You will have the opportunity to complete 2 full time off-campus externships. The clinical faculty coordinate the process for placing students in their externships. It is important to treat all externships as you would a full-time paid position or as an extended job interview. Although not all externships lead to a full-time position, some do, and you may have the opportunity to obtain a positive letter of recommendation from your externship site supervisor to use for future job prospects.
Graduate students in Speech and Hearing Department at PSU receive the opportunity to complete 2 full time externships. As required by ASHA, you must register for credit hours for externships in order to receive clock hours. You will register for a total of 18 clinical practicum credits over the 8 terms of the graduate program. Externships may be in medical, clinical, or educational settings. Planning for externships begins in the fall term of the first year. Before starting an externship you must successfully complete a minimum of 3 PSU clinics and be approved by the faculty. You typically complete externships in your 6th-8th terms of your graduate program. Some students participate in their first externship in the 5th term (summer) and others begin in the 6th term (fall).
Additional opportunities and part-time externships may be available to students in their first or second year of the graduate program. The registration process for additional experiences or a third part-time externship will be arranged with the PSU site coordinator to the site. Additional externships require students to register for additional 509 credits (beyond the core 18 credits).
All externship placements are organized and facilitated by the PSU Externship Committee. The Externship Committee consists of the faculty listed below. Each of these faculty serve as a "site coordinator" for specific sites. The role of the site coordinator is to set up externship placements according to the required procedures of each site and to serve as a support for both you and your site supervisor. To communicate with us, please email us directly.
Teresa Roberts: Site coordinator for educational placements
Brandon Eddy: Site coordinator for pediatric medical placements
Cassie Quinn: Site coordinator for adult medical placements
THERE ARE NO GUARANTEES WITH EVEN THE BEST-LAID PLANS
WE DO OUR BEST TO ENSURE THAT YOU GET WHAT YOU NEED TO BE PREPARED TO BE A PROFESSIONAL
YOU ARE PART OF A COHORT AND IT IS OUR JOB TO TAKE CARE OF EACH OF YOU AS EQUITABLY AS POSSIBLE. THIS SOMETIMES MEANS THAT YOU WILL NOT GET YOUR TOP PICKS OR MAY HAVE TO TOLERATE UNEXPECTED CHANGES
THIS IS YOUR OPPORTUNITY TO PUT INTO PRACTICE THE PROFESSIONALISM AND FLEXIBILITY THAT ARE REQUIRED IN THIS FIELD. IF YOU DEMONSTRATE FLEXIBILITY, YOU CAN DISCUSS THIS AS A STRENGTH IN AN INTERVIEW!
COMMUNICATE WITH THE EXTERNSHIP COMMITTEE VIA DIRECT EMAIL TO TERESA ROBERTS (EDUCATIONAL) OR BRANDON EDDY (MEDICAL)
Students are expected to maintain consistent attendance in their courses, clinics, and externships throughout the program. During the externship application process, if you have an opportunity to interview, observe, etc. with a potential externship site, you will be expected to arrange these around your classes and clinics.
*A common misperception about externships are that they are for "completing hours". Externships are not about getting certain numbers of hours and students should exceed the 400 hours required for certification while at PSU. Rather, externships are courses that require participation from beginning to end in order to get a grade and subsequently count the clock hours.*
Students are responsible for attending all externship informational meetings, reading all externship informational emails and following instructions for all application processes. There will be due dates and these are expected to be met. Not meeting deadlines may result in not being eligible for a particular placement.
The policies below apply except in cases of emergency, illness or other exceptions considered on a case by case basis.
● Students on part-time placements may miss no more than 3 days of an externship. Students on full-time placements may miss no more than 5 days of an externship. Any additional absences must also be communicated to the Externship Coordinator.
● Planned absences (e.g., planned events) should be a maximum of 1 to 2 days per term unless prior approval has been provided by the Externship Coordinator and Externship Supervisor.
● All planned absences must be communicated to the externship site and/or supervisor prior to the externship beginning. Whenever possible, sites and supervisors should be made aware of planned absences during the application and/or interview process.
● Any unplanned absences (e.g., illness, medical/family leave) must be communicated to the Externship Supervisor via phone call or an agreed upon communication method with the Externship Supervisor and via email with the PSU site coordinator. The Externship Supervisor must be notified prior to their workday beginning.
● If students exceed the permitted number of absences, and/or the overall goals set forth by the Externship Supervisor are unable to be met, then the student and/or Externship Supervisor should notify the Externship Coordinator.
● If a site celebrates a holiday and their facility is closed, then this does not count towards the total number of absences allowed. If a holiday falls on a day when the student is not generally at the site, students are not permitted to take a day off on an alternative day of the week.
Company norms and policies typically have rules regarding appearance, dress, and hygiene. It is your responsibility to ensure that you are meeting expectations of your externship sites in these areas.
Site Coordinator: Teresa Roberts, Ed.D., CCC-SLP
Settings and Populations:
Early Intervention (EI): Families with children from birth to three-years-old receive assessment, intervention, and coaching services across early developmental areas (cognition, communication, fine/gross motor, social, behavior, and more). Services are typically provided in the home and in community childcare facilities. Clinicians may coordinate scheduling and implementation of inter-professional services.
