UNIVERSITY OF NEVADA, RENO DIVISION OF HEALTH SCIENCES - SCHOOL OF MEDICINE DEPARTMENT OF SPEECH PATHOLOGY AND AUDIOLOGY COURSE SYLLABUS

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1 UNIVERSITY OF NEVADA, RENO DIVISION OF HEALTH SCIENCES - SCHOOL OF MEDICINE DEPARTMENT OF SPEECH PATHOLOGY AND AUDIOLOGY COURSE: SPA 370 METHODS OF CLINICAL MANAGEMENT PREREQUISTE: SPA 301; SPA 320; SPA 330; SPA 340; SPA 364 PREREQUISTE OR COREQUISTE: SPA 345 MINIMUM GPA: 2.75 SECTION/CREDITS: 1001/3 SEMESTER: Spring Semester 2015 DAYS/TIMES/ROOM: T-TH/9:30 AM - 10:45 AM in NJR 124 INSTRUCTOR: Rachael M. Walden, MS CCC-SLP Instructor, Director of Clinical Services OFFICE/HOURS: By appointment TELEPHONE/FAX: (775) / (775) rwalden@medicine.nevada.edu WEBSITE: COURSE SYLLABUS COURSE DESCRIPTION Therapy and clinical management of problems of disordered speech and language. Includes clinical equipment and materials for use in public school and medical-setting management programs. COURSE CONTENT This undergraduate course will provide comprehensive overview of methods of clinical management. A specified undergraduate sequence of course work is prerequisite. The initial portion of the course will focus upon prevention, assessment, and intervention of communication disorders in order to obtain a framework for acquiring clinical skills. Additionally, the course will focus upon ethical conduct in order to recognize constraints in clinical decision making. The next portion of the course will focus upon contemporary professional issues in order to gain appreciation of basic practices of the field. The final portion of the course will focus upon certification, specialty recognition, licensure, and other relevant professional credentials in order to show documentation of qualifications for the discipline. Learning goals and objectives will be covered and assessed through lecture, presentation, demonstration, reading, homework, discussion, teaming, writing, research, laboratory, tutoring, and testing. 1

2 COURSE TEXTBOOK (Required) Paul, R. & Cascella, P.W. (2007). Introduction to Clinical Methods in Communication Disorders (3rd ed.). Baltimore, MD: Paul H. Brookes Publishing Company. (Required) WEB RESOURCES Course Goals and Objectives & Student Learner Outcomes (ASHA, 2014 Standards) IV-D IV-E IV-G IV-H The student will demonstrate current knowledge of the principles and methods of prevention, assessment, and intervention for people with communication and swallowing disorders, including consideration of anatomical/physiological, psychological, developmental, and linguistic and cultural correlates: Summarize philosophy and guidelines for diagnosis and therapy including the process implemented in the training program. Describe relations between appraisal and instructional planning and determining levels of functioning, prognosis for change, goals and objectives, and target behaviors. Develop writing skills in clinical reporting including types of reports generated in different clinical settings. Employ principles of behavior management to write instructional programs. Utilize tools and techniques for implementation in clinical instruction with exposure to commercial and clinical-devised materials. The student will demonstrate knowledge of standards of ethical conduct: Interpret the Code of Ethics as it pertains to professional conduct and apply professional ethics in practical situations and challenging circumstances. Compile strategies for building of leadership skills in the professional setting that facilitate professional behavior. The student will demonstrate knowledge of contemporary professional issues: Explore provision and delivery of clinical services in education focusing upon public policies, settings, administration, models, related disciplines, and reimbursement. Explore provision and delivery of clinical services in medicine focusing upon public policies, settings, administration, models, related disciplines, and reimbursement. The student will demonstrate knowledge about certifications, licensure, and other relevant professional credentials, as well as local, state, and national regulations and policies relevant to professional practice: Identify standards of national and state regulatory agencies. Identify the requirements of certification from undergraduate program through Clinical Fellowship Silver Core Objective (CO14) - SPA 370 satisfies the Silver Core Objective 14 - SPA 370 students will generate a research project based on their semester-long clinical experience. Each student is required to follow a client in the UNR Speech and Hearing Clinic on a weekly basis and complete the following activities: a weekly treatment note following the therapy session, participate in the session if invited, take data accurately on behavioral changes observed, and create a client profile as a semester project. The client profile project requires 2

