSHIP
The following are requirements that the student must complete prior to applying for an
internship. These requirements are in addition to any site-specific onboarding requirements,
which are listed in E-Value.
A. BS NEP ADVISING CHECKLIST
The BS NEP ADVISING CHECKLIST should be completed prior to the beginning of the
junior and senior year (see the NEP Undergraduate Student Handbook: BS NEP Advising
Checklist). It is the responsibility of the student to provide documentation of all
requirements listed on the BS NEP Advising Checklist (trainings, immunizations,
criminal background check, professional liability insurance, etc.) to the NEP Program
Academic Coordinator before the NEP Fall Orientation sessions. Additionally, it is the
student’s responsibility to monitor his or her E-Value account regularly to confirm that
all information is accurate and up-to-date. Verification of these completed requirements
will be accessible in the E-Value Immunization and Certification (Immunes & Certs)
tracking section under the My Profile icon. If there is an error or the student has any
questions about these requirements, he or she should make an appointment with the
NEP Program Academic Coordinator or the Experiential Program Assistant for assistance.
A student cannot apply for an internship until these requirements have been met. By
not completing all requirements by the deadline, the student risks delaying the start of
an internship for another semester (see the “Internship Timeline” in the following
section). The following requirements MUST be current throughout the entire length of
the internship:
• Criminal background check
• Professional liability insurance
• Immunizations
• CPR w/AED, first aid
• Blood-borne pathogen training
• HIPAA training
If any requirement lapses during the internship, the NEP Academic Coordinator will
notify the Internship Coordinator who will notify the Internship Preceptor and the
internship will be suspended until the requirement has been updated. However, the
Internship Site and/or Internship Preceptor are under NO obligation to continue the
student’s internship once suspended. If the Internship Site terminates the internship,
the student will receive a grade of “incomplete” for the internship and will be required to
complete another 400-hour internship.
B. E-VALUE ACCOUNT
The student will be given E-Value account information and access during his or her
senior year orientation. This all-in-one account will help simplify processes and
procedures and help the student to have an optimal internship experience. It is the
responsibility of each student to keep contact information accurate and current in his or
her E-Value account at all times.
3
The student will have access to the following in the E-Value account:
1. Home Page: The Home page will be utilized for announcements to students and
student access to specific documents such as the:
• NEP Non-Clinical Exercise Internship Manual
• New Non-Clinical Exercise Internship Site Request Form
• Link to SignUp Genius
• Memorandum of Understanding
• Acknowledgment of Understanding
2. Schedules: The Schedules icon is where the student will be able to check and
confirm his or her final internship placement. To access placement:
• Click on the “Schedules” icon
• Click on “Reports”
• Click on “Rosters”
• Next to “Curriculum” in the dropdown box, click on “NEP 490” with the
appropriate year
• Choose “NEP 490”, then “Non-Clinical”
• Next to “Start Date” enter any date prior to the actual start date of the
internship
• Click “Next”
3. My Profile: Under My Profile icon the student will be able to access and change
personal contact information, and confirm completion of all WSU NEP
requirements.
4. Evaluations/Assessments: All assessment forms will be available under the
Evaluation icon. The student will be able to access and review the mid-term and
final assessments, and complete assessment forms on the Internship Site,
Internship Preceptor, NEP program and NEP curriculum.
5. Sites and Affiliations: This section will allow a student to browse through
several approved sites that have finalized Affiliation Agreements. The student will
be able to filter the search for specific geographical areas and/or clinical areas of
interest. To access Internship Sites, follow these steps:
• Click on the “Sites & Affiliations” icon
• Click on “Site Reports”
• Click on “Site Listing”
• Under “Site Group,” in a dropdown box, click on “NEP Non-Clinical
Internship Sites” for a listing of all approved Non-Clinical Internship Sites
• Click “Next”
• Click on any site name to see site location, description, expectations,
requirements, Internship Preceptor contact, etc.
4
6. MyFolio: The student will be able to upload the following documents into the
MyFolio section for both the Internship Coordinator and Internship Preceptor to
review:
• Signed Acknowledgment of Understanding
• Approved Resume
• Approved Goals Statement
• Signed Memorandum of Understanding
• Approved Acceptance Letter
• Completed ACSM Certified CESSM Clinical Hour Verification Form*
• Updated Immunizations & Certifications (Immuns & Certs)
• Background Check*
*Non-clinical NEP interns can choose to load the clinical hour verification form
as a place for safekeeping in case they decide to obtain the ACSM Clinical Exercise
SpecialistSM certification at a later date. Both clinical and non-clinical NEP interns
can choose to load (or not) their Background Check results in their MyFolio under
the “Other Documents” tab in order to have it in a safe place for future use.
To upload or edit documents in MyFolio, the student should follow these steps:
• Click on the “MyProfile” icon (top left side of the webpage)
• Click on “MyFolio”
• Click on “MyFolio” again
• Click on the “Folder Tools” tab located on the top right of the page
• Click on “Edit MyFolio”
• The student can edit or upload required documents by choosing the
appropriate heading on the tabs on the left sidebar: “Resume/Goals
Statement”, “Immunization and Certifications”, “Approved Acceptance
Letter” (Note: the “Other Documents” tab can be used for documents you
wish to save that are not required for the internship)
• Click on the picture of a piece of paper and pencil under the heading in which
you are uploading the document
• After uploading the document click on the “Folder Tools” tab again
• Click on “Preview MyFolio” to save
If a student cannot find specific information after reading the Internship Manual and
attending the Internship Orientation, the student may contact the Experiential
Program Assistant regarding specific questions about E-Value access (e.g., passwords)
and additional onboarding information. It is the student’s responsibility to email a
notification to the Experiential Program Assistant when any changes to E-Value are
made.
C. ACKNOWLEDGEMENT OF UNDERSTANDING
The student is responsible for reading the Internship Manual prior to the Internship
Orientation. The student is encouraged to bring any question not clarified in the
manual to the meeting. After the Internship Orientation, the student has one week to
sign the Internship Manual Acknowledgment of Understanding form. This form is an
acknowledgment that the student has read and understands the current Internship
Manual (see Appendix A) and has had an opportunity to ask questions for additional
5
clarification during the orientation. The student should print, sign and upload this form
onto MyFolio in E-Value.
D. COMPLETION OF ALL REQUIRED DIDACTIC NEP COURSES
The internship is the final experience and requirement of the NEP undergraduate degree.
It is suggested that a student receive a “C” or above in all NEP coursework to apply for, or
participate in, a clinical exercise internship (see the NEP Undergraduate Student
Handbook for a list of required didactic NEP coursework).
PRE-INTERNSHIP PROCESS
A. INTERNSHIP TIMELINE
Shown in the table below are the internship dates and deadlines for each school
semester. The internship can be completed during any school semester (spring, summer,
or fall), but must be finalized in the semester in which the student is enrolled. If the
student does not meet the deadlines in the table below, they run the risk of postponing
the start date of their internship until the following semester.
Dates and
Deadlines
Spring
Semester
Summer
Semester
Review Site
Descriptions:
Always Available on E-Value under Site & Affiliations icon
Fall Semester
Interview Sites
SignUp
Genius
Available:
Interview and
Receive an
Offer:
Accept an
offer by:
Internship
Placement in
E-Value:
1st week of July
1st week of
November
1st week of March
2nd week of July
through the end of
September
2nd week of
November through
the end of January
2nd week of March
through the end of
May
October 14th
February 14th
June 15th
November 1st
March 1st
July 1st
September 15th –
September 30th
January 15th –
January 30th
May 15th – May 30th
November 1st
March 1st
July 1st
Non-Interview Sites
SignUp
Genius
Available:
Internship
Placement in
E-Value:
Start Date:
The 2nd Monday in The 2nd Monday
January
after Graduation
The 2nd Monday in
September
B. INTERNSHIP SITE IDENTIFICATION
6
A student may choose from a selection of approved sites listed in E-Value or search for a
non-approved site on his or her own; however, the student is strongly encouraged to
choose from approved sites. Approved sites already have a finalized Affiliation
Agreement; a legal document that must be executed between WSU and each Internship
Site prior to beginning an internship. The negotiation can take over six months and
some Affiliation Agreements are never finalized. If an agreement is never signed, the
student’s internship experience may end up being postponed until the next semester
when another Internship Site can be found. The student is also strongly encouraged to
identify and apply for more than one internship.
1. APPROVED SITES
After signing into his or her E-Value account, a student can access a current list of
approved sites. See “E-Value Account” section above for more details on how to access
these sites.
2. SITES THAT ARE NOT PRE-APPROVED
If the student wants a unique non-clinical internship experience, the student can
identify one or more possible internship site(s) in the area of interest (sports
performance, health, wellness, and fitness, research, etc.), on his or her own, and
contact the site to find out what internship opportunities may exist. The
following information will guide the student in how to search for a specific nonclinical exercise internship:
a. Make an appointment with the NEP Non-Clinical Internship Coordinator:
Prior to meeting with this Internship Coordinator, the student should
complete and be prepared to discuss Part 1 of the “New Non-Clinical
Exercise Internship Site Request Form,” which is located on the Homepage
of E-Value. (See Appendix C for an example of this form.)
b. Find an internship site: The following are resources to assist a student in
identifying a potential internship site:
• The world-wide web
• The WSU Career Services office
• The NEP Non-Clinical Exercise Internship Coordinator
• On Angel® – click on the “Continuous NEP 490 Course” and search
in the “Lessons” folder
c. Gather information: After identifying internship sites of interest, the
student may contact the agencies of interest and arrange to speak with a
person responsible for internships at each site about the possibility of
obtaining an internship. After determining whether internships are
available at the initial sites of interest, the student should make a first
choice from the available sites and complete Part 2 of the “New NonClinical Exercise Internship Site Request Form” (Appendix C) by filling out
specific information obtained from the potential site
d. Make another appointment with the NEP Non-Clinical Internship
Coordinator: The student is responsible for sending an email to the
7
Internship Coordinator using the student’s WSU email account with the
completed “New Non-Clinical Exercise Internship Site Request Form”
attached prior to this appointment. The Internship Coordinator will
review the information and contact the site to determine if it is a suitable
site for an internship. During this appointment the student will be notified
whether the site has been approved and, if approved, the student may then
begin the application process.
However, this does not guarantee that the legal document, the Affiliation
Agreement, will be finalized in time for the student to begin an internship
in the desired semester. The student is strongly encouraged to have
identified one or more Internship Site options in case the legal document
for the first site is not finalized.