Early Childhood Special Education (ECSE): Children ages three to five-years-old receive assessment and intervention services across developmental areas. Services are typically provided in the home, community childcare facilities, preschool classrooms, and clinical settings. Clinicians partner with families and childcare providers.
School-Age: Children ages five to 18-years-old receive assessment and intervention services for communication disorders (articulation, language, fluency, hearing, and more) within the school day. Services are typically provided individually, in small groups, general education classrooms, and specialized classrooms. Multicultural and bilingual services are highly valued, and clinicians work collaboratively with school staff and related professionals. Special population services may include augmentative and alternative communication, autism and pragmatics, behavioral disorders, language and literacy, medically fragile, and other focused settings.
Adult Community Transition: Adolescents and young adults ages 18-21, with significant disabilities, receive vocational, recreational, and social skills training and supports in an inter-professional setting with OT, school psychology, related professionals, and special education staff.
Site Coordinator: Cassie Quinn, MS, CCC-SLP
Settings and Populations:
Inpatient Acute Care: Patients newly admitted to the hospital for an acute medical condition, including but not limited to: stroke, TBI, trauma, cardiac, post surgical, H&N cancer care.
Inpatient Rehab: Patients transferred from acute care to an intensive rehab program. They remain in the facility 24/7 and must be able to participate in therapy for a minimum of 3 hours/day and have a need for a minimum of two therapy disciplines: PT/OT, PT/ST, OT/ST, etc. Treatment of medical conditions including but no limited to: Aphasia, executive functioning, dysarthria, memory, cognitive communication, dysphagia.
Skilled Rehab Facility: Patients transferred from acute care to a rehab program. They remain in the facility 24/7 and must be able to participate in therapy and have a need for a minimum of two therapy disciplines: PT/OT, PT/ST, OT/ST, etc. Patients that go to Skilled Rehab typically do not qualify for Inpatient Rehab due to the intensity of the program. Treatment of medical conditions including but not limited to: Aphasia, executive functioning, dysarthria, memory, cognitive communication, dysphagia.
Outpatient Rehab: Patients transferred from acute care, inpatient rehab or skilled rehab post discharge to home for continued therapy. Typically 2-3 days a week. They must be able to provide transport to their sessions. Treatment of medical conditions including but not limited to: Aphasia, executive functioning, dysarthria, memory, cognitive communication, dysphagia.
Home Health: Patients transferred from acute care, inpatient rehab or skilled rehab post discharge to home for continued therapy. Typically 1-2 days a week. They must be deemed "home bound" by their physician. This means they can not leave their home for any medical services and qualifies them for home health therapy. The ST goes to their home for treatment. Treatment of medical conditions including but not limited to: Aphasia, executive functioning, dysarthria, memory, cognitive communication, dysphagia.
Site Coordinator: Brandon Eddy, M.A., CCC-SLP
Settings and Populations:
These placements occur in two main types of facilities: hospital-based and clinic-based.
Hospital-Based Sites
Hospital-based services for pediatrics are mostly outpatient services. Typically, clinicians will conduct some evaluations each week, with the bulk of services being ongoing treatment sessions. These usually involve individual sessions of 30-60 minutes each, with clients who come for treatment 1-2 times per week. Some clinicians also run small treatment groups. Most clinicians in these sites are generalists who see clients of all types. Some facilities encourage more specialization within their clinical staff, so some individual clinicians might work with specific diagnoses, or specific age ranges, or perhaps specialize in evaluations over treatment.
Most hospitals maintain a staff of several full-time SLPs dedicated to pediatric practice. Smaller regional hospitals may have only 1-2 SLPs overall, who will cover both adult and pediatric caseloads. The larger a hospital is, the more likely it is that they will employ SLPs specifically dedicated to pediatric practice, with the largest hospitals in the Portland Metropolitan Area having a staff of up to 15-20 pediatric SLPs. In addition, larger hospitals will usually have robust OT and PT services, and many offer the opportunity for significant inter-professional practice.
Nearly all hospitals also provide inpatient services for pediatric patients. These services may include work in the Neonatal Intensive Care Unit (NICU) and/or the Pediatric Intensive Care Unit (PICU). In addition, inpatient clinicians are often the specialists who perform Modified Barium Swallow Studies (MBSS) with pediatric patients, and provide ongoing feeding and swallowing services. Please note that these are considered to be highly specialized services, and very few clinicians practicing in this type of setting are able to accept students for training. Instead, training for these types of jobs is more commonly part of a certified SLP’s professional development, typically begun after having completed several years of clinical practice in other settings.
Clinic-Based Sites
Clinic-based services are usually delivered in facilities that are free-standing clinical service businesses. These are often private practices or non-profit clinical agencies. As with most hospital-based services, most clinicians in clinic facilities see some clients for evaluation, with the majority of their time spent in ongoing treatment. As with outpatient hospital services, the range of specialization varies substantially from clinician to clinician, with most professionals maintaining at least some level of generalist practice.
Clinics vary widely in size and scope, with the smallest being sole proprietorships, in which the owner is the only clinician. Some clinics specialize in inter-professional practice, with collaboration between Occupational Therapists and SLPs being the most common.
