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
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