Speech Pathology and Audiology Commons^™

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 …

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 …

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 …

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 …

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 …

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 …

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 …

Using Think-Alouds To Uncover Expert-Novice Gaps In Aac Intervention Planning Skills, Allison M. Sauerwein, Jane R. Wegner

Teaching and Learning in Communication Sciences & Disorders

Because few studies have explored preservice speech-language pathologists’ (SLP’s) learning outcomes in augmentative and alternative communication (AAC) coursework and clinical practica, there is a need to investigate student learning in this area. This article represents a portion of a larger study that explored the expert-novice gap in planning for intervention with children who use AAC. The companion article reports clinical reasoning skills, whereas the present study revealed intervention planning skills. The methods are the consistent with those reported in the companion article. In summary, eight novice (i.e. preservice) SLPs and eight expert SLPs completed think-aloud tasks while they developed intervention …

Clinical Reasoning Skills In Aac Intervention Planning: Investigating The Expert-Novice Gap, Allison M. Sauerwein, Jane R. Wegner

Teaching and Learning in Communication Sciences & Disorders

Clinical reasoning skills underlie the decisions speech-language pathologists (SLPs) make during practice. Although clinical reasoning is included in speech-language pathology accreditation standards in the United States, there is limited research on preservice SLPs’ development or use of clinical reasoning skills. Because clinical reasoning skills specific to augmentative and alternative communication (AAC) service provision have not been identified or reported in depth, this qualitative study focused on two cases of children with developmental disabilities who used AAC systems. Eight novice (i.e. preservice) SLPs and eight expert SLPs completed think-aloud tasks while they developed intervention plans, which made their clinical reasoning skills …

Communication Sciences And Disorders Faculty Perceptions Of Interprofessional Education, Janine L. Schmedding-Bartley, Courtney Karasinski

Teaching and Learning in Communication Sciences & Disorders

Engagement in interprofessional collaborative practice is critical for communication disorders professionals to provide quality clinical services. Given limited research on implementation of interprofessional education (IPE) within communication disorders pre-professional training programs and research highlighting potential barriers to implementation of IPE, this investigation assessed communication sciences and disorders (CSD) faculty attitudes toward IPE. One hundred fifty-eight CSD faculty from accredited CSD graduate programs completed the Interprofessional Attitudes Scale (Norris, Carpenter, Eaton, Guo, Lassche, Pett, & Blumenthal, 2016). Collectively, the faculty supported CSD students learning from and with students from different disciplines and endorsed IPE as beneficial. Faculty with master’s degrees were …

The Impact Of Active Learning In A Speech-Language Pathology Swallowing And Dysphagia Course, Rebecca H. Affoo, Justin L. Bruner, Angela M. Dietsch, Ciara E. Nellenbach, Theresa M. Jones, Mark E. Lehman

Teaching and Learning in Communication Sciences & Disorders

The signature pedagogy in Speech-Language Pathology (SLP) higher education programs has been criticized for its instructor-centric lecture format and emphasis on the lower tiers of Bloom’s taxonomy (simply memorizing knowledge) at the expense of helping students develop the clinical problem-solving skills required for a lifetime of practice and learning. The purpose of this study was to examine the responses of a cohort of graduate speech-language pathology students to an active learning-oriented swallowing and dysphagia course design. A potential relationship between student perceptions of the active learning pedagogy and academic performance was also explored. The results suggest that active learning positively …

Guiding Students' Clinical Writing And Critical Thinking: Utilizing Scholarly Teaching To Develop And Implement A Clinical Writing Rubric, Bonnie Halvorson-Bourgeois, Mary Riotte, Susan Lambrecht Smith, Lesley Maxwell

Teaching and Learning in Communication Sciences & Disorders

The purpose of this paper is to describe the scholarly teaching approach used to develop, implement and refine a clinical writing rubric used to provide formative feedback to graduate students in an in-house Speech-Language Pathology graduate clinic. In addition to outlining the approach, details of the rubric and supporting documentation are provided.

A Comparison Of Face-To-Face Versus Online Instruction In The Correct Pronunciation Of Anatomical Terms In Communication Sciences And Disorders. An Initial Investigation, Ann L. Cralidis, Shannon W. Salley

Teaching and Learning in Communication Sciences & Disorders

Accurate pronunciation of anatomical terms in the clinical practice of speech-language pathology (SLP) and audiology (AUD) enables a clinician to express and comprehend a conversation with peers and other professionals. It is also an important component of ensuring patient safety and in providing quality, patient-centered care. To date, no studies have explored whether differences may exist between the pronunciation skills of students who elect to complete a human anatomy and physiology course online versus in a face-to-face (FTF) format. This pilot study explored the ability of 98 undergraduate student participants to correctly pronounce 20 identical key terms that were a …

Student Learning Of Perceptual Skills Related To Differentiating Motor Speech Disorders, Johanna Boult, Jessica Brownell