Overall, student experiences in pediatric medical and clinical sites are fairly similar, with most of the variability depending on the level of specialization that an individual supervisor has as a part of their specific position. Most pediatric medical/clinical practices are highly interactive, with SLPs collaborating among themselves, and to the degree that professionals from other disciplines are available, engaging in substantial inter-professional practice.
2025 Externship Preparation Meetings
1/9/2025 - Externships Overview
4/16/2025 - Externship Interviews Preparation (Slides)
4/16/2025 - Externship Interviews Preparation (Recording)
5/15/2025 - Summer Clinics Overview (Slides)
5/15/2025 - Tips for a Successful Externship Experience (Slides)
5/15/2025 - Summer Clinics and Externship Tips (Recording) - Access Password: PK@uu@
The field of Speech Language-Pathology, Occupational Therapy, Social Work, Teaching etc all depend on volunteers to train students in the field. This is a system that has its pros and cons. It is wonderful in that it is in line with the fact that we are choosing a field that serves people so it is a natural fit for SLPs to want to give back and work with students. With the current system, we are certain that the supervisors who volunteer to work with students are genuinely interested in giving back to graduate students. They are not doing it for financial gain or to make their lives easier. The issues are that with changes in our culture around university education, and changes in the workplace, it can be challenging to provide students with a predictable and reliable externship experience.
Different university models for externships:
1. Students invited and assigned - no choice
2. Students obtain their own externships - on your own
3. Students are given input in the process and externships are applied for - this is what we do at PSU and we strive to make the process as equitable as possible
PSU Program
Students will typically do 2 full-time externships:
5 days per week
Some of you will do 2 medical and some 2 education, some will do one of each - this will depend on some factors within your control and some outside your control
A few of you will do a 3rd externship
This can happen when we have only 1-2 applicants for a site and those students already have 2 externships
By request and there is a “supply” of the type of externship they are requesting
If a student is short on hours for reasons outside the student’s control
Some of you will start your externships summer term
The approximate dates of summer externships are the 3rd week in June until mid September
Clock hours
You will all need 400 hours
You already have 25 from observation
Some of you did undergrad clinics and can get up to 50 hours for those experiences
Medical sites tend to have fewer clock hours
If you are hoping for 2 medical sites - plan for this by doing clinics that provide more hours. Usually doing two summer clinics can help
Clock hours add up slowly in your first year
The focus of this year is to meet your competencies and complete your coursework
What counts as a clock hour?
Any time you are part of an interaction with a client or family member in a therapeutic or diagnostic way
This includes the beginning of the externship where your supervisor is typically in the driver’s seat and you are watching as long as you actively are part of the interaction
Location versus experience?
We try to get you placements that are no further than one hour by car or accessible by public transportation. Students may be placed in a radius of up to 50 miles from their residence. This is standard for university programs that require externships.
If you turn down a placement due to location (or other factors) it is important to understand that you may be sacrificing the opportunity to be placed that term and this could slow down your clinical program (worst case scenario, you would have to do an extra term).
We want to know if location is the MOST important factor or if EXPERIENCE is the most important factor
Process
All placements (medical and educational) are processed by the Externship Committee
The Committee conducts a thoughtful, purposeful review of applications based on the following criteria:
The site’s priorities regarding skill set and experience
This includes the number of applicants they want to review
Your availability
Your initiative
Your interests and priorities
The quality of your application and letter of intent
Your professionalism as demonstrated in the clinical and academic program
What sites are a good match for your skills
Your transportation options and overall flexibility
ALWAYS work with the Externship Committee in setting up placements. Do not set up your own placements as this can create issues with contracts and procedure. This does not mean that you cannot talk to supervisors or make connections, just make sure to include the PSU site coordinator ASAP. If you know someone or meet someone you want to work with your first step is to ALWAYS communicate with the PSU site coordinator for that type of site.
We track your clinical program on a master list that includes PSU clinics and externships.
You will track your clock hours in CALIPSO.
Be prepared
Get your resume done now and seek input on your resume from outside sources
Get feedback on your application
Faculty are unable to give individual feedback on applications - so be sure to take advantage of resume workshops and other resources shared
Be detail oriented
Make sure your applications and letters of intent do not have typos or grammatical errors
Be excited
Sites want to work with students who want to work with them
Be communicative
Keep in touch with the Externship Committee about your interests and concerns
Ask yourself, is there anything that the Committee should know about me to help them make an appropriate placement?
Be flexible
Sometimes the “best” placement turns out to be not what you want and the “worst” placement turns out to be what you wanted all along
Remember that your goal is to become an SLP - you will have the rest of your life to gain experiences!
Concerns from Past Cohorts
Multiple deadlines for applications to sites
Solution: There is now one deadline for applications
Equity in the process:
We make all decisions as a Committee with faculty input
We value fairness
You will not always get what you want, but you will get what you need
We welcome feedback and hope that you will participate in a survey at the end of the year to help us improve the process
Competition:
We make sure to keep all application information confidential
If your application is not sent forward, we tell only you
Our supervisors and sites all do this voluntarily because they value giving back. The profession does not adequately support externships and all university programs struggle with this.