3 each student to report on their client in medical staffing fashion at the end of the semester to their colleagues in SPA 370, analyzing all aspects of the intervention process throughout the course of the treatment period. Each aspect of the project will tie directly to the weekly class content laid out in the syllabus. The projects will be written using appropriate technical jargon from class lectures, further tying knowledge to skill. - Records and registration: There are no official absences from any university class. It is the personal responsibility of the student to consult with the professor regarding absence from class. The University of Nevada, Reno (UNR) deeply values and supports the participation of undergraduate students in university-approved extracurricular activities. It is the policy of the Nevada System of Higher Education (NSHE) to be sensitive to the religious obligations of its students. - Classwork: All work of any kind must be completed and submitted in class or on Web Campus by the scheduled due date regardless of how much it is weighted into the final grade. Grades will be penalized for any work not completed and submitted in class by the scheduled due date. Requests for makeup of work will be considered only in extreme circumstances as determined by the course instructor and only if the student notifies the course instructor in writing prior to the scheduled due date. The student must give written documentation of the excuse to the course instructor. - Grading: A plus-minus system will be used in the allocation of grades. The Board of Regents grading policy link is: - Academic Success Services: Your student fees cover usage of the Math Center ( or ), Tutoring Center ( or ), and University Writing Center ( or These centers support your classroom learning; it is your responsibility to take advantage of their services. Keep in mind that seeking help outside of class is the sign of a responsible and successful student - Disability Resources: Any student with a disability needing academic adjustments or accommodations is requested to speak with the Disability Resource Center (Thompson Building, Suite 101) as soon as possible to arrange for appropriate accommodations. - Video and Audio Recording of Lectures: Surreptitious or covert videotaping of class or unauthorized audio recording of class is prohibited by law and by Board of Regents policy. This class may be videotaped or audio recorded only with the written permission of the instructor. In order to accommodate students with disabilities, some students may have been given permission to record class lectures and discussions. Therefore, students should understand that their comments during class may be recorded. - Sexual Harassment Policy: The University is an Equal/Opportunity/Affirmative Action employer. It is the policy of the University of Nevada that the sexual harassment of students, employees, and users of university facilities is unacceptable and prohibited. What constitutes sexual harassment is defined by the Board of Regents. Sexual harassment may take many forms being subtle and direct and blatant and overt. Complaint procedures and the filing thereof are specified. - Student Conduct: Cheating, plagiarism or otherwise obtaining grades under false pretenses constitute academic dishonesty according to the code of this university. Academic dishonesty will not be tolerated and penalties can include canceling a student's enrollment without a grade, giving an F for the course or for the assignment. For more details, see the University of Nevada, Reno General Catalog. 3

