Medicine and Health Sciences Commons^™

Speech-Language Pathology Graduate Student Clinicians’ Self-Perceived Competency In Dysphagia Management, R. Jordan Hazelwood, Erin D. Bouldin, Indigo R. Burford, Emily A. Steffen

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists (SLPs) are the preferred healthcare providers for managing the direct clinical care of patients with dysphagia. By assessing self-perceived competency during academic training, SLP graduate student clinicians may increase their understanding of their skills in dysphagia management. We modified the Dysphagia Competency Verification Tool (DCVT) to use a 5-point ordinal scale to explore how SLP graduate student clinicians’ self-perception of competency in dysphagia management changes over time and to determine the impact of clinical practicum experiences. Seventy-two SLP graduate student clinicians rated their self-perceived competency for four DCVT domains. We used Generalized Estimating Equations (GEE) models to analyze …

Intercampus Health Care Simulation Model For Development Of Students’ Interprofessional Socialization And Competency, Cody Marie Busch, Lynn Gilbertson, Colleen Gullickson, Elizabeth Laessig

Teaching and Learning in Communication Sciences & Disorders

Clinical education standards for speech-language pathology and nursing programs indicate the need for students to gain experience with interprofessional collaborative practice (ICP). However, colleges not affiliated with hospitals struggle to offer experiences between healthcare disciplines. The purpose of this paper is to present a case study as a model for interprofessional healthcare simulation that can be applied to schools that have limited access to a variety of professional programs and few complimentary medical specialties at their home institution. The partnership of a masters in speech-language pathology (MS-SLP) program at a public state sponsored institution and a bachelors of science in …

The Blended And Online Learning Design Fellows Program: Developing Teacher-Researchers In Communication Sciences And Disorders, Laurel Teller, Jena Mcdaniel, C. Melanie Schuele, Cynthia J. Brame

Teaching and Learning in Communication Sciences & Disorders

Developing skills in the scholarship of teaching and learning (SoTL) represents an important gap in doctoral training in Communication Sciences and Disorders. This study describes the Blended and Online Learning Design Fellows Program (BOLD) as a model for infusing SoTL into doctoral studies and for teaching graduate students how to develop online instructional modules. We first describe the structure of the yearlong BOLD Program. We then provide a case example of the development and SoTL evaluation of an online instructional module on the topic of intentional communication. We conclude with a discussion regarding how our study results inform future instructional …

Innovative Changes To Study Abroad: Virtual Intercultural Learning During The Pandemic, Lata A. Krishnan, Lan Jin, Aletha Stahl, Sita Sreekumar, Saumya Sundaram, Manju Subrahmanian, Praveena Davis

Teaching and Learning in Communication Sciences & Disorders

Intercultural competence (ICC) is increasingly important for healthcare professionals, and study abroad (SA) programs have been one mechanism to increase students’ ICC. With SA programs being cancelled due to the pandemic, and qualitative literature supporting virtual intercultural learning (ICL), the purpose of this paper is to describe a novel approach towards “study abroad” without traveling abroad and evaluate participant gains in ICC with a virtual international ICL experience embedded into a graduate level pediatric audiology course. Nine U.S students and ten students at a partner institution in India were enrolled in the course. Comparison of pre- and post-IDI® scores showed …

The Flipped Classroom Model As Applied To An Augmentative And Alternative Communication Course, Eric J. Sanders, Louise C. Keegan, Mary Culshaw, Colin Tomes

Teaching and Learning in Communication Sciences & Disorders

The Flipped Classroom Model (FCM) is an andragogical approach where students complete content-related work outside of the class and engage in activities related to this content during the class period. This approach has garnered recent attention in the field of speech-language pathology, but its implementation has not been studied in an augmentative and alternative communication (AAC) course and there is limited information on student perspectives of the experience. This study presents the results of a qualitative investigation designed to investigate the preferences and experiences of preservice speech-language pathology graduate students in an AAC course utilizing the FCM. Semi-structured interviews with …

The Effectiveness Of Near-Peer Mentoring And Clinical Laboratory Experiences In Undergraduate Student Perceptions Of Career Preparedness And The Profession Of Audiology, Ashley G. Flagge, Julie M. Estis

Teaching and Learning in Communication Sciences & Disorders

Students in undergraduate Communication Sciences and Disorders (CSD) programs with an interest in audiology often report feeling unprepared to make career and graduate school decisions due to a lack of exposure to the field. The present study examines the impact of near-peer mentoring and hands-on lab experiences on undergraduate student perceptions of career preparedness and of the profession of audiology by examining pre- and post-course survey responses and lab wrapper responses of 41 undergraduate speech and hearing science majors enrolled in an introductory audiology course. Students were paired in groups with a first-year audiology graduate mentor to walk through a …