Getting what you want may feel good. Not getting what you want may feel bad, but there can be hidden rewards!
Preparation:
In the past students did not always get an adult focused clinic prior to going off campus, but now all students get Cog Rehab, Adult Language Clinic, Adult Medical, Dysphagia, or Gender Communication Lab.
How do students rate their experiences?
Survey results:
70% very satisfied
30% satisfied
0% Unsatisfied
Advice from previous cohorts (this was all collected via an anonymous, online survey)
Communicate:
Be vocal and share what you want both on paper and verbally with the faculty site coordinator
Advocate for yourself and what your interests are. Keeping that in mind, also realize that there is no such thing as a "perfect" placement. Try to make the most out of any placement.
Find the faculty member who is in charge of the sites you would like to be placed at and talk to them about how you can improve your chances of being selected.
Talk to the PSU site coordinators in person to let them know what type of externships you want.
Do not be afraid to ask questions!
Take the time to meet with your supervisor to express what you are interested in and want from your externships. I think this is what really made the difference.
Prepare:
Know that your resume may not get sent on to every site you apply for
Start your resume and cover letter during the first term
Bring your application materials to the writing center before you submit them
Have someone else read your cover letter (more than once).
Start thinking about what kind of placements you want early
Be respectful and courteous to everyone because you never know if you will end up wanting to apply there!
Read all your books and be prepared to ask your externship supervisor lots of questions!
I think it is important for students to remember that their actions in classes, in the graduate lab, in clinic, and with faculty may affect your placement, so always remember to be a professional student.
Find out what assessments your site uses and learn them!
Get your resume and cover letter ready early if you're applying for medical placements.
Your externship supervisors will be the best people to eventually ask for a job reference. Start cultivating that relationship immediately!
Keep calm:
Be patient and be glad that your friends got the externship, since everyone is qualified to get it.
Don't freak out, externships won't determine your entire future
Don't stress about it too much, whatever your placement ends up being it will be useful experience.
It will all work out! You may not get the exact experiences you want, but there are so many valuable externship experiences that you will not be missing out.
Don't be afraid to branch out.
It's all about the process ;)
It will all work out in the end. Relax!
Be flexible:
Be flexible! Leave your schedule open. Don't freak out if you don't know what your placement is. Even if you don't get the placement you want, there are still opportunities to shadow other settings and get that experience.
You will learn something valuable at any site you end up in. If you don't get the placement you want, try and glean all of the information you can out of the one you got in order to better your chances at getting a solid CF position
CF Preparation:
Wherever you are placed, you'll get great experience, but getting a prestigious medical CF is so competitive now that being placed in a site that you can see yourself in for a CF would be the best type of placement a student should have for an externship.
The externships you get play a major role in the CF you'll even be considered for
Postive outcomes:
You will get your clock hours. We know this because in the history of this department we have never had a student not be able to graduate because they could not get enough clock hours.
You will learn so much and find your experience valuable.
You will become the SLP that you want to become.
Your efforts to be prepared, communicative, excited, and flexible will make a difference in how much you get out of your graduate program.
Flexibility with changes:
When will I find out what my externship is?
This will vary depending completely on the sites and also on your interests - sometimes we have to hold out for just the right thing!
The range is from 12 months prior to weeks prior
What will my future job be and how will the externships I do now impact those opportunities?
Your externship can make every difference in the world or no difference
Sites go through changes
Personnel and organizational shifts
Site Supervisors go through changes
Divorce, health, job changes, family moves etc etc
Sites may get applicants from around the country
Students (you!) change their minds
Student circumstances change
There are no guarantees
You may have to drive long distances
Complete your observation hours and upload to CALIPSO
Complete your compliance requirements and upload to CALIPSO
Upload and submit all undergraduate clinic clock hours
Begin thinking about populations that you are interested in for the following year. Talk to professors, 2nd year mentors etc to start exploring where you would like to focus your externship experiences
Complete any remaining observation hours and upload or submit hours in CALIPSO
Externship preparation begins: Prepare your resume and cover letters for applications that will be due to the Externship Committee in March.
Summer clinic planning: Summer clinic options will be reviewed in a meeting this term and preference forms will be filled out and submitted to the Clinic Director by early March
Will you do a Masters project or comps? Be sure to check in with the Graduate Advisor and make a plan
Externship applications open: Externship applications will be due by the end of Spring break. Plan ahead!
Interviews: Throughout April and May, you will be interviewing and hearing about medical externship placements. Placements will be confirmed between May and December. Do not schedule interviews during class or clinic times.
Electives: Start thinking early about what electives you might be interested in taking. Electives are offered Summer through Spring of your second year. Registration for Summer and Fall opens soon
Educational externship confirmations: Between April and December you will hear back confirmations on educational placements depending on which term/s you are doing an educational externship/s
Masters Project: Your Masters Project will be finalized with your supervisor’s signature by June. Remember to consider your project timeline in conjunction with when you have externships
Hearing Screenings completed - usually 1-2 Friday mornings
Summer Clinics: Plan to complete your summer clinics as well as some of your electives. Tip: Balance your electives with your externships and take more electives when you do not have an externship. Try not to exceed 4 credits of coursework when you have a full time externship.