C. RESUME AND GOALS STATEMENT COMPLETION
Prior to applying for an internship, the student is responsible for making an
appointment with the NEP Non-Clinical Internship Coordinator to present the
following:
1. Resume: The student should present a professionally acceptable resume
specific for the type of internship desired by the student. The WSU Writing
Center is available to assist the student with the development of a professional
resume. The Internship Coordinator will approve the resume, or ask for specific
changes to make it acceptable before approving it. The resume should not be
sent to the site, or potential site, until the Internship Coordinator has approved
it.
2. Goals Statement: The student should develop the Goals Statement based on the
focus of the internship. Guidelines for writing a Goals Statement include:
a. Make it one (1) to two (2) pages in length (11-pitch font, 1” margins all
around)
b. Prepare a list of specific professional goals and performance objectives
for the internship experience, i.e., what the student wants to
accomplish during the internship. Use the ACSM's Job Task Analysis
List for the Health Fitness SpecialistSM certification as a resource. (To
find the Job Task Analysis list: 1) go to the ACSM certification website
(www.acsmcertification.org/); 2) choose Get Certified; 3) choose Health
and Fitness Certifications; 4) choose Certified Health and Fitness
SpecialistSM; 5) choose Health Fitness Specialist Exam Content
Outline). The Job Task Analysis for each domain will be listed there.
These are things (knowledge and skills) you need to know for the ACSM
Health Fitness SpecialistSM examination.
c. List activities the Internship Site may be able to provide that will help
meet these objectives (e.g., observe motivational interviewing, observe
multiple instructors leading group observe multiple instructors leading
8
group exercise classes; participate in different types of exercise classes;
learn more about correct weight lifting and spotting techniques;
develop and deliver educational presentations, develop handout
materials, etc.)
d. Prepare a list of the personal strengths that will be brought to the
internship (e.g., enthusiasm, professionalism, team player, ability to
develop good exercise prescriptions, etc.)
e. Identify desired areas of weakness to strengthen during the internship
(e.g., shyness, impatience, passiveness, lack of motivational
interviewing skills, etc.)
f. Provide a rationale (at least a paragraph) for selecting the internship site
as related to the goals and performance objectives
The student MUST receive approval of these two documents from the Internship
Coordinator before applying for an internship. It is highly recommended that the
student begin working on these two documents immediately after the Internship
Orientation. Once the Internship Coordinator has approved the documents, these
documents will be uploaded onto E-Value. See “E-Value Account” section in this
Internship Manual for directions on how to upload these documents.
D. INTERNSHIP APPLICATION PROCESS
The student is strongly encouraged to read through internship site descriptions and
expectations on E-Value prior to applying for an internship. It is the student’s
responsibility to understand the sites’ expectations and any additional requirements and
expenses that may be incurred prior to, or during, the internship.
1. APPLICATION WITH AN INTERVIEW
Some internship sites will require the student to apply and will conduct an
interview either on-site, over the phone, or by Skype before the site makes its
choice of an intern. The student is responsible for confirming the site’s
application process and providing the site with all required documentation
(review site information under the Sites & Affiliations icon) prior to the interview.
The student may sign up to interview with three different internship sites by
accessing the link to SignUp Genius on E-Value’s Homepage. These interview
time-slots will be opened at a specific time and will be available for a limited time.
You will be notified electronically prior to this opening date/time. Sign-up is on a
first-come, first-serve basis. For example: a student interested in completing an
internship during the summer semester can access the link on E-Value during the
first week of November to sign up for preferred interview time-slots. (See
“Internship Timeline” section above.)
After signing up, the student may interview with the selected internship site(s). Please
refer to the “Internship Timeline” for specific dates to interview and to receive and
accept an offer for an internship.
2. APPLICATION TO A NON-INTERVIEW SITE
Some internship sites will not require an interview and will allow a student to select
his or her site as the student’s first choice. Through SignUp Genius on E-Value, the
9
student can select a preferred site. For example, a student interested in completing an
internship during the summer semester can access the link on E-Value during the last
two weeks in January (see “Internship Timeline” section above).
After a student has selected an internship site through SignUp Genius, the
student can confirm the final internship placement through E-Value under the
Schedules icon (click on “Reports”, then “Rosters”). Students are responsible for
checking in with the site and site preceptor prior to their start date for any
additional requirements.
E. INTERNSHIP OFFER
A student must receive an internship offer by the deadline listed in the “Internship
Timeline” for the semester the intern is planning to complete his/her internship. Most
internship sites will contact the student via phone or email with an internship offer. The
student can express a tentative acceptance of the internship offer, but final approval is
pending until the student has met with the NEP Non-Clinical Internship Coordinator and
received final approval from the Internship Coordinator to accept the internship. It is the
responsibility of the student to make an appointment with the Internship Coordinator
after receiving an internship offer. During the meeting:
1. The student will:
• Provide the Internship Coordinator with a Memorandum of Understanding
that has been read, signed, and dated by the student. This document is located
on the Homepage of E-Value
• Provide the Internship Coordinator with the site name and the name of the
person who offered an internship, as well as any new additional information
provided by the Internship Preceptor (e.g., start date, location, work hours,
direct supervisor, etc.)
2. The NEP Non-Clinical Internship Coordinator will:
• Initiate the Affiliation Agreement process if there is not a current document
finalized with the University for this site
• Confirm that the student has completed all of the University requirements
and that the requirements will be current during the internship
• Send the internship site name and name of intern to the Experiential Program
Assistant
• Sign the Memorandum of Understanding once all requirements are completed
If the student has not received an offer from the internship site by the deadline, or the
Affiliation Agreement is not finalized by the internship start date, the student must
begin the application process for a new internship and the internship start date will be
postponed until at the least the following semester.
F. ACCEPTANCE OF AN INTERNSHIP
Once an internship offer has been received and after the meeting with the Internship
Coordinator, the student must write a formal acceptance letter to the site. Before sending
10
the letter to the site, it should be sent to the Internship Coordinator for possible editing
and approval. Once the letter is approved, the student should send the formal
acceptance of the internship offer letter via email or regular mail to the Internship
Preceptor. The formal acceptance letter should include:
1. Appreciation for the offer of an internship opportunity
2. Enthusiasm about the upcoming internship
3. Anticipation of a productive internship that contributes to the needs of the site
and its clients and also meets the student’s educational goals
4. Confirmation of the start date, as agreed upon by the student and Internship
Preceptor (only for students accepting an offer from a new site)*
5. Student’s contact information and preferred method and times for contact
*Note: Start dates for each semester are set by College of Pharmacy guidelines and have
been specified previously in this manual. See Internship Timeline under Pre-Internship
Process section.
The student should also attach the Memorandum of Understanding with the letter and
request a signature from the Internship Preceptor. Once the student has received the
signed Memorandum of Understanding from the Internship Preceptor, the student is
responsible for uploading both the acceptance letter and the Memorandum of
Understanding on the MyFolio section in E-Value.
Sending an acceptance letter to the Internship Preceptor does not guarantee that the
student will be able to complete the internship if the Affiliation Agreement is not
finalized prior to the start date. The College of Pharmacy Experiential Learning Assistant
and NEP Internship Coordinator will work diligently to get this Affiliation Agreement
finalized in time, but sometimes there are legal issues that prevent finalization of this
agreement between WSU and the internship site.
Additionally, the student is strongly encouraged to send a thank-you letter to each
internship site who has offered him/her an internship which was not accepted.
G. SITE-SPECIFIC REQUIREMENTS
Some internship sites have additional onboarding requirements for the student intern,
which are listed in E-Value. It is the student's responsibility to complete the site's
requirement deadlines prior to the start of an internship. The student must contact the
Experiential Learning Assistant to document completion of the requirements. If the
student has not completed these additional onboarding requirements prior to beginning
the internship, the Internship Coordinator will notify the Internship Preceptor
immediately and the internship will be postponed until the requirements have been
completed. Delayed completion of the requirements does not guarantee that an
internship site or an Internship Preceptor will permit the student to do the internship.
Students are strongly encouraged to pay close attention to these additional requirements
prior to interviewing with a potential internship site.
1. HEALTH/MEDICAL INSURANCE COVERAGE
It is highly recommended that the student intern maintain health/medical
insurance coverage during the internship experience, although not all internship
11
sites require it. Some sites require proof of medical insurance coverage by the
student intern prior to starting an internship. A student is eligible to purchase a
student health insurance plan through WSU Spokane if enrolled in 7 or more
credit hours a semester (see http://Studentinsurance.wsu.edu/ for more
information).
2. DRUG TESTS
Sites may require a drug test prior to the start of an internship. Sites may also
require random drug tests throughout the internship. The costs of these drug tests
are the responsibility of the student. A positive test result could serve as the basis
for dismissal from the internship. If the student is dismissed from an internship
site, the student will receive a failing grade for that internship and will be required
to apply for a new internship following all procedures outlined in this manual.
3. CRIMINAL BACKGROUND CHECK
Some sites may require a criminal background check separate from the one
required by NEP. Typically, this additional background check must be completed
30-60 days prior to an internship start date. The student is responsible for this
additional cost.
H. NEP 490 REGISTRATION
Students must register for at least 10 hours of internship credits (NEP 490) before
beginning a 400-hour (10-week) internship. If an internship site requires more than 400
hours for an internship, the student must enroll for an additional credit for each
additional 40 hours needed at the internship site, unless other arrangements have been
made with the Internship Site to sever the WSU/Site relationship and have the site
assume legal responsibility for the intern for the remainder of the internship past the
400-hour NEP requirement. The NEP Program Academic Coordinator must confirm that
the student has registered for the appropriate number of credits based on the number of
additional hours needed unless the arrangements explained above have been made. The
Internship Preceptor and Internship Coordinator must approve these extra hours prior
to registering for the internship credits.
COMPLETING A NON-CLINICAL EXERCISE INTERNSHIP
A. ETHICAL STANDARDS OF CONDUCT OF A STUDENT INTERN
While the University must create an environment in which professional attributes may
be cultivated, each student, as a future member of the profession, also has the duty to
observe the laws, uphold the honor of the profession and accept its ethical standards of
conduct as it is an important component of professional behavior and of the overall
assessment of the student’s performance. The student intern will be held, at a
minimum, to the standards of conduct expected of the employees in all areas of the
specific internship site facilities and to those of the profession.
The student intern is expected to exhibit a professional appearance and attitude, as well
as follow the WSU Student Conduct Code. Repeated and/or serious violations of
professionalism standards, or any conduct that poses a threat to patients or clients, may
12
lead to probation, removal from the internship, and/or dismissal from the BS NEP degree
program. Each student should refer to the NEP Undergraduate Student Handbook under
“Student Standards of Conduct Code and Standard of Professionalism,” in the
“Professionalism” section, and the WSU Standards of Conduct document found at:
http://spokane.wsu.edu/students/current/studentaffairs/documents/studentconductstandar
ds.pdf
B. COMPUTER ACCESS
The student must maintain an active WSU email account and promptly notify the
Internship Coordinator and Internship Preceptor of any account changes. This email
account should be checked daily as this method of communication will be used for
announcements and correspondence related to the internship. (Refer to the
“Expectations with Respect to Electronic Communications” section in the NEP
Undergraduate Student Handbook.)