Using Ability Grouping To Examine The Effects Of Differentiated Instruction In An Undergraduate Course In Communication Sciences & Disorders, Katherine B. Green, Jacqueline Towson

Teaching and Learning in Communication Sciences & Disorders

Differentiated instruction is a student-centered approach to instruction that considers the differing characteristics and aspects of the learner. With increasing diversity in higher education, differentiated instruction is one strategy that instructors may use to facilitate student success. However, there is limited empirical research examining the effectiveness of differentiated instruction in higher education. Using a quasi-experimental pretest posttest group design, the effects of differentiation of instruction, specifically differentiation of content and variable grouping, on student content knowledge were examined in an undergraduate course in a Communication Sciences and Disorders program. Students in the intervention group scored significantly higher on final course …

Implementing Interprofessional Education: Challenges For Csd Graduate Programs, Claire M. Edwards, Jason M. Newell

Teaching and Learning in Communication Sciences & Disorders

The focus on interprofessional education (IPE) for professional training programs in allied health professions, such as speech-language pathology, has recently increased. There is currently limited pedagogical literature regarding both the instruction and application of IPE in any given discipline. This paper will outline challenges CSD graduate programs may face when implementing IPE content within the existing curricula and explore possible solutions. Delineation of preparation and integration process of an IPE course taught at a small liberal arts university where it was cross-listed in two undergraduate pre-professional programs in speech-language pathology and social work will be provided. Elements of the course, …

A Practice-Based Interprofessional Emergent Writing Intervention: Impacts On Graduate Students And Preschoolers, Danika Pfeiffer, Stacey Pavelko, Dannette Allen-Bronaugh, Carol C. Dudding, Geralyn Timler

Teaching and Learning in Communication Sciences & Disorders

Despite the importance of collaboration in schools, few studies have examined interprofessional education (IPE) interventions for graduate speech-language pathology (SLP) students designed to prepare them with the skills necessary to effectively work on school-based teams. The current pilot study implemented a five-week practice-based IPE intervention with six SLP graduate students and three occupational therapy (OT) graduate students. Three SLP students were randomly assigned to the ‘unpaired’ condition and delivered emergent writing activities independently to a small group of preschoolers (n = 10). The other three SLPs were each randomly assigned an OT student to collaborate with in a ‘paired’ …

Developmental Changes In Graduate Student Supervisory Needs And Expectations: A Longitudinal Investigation, David M. Rehfeld, R. Noah Padgett, Deborah Rainer

Teaching and Learning in Communication Sciences & Disorders

Supervision of graduate students in the field of speech-language pathology during their pre-service training is critical to their professional development. The present study followed a cohort of graduate students (N=31) over the course of their clinical training to track changes in their self-reported needs and expectations regarding clinical supervision practices. Over the course of one year, graduate students’ self-reported supervisory needs and expectations decreased significantly with the exception of those variables associated with supervisor-controlled behaviors such as serving as a teacher rather than a colleague. Implications for incorporating supervisee perceptions into effective supervision practices and directions for future …

Infusing Multicultural Instruction: An Experiential Learning Project, Jennifer Whited, Johanna Boult

Teaching and Learning in Communication Sciences & Disorders

The study investigated the effectiveness of a multicultural project implemented for the purpose of infusing multicultural instruction into a graduate level infant language disorders class in a speech-language pathology graduate program. The participants were 24 graduate students who ranged in age from 23-32, 20 were white, 4 were Black. A pretest and posttest survey were implemented along with journal entry thematic analysis to evaluate qualitative changes in learning. The results of the survey indicate that this experiential learning project can promote increased understanding, awareness and confidence in students related to multicultural issues. The journal analysis revealed that students were provided …

Implementing A Mindfulness Program For Graduate Slp Students At A Hispanic-Serving Institution, Jean Mead, Angela Medina

Teaching and Learning in Communication Sciences & Disorders

The purpose of this study was to add participant racial/ethnic diversity to the growing body of literature on the implementation of mindfulness programs in speech-language pathology curriculum. A sample of 31 graduate speech-language pathology students enrolled at a Hispanic-serving institution, whereby 87% identified as Hispanic/Latinx, participated in eight weekly mindfulness sessions. At the end of the final session, students completed a six-question survey. Two questions that generated student feedback on the program's structure were analyzed for the purposes of this pilot study using descriptive statistics and thematic analysis procedures. Preliminary results revealed that students valued breathing techniques, ambiance, and music …