Note that all fall term educational externships and many medical externships start at the end of August or early September
Start date: Externship placements start earlier than the University calendar!
ALL EXTERNSHIPS START LATE AUGUST/EARLY SEPTEMBER. BE PREPARED TO START UP AGAIN THE 3RD WEEK IN AUGUST
Applying for Clinical Fellowships: Begin researching and applying for CF positions between January and June. There will be grad meetings dedicated to resumes, cover letters and interview skills specific to the CF process.
Masters Project Complete: Completion timelines for Projects are determined with the director of your project. Tip: Plan your timeline for SP completion by early May.
Degree Conferred: Degrees will be conferred by June-July. The Graduate Advisor will work with each of you on this process.
CF Positions Begin: It is recommended that you request a start date of July or later due to licensing requirements
Apply for a Conditional SLP License
ASHA Certification: Begin ASHA certification process
All students will receive guidance with externship preparation, including resume, CV, and cover letter development, during scheduled workshops. Please refer to the graduate google calendar for dates and times of graduate student check in meetings.
Externship preparation includes creating a resume and a CV. Educational settings use the term "resume". Medical settings may use either "CV" or "resume". Although these terms may be used interchangeably, it is important to create customized versions of a resume/CV to meet the expectations of the setting. There is not consensus within the professional community about the parameters of resumes/CVs and students are advised to research the setting and seek advice from different sources with this process.
Resume: A resume is traditionally a one-two page document that focuses on clinical and work experiences to highlight skills. Resumes include clinical experiences, work experiences, volunteerism, training, and more. Resumes are the typical form used for most work environments (even if they say they want a CV).
CV: A CV is lengthy document that comprehensively and chronologically outlines accomplishments. CVs include everything that is featured in a resume and also coursework, research experience, publications, community engagement, service, and more. CVs are typically used only for academic institutions.
Cover Letter and Resume slides (2025)
Cover Letter and Resume presentation (2025)
Example Externship Cover Letter
Example Externship Cover Letter
Resources for Writing Resumes and Cover Letters for externships and jobs:
Please see here for the graduate meeting where externship matching was discussed (2/20/2025): https://media.pdx.edu/media/t/1_zst2xxgu
This application is submitted to the Externship Committee and will be reviewed in your individual advising sessions with the Clinic Director.
Due Date: Sunday 3/9/2025 at 11:59 pm
This is the survey that will be used to match you to externships. ALL STUDENTS NEED TO COMPLETE THIS FORM.
Due Date: 3/9/2025 at 11:59 pm
Submit to: Teresa Roberts via email as a PDF or Word attachment. Your resume will be shared with Andi Pearson, Field Placement Coordinator in the College of Education to provide to district administration.
Resume (approximately 2 pages): Please use the following format for the file (Last name, first name, educational externship)
No cover letter needed
No transcripts needed
Description: Your application is submitted to the Field Placement Coordinator at PSU. The PSU Field Placement Coordinator works closely with SPHR to comply with district policies and serves as the main liaison between school district administrators and PSU regarding all placements.
Purpose of the resume: To provide information to district administrators about your experiences and qualifications to serve as a practicum student in their schools. All students will submit a resume regardless of whether they plan to do an educational externship.
Due Date to request letters of recommendation: 3/21/2025 (only if needed by site)
On 3/20/2025, you will receive emails from Externship Committee members informing you of your matches. If the site requires letters of recommendation, email faculty members IMMEDIATELY requesting a letter. Faculty will need 2 weeks notice if you want a letter from them. Letters are currently only required for 2 sites. Only ask for a letter once you know you will need one (e.g. you have been invited to apply to a site that requires a letter by the Externship Committee).
Who should write my letter? Anyone on faculty who can speak to your work ethic, professionalism, and interest in the population and setting is a good choice. Faculty on the Externship Committee can write letters as well as any other faculty member.
Letters will be sent directly to Brandon by the faculty member. Due Date: 4/6/2025
Questions or concerns about this process? Submit them here. We review these every week and will get right back to you!
Due Date: 4/6/2025 at 11:59 pm
Adult and Pediatric Medical Applications - Submit to: Brandon Eddy via email according to the instructions on the application
*Letters of Recommendation will be sent directly to Brandon Eddy from the faculty who write them*
Based on these matches, the majority of students applying to medical placements will be asked to apply directly to certain sites. In most cases, these applications will consist of a cover letter, a 1-2 page resume, and some may require unofficial academic transcripts or a site-specific application form. If a site you are applying to requires any of these materials, your PSU site coordinator will provide you with these site-specific forms when they invite you to apply to this site.
Mark these dates in your calendar and PLAN AHEAD to make sure you put aside time to deal with the steps required. If you are matched to a site that requires applications, be sure to block out time in your schedule to develop/refine your resume and cover letters
Based on your matches, many students applying to medical placements will be asked to interview with their sites. Expectations for interviews will vary widely, and you are encouraged to research the site and supervisor you are interviewing with (e.g., Google search, social media) as well as to seek advice from 2nd year graduate students who had an externship at that site (your Externship Coordinators will try to let you know who had an externship at that site before).
Be prepared to be available for interviews. DO NOT SCHEDULE INTERVIEWS DURING CLASS OR CLINIC TIME.