The current Learning Management System (i.e., Angel®) will be used for the student to
access the NEP 490 syllabus, to upload the weekly reports and the Exit Report, and to
review the assigned grades from the internship. Additional information may be sent to
the student’s WSU email account using Angel®.
Last, it is highly recommended that the student check E-Value regularly (i.e., at least
daily) to maintain a clear understanding of internship requirements and expectations.
All internship assessment forms are located under the “Evaluations” icon in E-Value.
C. COMMUNICATION FROM STUDENT TO UNIVERSITY PERSONNEL
The student is required to maintain close communication (via phone or email) with the
Internship Coordinator regarding any issue/concern pertaining to the internship.
Examples include:
1. Extended absence from the internship site ( e.g., illness, jury duty, military
service)
2. Need for conflict resolution
3. Personal issues that will impact the internship experience
4. Student assessments (midterm and final)
5. Site-specific documentation needed
6. Course enrollment
7. Letters of recommendation
D. EXPECTATIONS OF INTERNSHIP PRECEPTORS
The student will be guided and assessed during the internship experience by the
student’s assigned preceptors. Each student has an Internship Preceptor who is the key
contact during the internship. However, that does not mean a student will spend the
majority of his or her time with this Internship Preceptor. Other staff members may
supervise the majority of the intern’s learning. Acquisition of professional information
and professional growth will come from multiple sources, e.g., interactions with the
Internship Preceptor and site personnel, the student’s own observations, self-study and
the practitioners and clients/patients the intern will encounter. Please refer to
Appendix B to review the responsibilities of the Internship Preceptor.
E. COMMUNICATION FROM STUDENT TO INTERNSHIP PRECEPTOR
It is the student’s responsibility to contact (via email or phone) his or her assigned
Internship Preceptor and any relevant additional contacts pertaining to onboarding
13
requirements no later than four weeks* prior to the start of the scheduled internship.
Contact information can be accessed in E-Value. This allows the student to first
introduce themselves to the assigned preceptor (if they have not already met them)
and/or site contact to obtain any additional information in preparation for the
internship, such as:
1.
2.
3.
4.
5.
6.
7.
8.
Parking access
Computer access
Orientation information
Reading assignments
Dress code
Date and time of first day of internship
Place to meet representative of site on the first day
Documents or items the student should bring
If a student has difficulty getting the Internship Preceptor to respond to emails or phone
calls before starting the internship, the student should notify the Internship
Coordinator no later than two weeks prior to the scheduled internship start date so the
problem can be resolved prior to the start of the internship.
*Please note: many sites require students to contact their Internship Preceptor and/or
additional site contacts before the WSU four-week time frame given above. Please make
sure this requirement is met or the scheduled internship potentially could be delayed or
cancelled. Pre-Internship Site requirements for pre-approved sites are listed in E-Value
and have specific details concerning special communication and timelines.
F. INTERNSHIP REASSIGNMENT PROCESS
If a conflict arises in which the learning environment is perceived as compromised or
extenuating circumstances occur that may prevent a student from completing the
assigned internship, a request from the student must first be submitted to the Internship
Coordinator through either a written or verbal request for consideration for the student
to terminate the internship. The Internship Coordinator on a case-by-case basis will first
review this request. Once the request has been reviewed a final decision will be made in a
timely manner. If a student does not first submit this request to the Internship
Coordinator and prematurely attempts to involve any additional parties in the decisionmaking- process (such as other clinical staff, faculty, or students), the final decision from
the University will be automatic denial of the request.
There are only a few situations that potentially warrant a site reassignment and the
request is granted or denied based on extenuating circumstances of that situation and
the judgment of the Internship Preceptor as to whether these circumstances warrant
termination of the internship. Examples of such circumstances are as follows:
1. Personal or immediate family medical emergency
2. Personal or immediate family crisis (legal issues or family conflicts)
14
3. Preceptor’s inability to precept assigned student due to a medical emergency,
staffing deficiency, employment relocation, personality conflict, etc.
4. Absence of a signed Affiliation Agreement between the Internship Site and the
University
G. SEXUAL HARASSMENT
Detailed information regarding sexual harassment is available on the WSU website:
http://hrs.wsu.edu/dshp . If a student feels sexually harassed at the internship site,
he/she should talk to the Internship Preceptor and notify the Internship Coordinator to
help facilitate the appropriate course of action.
H. REQUESTS FOR ACCOMMODATIONS
Reasonable accommodations are available for a student with a documented disability. If
a student has a disability and needs accommodations during the internship, please
contact Liz West, Assistant Director of Student Affairs, in Academic Center 130
([email protected], 509-358-7534). Website:
http://spokane.wsu.edu/students/current/StudentAffairs/disability/disabilityguidelines.
html
ASSESSMENT OF THE STUDENT DURING THE NONCLINICAL INTERNSHIP
The following are additional requirements during the non-clinical exercise internship:
A. INTERNSHIP REPORTS
The student is required to write a one (1) or two (2) page (single-spaced; 11-pitch font; 1”
margins all around) report every week and upload it onto the current Education
Management System (i.e., Angel®). The weekly report must be submitted by midnight on
the Monday following the week the report covers. A report is due for each week of the
internship, including the final week, which is in addition to the Exit Report (see below).
If a student submits a weekly report late,* that weekly report grade will be affected as
follows: for each date/day the report is late, a 20% deduction to the earned grade for that
report will be applied – i.e., 20% deduction if submitted on the day after it is due and a
20% deduction for each subsequent day that the report is late so that after 5 days past the
due date that weekly report would receive a grade of zero.
*There may be special circumstances when these penalties will be waived by the
Internship Coordinator, but that will be on a case-by-case basis and requires the student
to contact the Internship Coordinator to discuss the situation. It will be entirely up to
the discretion of the Internship Coordinator as to whether the situation warrants an
exception or reduction in penalty/penalties.
A face page done in the following format should appear before each report and should be
completed with the relevant information. This face page does not count as one of the
pages of the weekly report. Also included on the face page are the weekly hours cut and
pasted from an Excel spreadsheet. The Excel spreadsheet will be available to download
from Angel at the beginning of the internship. The spreadsheet documents time spent in
general duties of an internship such as patient/client administrative duties, direct
patient/client care or education, professional educational opportunities, or other site
activities.
FACE PAGE FORMAT
15
STUDENT INFORMATION
Student Name:
Dates Report
Covers:
Internship Week
#:
Weekly Hours:
Total Hours:
Home Address:
Home Phone:
Email Address:
INTERNSHIP SITE INFORMATION
Name and, Title of Internship Preceptor:
Preceptor Mailing
Address:
Name of Approved Site:
Preceptor
Email:
Phone
Number:
WEEKLY REPORTS
In addition to the face page, a form will be available on Angel® for the intern to use for
weekly reports. The weekly report should include the following topics, be written in the
following order and under these headings (abbreviated and put in the sequence shown
below:
• A narrative summary of weekly activities and experiences evaluated in
relationship to the intern's Goals Statement
• A short discussion of personal impressions and observations regarding the
internship experience and the impact it is making on professional
development and growth
• An analysis of areas/situations which were successful or that require further
growth or study
• A short discussion of whether the previous week's goals were met or not and, if
not, what prevented meeting the goals
• A projection of future week(s): activities, expectations
• A section defining two or more specific goals (numbered) for the next week
• Attachments: any materials created for the Internship Site (i.e., flyers,
education handouts, outcomes spreadsheet, etc.);list under the heading and
attach to the report
EXIT REPORT
The following guidelines should be used to write the Exit Report:
16
a. Use the Goals Statement prepared prior to beginning the internship to comment on
goal achievement or non-achievement. What facilitated goal achievement? What
hindered goal achievement? What other learning took place in addition to the goals
on the Goals Statement? What objectives or goals were not accomplished? For goals
accomplished, explain how they were accomplished. From goals not accomplished,
explain why not
b. Comment on in-service opportunities that may have assisted in the enhancement
of knowledge and skills
c. Comment on the progress made in strengthening areas of weakness
d. Comment on how the experience affected professional development
e. Indicate whether the internship was a valuable experience, and why or why not
f. List career aspiration(s), future jobs or future education currently being considered
or which have been accepted
g. List future address (mail and email) and phone number and a permanent address
and phone number (such as parents)
The Exit Report should be about two (2) pages long (single-spaced; 11-pitch font; 1”
margins all around). Title the report "Exit Report" and include a face page like those
used for the weekly reports (see previous section). Complete and submit with the Exit
Report the totaled weekly hours. Unless approved in advance, this typically will equal
400 hours. See Appendix D and E for more information.
B. MIDTERM AND FINAL ASSESSMENT FORMS
MIDTERM ASSESSMENT
A mid-term assessment of the intern by the Internship Preceptor is required for the
internship experience. This assessment is to provide the intern with a clear
understanding of his or her performance and progression at the halfway point. If the
intern receives ≤ 2 on the midterm assessment in any section, the Internship Preceptor
and the intern must establish at least one specific goal for improvement in each area that
the intern needs to strengthen which will guide the intern towards competency. The
assessment should also highlight any areas of strength and/or excellent performance.
The Internship Coordinator will contact the Internship Preceptor at the midterm point
to discuss the Intern’s progress. During this meeting or phone call, if there are areas that
need improvement the Internship Coordinator, Internship Preceptor and the student
intern will review and discuss the goals to ensure the student reaches competency before
the final assessment.
FINAL ASSESSMENT
17
At the conclusion of the internship the student intern will receive a final assessment by
the Internship Preceptor. Once the Internship Preceptor submits the final assessment,
the Internship Coordinator will be responsible for reviewing the assessment. To
successfully pass the internship, the student must receive a final performance rating of
2.5 or higher on the final assessment in all areas applicable to the internship. Receiving a
2.0 performance rating (or below) in any competency area equates to an unsatisfactory
internship. If a preceptor does select a final score of 2.0 or below in any category, E-Value
will request that the Internship Preceptor verifies the final score prior to submitting the
assessment. Depending on the type of internship experience, it may not be possible for
an Internship Preceptor to assess the student intern on all areas. In this case, the
Internship Preceptor should submit a rating of N/A for areas that do not apply to that
specific internship.
C. RATING SCALE FOR MIDTERM AND FINAL ASSESSMENTS
The student intern will be assessed using the following five (5)-point performance rating
scale. The Internship Preceptor will be asked to select the appropriate number in the
Rating Scale that best describes his/her impression of the student intern’s overall
competency (refer to Appendix G for a detailed competency list). The rating for each
assessment must fall between the range of 1 and 5; a 0.5 decimal increment will be
available between each whole number. (See Appendix F for an example of the midterm
and final assessments.)
