According to the Council for Clinical Certification (CFCC), supervisors must be able to gauge the level of supervision provided to the student based upon the student’s level of knowledge in an area of practice. ASHA states (Clinical Supervision Standard V-E), “The amount of direct supervision must be commensurate with the student’s knowledge, skills, and experience; must not be less than 25% of the student’s total contact with each client/patient; and must take place periodically throughout the practicum. Supervision must be sufficient to ensure the welfare of the individual receiving services.”
There are a few things to consider:
Supervision should always start out as 100% in the beginning of the field experience.
A field placement supervisor must be physically present in a room for at least 25% (e.g.,15 minutes per hour long client/patient session) of the duration of time relates to the person receiving services (“total contact time with each client/patient”)
It is also the graduate student’s level of knowledge and need for direct support that ethically requires the field placement supervisor to decide how to group graduate students together
When determining the amount of direct supervision for a graduate student, the following should be taken into consideration:
Level of graduate student independence for the skill or content area
The number of prior sessions the graduate student had with a client and how much time was spent in 100% supervision
Length of time of the sessions and if dual supervision was also provided (i.e. supervising more than one student at a time)
Please refer to specifics on telesupervision on our Telepractice Guide as requirements differ slightly.
The field placement supervisor serves as the graduate student clinician’s immediate supervisor. They are responsible for conducting conferences throughout the semester and for assisting with and approving all plans related to client management. Based on observations and critiques of the student’s clinical performance, the field placement supervisor will send the Clinical Field Placement Team a midterm and final evaluation through the web based program CALIPSO.
Different facilities, payers (Medicare, Medicaid, private insurance), and other regulatory agencies may have specific requirements regarding supervising student clinicians that may impact the amount of supervision provided. upervisors are encouraged to visit the ASHA webpage to learn more about the specific requirements that pertain to them.
All supervision must be provided by individuals who hold the Certificate of Clinical Competence in Speech- Language Pathology (CCC-SLP) and effective January 1, 2020 have completed ASHA's ethics and supervision requirements.
Additional information surrounding SLP Graduate Student supervision can be found on ASHA's new Supervision Hub & Student Supervision FAQ.
During Practicum III, Speech@NYU graduate student clinicians will be entering their first semester long clinical experience. During this first field placement experience, students begin to assume case management responsibility for clients with diverse communication disorders and needs by refining diagnostic and goal writing skills, treatment management, and clinical decision-making according to ASHA guidelines.
Therefore, during the initial phases of the field placement the Department of CSD requires that students should not receive less than the minimum of 50% supervision during all diagnostic and treatment tasks. It is important to note that this is more than the ASHA stated minimum direct supervision requirement of 25%.
Students are expected to engage in 2-weeks (4 full days) of active observation of their supervisor. Following this period of observation, students will begin participating in co-treatment of clients/patients at the supervisor’s discretion.
By the midpoint of the field placement experience, students should be independently treating approximately 75% of the caseload. Students should continue co-treating with their supervisor(s) for the remaining sessions to ensure continued growth and clinical independence. By the last week (week 15), students should independently be treating 90-100% of the caseload.
The Clinical Field Placement Team will be in close communication with you throughout this supervisory experience. In addition to completing the midterm and final evaluations through CALIPSO, you may be required to complete additional brief surveys. The purpose of these surveys is to briefly assess the student’s current clinical and academic skills throughout the semester, which will be reviewed by the Clinical Field Placement Team. In addition to your communication with the Clinical Field Placement Team, the results from the surveys will allow for early identification of students that are not meeting the KASA standards and will result in proper intervention and remediation (e.g. further goal setting, PEP plan, etc.) .
Learn About: CALIPSO, CALIPSO rating scale, midterm and final evaluations, approving direct contact hours, and student remediation
Learn About: Anderson's Continuum of Supervision, ASHA's Self Assessment of Competencies in Supervision, supervision and ethics CEU Resources, walkthrough guides, telepractice guide
Please email the Clinical Field Placement Team (csdfieldplacement@nyu.edu) your ASHA certification and state license certificate(s). Once those are received, we will begin your on-boarding process onto CALIPSO.
The NYU Clinical Field Placement Team (CFPT) maintains an open line of communication to support our supervisors throughout the semester. The Communication Timeline & Action Items provide a general schedule of the CFPT correspondence and detail your action items required throughout the semester including midterm and final CALIPSO evaluations.
Please find the 13 ASHA established tasks of supervision (Special Interest Division 11). These serve as a guideline with regard to clinical supervision:
Establishing and maintaining an effective working relationship with the supervisee.
Assisting the supervisee in developing clinical goals and objectives.
Assisting the supervisee in developing and refining assessment skills.
Assisting the supervisee in developing and refining clinical management skills.
Demonstrating for and participating with the supervisee in the clinical process.
Assisting the supervisee in observing and analyzing assessment and treatment sessions.
Assisting the supervisee in the development and maintenance of clinical and supervisory records.
Interacting with the supervisee in planning, executing, and analyzing supervisory conferences.
Assisting the supervisee in evaluation of clinical performance.
Assisting the supervisee in developing skills of verbal reporting, writing, and editing.
Sharing information regarding ethical, legal, regulatory, and reimbursement aspects of professional practice.
Modeling and facilitating professional conduct.
Demonstrating research skills in the clinical or supervisory processes.
At the same time ASHA Certified and State licensed speech-language pathologists supervise all aspects of the clinical experience. Supervision also includes:
Reviewing lesson plans prior to therapy sessions.
Observation of therapy and diagnostic sessions.
Providing written and oral feedback regarding techniques, methods, materials during therapy and diagnostic sessions.
Mid semester and final grading of professional competencies and performances.
Editing of written reports submitted by students.
Individual and group conferences for the purposes of:
Providing feedback about all issues related to clinical professionalism.
Developing independence.
Providing clinical instruction to aid in the integration of theoretical constructs as they apply to the diagnostic and therapeutic processes.
Applying professionalism concepts such as preferred practices, ethics of profession, and treatment efficacy.
Involve the students in inter-professional activities, according to the requirements of the site.
Please refer to the Supervisor Resources page for additional resources and helpful tips.
NYU requires that the field placement supervisor is on the premises with their student at all times. If a supervisor is absent, a student cannot treat a caseload without the supervisor being on premises. If another speech-language pathologist at the site who holds ASHA certification and state license certificates is able to oversee the student while the supervisor is absent, NYU will make that allowance. Any speech-language pathologist that is supervising the student for more than one week will need to complete a final CALIPSO evaluation and approve direct contact hours earned under their supervision.