When you click on the link above, you will see this list of applications. Please select option 1. e. You will not complete fingerprinting in Step 2. - that is for education students.
Be ready for an interview - many medical sites and some educational sites require this
How to dress?
What questions to anticipate?
For medical sites, be sure to learn as much about the site as possible - look at the website, social media and any other sources that you can think of. FIND OUT WHAT THE NEEDS OF THE POPULATION ARE, WHAT TESTS THEY GIVE, AND GET PREPARED!
DO NOT SCHEDULE INTERVIEWS DURING CLASS OR CLINIC TIME.
Ask the 2nd years for help
Contact 2nd year students who have completed placements where you have an interview and ask them to meet or talk on the phone to help you prepare. If you would like to find out who was at your site from the 2nd year cohort, you can ask the Externship Committee or your 2nd year mentor.
Be prepared for unexpected opportunities
New sites and additional opportunities always open up and a PSU site coordinator will notify students of these opportunities as they arise. Some students may be invited to apply or interview based on timing, availability, skill set, quality of previous externships, and other reasons.
Be ready for additional background check requirements and costs
Some sites have additional requirements that may entail additional costs as well.
Be sure you have your transportation figured out and communicate any changes in your options to the Externship Committee
Check email regularly for updates and placement confirmations
COVID Precautions:
Each site is handling COVID and student supervision differently. Communication is key!
You may be asked to complete ongoing COVID testing and to provide the results to the site at your own expense.
You may not be able to see patients with COVID.
You may require the use of specific PPE for safety.
You may be required to wear specific attire, like scrubs at your expense.
Your placement may be cancelled leading into or during your rotation based on COVID numbers and facility rules.
You will be required to sign an acknowledgement of risk statement.
Reasons for additional (3rd) externships:
A student wants an educational experience after two medical externships
A student wants the additional experience of the part time externship that is available
The student needs more clock hours i.e the student did not get enough hours after two full time externships or anticipates that they will not get enough hours. All students must understand that medical externships generally result in less clock hours than educational externships.
A student has completed 2 medical externships and applies for a 3rd
A student needs more clinical experience due to a support plan or previous clinics that did not receive a passing grade.
Department policies on 3rd externships:
We do not guarantee a 3rd externship for reasons 1 and 2. For reason 3, we do everything we can to ensure that students get clock hours by their anticipated graduation date, but it is also expected that students will:
Have excellent attendance and availability during their externships including a willingness to participate in a 5 day per week schedule
Request to participate in Kiwanis camp or do more than one clinic in the summer term
Participate in additional PSU clinical experiences as offered
It is also expected that if students who have the opportunity to do 2 medical externships will find themselves in the position of not having enough clock hours. The department expects students anticipating 2 medical externships will take advantage of the opportunities listed above to ensure that they will get enough clock hours to graduate. For students who want to do only medical externships, it is strongly encouraged that you do Kiwanis camp in order to obtain a large number of clock hours.
Registration guidelines for 3rd externships:
1 credit of 509:
If an externship faculty offers you a placement with a part time, established, on going externship.
Completion of a 5th term of PSU clinic either to gain more experience or to make up for a clinic that was not passed in previous terms.
4 credits of 509:
If you have already completed or have scheduled 2 full time externships and specifically request a 3rd to gain additional experience in a new setting.
If you completed 2 medical externships and need a 3rd educational externship to make up for lack of clock hours.
If you completed 2 medical externships and are given the opportunity to complete a 3rd medical externship.
Other:
There may be an externship that the faculty will vote to assign a different number of credits based on other factors. If this is the case then the entire faculty would discuss and come to a vote on the number of credits.
Exceptions to this policy may exist if students are extending their program’ following a non-traditional graduation schedule or obtain a low number of clock hours in an externship for unanticipated reasons. These exceptions will be discussed and worked out on a case by case basis.
PSU Clinics Reduced Hours or Experience Policy:
Students are expected to complete 3-4 PSU clinics including in the fall, winter, spring, and summer terms (3 clinics are permitted if the student is completing a summer externship or in cases of extenuating circumstances [see extenuating circumstances policy]). If a student requests to have a reduced clinic schedule in any term, the following may apply:
1) If time allows, a third externship or clinical experience may be offered in the student’s second year of their program if available. However, the student will be required to pay for additional SPHR-509 credits (see 3rd externship policy on the graduate website). Please note that, availability of additional externships is not guaranteed as this is dependent on community supervisor availability.
2) If there is no time available to add an additional clinical experience (e.g., your final externship is in spring), the student will extend their program into the summer of their second year, where they will complete an additional summer clinic or externship. The student will graduate at the end of the summer rather than in spring.
3) Simulation Clinic may be offered as a supplement when available during the second year. Only a limited number of simulation hours are available during the graduate program (up to 75 of the 400 clock hours). Enrolling in Simulation Clinic will require the student to pay for additional SPHR-509 credits.
We have many existing distant (50+ miles from Portland) and out-of-state externship opportunities. Please see the list here of out-of-state externship opportunities. Many of these externships offer specialized training in unique practice areas, and it can be a wonderful opportunity for any student who is currently living nearby or who is able to relocate.