RATING SCALE
5 = 100% Performs above the expectations of an Intern.
Performs within and frequently beyond the expectations of an Intern.
4 = 90%
Performs within and sometimes beyond the expectations of an Intern in
3 = 80%
most areas. Some areas are still in need of growth.
Performs within the expectations of an Intern in only some areas.
Several areas are still in need of growth; a satisfactory grade cannot
2 = 70%
be given at this time.
The Intern has too many areas needing significant growth and
1 = <70%
development; a passing grade cannot be given at this time.
Not applicable to this internship.
N/A
D. STUDENT ASSESSMENT FORMS
At the end of the internship, the student will be expected to complete the following
forms: 1) Student’s Assessment of NEP Curriculum and Internship Form; and 2)
Student’s Assessment of Internship Preceptor and Site Form. These requirements will be
completed and submitted through E-Value. Specific instructions of how to access and
submit these assessment forms in E-Value will be sent by Email to the student intern
prior to the conclusion of the internship. Samples of these assessment forms may be
viewed in Appendix F. These assessments are very important to the NEP Program, as
the information a student provides can be very useful in evaluating an Internship Site
and internship experience for quality assurance purposes. This information will be
returned to the Internship Preceptor after the internship.
Please keep in mind that these assessments are not meant to exclusively point out all the
negative attributes of the Internship Preceptor, Internship Site or internship experience.
18
If a student did encounter a negative situation during the internship, it is expected that
the student would constructively identify the situation but also provide a reasonable
solution or suggestion on how the situation/issue potentially could be resolved or
improved. Negative information (if tactfully and professionally written) can be very
beneficial to the internship site and to the University when assessing sites for utilization
in the future. Ultimately, the primary purpose of this assessment is for the student to
identify the many positive experiences obtained during the internship. This will be an
opportunity to express gratitude and appreciation to the Internship Preceptors and
solidify and re-enforce a job well done.
The assessments will be due no later than one week (7 days) after completion of the
internship. If a student fails to complete this assignment by the deadline, an incomplete
grade (grade of “I”) will be assigned. See “Criteria for Receiving an Incomplete Grade”
section below for more details.
E. FINAL GRADE FOR A NON-CLINICAL EXERCISE INTERNSHIP
The final grade for the internship is satisfactory (“S”) or Fail (“F”). Graduation
requirements for the BS in NEP are not completed until all work for the internship is
finalized and a satisfactory grade has been assigned. It is the student’s responsibility to
verify with the Internship Coordinator that all internship requirements have been met,
and to verify with the NEP Program Academic Coordinator that all other requirements
for the degree have been met. The Internship Coordinator will submit a grade to the
WSU Registrar's office for recording at the conclusion of the semester in which the
student was registered for the internship. If the intern has not completed all the required
hours or has not met all other requirements of the internship at the end of the semester
in which the student is enrolled, a grade of Incomplete (“I”) will be submitted. In this
case, once all requirements are met satisfactorily, the Internship Coordinator will submit
a “Change of Grade” form that goes to the Chair of the NEP program for signature and is
then sent to the Registrar for the grade to be officially changed to an “S”. The student
should ensure that a grade of “S” shows up on his/her transcript a few days after all
requirements are completed.
CRITERIA FOR RECEIVING A SATISFACTORY GRADE
A satisfactory grade will be issued under the following circumstances:
1. A student achieved a 2.5 (75%) or higher in all areas on the final assessment
2. The cumulative internship grade is ≥ 75% (which includes: weekly reports, the
Exit Report, and assessments)
3. A student did not receive a grade of incomplete
4. Patient safety is not compromised. If compromised, the University will review
the severity of the offense and disciplinary action will be based on the severity
of the incident, which may result in failure of the course if the offense is severe
5. Professional standards are not breached. If professional standards are
breached, the University will review the severity of the offense and
disciplinary action will be based on the severity of the incident, which may
result in failure of the course if the offense is severe
CRITERIA FOR RECEIVING AN INCOMPLETE (“I”) GRADE
19
If a student receives a grade of "I" for the internship, it is the student's responsibility to
complete all required hours (if not already done) and submit all reports to the Internship
Coordinator, to follow up on whether all requirements are met satisfactorily, and to
determine whether the Internship Coordinator has submitted a grade of "S" to replace
the “I”. All outstanding incomplete work must be completed satisfactorily and correct
grade changes made and posted to the official transcript prior to the conferral of the BS
NEP degree. For the NEP internship, the student has until the end of the following
semester to complete the course. If the incomplete work or requirements is/are not made
up during the specified time or the student repeats the course, the "I" grade is changed to
an 'F' (See the WSU Office of the Registrar “Our Academic Regulations” website at
http://www.registrar.wsu.edu/registrar/apps/acadregs.aspx under the “Grades and Grade
points” section, #90h; also see Rule #34 (“Repeat Courses”) section on this same website.
An Incomplete (“I”) grade will be issued under the following circumstances:
1. The intern does not complete the required number of internship hours by the
time grades are due for the semester in which the student is enrolled
2. The intern has not completed all requirements, including Assessment Forms,
satisfactorily by the time grades are due for the semester in which the student
is enrolled
3. Patient safety is compromised by the actions of the student intern and
depending on the severity of the offense the University has the right to
reassign the student intern to a different site
4. Breach of professional standards has occurred. The University will review the
severity of the offense and disciplinary action will be enforced which may
result in an incomplete grade for the course
5. The student is unable to meet internship requirements as a result of an
extended excused absence and only if approved by the Internship Preceptor
and the Internship Coordinator. This may include: extended personal illness
or injury, family crisis, as well as any other circumstance that warrants an
extended excused absence.
CRITERIA FOR RECEIVING A GRADE OF FAIL (“F”)
A grade of fail (“F”) will be issued under the following circumstances:
1. The student intern receives a 2.0 or lower in one or more performance areas on
the final assessment
2. The cumulative internship grade is < 75% (which includes: weekly reports; Exit
Report; mid-term and final assessments)
3. Patient safety is compromised by the actions of the student intern and due to
the severity of the offense, the University determines the student intern
demonstrated an offense which resulted in failure
4. The intern breaches professional standards. The University reviews the severity
of the offense and disciplinary action is enforced which results in failure of the
internship
F. ACSM CLINICAL HOUR VERIFICATION FORM
20
All students doing a non-clinical NEP internship are encouraged to complete the
American College of Sports Medicine (ACSM) Certified Clinical Exercise SpecialistSM
(CESSM)* Clinical Hour Verification Form (Appendix E) and include on the form any
clinical hours that qualify as clinical hours per ACSM guidelines. See Appendices D
and E for the Clinical Hour Verification Form and a detailed list of practical experiences
that qualify as ACSM clinical hours. This suggestion is made so that if a student who did
a non-clinical internship decides in the future that he or she wants to take the ACSM
Clinical Exercise SpecialistSM certifying exam, the student will have fewer additional
clinical hours to accrue before taking this certification exam. It is not a requirement for
NEP non-clinical interns to add clinical hours that may be accrued during the nonclinical internship to this form and load it into MyFolio.
*IMPORTANT: WSU and the NEP Non-Clinical Internship coordinator are NOT
involved, nor are they responsible for verification of these hours or for signing this form.
It is completely up to the student to determine the ACSM requirements and verify with
this organization that any hours the student feels are clinical and which have been
signed off on by their Internship Preceptor actually count as clinical hours for certifying
purposes as determined by the American College of Sports Medicine. Below is a sequence
of steps the student should/can follow:
1. Approved clinical hours from NEP coursework should have been signed off by the
faculty supervisor at the end of each semester in which the hours were accrued
2. If the non-clinical intern wants to document potential clinical hours, the nonclinical Internship Preceptor should approve and sign off on the total number of
internship hours, which would be classified as clinical hours based on the criteria
found in Appendices D and E
3. For safekeeping and possible future access, the non-clinical intern can scan and
upload the completed ACSM Certified Clinical Exercise Specialist Clinical Hour
Verification Form document onto E-Value in their MyFolio section using the
“Other Documents” tab
ACSM AUDIT
In the past, ACSM has randomly audited at least one NEP student each year that has done a
clinical internship. This audit requires the student to have the clinical hours verified. To do
this, the student is required to have each supervisor of the clinical hours submit a letter which
assures ACSM that the clinical hours meet its requirements as detailed on the website listed
above. It is possible that students doing a non-clinical internship may be similarly audited if
they apply to take the ACSM Clinical Exercise SpecialistSM certifying exam. Please see
Appendix D for more information on clinical hours. It is the responsibility of the student to
contact each faculty supervisor and any Internship Preceptor who has signed the ACSM
Certified Clinical Exercise Specialist Clinical Hour Verification Form request a letter confirming
that the hours met ACSM’s requirements. The student is strongly encouraged to contact the
faculty member and Internship Preceptor as soon as possible to avoid a delay in submission of
the letters to ACSM. It is the student’s responsibility to submit these letters and the Clinical
Hours Verification Form for ACSM’s review. ACSM notifies the student directly if the
submission for the audit has been approved.
ACSM CERTIFIED HEALTH FITNESS SPECIALISTSM EXAM REQUIREMENTS
21
Review the website http://certification.acsm.org/acsm-certified-health-fitness-specialist and
material covered under both of the links on this page to confirm that you have met all the
requirements prior to taking the ACSM Health Fitness SpecialistSM certifying exam. This
website also provides information on study materials, workshops, webinars, and costs for study
resources and the exam.
ADDITIONAL INFORMATION REGARDING THE AMERICAN COLLEGE OF SPORTS
MEDICINE HEALTH FITNESSS SPECIALISTSM EXAM
American College of Sports Medicine (ACSM) certification exams are offered on-demand, in
computer-based format at Pearson VUE® authorized testing centers. The student can visit
http://www.pearsonvue.com/acsm or call 888-883-2276 to schedule a time to take the ACSM
certification exam. The test may include pictures and/or video segments and all questions are
multiple choice.
22
APPENDIX A
ACKNOWLEDGEMENT OF
UNDERSTANDING
23
ACKNOWLEDGEMENT OF UNDERSTANDING
2013-2014 Non-Clinical Exercise Internship Manual
I, _____________________________________, have read the current NEP Undergraduate Student
Handbook and the current NEP Non-Clinical Exercise Internship Manual in their entireties.
Additionally, I have attended the Internship Orientation and received clarification regarding
any question I asked or which subsequently occurred to me. I fully understand the content of
both documents, and agree to abide by the policies and procedures as outlined.