Building A Pipeline Of Bilingual Slps To Serve Dual Language Learners: An Inclusive Model Of Interprofessional Education, Sonja Pruitt-Lord, Alicia Escobedo, Jennica Paz, Carol Robinson-Zañartu

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathology graduate programs do not reflect equity across racial and ethnic groups. Training programs must adopt an anti-racist stance and intentionally and strategically plan for equity and inclusion of students and professionals who are Black, Indigenous and Persons of Color (BIPOC). Retention of minoritized students must be supported by inclusion efforts. The authors review systems of support essential to the recruitment and retention of BIPOC students in graduate programs. Through funding support from a grant, the authors developed a model of training bilingual SLP students to work with dual language learners through an inclusive model of interprofessional education. Finally, …

The Creation Of A Multicultural Foundational Course: From Research To Practice, Audrey M. Farrugia

Teaching and Learning in Communication Sciences & Disorders

The American Speech Language Hearing Association requires that multicultural content be included in graduate communication and sciences disorders programs. However, there is a paucity of research on the ways that this is achieved. The purpose of this paper is to describe in detail a multicultural course created from best practices gathered from research literature, conference presentations, and syllabi sources in communication sciences and disorders and share student reflections of the created course. Student feedback from this study shows that foundational courses can improve cultural competency but careful consideration of discussion format and time dedicated to communities should take place.

Preparing Culturally And Linguistically Diverse Students To Work With Culturally And Linguistically Diverse Populations: A Program Design And Student Outcomes Study, Alliete R. Alfano, Angela M. Medina, Stefanie Moore

Teaching and Learning in Communication Sciences & Disorders

Adequate service provision for culturally and linguistically diverse (CLD) clients has been an issue the field of speech-language pathology (SLP) has been grappling with. At the root of this issue is a lack of professional CLD training in SLP programs and a lack of diversity among the students enrolled in these programs. The current study described the MS-SLP bilingual emphasis curriculum and recruitment practices at Florida International University (FIU). Outcomes for the MS-SLP graduates were also explored. The FIU MS-SLP program entails three dedicated courses on bilingual clientele with communication disorders across the lifespan, infusion of CLD concepts across all …

Intercultural Competence Gains From Study Abroad In India, Lata A. Krishnan, Horane Diatta-Holgate, Charles A. Calahan

Teaching and Learning in Communication Sciences & Disorders

Participation in a study abroad program to Zambia with intentional intercultural activities embedded in the course curriculum has been shown to enhance cultural competence as measured by the Intercultural Development Inventory (IDI®) (Krishnan, Masters, Holgate, Wang & Calahan, 2017). The purpose of this study was to assess whether a new program to India, developed using a. similar model, was effective in increasing student intercultural competence and to compare student outcomes with the previous program to evaluate possible differences in outcomes related to the destination country. Participants included 21 students who participated in the SLHS in India study abroad program, and …

Perceptions Of Immediate Written Feedback Provided To Slp Graduate Clinicians During Tele-Therapy Sessions, Darya Hinman, Sarah Patten, Mahchid Namazi

Teaching and Learning in Communication Sciences & Disorders

Given the status of clinical practice and the heavy reliance on technology due to COVID-19, it is important to investigate clinical supervision practices. The purpose of this study was to determine whether immediate feedback using technology was beneficial for a university clinical setting specifically where current supervision of students is undertaken via a virtual platform. The chat function via the Zoom teletherapy platform was used to deliver immediate written feedback to SLP graduate clinicians. Utilizing technology allowed supervisors to provide immediate, in-session written feedback to SLP graduate clinicians. The objective was to investigate the perceptions of immediate feedback for the …

A Pilot Investigation Of Critical Thinking In Undergraduate Students Of Communication Sciences And Disorders, David M. Rehfeld, Tracey N. Sulak, Deborah Rainer, Janice Stewart, Nadine Welch

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists use critical thinking on a daily basis to identify, evaluate, and implement evidence-based practices with their clients. Currently, however, there are minimal data describing the critical thinking of undergraduate students in the field of communication sciences and disorders. Without these data, it is unclear if and how students’ critical thinking differs at various points during their pre-service training. In the present study, we used the Cornell Critical Thinking Test – Level Z to describe the general critical thinking skills of 142 undergraduate students enrolled in two lower- (n = 95) and upper- (n = 47) level courses at …

Clinical Education Outcomes And Research Directions In Speech-Language Pathology: A Scoping Review, George W. Wolford, Schea Fissel Brannick, Sarah Strother, Laura Wolford

Teaching and Learning in Communication Sciences & Disorders

Purpose: To describe what researchers are investigating and how they are measuring the constructs of their investigations within the speech-language pathology (SLP) clinical education literature.