Please alert the externship committee (Brandon Eddy, Teresa Roberts) if you are interested in being considered for one or more of the externship opportunities.
You must be registered in a practicum (SPHR 509) in order to receive clock hours for a clinical experience. You must receive a course grade of B- or above in order to earn clock hours, and meet clinical skills competencies. If you do not earn a B- or above in the practicum course, you will be required to repeat the practicum or an equivalent experience. Graduate students are provided the opportunity to meet the ASHA Certification of Clinical Competence clock hour requirements:
25 clock hours of supervised observation is required for ASHA certification
375 clock hours of supervised practicum. Of the 375 hours, 50 hours are permitted at the undergraduate level and 75 are permitted through alternative clinical education methods (simulation or actor portrayal) with approval from the Clinic Director.
325 hours - Speech-Language Pathology at the graduate level
Clock hours in each of the following areas are required:
Evaluation and Treatment: Speech disorders in children
Evaluation and Treatment: Speech disorders in adults
Evaluation and Treatment: Language disorders in children
Evaluation and Treatment: Language disorders in adults
Hearing (screening and/or habilitation/rehabilitation)
Standards will be met through coursework and clinic in the following areas:
Articulation
Fluency
Voice and resonance, including respiration and phonation
Receptive and expressive language (phonology, morphology, syntax, semantics,
and pragmatics) in speaking, listening, reading, writing, and manual modalities
Hearing, including the impact on speech and language
Swallowing (oral, pharyngeal, esophageal, and related functions, including oral function for feeding; orofacial myofunction)
Cognitive aspects of communication (attention, memory, sequencing, problem-solving, executive functioning)
Social aspects of communication (including challenging behavior, ineffective social skills, lack of communication opportunities)
Communication modalities (including oral, manual, augmentative, and alternative communication techniques and assistive technologies)
ASHA requires that students be directly observed by an ASHA certified Speech-Language Pathologist or Audiologist for a minimum of 25% of client contact time over the course of the term.
The minimum percent of direct supervision required by ASHA and The Oregon Scottish Rite Speech and Language Clinic at PSU is 25% for evaluation and treatment. The level of supervision is commensurate with the student’s abilities and experience. The supervisor will adjust the level needed as you progress through each practicum. You and your supervisor are jointly responsible for compliance with this requirement. You MAY NOT engage in therapy or diagnostics if your supervisor is not present unless you have received approval in advance from your supervisor. Clinical supervisors will inform students of the time observed for each clinic session. It is your responsibility to:
Keep a record of your supervisor’s observation time of each session.
Calculate observation percentages on a weekly basis, recording this on the appropriate form that is kept in the lesson plan file.
Inform your clinical supervisor if percentages are falling below the required 25%.
You will register for CALIPSO upon entry into the graduate program. Student evaluations, clock hours and competencies are all tracked in CALIPSO.
ENTERING HOURS IN CALIPSO
In your PSU clinics, you will be instructed on how often to submit clock hours from your clinical supervisors. Typically supervisors and students submit clock hours at the end of the term with the total number of hours for the term. It is your responsibility to track the total number of clock hours for the term. You can enter hours in CALIPSO to track hours as the term progresses and submit the hours for approval at the end of the term. Supervision percentages will be tracked on the lesson plans and entered by the supervisor into CALIPSO.
ENTERING EXTERNSHIP HOURS IN CALIPSO
For off-campus practica, students will submit clo ck hours for approval from their supervisor. You are responsible for checking in with your supervisor to see if they prefer to approve clock hours on a weekly/monthly basis or less frequently. Most supervisors prefer to approve clock hours once at the end of the term. Each supervisor will have their own preference.
CALIPSO instructions for students and supervisors can be found on the CALIPSO website.
TRACKING CLOCKHOURS
It is your responsibility to ensure that you are accruing clock hours appropriately. You are encouraged to check in with the Clinic Director with questions about what specifically counts towards clock hours.
ASHA states that “only direct contact with a client and/or client’s family in assessment, management, or counseling count toward the student’s required clock hours.” Examples of activities that meet this requirement include, but are not limited to:
Assessment-What counts:
The student administers a standardized or non-standardized assessment to the client
The clinician administers an assessment while the student scores the assessment
The clinician administers an assessment while the student takes a history from the family
The clinician and the student each administer portions of an assessment (note that the student may count hours for the entire assessment session even if the supervisor administered some of the assessment tasks)
The clinician administers an assessment while the student takes qualitative data regarding the client’s responses, regardless of whether that data contributes to the scoring of the assessment
The student works with a client’s sibling to help determine what the client’s home communication environment includes, while the clinician conducts an assessment task with the client
The student participates in delivering assessment results to the client or the client’s family after an assessment has been completed
What does not count:
The clinician administers the entire assessment while the student has no clinically relevant task to perform at any time during the session.