Signature of Student:________________________________________Date:____________
Name of Student:__________________________________________
Print
24
APPENDIX B
NEP NON-CLINICAL
EXERCISE INTERNSHIP
MEMORANDUM OF
UNDERSTANDING
25
Washington State University College of Pharmacy
Program in Nutrition and Exercise Physiology
Non-Clinical Exercise Internship
MEMORANDUM OF UNDERSTANDING
This agreement, made and entered into by and between the NEP Non-Clinical Internship
Coordinator hereinafter called the Internship Coordinator, the student intern, hereinafter
called the Intern, and the Internship Preceptor, is for the purpose of arrangements for the
Internship Program at an approved Internship Site for students enrolled in the Bachelor of
Science in Nutrition and Exercise Physiology (NEP), Program in Nutrition and Exercise
Physiology, College of Pharmacy, Washington State University Spokane.
This Agreement shall be effective ____________________semester of ________
(Spring, Summer, Fall)
(Year)
26
RESPONSIBILITIES OF THE INTERN
• To attend the Internship Orientation meeting given by the Internship Coordinator prior
to the internship experience
• To become familiar with all the expectations and guidelines in the Internship Manual
and to follow them
• To obtain and provide, prior to the internship, evidence of the required certifications,
training, health records, immunizations, satisfactory criminal background, student
professional liability insurance, and any other required documentation (as detailed in
the NEP Undergraduate Student Handbook) to the NEP Program Academic Coordinator
and/or Experiential Program Assistant; and to maintain currency in each of these
requirements during the entire internship experience
• To provide the Internship Site with site-specific documents according to the site's
requirements (i.e., if requested, letter of application, resume, completed application,
copies of current certifications, copies of proof of immunizations, and any other
materials required/requested by the Internship Site)
• To coordinate the execution of this Memorandum of Understanding by obtaining the
signatures of the Internship Coordinator and the Internship Preceptor and uploading
the document into MyFolio
• To provide the Internship Site with all documentation required by WSU
• To confirm with the Internship Coordinator that the Affiliation Agreement between the
Internship Site and WSU has been finalized prior to the start date of the internship
• To meet with the Internship Preceptor:
o Prior to the internship to outline the internship and review the Goals Statement
o At the mid-term of the internship to assess progress and performance
o At the end of the internship to evaluate the entire experience and to review with
the Internship Preceptor the final assessment
o As otherwise needed or when requested by the Internship Preceptor
• To comply with all rules, regulations and policies of the Internship Site
• To become familiar with the Internship Site information and materials, if available, prior
to the internship
• To maintain confidentiality of information as required by law and by policies and
procedures of the Internship Site, including those governing the use and disclosure of
individually identifiable health information under federal law
• To know and abide by the emergency procedures established for the Internship Site
• To represent the BS NEP, the NEP Program, the College of Pharmacy, and WSU Spokane
in a professional manner
• To dress appropriately as established by the policy of the Internship Site
• To use time, when not assigned a specific duty, to undertake self-initiated tasks or
projects if approved by the Internship Preceptor or to ask the Internship Preceptor for
suggestions of things that might need to be done
• To undertake assignments willingly and to complete assignments and projects on time
in a manner which meets the criteria of the Internship Site
• To seek help from the Internship Preceptor and/or the Internship Coordinator to deal
with problems which are not readily solvable by the Intern
• To be punctual in arriving at work at the expected time and not leaving early unless
permission is obtained from the Internship Preceptor or his/her designated replacement
• To call in as soon as the Internship Site opens and report to the Internship Preceptor if
sick or for some other unavoidable reason will be late or cannot be at work on a
particular day
27
•
•
•
•
•
•
To observe the same regulations regarding working hours, unexcused absences and
excused absences as employees of the Internship Site. The Intern may work longer than
40 hours a week due to the assigned work load and a prearranged agreement
To discuss with the Internship Coordinator and the Internship Preceptor any extended
absence due to illness or extenuating circumstances
To observe the same holidays as the Internship Site employees. The assigned exercise
internship dates may include days or weeks when WSU Spokane is not in session
To prepare all required reports in the format and with all components as specified above
in this Internship Manual and submit these reports on time to the Internship
Coordinator
To fill out all assessment forms through E-Value upon completion of the internship
To send a thank you letter to the Internship Preceptor for the internship experience at
the completion of the internship and to ensure that the Internship Coordinator gets a
copy of the final letter
RESPONSIBILITIES OF THE INTERNSHIP PRECEPTOR
• To confirm completion of all site-specific on-boarding requirements prior to the
internship
• To return the Memorandum of Understanding to the student upon signing it and to do
so prior to the start of the internship
• To meet with the Intern and determine goals, expectations, work assignments and other
details prior to the start of the internship
• To provide the Intern with materials related to the Internship Site, its expectations, rules,
polices, and procedures prior to the start of the internship and to ensure that the student
understands all expectations, rules, policies, and procedures
• To provide the Intern necessary emergency healthcare or first aid for accidents occurring
in the Internship Site facilities or on its premises. Financial responsibility for such
emergency care will be handled as outlined in the Affiliation Agreement the Internship
Site entered into with WSU.
• To exhibit collaborative professional and/or training relationships with other health
care providers
• To maintain strong levels of commitment to the education of the Intern
• To provide an environment that nurtures and supports the Intern’s learning experience
• To be available (within a reasonable time frame) to answer the Intern’s questions or help
solve any problems encountered
• To provide the Intern with guidance on a daily and/or weekly basis; to ensure the Intern
receives constructive feedback on progress and performance and has opportunities to ask
questions
• To communicate with the Internship Coordinator as necessary and to alert the
Internship Coordinator to any problems that arise. Open communication between the
Internship Coordinator and Internship Preceptor will help ensure the Internship Site
and the Intern enjoy a high-quality internship experience
• To assign specific projects for which the Intern is responsible and provide any input, if
needed, for successful completion
• To provide educational or observational opportunities that support the Intern’s
professional goals
• To complete and submit a mid-term and final assessment in a timely manner, through EValue, that addresses the Intern's strengths and weaknesses, to review the assessments
with the Intern, and provide constructive feedback
28
•
•
To establish new goals for improvement in area(s) identified during the mid-term
assessment that the Intern needs to strengthen in order to reach competency
To complete an assessment of the NEP program’s academic preparation of the Intern
through E-Value at the end of the internship
RESPONSIBILITIES OF THE NEP INTERNSHIP COORDINATOR
• To sign the Memorandum of Understanding prior to the internship start date
• To review the Goals Statement, Resume, Acceptance Letter, and intended career
directions of potential interns, and to help students identify an appropriate internship
site to meet these goals
• To approve the internship placement after the student has completed all WSU
requirements as detailed in this Internship Manual
• To provide the Experiential Program Assistant with the required documentation for each
new site Affiliation Agreement
• To maintain internship files and records prior to, during, and after completion of the
internship
• To maintain contact with the Intern and the Internship Preceptor prior to and during
the internship
• To be available to the Internship Preceptor and the Intern for consultation and to help
resolve with the Internship Preceptor and/or the Intern any issues that arise pertaining
to the Intern or internship
• To visit the Intern at the site and/or complete one or more phone conversations with the
Internship Preceptor
• To facilitate termination of the internship (two-week written notice) if the Internship
Site fails in its responsibility to the Intern or the Intern fails to adhere to the Internship
Site’s rules and policies
• To read all the Intern’s WSU required reports/documents
• To assign the final grade for the internship experience
By signing this agreement on the following page, each of the undersigned agrees to all NEP
internship responsibilities and guidelines.
29
INTERN
Name:
Address:
Phone:
Email:
Signature/Date:
INTERNSHIP COORDINATOR
Name:
Address:
NEP – College of Pharmacy
Washington State University Spokane
P.O. Box 1495
Spokane, WA 99210-1495
Phone:
Email:
Signature/Date:
INTERNSHIP PRECEPTOR
Name:
Title:
Organization
Address:
Phone:
Email:
Signature/Date:
30
APPENDIX C
NEW NON-CLINICAL EXERCISE
INTERNSHIP
SITE REQUEST FORM
31
NEW NON-CLINICAL EXERCISE INTERNSHIP SITE
REQUEST FORM
Please fill out Part 1 of this document prior to scheduling the initial meeting with the
Internship Coordinator. Bring the form with Part 1 filled out to the initial meeting with the
Internship Coordinator. Part 2 may be completed prior to the second appointment with the
Internship Coordinator. See “Identifying Internship Sites” section in the Internship Manual for
more details.
Once this document is complete, email this form to the Internship Coordinator prior to the
second appointment; include in the subject line your first and last name and the Internship Site
(i.e., Jane Doe – Beach City Healthplex). This completed form must be submitted at least 4
weeks prior to the start of the interviews process (see the “Internship Timeline” in this
Internship Manual). For example, if the student would like a summer internship, this form
must be submitted by early October.
Full Name:
Email
Address:
PART 1:
Please answer the following questions.
1. What is your rationale in selecting this Internship Site?
2. What are your learning objectives relevant to pursuing an internship at a non-approved
site?
3. What do you hope to gain personally and professionally as a result of this internship
experience?
4. If approved by WSU, in what semester will this internship be scheduled (spring, summer
or fall)?
