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www.TinyEYE.com –Speech Therapy Telepractice1-877-846-9393 | www.TinyEYE.com | info@TinyEYE.com
Practicum and CFY Supervision
Mentors have influence that lasts beyond the term of intensive contact because new CCC-holders subsequently mentor and supervise others. Thus, mentors are the key to a successful certification program and provide invaluable services to the public and the professions.
 
~ASHA http://www.asha.org/docs/html/ET2007-00279.html 
 
Hi Everyone,How do you recruit graduating S-LP students when you are not able to offer the requiredsupervision? I would appreciate any feedback you have.I have written before about how regions are addressing the shortage of S-LPs. An example is topartner with universities to recruit CFY candidates. I have also mentioned how one region haspaid two students a bursary to attend graduate school and then return to the region to serve asS-LPs, starting with a practicum and then their CFY. Super! So, what is the YA-BUT?
 
www.TinyEYE.com –Speech Therapy Telepractice1-877-846-9393 | www.TinyEYE.com | info@TinyEYE.com
Who will supervise? 
 The people I am advocating for right now do not have a Speech-Language Pathologist nearby –they called me to ask about the possibility of using telepractice to supervise. In one situation,the student or supervisor would have to make a 6 hour round trip for each on-site supervisionexperience. Other situations may require air-travel.
Telepractice is the closest distance between two points – it connects S-LPs with people who need them.
 
How Can Telepractice Change our Communities?
 
When telepractice is implemented for direct observation and accepted as on-site supervisionfor CFY employees and practicum students, we can systematically infuse new SLPs intocommunities that have no one else to help them. Moving forward, these same CFYemployees would eventually earn their CCCs and be able to help with the future supervisionof SLPAs, practicum students, and CFY employees who would find their way to thecommunities that once went without us. We would grow our capacity to serve.
 
We, as aprofession, would reach the need and turn it into nurtured communities of communicatorswho are engaged in their lives.What are the Supervising Requirements?
 As I sought information about supervising requirements and telepractice, I learned more aboutour responsibilities. The following information is from this link:http://www.asha.org/members/international/caslpa/ClinicalFellowship.htm 
“The clinical fellowship supervisor must complete
no less than 36 supervisory activities spaced uniformly throughout the clinical fellowship.
The supervisor must complete
at least 18 on-siteobservations
(one hour = 1 on-site observation).
 At least 6 on-site observations must beaccrued during each third of the experience
(up to 6 hours may be accrued in one day). Inaddition to direct observation, the clinical fellowship supervisor must complete
18 other monitoring activities, at least 6 per segment.
” 
 One suggestion I have is to enable flexible scheduling for the supervising SLP, who may not livenearby. He or she could visit the region for a couple or few days at a time to provide a big doseon on-site support. This would be especially valuable in work settings such as acute care inhospitals and in jobs that require visits to people’s homes, where the telepractice technologymay not be easily accessible. Videotaping sessions also captures the skills, character, and sparkof the supervisee. During my own CFY, my supervisor worked (close by) at a hospital an houraway so she called me every day at 5:00 pm for a review and planning chat. This was veryhelpful; yet, meeting face to face via telepractice would have been a great value-add. Inaddition, I am sure she would have appreciated the opportunity to watch video-clips of me withmy patients and clients, rather than have to take a day away from her busy schedule so
 
www.TinyEYE.com –Speech Therapy Telepractice1-877-846-9393 | www.TinyEYE.com | info@TinyEYE.com
frequently to visit me. As she was in private practice, a day away from her caseload was costlyfor her. Now days, software enables people to interact as well as to share charts, reports, andvideo messages on-line. You can even have an on-line fax server and electronic signaturesthese days. Trees are happy and people are connected.The link from above also mentioned that the supervising activities may include:
•
 
conferring with the clinical fellow concerning clinical treatment strategies
 
•
 
monitoring changes in clients' communication behaviors
 
•
 
evaluating the clinical fellow's clinical records, including a) diagnostic records, b)treatment records, c) correspondence, d) plans of treatment, and e) summaries of clinical conferences (These activities may be conducted by correspondence.)
 
•
 
monitoring the clinical fellow's participation in case conferences
 
•
 
evaluating the clinical fellow on the basis of consultation with professional colleaguesand employers
 
•
 
evaluating the clinical fellow's work on the basis of consultation with clients and their  families
 
•
 
monitoring the clinical fellow's contributions to professional meetings and publications,as well as participation in other professional growth opportunities
 Telepractice is an effective medium for the above responsibilities in our work environments,such as schools and out-patient clinics.
Are there Exceptions to the Rule? Great news!
 The Clinical Certification Board (CCB) might consider modifications to the supervisoryrequirement as per this excerpt fromhttp://www.asha.org/members/international/caslpa/ClinicalFellowship.htm:
“Alternate Mechanism for Supervision
 
The CCB recognizes that under certain circumstances alternative mechanisms may be necessary to meet the clinical fellowship supervision requirements. A request to use an alternative method to meet clinical fellowship supervision requirements must be submitted in writing to the CCB.The request must include a detailed outline explaining the type, length, and frequency of eachalternative supervisory activity and the reason for the alternative. For example, if the request is for the use of videotapes instead of direct observations, the fellow must specify the length of each videotaped session, how often the videotapes will be made, and the total number of suchvideotapes. The request and the detailed outline of the proposed alternate supervisory program
must be approved by the CCB before initiation of the clinical fellowship.” 
 
The statement indicates that it recognizes that there are certain circumstances that requirealternate considerations, such as video-taping for direct observations. Watching video tapes
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