Management- What counts:
The student takes data while the clinician administers an assessment or provides treatment
The student problem-solves or demonstrates critical thinking regarding next steps for plan of care, and/or collaborates with family to devise the plan of care
The student and supervisor co-treat
The student and supervisor take turns leading treatment or assessment activities
The student contributes to a conversation with the client/family members about the chart review, assessment or treatment process
The student participates in family care conferences
Counseling- What counts:
The student participates in a discussion about next steps with the client/family members (e.g. quality of life, palliative care, and hospice decisions)
The student participates in active listening to client’s/family members’ responses to diagnosis or treatment
The student supports/co-supports the client’s/family members’ responses to treatment plans or changes to treatment plans
The student supports/co-supports clients/family members in taking responsibility in their treatment plan
The student participates in the referral of clients to counseling professionals when issues are outside the scope of practice of the SLP
The student provides/co-provides new information or resources to clients or families
The student validates/co-validates the emotional responses of clients or families
Contact hours can be any time that the student, supervisor, client and/or family member are present and actively participating in a session.
What is the difference between observation hours and clinical clock hours?
Clinical interactions are limited to only “observation hours” if:
The student is on the other side of a wall/mirror (i.e. not in the same room as the client and/or family member) and is therefore unable to interact with the client and/or clinician during the session.
The student is charting on client A, while clinician is treating client B, even if both student and clinician are in the same room (i.e. the student must be involved in the clinical work being done with the client/family who is currently present in the room)
For more information about clock hours:
What do I do if I am confused about the expectations from the Externship Committee?
We rely on you to reach out to us if there is anything that does not seem clear in the expectations. Please contact Teresa Roberts (robertst@pdx.edu) for educational externship related concerns, or Brandon Eddy (beddy@pdx.edu) for medical externship related concerns. You can also use your advising sessions with the Clinic Director as an opportunity to ask questions, or go to the office hours of anyone on the Externship Committee.
When will the Externship Committee let me know about my placements?
We convey any information we have to the students as soon as we receive it. As new information arises, we pass this along. Every facility has their own process and their own timeline. This process is not aways clear to us as it is fluid and may change in the moment depending on the facilities time to address student applications. If you ever feel "out of the loop", please reach out!
Why is there a general application and a site specific application for medical sites?
The Externship Committee endeavors to match students with sites that will meet their interests and career goals, while at the same time considering the priorities of the sites themselves. For this reason, we ask students to do an internal application prior to the external or site specific application.
Why are applications due right after spring break?
The application deadlines are set for all Oregon Universities and facilities the first Friday in April. This means that there will be some work to complete on this process prior to and sometimes over spring break. The time that it takes to receive decisions from facilities is completely controlled by the facilities. The Externship Committee is waiting on this information right along with students. We have set all deadlines so that it is possible for you to prepare ahead and get your time off during spring break.
When will I know what my placements are for my second year?
Unfortunately there is not a definite answer to this question, because there is so much variability among sites and when they make decisions. Some sites will solidify their placements within weeks of receiving applications and others will take several months or more. We keep in regular communication with sites and let you know about decisions as soon as we hear.
What if I don't get any of the placements I apply for?
When this happens, we work closely with the student to come up with a plan that will best meet their interests and future career goals. In general, we have seen many short term outcome disappointments for students turn into long term opportunities and we encourage you to stay positive and keep your eye on the big picture. We want you to succeed and will work very hard to provide each student with a meaningful and positive training experience.
What if the sites that I apply to take a long time to determine placements?
Every site has their own process. This process is not aways clear to us as it is fluid and may change in the moment depending on the facilities time to address student applications. We encourage you to reach out if you are ever needing an update on your application or externships.
Can I meet the supervisor I will work with prior to applying to a site?
This is not permitted from sites as they are protective of the time that their staff spends on tasks outside of their job descriptions. There are exceptions to this, the most notable being Doernbecher Children's Hospital which actually REQUIRES students to come for an observation prior to applying.
Will I always have an interview as part of the application process?
Some facilities don't do interviewing. For example, Providence will send applications to all of the SLPs willing to take a student, they will review and let the externship liaison know who they would like to work with. The liaison informs the PSU site coordinator and then they inform you. This is the same for educational placements. Some SLPs in school settings are assigned students and others are permitted to interview students prior to making a commitment.
Will my externship supervisor be present at my interview?
You will not necessarily interview with the SLP who will be supervising you. For example: NWCVS does not typically assign supervisors until just before the rotation. So we have no knowledge of who you will be with until they inform us.
Medical facilities typically have a student placement administrator who reviews applications, conducts interviews and makes final decisions. For example: the placement administrator at OHSU will complete the process and then determine which student goes with which supervisor. At NWCVS the placement administrator also conducts the review process and then assigns supervisors. This is also the case with many school districts.
Sometimes the student placement administrators at sites choose to place students in different areas of practice than was originally planned for (e.g. acute vs. outpatient, middle school vs. high school). In the words of Bob Ross, this is often "a happy little accident". Stay positive, it will pay off!
What should I do if a site contacts me to offer me a placement or to obtain more information?
Faculty are anxiously awaiting to hear from facilities, so if you find out before we do, please let us know so that we can congratulate you right away! If a site needs more information from you, go ahead and provide it and then let the PSU site coordinator know.
What is the difference between the PSU site coordinator and my site supervisor?
The PSU site coordinator is an employee of PSU SPHR department and is responsible for coordinating externship placements for graduate students as part of their clinical program. The site supervisor is a professional SLP who is employed by either a medical or educational setting and directly supervises your work in your externships.