5. What is your list of possible Internship Sites?
32
PART 2:
Contact the agencies of interest and arrange to speak with a person responsible for internships
at each site (e.g., Manager, Director, Preceptor, Human Resource Representative, etc.) about the
possibility of obtaining an internship. If the contact person indicates that there is an internship
available, collect the following information:
a. Determine if the site is interested in having a student intern in their program; and
whether they have had an intern before.
b. Obtain information about their facility and what program(s) they have to offer (e.g,,
health and wellness, fitness, group exercise classes, worksite wellness, children’s
activity and/or fitness, sports performance, physical therapy, special populations,
etc.)
c. Find out what the internship entails (i.e., what tasks and responsibilities the student
intern will be required/allowed to do; what expectations the site has for their interns)
d. Ask how many hours the Internship Site will be able to offer per week. If interested in
accruing any clinical hours for later use to count toward the 500 hours required for
taking the ACSM Clinical Exercise SpecialistSM exam, ask how many clinical hours
you might be able to accrue (Refer to the ACSM guidelines to verify)
e. Obtain the potential Internship Preceptor contact information (email), and ask if
he/she would be willing to fill out a Site Evaluation and Availability Form. (The form
will request that the preceptor attach their resume.)
f. Determine the willingness to take a student intern within the specified start date and
timeline of the student’s desired school semester; designate whether the internship
will be 10 or 11 weeks
g. Determine all requirements needed to apply for an internship and the due date of
application submission. Ask where the information should be sent, to whom it
should be addressed, the title of that person, contact phone, email, and fax
information
33
APPENDIX D
CLINICAL HOURS DISTRIBUTION
34
CLINICAL HOURS REQUIRED FOR THE ACSM CESSM EXAM
During certain NEP coursework, students may accumulate some clinical hours, which can be
counted as part of the 500-hour requirement needed prior to sitting for the ACSM certified Clinical
Exercise SpecialistSM exam. No student is allowed to accumulate more than 100 hours during
coursework other than the internship. Moreover, it is unlikely that students will accrue a full 100
hours in the NEP Program. To obtain the 500 clinical hours required by ACSM, it may be necessary
to extend the internship beyond 400 hours or to acquire additional clinical hours on your own by
volunteering or working in a clinical setting. To ensure that the hours will be accepted, prior to
doing the experiential hours, you should confirm with ACSM that the hours will count as clinical
hours. To qualify as ACSM clinical hours, ACSM requires the practical experience to be in a clinical
exercise program in one or more of the following:
• cardiac/pulmonary rehabilitation programs
• exercise testing
• exercise prescription
• electrocardiography
• patient education and counseling
• disease management of cardiac, pulmonary, and metabolic diseases
• emergency management
ACSM further states that:
Only hours associated with the following in which you assisted or played a direct
role in providing services will be accepted:
• exercise assessment
• exercise prescription
• supervision
• counseling
• education
Before a student takes the ACSM Clinical Exercise SpecialistSM certifying exam, consult the
following website to confirm the information is still up-to-date. http://certification.acsm.org/cesclinical-hours
Some clinical hours may be accumulated during the undergraduate NEP coursework – e.g:
NEP 427: Nutritional Assessment and Lifestyle Counseling
NEP 478: EKG, Medications, and Procedure,
NEP 479: Nutrition and Exercise Practicum I and II
NEP 480: Cardiac and Pulmonary Rehabilitation
NEP 490: Exercise Internship
It is the NEP instructor’s responsibility to make sure that the clinical hours meet ACSM’s
requirement and to inform each student of the number of hours accumulated during that
instructor’s course(s). However, in some courses the student is required to document hours
weekly. The course instructor is not held responsible for signing the form if a student did not
document the hours per the course requirements or obtain the signature at the end of each
semester in which the hours were accrued.
Each student is strongly encouraged to keep the form current each semester and certainly not to
wait until the end of the internship to request signatures from NEP faculty.
35
The NEP Internship Coordinator strongly encourages students to acquire ACSM’s pre-approval of
clinical hours obtained outside of the program which the student may want to use to fulfill the
500-hour requirement. The student should ask the Internship Preceptor to approve the hours
based on ACSM’s requirements detailed above, sign the form, and provide a letter, if audited by
ACSM. NEP faculty will not be held responsible for any hours accumulated outside of the program
or in a non-clinical NEP internship. It is the student’s responsibility to ascertain from the ACSM
that any hours the student wishes to count as clinical hours in the 500 clinical hours required by
ACSM to take the ACSM Clinical Exercise SpecialistSM exam are approved by the ACSM.
36
APPENDIX E
ACSM Certified Clinical Exercise SpecialistSM
Clinical Hour Verification Form
37
38
APPENDIX F
NEP ASSESSMENT FORMS
39
Washington State University College of Pharmacy
Program in Nutrition and Exercise Physiology
PRECEPTOR’S MIDTERM ASSESSMENT OF THE INTERN
The following are broad areas of knowledge and skills the students are expected to have to
successfully complete their internship experience. For a detailed competency list of the content
areas, refer to the NEP Non-Clinical Exercise Internship Manual, Appendix G, on the E-Value
Homepage. Please select the appropriate number in the Rating Scale that best describes your
impression of the student’s competency. The rating for each assessment must fall between the
range 1 and 5; a 0.5 decimal increment will be available between each whole number.
If the Intern receives ≤ 2 on this Midterm Assessment in any section, the Internship Preceptor and
the Intern should establish goals for improvement in areas that the Intern needs to strengthen. A
specific improvement goal for each category should be established and typed in the designated
space at the end of each section.
PRACTICE AREAS: PLEASE CHECK ALL PRACTICE AREAS THE STUDENT PARTICIPATED IN
DURING THE INTERNSHIP
Cardiovascular
Neuromuscular
Immunologic
Pulmonary
Neoplastic
Hematologic
General population (e.g., fitness,
Sports
Other:
wellness)
Performance
Metabolic (e.g., obesity, DM 1, DM 2, metabolic syndrome)
Orthopedic, muscular, and skeletal (e.g., arthritis, back pain, osteoporosis)
RATING SCALE: PLEASE REFER TO THIS SCALE IN MAKING YOUR ASSESSMENT OF THE
STUDENT’S KNOWLEDGE AND SKILLS
5 = 100% Performs above the expectations of an Intern.
Performs within and frequently beyond the expectations of an Intern.
4 = 90%
Performs within and sometimes beyond the expectations of an Intern in most areas.
3 = 80%
Some areas are still in need of growth.
Performs within the expectations of an Intern in only some areas. Several areas are
2 = 70%
still in need of growth; a satisfactory grade cannot be given at this time.
The Intern has too many areas needing significant growth and development; a
1 = <70%
satisfactory grade cannot be given at this time.
Not applicable to this internship.
N/A
40
PROFESSIONAL SKILLS: THE INTERN DEMONSTRATED
Organization, Planning, and Implementation: Manages time
efficiently; plans ahead and follows through on assignments and
projects; provides accurate information about work/services completed.
Decision Making: Recognizes problems/potential problems; makes
sound decisions under pressure; seeks guidance when uncertain.
Dependability: Is punctual in arriving at work and maintaining
designated work hours; if circumstances require absence from work
notifies preceptor or staff promptly and provides a legitimate reason for
the absence; meets professional commitments and obligations;
implements and adheres to directions.
Written Communication: Organized, clear, concise, professional;
consistent with the documentation policies/procedures of the facility.
Verbal/Non-Verbal Communication: Listens carefully to staff and
clients; communicates professionally and effectively with clients,
communicates professionally and effectively with other staff members
and administrators; actively participates in discussions and meetings.
Resourcefulness: Readily determines alternative course of action in
event of change; seeks additional learning experiences to improve areas
of knowledge; thinks “outside the box”; uses any extra time effectively
by taking on additional work.
Adaptability: Flexible; demonstrates a positive attitude to change,
unexpected situations, and adversity; does not express or exhibit
frustration or annoyance with changes or unexpected situations.
Interpersonal Skills: Tactful; demonstrates professional and positive
conduct; accepts criticism; cooperative and respectful of patients/clients
and staff; listens carefully and does not interrupt clients or staff.
Professional/Ethical Conduct: Adheres to policies and procedures
of the institution; conducts self with honesty, integrity, and fairness;
maintains the confidentiality of patients and personnel.
Please list the student’s improvement goals (if applicable):
5
4
3
2
1
N/A
Additional comments on professional skills:
41
CONTENT AREAS: The intern’s knowledge of
Exercise physiology and related exercise science
Risk factors and pathophysiology of disease
Health appraisal, fitness and clinical exercise testing
Electrocardiography and diagnostic techniques
Patient management and medications
Medical and surgical management
Exercise prescription and programming
Nutrition and weight management
Patient education and counseling
Safety, injury prevention and emergency procedures
Program administration, quality assurance and outcome assessment
Please list the student’s improvement goals (if applicable):
5
4
3
2
1
N/A
5
4
3
2
1
N/A
Additional comments on the intern’s knowledge:
INTERN’S SKILLS AND ABILITIES: The intern’s demonstration of
Patient initial intake: review of medical history, medications, client
goals, etc.
Physical assessments: height, weight, BP, HR, heart/lungs sounds,
edema, etc.
Exercise testing: fitness assessment, exercise stress testing, 6 min WT,
CPET, sit to stand, etc.
Development of plan for client: chart, etc.
Client documentation: daily and / or monthly reports
Exercise programming: warm-up, cool down, aerobic, resistance,
balance, etc.
Exercise equipment: appropriate use of aerobic machines, strength
equipment, etc.
Exercise prescription: FITT principles and use of intensity parameters
Emergency preparation: follows P/P, participates in mock drills
Client safety: monitors patients appropriately and follows P/P
Client education / counseling: appropriate and uses motivational
interviewing
Please list the student’s improvement goals (if applicable):
Additional comments on the intern’s skills and abilities:
42
GENERAL COMMENTS:
Please comment on the intern’s areas of strength:
Please comment on areas needing improvement:
Did you review and discuss this assessment with the Intern? Yes
No
(circle or underline
one)
Do you feel the Intern is on track to pass the internship at this time? Yes
No
(circle or
underline one)
If No, the Internship Coordinator will be contacting you as soon as possible to discuss the Intern’s
progress and appropriate plan of action.
Midterm Percentage
43
Washington State University College of Pharmacy
Program in Nutrition and Exercise Physiology
PRECEPTOR’S FINAL ASSESSMENT OF THE INTERN
Please select the appropriate number that best describes your impression of the student’s
competency. For a detailed competency list of the content areas, refer to the Appendix G in the
NEP Non-Clinical Exercise Internship Manual, on the E-Value Homepage. The rating for each
assessment must fall between the range 1 and 5; a 0.5 decimal increment will be available
between each whole number. To successfully pass the internship the student must receive > 2 in
all categories. If a final score of 2 or below is selected, E-Value will request that the Preceptor give
additional comments on why the student is receiving this score and will request that the
Preceptor validate the final score prior to submitting the assessment.
We greatly appreciate your time and want to thank you for mentoring our students.
PRACTICE AREAS: PLEASE CHECK ALL PRACTICE AREAS THE STUDENT PARTICIPATED IN
DURING THE INTERNSHIP
Cardiovascular
Neuromuscular
Immunologic
Pulmonary
Neoplastic
Hematologic
General population (e.g., fitness,
Sports Performance
Other:
wellness)
Metabolic (e.g., obesity, DM 1, DM 2, metabolic syndrome)
Orthopedic, muscular, and skeletal (e.g., arthritis, back pain, osteoporosis)
RATING SCALE: PLEASE REFER TO THIS SCALE IN MAKING YOUR ASSESSMENT OF THE
STUDENT’S KNOWLEDGE, SKILLS, AND ABILITIES
5 = 100% Performs above the expectations of an Intern.
Performs within and frequently beyond the expectations of an Intern.
4 = 90%
Performs within and sometimes beyond the expectations of an Intern in most areas.
3 = 80%
Some areas are still in need of growth.
2=
Performs within the expectations of an Intern in only some areas. Improvement
7
goals established at mid-term evaluation have not been met. A satisfactory
0
grade cannot be assigned.
%
The Intern needs significant growth and development in most areas. Improvement
1 = <70% goals established at mid-term evaluation have not been met. A passing grade cannot
be assigned.