Method: A scoping review methodology (Arksey & O’Malley, 2005) was employed to develop a picture of clinical education articles which reported a measured outcome. Articles that met criteria were categorized by the purpose of the investigation and the outcome measures reported.

Result: 124 articles met inclusion criteria. Analysis of study purposes revealed a wide breadth of foci that were grouped into four broad clusters: Outcome Measures, Student Perspectives, Educational Contexts, and Teaching Methods. Most of …

Interprofessional Education And Practice: Perspectives From Students In Speech-Language Pathology And Recreational Therapy, David Hajjar, Jan Elich-Monroe, Susan Durnford

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education and practice (IPE/IPP) are important components for undergraduate and graduate students to experience during their programs of study in speech-language pathology and related health professions. The American Speech-Language Hearing Association (ASHA) is a member organization of the Interprofessional Education Collaborative (IPEC) which promotes four core competencies required for effective practice: values/ethics, roles/responsibilities, interprofessional communication, and teams and teamwork. The purpose of this study was to gather the lived experiences from eight pre-professional students, four from speech-language pathology (SLP) and four from recreational therapy(RT), during focus groups and discussion forums conducted before, during, and after a 14-week IPE/IPP clinical …

Fostering Clinical And Academic Faculty Collaborations To Improve Graduate Education, Nicole M. Etter, Aarthi Madhavan, Elise M. Lindquist, Amanda J. Byrd, Anne Marie Kubat

Teaching and Learning in Communication Sciences & Disorders

Accredited graduate programs in Communication Sciences and Disorders (CSD) work to integrate academic coursework, a breadth of clinical experiences, and an overarching capstone project (e.g. summative assessment). The best graduate programs focus on integrating these three elements through high quality collaborations between academic and clinical faculty. These collaborations are fostered when clinical and academic faculty attempt to provide students with experiences that intersect academic, research, and clinical areas of speech language pathology. The purpose of this paper describes the collaborative efforts undertaken by the CSD department at the Pennsylvania State University. We present a model for collaborations in graduate education …

Student Perceptions Of A Simulated Clinical Experience: A Pilot Study, Haley Elliott, Klaire Brumbaugh

Teaching and Learning in Communication Sciences & Disorders

Purpose: The purpose of this qualitative study was to document the experience of using a computer-based simulated (Simucase, 2019) learning opportunity in a Master of Science in speech-language pathology program.

Method: Focus groups were held utilizing a semi-structured interview format. Themes were identified using a qualitative methodological approach. Participants were first year graduate students (N=10) that were interviewed after completing an eight-week simulated learning opportunity.

Results: Seven themes emerged from the data. The themes were as follows: setup of the computer-based simulation, the incorporation of computer-based simulation in courses, supplemental information that assisted in development of clinical knowledge, …

Establishing Diagnostic Skills In Novice Bilingual Clinicians: A Scaffolded Approach, Carlos D. Irizarry-Pérez, Mirza J. Lugo-Neris, Lisa M. Bedore, Elizabeth D. Peña

Teaching and Learning in Communication Sciences & Disorders

This study sought to scaffold administration performance of a standardized bilingual screener to sufficient levels of accuracy for data collection using principles of Cognitive Load Theory by managing task complexity when training pre-service clinicians. Before training administration skills, two students were given copies of the manual for the Bilingual English Spanish Oral Screener (BESOS) and asked to administer the protocol independently. During the intervention phase, students were scaffolded through administration tasks of increasing complexity and given explicit instruction, which included tailored goals, modeling and feedback. Performance for four skills was assessed using a fidelity rubric and analyzed using visual analysis. …

A Pilot Study Investigating The Effect Of The Supervision-Questioning-Feedback Model Of Supervision On Stimulating Critical Thinking In Speech-Language Pathology Graduate Students, Samantha J. Dalessio (Procaccini), Nancy Carlino, Mary G. Barnum, Denise Joseph, Melissa M. Sovak

Teaching and Learning in Communication Sciences & Disorders

Purpose

The purpose of this study was to investigate the effect of the supervision-questioning-feedback (SQF) model of supervision on critical thinking in graduate students studying speech-language pathology. The researchers hypothesized that students who were provided with the SQF model of supervision would score higher than students who received the non-SQF (NSQF) style of supervision on the selected critical thinking measures.