4 - Contact: All correspondence will be sent to the accounts that are on file of students. The student is invited to contact the course instructor to discuss comments, questions, or concerns. Communication is the key to academic success. - Technology: As a courtesy to the course instructor and fellow classmates, students are to turn off or silence cell phones. Laptops may be used for note taking and researching as it is necessary during class. Students are to avoid social media, private , and websites that are not directly related to the content of the course, as it is very distracting to the other students and your instructor. COURSE OUTLINE Week of: Topics: Reading: (to be completed prior to the lecture) 01/20 & 01/22 - Review of syllabus and requirements of the course UNSOM HIPAA Policy - UNR Clinical Experience, Policies & Procedures - HIPAA Paul Ch. 1 - Introduction to Clinical Practice in Communication Disorders 01/27 & 01/29 - Ethics and Professionalism *ASHA Code of Ethics & Board of Ethics *AAA Code of Ethics & Ethical Practice Board Paul Ch. 2, Appendices 2A & *Nevada Revised Statutes (NRS/NAC 637B) & State of Nevada 2B Board of Examiners for Audiology and Speech Pathology 02/03 & 02/05 - Documentation *Technical writing *SOAP notes *Therapy Plans - Goals, Objectives, Procedures, Activities *Data 02/10 & 02/12 - Evaluation & Assessment *Obtaining information records, interviewing *Clinical Communication *Counseling 02/17 & 02/19 - Evaluation & Assessment cont. *Types of assessments *Baseline data *Communication Sampling 02/24 & 02/26 - Communication Intervention Principles & Procedures *Programming for therapy *Behavior Modification - Evidence-Based Practice 03/03 & 03/05 - Communication Intervention cont. *Key teaching approaches, session design, data collection *Tools and techniques of clinical instruction 03/10 - Midterm Prep, Study Groups with Instructor and TA - Project Check-In Paul Ch. 7 Handouts **UNR Speech & Hearing Clinic begins 09/08 Paul Ch. 4 Paul Ch. 5 Paul Ch. 6 Paul Ch ASHA Practice Portal Paul Ch. 6 Project Drafts 03/12 - Midterm Examination Portfolios 03/24 & 03/26 - Cultural and Linguistic Diversity Paul Ch Bias 03/31 & 04/02 - Provision and Delivery of Services in Educational Settings *Public Policies Paul Ch. 8 Paul Ch. 12 4

5 *Home-based, center-based settings, Early Intervention - Family-Centered Practice 04/07 & 04/09 - Provision and Delivery of Services in Educational Settings cont. *Public school settings *Telepractice 04/14 & 04/16 - Provision and Delivery of Services in Medical Settings *Public Policies *Team Approaches *Continuum of Care 04/21 & 04/23 - Provision and Delivery of Services in Medical Settings cont. *Settings *Support Personnel (SLP-A) 04/28 & 04/30 - Standards of National and State Regulatory Agencies *ASHA Standards 2014 *NVBoE - Advocacy and leadership roles in SLP Telepractice Paul Ch Standards for Certification 05/05 - Case Study Project Presentations **UNR Speech & Hearing Clinic ends 05/01/ Case Study Project Presentations - Final Exam Prep/Questions - Final Exam Dates and topics are subject to change at the discretion of the course instructor. COURSE REQUIRMENTS AND GRADES Activity Standard Percentage Date HIPAA Training IV-E N/A ASAP (no later than 02/01) Complete the online HIPAA Training and print out a copy of the page that indicates you have successfully completed the training module if it was not completed in SPA 301 or SPA 400. Class Work IV-D, E, G, H 30% Ongoing You will develop a portfolio that will serve as a reference tool for you in the future as you proceed through your educational and professional career. You will submit the organized portfolio to the instructor at midterm and end of the semester for inspection and grading. Your participation in the class activities will be monitored by the instructor. Participation includes asking relevant questions, participating in discussions, coming to class prepared (reading), and contributing to the dialogue. You will complete minute write-ups on the information presented during the lectures to demonstrate your understanding of the content. These write-ups will be returned to you the following class. Clinical IV-D 20% Ongoing You will choose a client in the UNR Speech and Hearing Clinic to follow/observe on a weekly basis. You will be required to make contact with the graduate clinician (after approval from your instructor), follow the client once weekly, and write weekly SOAP notes about the sessions. (At the discretion of the client/family and clinician, you may be invited to join/participate in the sessions.) You will bring the SOAP notes to class every Tuesday for small-group practice with the Instructor and the TA. Small groups 5

6 will meet during the last 15 minutes of class to discuss the notes from the previous week. **You do not count these hours toward your total for certification. Examination I IV-D 15% 03/12/2015 Project (Case Studies) IV-D 20% 05/05/2015 Examination II IV-E, H 15% 05/ /2015 A % A % B % B 83-86% B % C % C 73-76% C % D % D 60-66% F 0-59% The above may be modified at the discretion of the course instructor. 6