Not applicable to this internship.
N/A
44
PROFESSIONAL SKILLS: THE INTERN DEMONSTRATED
Organization, Planning, and Implementation: Manages time
efficiently; plans ahead and follows through on assignments and
projects; provides accurate information about work/services completed.
Decision Making: Recognizes problems/potential problems; makes
sound decisions under pressure; seeks guidance when uncertain.
Dependability: Is punctual in arriving at work and maintaining
designated work hours; if circumstances require absence from work
notifies preceptor or staff promptly and provides a legitimate reason for
the absence; meets professional commitments and obligations;
implements and adheres to directions.
Written Communication: Organized, clear, concise, professional;
consistent with the documentation policies/procedures of the facility.
Verbal/Non-Verbal Communication: Listens carefully to staff and
clients; communicates professionally and effectively with clients;
communicates professionally and effectively with other staff members
and administrators; actively participates in discussions and meetings.
Resourcefulness: Readily determines alternative course of action in
event of change; seeks additional learning experiences to improve areas
of knowledge; thinks “outside the box”; uses any extra time effectively
by taking on additional work.
Adaptability: Flexible; demonstrates a positive attitude to change,
unexpected situations, and adversity; does not express or exhibit
frustration or annoyance with changes or unexpected situations.
Interpersonal Skills: Tactful; demonstrates professional and positive
conduct; accepts criticism; cooperative and respectful of patients/clients
and staff; listens carefully and does not interrupt clients or staff.
Professional/Ethical Conduct: Adheres to policies and procedures
of the institution; conducts self with honesty, integrity, and fairness;
maintains the confidentiality of clients and personnel.
Please list the student’s improvement goals (if applicable):
5
4
3
2
1
N/A
Additional comments on professional skills:
45
CONTENT AREAS: The intern’s knowledge of
Exercise physiology and related exercise science
Risk factors and pathophysiology of disease
Health appraisal, fitness and clinical exercise testing
Electrocardiography and diagnostic techniques
Client management and medications
Medical and surgical management
Exercise prescription and programming
Nutrition and weight management
Client education and counseling
Safety, injury prevention and emergency procedures
Program administration, quality assurance and outcome assessment
Please list the student’s improvement goals (if applicable):
5
4
3
2
1
N/A
5
4
3
2
1
N/A
Additional comments on the intern’s knowledge:
INTERN’S SKILLS AND ABILITIES: The intern’s demonstration of
Client initial intake: review of medical history, medications, goals, etc.
Physical assessments: height, weight, BP, HR, heart/lungs sounds,
edema, etc.
Exercise testing: fitness testing, exercise stress testing, 6 min WT, CPET,
sit to stand, etc.
Development of plan for client: chart, etc.
Client documentation: daily and / or monthly reports
Exercise programming: warm-up, cool down, aerobic, resistance,
balance, etc.
Exercise equipment: appropriate use of aerobic machines, strength
equipment
Exercise prescription: FITT principles and use of intensity parameters
Emergency preparation: follows P/P, participates in mock drills
Client safety: monitors clients appropriately and follows P/P
Client education / counseling: appropriate and uses motivational
interviewing
Please list the student’s improvement goals (if applicable):
Additional comments on the intern’s skills and abilities:
46
FINAL COMMENTS
Please comment on the intern’s areas of strength:
Please comment on areas needing improvement:
Did you review and discuss the Final Assessment with the Intern? Yes or No (circle or underline one)
47
Washington State University College of Pharmacy
Program in Nutrition and Exercise Physiology
STUDENT’S ASSESSMENT OF NEP CURRICULUM AND INTERNSHIP
The College of Pharmacy at Washington State University strives to ensure that you are academically
prepared for the internship. This information will assist us in identifying the strengths and limitations as
well as enhance our educational program and curriculum. Please rate each statement below that best
describes your actual perception/belief regarding the academic preparation and internship experiences.
This assessment must be completed no later than 7 days after your internship; otherwise an “I”
(incomplete) grade will be given until the evaluations are completed. (Refer to the Non-Clinical
Internship Manual for more details.)
The first section is a list of knowledge and skills that the College expects you to learn during the two years
prior to your internship. Please indicate how well prepared you were to apply knowledge and/or perform
each skill at your internship site. If a rating of N/A is selected, please explain why the knowledge/skill was
not applied and/or performed. If a rating of 1 or 2 is selected, please explain why you were not well
prepared to apply knowledge and/or perform each skill.
Under the second section you will be able to assess the internship experience. If a rating of 1 or 2 is
selected, please explain why you disagree with the statement.
RATING SCALE FOR NEP CURRICULUM
Well Prepared
Not Prepared
4
2
Prepared
Not Well Prepared
3
1
EVALUATION OF THE
4 3 2 1
NEP CURRICULUM
NEP 300 – Professional Preparation
Knowledge of standards of practice in
dietetics and exercise physiology
NEP 320 – Strength Training
Ability to apply scientific principles of
strength training to exercise training
NEP 340 – Foods with Application to
PA
Knowledge of food properties and
applications to physical activities (PA)
NEP 362 – Biomechanical Analysis
Knowledge of biomechanics
NEP 370 – Physiological
Biochemistry
Knowledge of biochemical foundations
N/A
N/A
Not applicable to this internship
Additional Comments
48
EVALUATION OF THE
NEP CURRICULUM
NEP 400 – Macronutrient
Metabolism
Knowledge of macronutrients and their
utilization of energy
NEP 401 – Supervised Practice
Ability to provide the community with
nutritional education
NEP 402 – Micronutrients
Metabolism
Knowledge of nutritional requirements for
maintenance of health
NEP 427 – Assessment and
Counseling
Ability to assess dietary intakes, provide
menu plan and perform lifestyle
counseling with communication skills
NEP 435 – Exercise, Diet and Disease
Knowledge of disease pathophysiology
and implications for dietary and exercise
interventions
NEP 450 – Management and
Facilities
Knowledge of establishing and
maintaining a safe and proper facility
NEP 458 – Nutrition and Exercise
Ability to recognize nutritional needs and
dietary patterns throughout the life cycle
NEP 463 – Advanced Exercise
Physiology
Knowledge of physiological responses to
exercise across the lifespan and relevant
factors affecting these responses
NEP 465 – Nutrition, Exercise
Assessments
Knowledge of field and laboratory
techniques and tools required to properly
assess nutritional and physiological
parameters
NEP 470 – Sports Nutrition
Knowledge of energy and fluid
requirements during exercise, evaluation
of dietary practices, ergogenic aids, and
weight maintenance
NEP 476 – Exercise Testing and
Prescription
Ability to perform exercise tests and
design exercise prescriptions
4
3
2
1
N/A
Additional Comments
49
EVALUATION OF THE
4 3 2 1 N/A Additional Comments
NEP CURRICULUM
NEP 478 – ECG, Meds & Procedures
Ability to interpret ECGs, identify the
impact of medications and understand
common cardiac procedures
NEP 479 – Supervised Practicum
Ability to perform exercise and nutrition
assessments and develop
recommendations/prescriptions for
healthy and diseased subjects
NEP 480 – Cardiopulmonary Rehab
Knowledge of exercise
assessment/prescription, nutrition
recommendations and program
management for cardiopulmonary and
rehabilitation situations and populations
Please provide additional feedback regarding how the NEP curriculum prepared you for your internship:
Please provide additional feedback regarding how the NEP curriculum could have prepared you better for
your internship:
RATING SCALE FOR THE INTERNSHIP
Strongly Agree
Disagree
4
2
Agree
Strongly Disagree
3
1
EVALUATION OF THE
4 3 2 1
INTERNSHIP
You felt well prepared for your internship.
The academic preparation in nutrition
was beneficial to you during your exercise
internship.
The internship manual was a thorough
guide that helped you prepare for, and do,
the internship well.
The weekly reports helped you to reflect
on your professional growth and kept you
focused on your goals.
The Internship Coordinator was available
to answer questions or provide guidance
regarding situations not addressed in the
internship manual.
The Internship Coordinator was available
to facilitate conflict resolution or
difficulty that arose during the internship.
N/A
N/A
Not applicable to this internship
Additional Comments
50
Washington State University College of Pharmacy
Program in Nutrition and Exercise Physiology
STUDENT’S ASSESSMENT OF INTERNSHIP PRECEPTOR AND SITE
Please fill out this assessment form of your Internship Preceptor and site. We appreciate your input and
the information you provide will be used to aid in continual enhancement of our educational program.
The information will be shared with your preceptor after your internship so they too will receive feedback
regarding your experience. This assessment must be completed no later than 7 days after your internship.
If you fail to complete on time you will receive an “I” (incomplete) for a grade until the assessment is
completed. (See the NEP Clinical Exercise Internship Manual for more details.) Below are several
statements and questions about your Internship Preceptor. Please use the rating scale for statements and
provide comments for the questions.
RATING SCALE FOR INTERNSHIP PRECEPTOR AND SITE
Strongly Agree
Disagree
4
2
N/A
Agree
Strongly Disagree
3
1
Not applicable to this
internship
EVALUATION OF THE INTERNSHIP PRECEPTOR
The preceptor provided you with a helpful orientation prior to patient interaction.
What improvements could be made to the orientation process?
4
3
2
1
N/A
The preceptor provided you with a hard copy of the policy and procedures to review
prior to patient interaction.
The expectations of the internship were clearly defined and communicated by the
preceptor.
Goals were reviewed with the preceptor throughout the internship.
The preceptor was accessible.
The preceptor was approachable.
The preceptor provided frequent feedback regarding your performance.
How did the preceptor successfully communicate constructive criticism and positive feedback?
What improvements could the preceptor make to enhance communication regarding your performance?
The preceptor provided guidance and encouragement throughout the internship.
You feel the preceptor was respectful and concerned about your progress.
The preceptor modeled continuous professionalism throughout the internship.
How did the preceptor display/model professionalism?
How could the preceptor make improvements in modeling professionalism?
51
EVALUATION OF THE INTERNSHIP PRECEPTOR
4 3 2 1 N/A
The preceptor continuously and effectively modeled proficient patient care and/or
client interaction skills.
The preceptor encouraged you to participate in independent problem solving and
asked questions that stimulated critical thought.
Your preceptor assigned activities that served to stimulate your professional growth
and development.
What additional activities could the preceptor include to better stimulate your professional growth and
development?
What are the preceptor’s strengths and/or areas you felt could be improved?
Do you have any additional feedback you would like to share regarding the preceptor?
EVALUATION OF THE INTERNSHIP SITE
The Internship Site allowed you to experience or observes all aspects of its
operations.
The site was clearly set-up to accommodate interns.
The work environment was comfortable.