Method

Seventeen out of 24 first semester graduate students in speech-language pathology completing their on-site university-based clinical practicum experience consented to participate in the study. Of the 17 participating first semester students, 9 were randomly assigned to 1 of 3 …

Three Speech-Language Pathology Graduate Programs, One Model: Using Systematic Instruction To Develop Students’ Clinical Decision-Making Skills, Bryan M. Ness, Therese O'Neil-Pirozzi, Peter Meulenbroek

Teaching and Learning in Communication Sciences & Disorders

To prepare graduate students to implement evidence-based practice effectively, educators must integrate instruction on rational clinical decision-making into course curricula. Three faculty members at different universities adopted an educational approach derived from the Rehabilitation Treatment Specification System (RTSS) to teach and assess clinical decision-making in the context of treating acquired cognitive-communication disorders for people with traumatic brain injury. Using treatment theory illustrated in the RTSS, the authors piloted instruction and assessment materials to examine potential usefulness of the approach and effects on student knowledge and confidence in clinical decision-making. The results indicated that the instructional approach effectively bolstered students’ knowledge …

A Capstone Course In Speech-Language Pathology, Linda C. Murdock, Carson M. York

Teaching and Learning in Communication Sciences & Disorders

Capstone courses are considered a high impact practice with the potential to positively affect student learning. This article describes the design and implementation of a capstone in speech-language pathology designed to round out the undergraduate experience by shifting the learning focus away from disorder characteristics and onto individuals living with disabilities. The course is designed to teach students compassion, self-evaluation, and strategies for personal growth.

Interprofessional Experience For Future Education Professionals: School Psychology And Speech-Language Pathology Students, Shari L. Deveney, Brian Mckevitt

Teaching and Learning in Communication Sciences & Disorders

Educational training programs are tasked with addressing potential barriers to interprofessional practice through experiences that promote interprofessional collaborations. The present study of interprofessional experiences (IPE) had both research and pedagogical purposes. The research purpose was to describe graduate student self-perceptions related to interprofessional teaming/collaboration before and after an IPE involving two educational training programs, school psychology and speech-language pathology. The pedagogical purpose was to convey a detailed description of a case-based IPE offered as a course assignment and offer implementation suggestions. Participants in this course-based IPE were 109 students in the school psychology and speech-language pathology graduate programs at a …

Assessing Outcomes Of Simulation In Communication Sciences And Disorders, Erin S. Clinard

Teaching and Learning in Communication Sciences & Disorders

Assessment is an ongoing process that is necessary at every stage of designing, implementing, and evaluating simulation-based learning experiences (SBLEs). Designing and aligning a high-quality assessment process provides instructors and researchers with valuable data to understand if students have met the desired simulation learning objectives, where students are in their learning, and opportunities to enhance the SBLE. This reflection discusses the importance of assessing student learning outcomes as well as the effectiveness of all simulation-based learning experiences (SBLEs) in communication sciences and disorders (CSD). While the benefits and effectiveness of simulation have been demonstrated in other health professions, simulation research …

Developing An Acute Care Simulation Lab And Practicum, Erin Clark, Lori Lombard

Teaching and Learning in Communication Sciences & Disorders

The benefits of simulation-based education have been well-documented in health-related disciplines and are emerging in speech-language pathology. Several clinical training paradigms for acute care speech-language pathology skills have been successful when implemented in high fidelity, nursing simulation labs with price tags that are cost prohibitive for most speech-language pathology programs. Through funding support from a grant and a four-phased simulation development program, the authors developed an acute care simulation lab dedicated to speech-language pathology students for under $9,000 and simultaneously piloted a one-credit, acute care, adult- and geriatric-focused clinical practicum course. The clinical practicum was structured to scaffold student learning …

Comparing In Vivo Versus Simulation Training For Transnasal Endoscopy Skills, Laura L. Wolford, George W. Wolford

Teaching and Learning in Communication Sciences & Disorders

Fiberoptic endoscopic evaluations of swallowing (FEES) is as important of a swallowing evaluation as the videoflouroscopic swallow study, but far fewer speech-language pathologists are competent in its use (Ambika, Datta, Manjula, Warawantkar, & Thomas, 2019; Brady & Donzelli, 2013; Pisegna & Langmore, 2016). One hurdle in FEES training is the necessity of practicing transnasal endoscopy on volunteers. The primary aim of this study was to compare the learning effectiveness of practicing transnasal endoscopy via simulation with practice in vivo for a student’s first passes of the endoscope. The end goal of this study was to determine the most cost-effective and …