Teaching and Learning in Communication Sciences & Disorders

Purpose: This study aimed to determine if Speech-Language Pathology (SLP) graduate students’ perceptual skills improved after taking an MSD course by comparing pre- and posttest performance. The potential relationship between posttest perceptual-skills performance and academic performance was also investigated.Method: Before beginning instruction in MSD course content, students in a Master’s program in SLP were given a pretest (The Baseline & Post Learning Assessment of Listening & Diagnostics Skills (BPLALDS; Duffy, n.d.a)). Throughout the semester, students were exposed to didactic learning in the classroom supplemented by audio and video modules. At the end of the course, the BPLALDS was used …

Graduate Student Retention Of Prerequisite Course Content, Carol A. Tessel, Vikas Grover

Teaching and Learning in Communication Sciences & Disorders

Although most graduate schools for Speech-Language Pathology require the same core prerequisite classes, there is still variation in class requirements as well as variation in course content. Sixty-one instructors completed a survey regarding what they felt was essential course content from their prerequisite communication sciences and disorders (CSD) classes. This information was used to create a student survey that consisted of 55 multiple choice questions chosen to assess knowledge from eight typically required prerequisite courses. Students preparing to enter their first year of their master’s program were asked to take the survey. Instructors that reported teaching a course in audiology …

Toward The Development Of A Quick, Reliable Assessment Tool For Reflective Journals, April Garrity, Casey Keck, Janet L. Bradshaw, Keiko Ishikawa

Teaching and Learning in Communication Sciences & Disorders

Reflective practice, including reflective writing, can facilitate enriched learning, especially when implemented as part of a service-learning (SL) experience. Reflection is a central component of service-learning (SL) experiences. Students’ reflective abilities are often measured through reflective journaling; however, assessment of students’ reflective journals is not always efficient and straightforward. The goal of the present study was to establish a simple, reliable, and relatively quick tool for use by busy college instructors seeking to encourage students’ deep learning through reflective writing. A total of 258 reflective journals from 43 graduate students in speech-language pathology were evaluated by three raters using a …

Creating Head Space: Using Spaced Retrieval Practice To Teach Cranial Nerves To Graduate Slp Students, Rachel K. Johnson, Anne Michalek, Corrin Richels

Teaching and Learning in Communication Sciences & Disorders

The purpose of this study was to investigate the effectiveness of spaced retrieval practice on graduate speech-language pathology (SLP) student’s long-term retention of cranial nerves. This is a quasi-experimental design study using a repeated measures and between group design where the control group was not randomly assigned. The accuracy and quality of cranial nerve knowledge was measured in graduate SLP students who did not practice spaced retrieval (control), and those who practiced spaced retrieval for three (EG1) or four (EG2) semesters. The quality and accuracy of cranial nerve knowledge improved significantly for both experimental groups compared to the control group. …

Cognitive Dissonance Of Graduate Students During Clinical Sessions Of A Literacy Program: Types Of Episodes And Their Resolution, Pam Britton Reese, Ludwika Aniela Goodson

Teaching and Learning in Communication Sciences & Disorders

This study provided an authentic context for examining cognitive dissonance of graduate students who were learning clinical skills in a six-week language and literacy project designed for young children. These student-clinicians received instruction four days a week in classroom sessions and began clinical sessions with children after each class. Signature pedagogies in communication sciences and disorders (CSD) provided the foundation for the instruction and clinical supervision. In their sessions with the children, the student-clinicians were expected to apply knowledge gained from the classroom and supervisor guidance. Journal entries, supervisor notes, clinical observation records, and transcripts from interviews were coded for …

The Gendered Experiences Of Male Students In A Speech-Language Pathology Graduate Program: A Multi-Case Study, Jairus-Joaquin R. Matthews, Derek E. Daniels

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathology is a profession with a gender disparity wherein the majority of speech-language pathologists are female. This disparity is also reflected in speech-language pathology graduate programs. The American Speech, Language, and Hearing Association has developed many initiatives over the years to address this issue, yet the gender disparity still remains. The purpose of this study was to develop some initial insights into reasons that men enter into the profession of speech-language pathology, and their experiences in graduate programs. In this qualitative case-study approach, interviews were conducted with four male graduate students. The interviews were transcribed and analyzed for major …

Interprofessional Education For Pre-Service School-Based Professionals: Faculty And Student Collaboration, Julie Strunk, Debi Kipps-Vaughan, Stacey L. Pavelko, Dannette Allen-Bronaugh, Karen Myers, Tammy Gilligan, Michele Kielty, Elizabeth Richardson, Joseph Tacy

Teaching and Learning in Communication Sciences & Disorders

Interprofessional collaboration is necessary for school-based professionals who provide services for students with disabilities. Most pre-service training, however, takes place in separate programs and does not afford students opportunities to learn effective collaborative techniques. This study examined the effects of a one-day interprofessional learning experience for pre-service school-based professionals. The goals were twofold: 1) increase students’ understanding of the core competencies for interprofessional collaborative practice (Interprofessional Education Collaborative, 2016) and 2) provide an opportunity for students to participate in interprofessional collaboration within a simulated school-based context. A mixed method design examined changes in students’ knowledge of the IPEC competencies. Students …