What were the strengths and / or weaknesses of the environment?
4
3
2
1
N/A
Ancillary personnel (other than the preceptor) were positive and willing to
collaborate with you to create a positive learning experience.
How did the ancillary personnel meet or exceed your expectations?
How could the collaboration between ancillary personnel and interns be enhanced?
As an intern were you able to collaborate with other health care professional’s
when/if necessary?
What is an example of a positive collaborative encounter/experience you had during this internship with
other health care professionals?
How could collaboration between health care providers and interns be enhanced at this site?
The internship experience exposed you to diverse patient/client populations (i.e.
age, gender, and ethnicity).
This site provided you with a wide variety of clinical situations, disease states, and
or practice experiences.
You would consider accepting employment at this site.
52
EVALUATION OF THE INTERNSHIP SITE
You would recommend this Internship Site to other NEP students.
Do you have any additional feedback regarding the site?
4
3
2
1
N/A
The site explanation provided in E-Value was accurate.
What would future students need to know about either the site or internship description to better prepare
them for this site experience? (This information may be included in E-Value in the future.)
Please provide a brief description of this site that would provide next year’s interns with insight into the
educational experience that is possible at this location.
53
APPENDIX G
NEP 490 NON-CLINICAL
COMPETENCY LIST
54
Washington State University Spokane
Program in Nutrition and Exercise Physiology
NEP 490 NON-CLINICAL COMPETENCY LIST
PRACTICE AREAS: THE INTERN IS COMPETENT TO WORK WITH PATIENTS WITH THE FOLLOWING DISEASE
STATES. PLEASE CHECK ALL THAT APPLY TO THIS INTERNSHIP SITE.
Cardiovascular:
Pulmonary:
Fitness/Wellness:
Sports Performance:
Metabolic: includes obesity, DM 1, DM 2, metabolic syndrome
RATING SCALE
2 = Competent
0= Unsatisfactory
1 = Developing
N/A=Not applicable
This list is to guide you in evaluating the intern in the content areas listed on the intern’s assessment
form. You do not need to complete this form.
EXERCISE PHYSIOLOGY AND RELATED EXERCISE SCIENCE
2 1 0 N/A
KNOWLEDGE OF THE FOLLOWING:
Structures of bone, skeletal muscle, connective tissue and the following muscle action
terms: inferior, superior, medial, lateral, supination, pronation, flexion, extension,
adduction, abduction, hyperextension, rotation, circumduction, agonist, antagonist,
and stabilizer; knowledge of the plane in which each movement action occurs and the
responsible muscles.
Anatomy and physiology of the cardiovascular and respiratory systems; ability to
describe normal cardiorespiratory responses to aerobic and resistance training in terms
of common cardiorespiratory variables, such as heart rate, blood pressure, stroke
volume, cardiac output, and oxygen consumption.
Acute and chronic adaptations to aerobic, anaerobic, resistance and flexibility exercise
and promoting improvement in these areas; knowledge of biomechanical principles
underlying common activities for each of these types of exercise.
Metabolic equivalent (MET) requirements of various occupational, household,
sport/exercise, and leisure time activities.
Effects of variation in environmental factors (e.g., temperature, humidity, altitude) for
clients with application to exercise.
Importance, principles, and physiologic responses to warm-up and cool-down.
Principles of specificity, progressive overload, exercise programming, and how used to
enhance muscular strength and fitness; effects of deconditioning.
Exercises to improve muscular strength and/or endurance and musculoskeletal
flexibility for specific joints and muscles and skills to demonstrate.
55
RISK FACTORS AND PATHOPHYSIOLOGY OF DISEASE
KNOWLEDGE OF, OR ABILITY TO:
Recognize the pathologic process that various risk factors contribute for the
development of cardiac, pulmonary, and metabolic diseases (e.g., smoking,
hypertension, abnormal blood lipid values, obesity, inactivity, sex, genetics, and
diabetes).
Risk factors for cardiovascular, pulmonary, musculoskeletal, and metabolic diseases,
risk stratification based on these factors, and which may require referral to a medical
doctor or other allied health professional before exercise participation..
Describe the influence of exercise and lifestyle factors on cardiovascular, pulmonary,
and metabolic risk factors.
HEALTH APPRAISAL, FITNESS AND EXERCISE TESTING
Value of health and medical questionnaire information, different questionnaires
which may be used, and when medical clearance is needed before exercise; ability to
review client’s history (i.e., medical, family, personal, social) and use information
properly.
Familiarity with site’s paperwork (e.g., informed consent, referral, risk factor
assessment, client goals)
Obtain informed consent, explain purpose of testing, and determine appropriate
exercise protocol.
Conduct appropriate fitness or sports performance testing; knowledge of
contraindications to exercise testing and participation; skill in measuring common
physiological variables (e.g., heart rate, blood pressure, RPE) before, during, and after
exercise testing; knowledge of appropriate tests for evaluating athletes; knowledge of
appropriate pre- and post-test procedures.
Explain and demonstrate proper use of equipment; monitor client for correct form
and use.
Conduct a brief physical exam:
Height and weight
Blood pressure, heart rate and rhythm, respiratory rate
• Instruct client on use of intensity scales (RPE, “talk” test, etc.).
• Monitor client appropriately during rest, exercise and post- exercise (HR, BP,
S/S).
• Identify absolute and relative contraindications to exercise testing and test
termination criteria; when physician presence is needed for exercise testing.
• Recognize normal and abnormal chronotropic and inotropic responses to
exercise testing and training.
• Describe the differences in the physiologic responses to various modes of
ergometry (e.g., treadmill, cycle and arm ergometers) as they relate to exercise
testing and training.
• Make accurate skinfold measurement to estimate body fat percentage,
interpret results correctly, and explain results to client.
• Interpret test results accurately and document results for chart or other
personnel.
• Modify protocols and procedures for exercise prescriptions and tests for
different groups (e.g., children/adolescents, aged, pregnant, different types of
athletes, or special consideration clients)
2
1
0
N/A
2
1
0
N/A
56
MEDICATIONS AND CLIENT MANAGEMENT KNOWLEDGE OF:
2
Common medications, over-the-counter substances, including sports performance
enhancement medications/supplements, alcohol, and smoking: indications for use;
mechanism; effects on resting and exercise responses; adverse effects; food
interactions.
EXERCISE PRESCRIPTION AND PROGRAMMING:
2
Communicate effectively during initial screening, orientation to equipment use, and
exercise testing and prescription sessions.
Provide appropriate exercise prescription using FITT-VP principles for optimum
development of cardiorespiratory, musculoskeletal fitness, and muscle balance in
apparently healthy people, those with controlled chronic disease (e.g., hypertension,
obesity, cardiovascular disease, diabetes mellitus), and common special populations
(e.g., those who are pregnant, post-partum, aged, adolescent, children) or have specific
considerations (e.g., musculoskeletal problems, fatigue), and/or athletes; choose
appropriate supervision and monitoring levels needed.
Appropriate components and order of an exercise session; principles of specificity,
overload, and progression as related to exercise training.
Develop, explain, and demonstrate an appropriate exercise plan/prescription for
clients, including warm-up, cool-down, aerobic, and resistance components.
Specific group exercise techniques appropriate for clients of different ages, abilities, and
those with specific limitations and functional capacities and modifications needed;
ability to teach and demonstrate these exercises.
Benefits and precautions related to exercise training for normal and special population,
including athletes..
Assess signs and symptoms, interpret data, and respond appropriately in a non-clinical
setting.
Advantages/disadvantages of continuous, interval and circuit training programs; ability
to design effective training programs using these techniques.
Demonstrate, instruct, and supervise correct use of aerobic and strength equipment and
proper form when using.
Determine target heart rates using two methods: Karvonen formula and percent of agepredicted maximum; use of various methods of monitoring exercise intensity: RPE,
heart rate, “talk” test.
Distinguish between amount of exercise needed for health benefits, acquisition of
fitness, and enhancement of sports performance; describe activities of daily living
(ADLs) and importance to health of client.
Convert between U.S. and metric systems for length, height, weight, and speed; convert
between absolute and relative oxygen costs.
1
0
N/A
1
0
N/A
57
CLIENT EDUCATION AND COUNSELING
Discuss protocols, medications, procedures, treatments, and physiological changes
with training and deconditioning.
Demonstrate the ability to conduct effective and informative group and individual
education sessions directed at primary and secondary prevention of chronic disease or
enhancement of sports performance.
Describe how exercise and/or nutrition will modify risk factors or progression of
disease.
Use Motivational Interviewing with a patient(s) needing to modify risk factors
through lifestyle changes or to determine client’s goals.
Provide strategies for dealing with client’s ambivalence and noncompliance.
Provide nutritional recommendations based on guidelines of national organizations.
Provide recommendations on how to modify weight through nutrition and/or
exercise.
Design an effective home program on exercise and/or nutrition for the client.
Design pamphlets or handouts on educational and/or motivational information.
Recognize observable signs and symptoms of anxiety or depressive symptoms and the
need for a psychiatric referral.
Recognize signs of overtraining and provide appropriate counseling or referral.
SAFETY, INJURY PREVENTION AND EMERGENCY PROCEDURES
Stratify clients using appropriate risk-stratification methods and understanding of the
prognostic indicators for high-risk individuals.
Demonstrate ability to use and safely monitor client’s exercise on telemetry system.
Recognize abnormal S/S of client and modify or terminate exercise session
appropriately.
Notify staff and /or physician of abnormal responses to exercise or other
signs/symptoms.
Describe the emergency equipment, medications and personnel that should be
present in an exercise testing laboratory, a rehabilitative exercise training setting, or
other testing setting.
Complete daily code cart check.
Understand emergency response/management of various signs or symptoms or other
emergency situations per P/P:
Angina,
1. Dysrhythmia,
2. Hypertension/hypotension,
3. Hyperglycemia/hypoglycemia
Low O2 sats; and
Signs/symptoms of decompensated heart failure.
Understand different codes or emergency drills and participate in mock codes/drills.
Aware of the current CPR, AED, and ACLS standards to be able to assist with
emergency situations.
2
1
0
N/A
2
1
0
N/A
58
PROGRAM ADMINISTRATION, QUALITY ASSURANCE AND OUTCOME
ASSESSMENT
Demonstrate comprehension and compliance with the P/P of the facility or program.
Demonstrate appropriate handling of client’s confidential information.
Complete daily charting and required reports.
Handle the charts and reports per P/P of facility or program.
Participate in quality assurance projects and outcome assessments of facility/program.
Meet productivity standards of program/facility.
Work within scope of practice.
2
1
0
N/A
Comments:
DATE: ____________________
INTERN ‘S NAME: _________________________ INTERNSHIP PRECEPTOR’S NAME: _________________________
59