Logo

CFCC Chair Chat with SLP Program and Clinic Directors - Shared screen with speaker view
Wren Newman
59:43
Great to be a part of this group!
Lynette Austin
59:57
Thanks for convening this meeting!
Amy LeBert
01:00:13
Great to be here!
Todd Philbrick
01:00:27
we are recording the call and will be posting to asha.org/certification if you cannot get your audio on
Patti Solomon-Rice
01:00:28
Thank you, I'm happy to be here!
Dana Kovarsky
01:00:30
I cannot hear anyone.
Kerri Phillips
01:00:33
hello everyone!
Mindy Nguyen
01:00:56
With audio problems, I had to restart my computer.
Terrie Gibaon
01:00:59
Hi Everyone!
Gretchen Ehret Hoshaw
01:01:20
Welcome everyone. Thank you for being here!
Natalie Wilson
01:01:27
Please make sure your audio is turned on. Typically found in the lower right hand corner of your computer
Gretchen Ehret Hoshaw
01:01:38
*OFF
Rosalie Unterman
01:02:12
Will we receive the PPT?
Gretchen Ehret Hoshaw
01:02:27
Please be sure that your videos are off and your mics are muted in order to produce the best video quality possible for the recording.
Todd Philbrick
01:02:30
it will be posted to asha.org/certification
Gretchen Ehret Hoshaw
01:02:49
The PPT will be available on asha.org/certification on the recording.
Jessica Messersmith
01:12:53
What if a state has modified state licensure to allow students to obtain a temporary license and complete required hours "on the job"?
Jeffrey DiGiovanni
01:12:54
Do any states limit the number of simulation hours?
Mark Guiberson
01:14:04
Why is the requirement of 100% supervision for telepractice in place? it is just another modality and shouldn't have a different criteria than face to face services.
Todd Philbrick
01:14:08
Jeff - each state sets their own requirements. I’d recommend checking your state on www.asha.org/advocacy
Gretchen Ehret Hoshaw
01:14:11
@Jeffrey, there are varying state guidelines, as you know. The Government Affairs and Public Policy team has created several PDFs explaining allowances per state. There will be a link to those PDFs later on in the presentation
Rosalie Unterman
01:14:18
Great question Jeffrey-- is face to fact (in person) clinical experience of 300 hours required in all states?
Todd Philbrick
01:14:23
Mark - we will answer that in an upcoming slide
Gretchen Ehret Hoshaw
01:14:23
@Mark, we will address that shortly.
Jeffrey DiGiovanni
01:14:42
I would think the CAA and CFCC would do that research to inform a thoughtful accommodation during this time. I have never seen a cogent rationale for a 75 hour limit
Shannon Lorenz
01:14:47
Can you please share that research?
Brandi Pergament
01:14:54
I live work as supervisor in a state I am certified—I am moving to another state where I will become certified. Can I continue to supervise tele practice in the state I am certified, if I live in another state?
Christie Needham
01:15:07
can we please see that research?
Ashley Meaux
01:16:03
The hours you are currently quoting (more than 400) has to be prior to COVID-19 with no restrictions to clinical placements.
Gretchen Ehret Hoshaw
01:16:06
@Brandi- That would need to be addressed with the states in which you live and are practicing. The laws vary; some laws require dual licensure, some only require one.
Miechelle McKelvey
01:16:10
Can we please see the research on the 400 hours?
Rachael Walden
01:16:20
@Brandi you are certified in all states if you have CCC. Are you talking licensure?
Brandi Pergament
01:16:25
ty
Ellayne Ganzfried
01:16:29
I would like that research too. 400 hours was not the standard in years past( when I graduated) and yet I don't believe competency has been negatively impacted
janet preis
01:16:33
How many programs are having students unable to graduate on time for this spring due to the inability to obtain hours?
Rosalie Unterman
01:16:33
With teletherapy is it really necessary to have 100% supervision? It very much limits # of students who can receive experience
Stacy Kaplan
01:16:36
While this is a longer term goal, I hope this is seen as a call to action to explore competency-based education. I would be more than happy to volunteer for participation in a workgroup to explore data-based educational frameworks that might be applied to our field. Certainly CBME is a scaffold/framework that has applicability for our field.
Gretchen Ehret Hoshaw
01:16:48
@Miechelle, the research is available in the practice analysis studies, which are available on ASHA.org.
Gretchen Ehret Hoshaw
01:17:02
@Rosalie, we will address that shortly.
Sarita Eisenberg
01:17:02
What about waiving the requirements for supervisors? This would enable us to recruit more SLPs who might supervise our students with a few clients, when full externships are not available for those students
Shannon Lorenz
01:17:21
What are other professions that are pushing students through programs faster (nursing, PA), doing about state licensure? Why can they reduce hours but not us?
Laura DeThorne
01:17:21
please share the practice analysis studies' data
Dr. Marissa Barrera
01:17:22
Is there a discussion to move to a competency based model for clinical training?
Mahchid Namazi
01:17:41
RE: competency-based education. Excellent point. Competency is not dependent on number of hours but quality of hours and program. I’d love to be a part of that working group also.
Lynette Austin
01:17:52
When and how can we begin to work on an updated model that focuses on experience and competencies vs. hours (aligning with what OT/PT programs require?) Our model is outdated and often pushes students to reject valuable clinical experiences that don't "count" for hours! Yes, I'd love to be part of that working group.
Todd Philbrick
01:17:58
The practice analysis study which was conducted in the early 00’s showed support/need for an increase from 350 hours which were required in the 93 standards. Subsequent peer review showed support for an increase to 400 hours
Nola Radford
01:17:58
Regarding waving requirements for supervisors, I would be concerned about the experience provided for the student and supervisor.
Miechelle McKelvey
01:18:19
Other professions are reducing hours and have the same certification issues. Why is this difficult for SLPs and not other professions?
Gretchen Ehret Hoshaw
01:18:31
We will be addressinf telepractice, telesupervision, and the August 1st date shortly.
Todd Philbrick
01:18:42
Lynnette - we will address that shortly but OT, PT, and almost every other certification and licensure program includes a time requirement (hours, weeks, months, etc.)
Lisa LaGorio
01:18:46
I love the idea of competency based education. I would love to be on a task force exploring this
Gretchen Ehret Hoshaw
01:18:48
@Miechelle, we will discuss that shortly.
Jessica Messersmith
01:18:51
Many have asked about competency-based training, I also hope this is a conversation that emerges from the current situation.
Aimee Dietz
01:18:56
Excellent questions, Jeff DiGiovani and Miechelle McKelvey.
Aimee Dietz
01:19:03
Same, Jessica Messersmith.
Stacy Kaplan
01:19:06
The competency conversation is one whose time has come
Pam Holland
01:19:08
Thank you Amy for your service on the front line and being such a wonderful representative for our profession.
Stacy Kaplan
01:19:09
I would be more than happy to volunteer for participation in a workgroup to explore data-based educational frameworks that might be applied to our field. Please let me know how or if I could be of assistance with this matter after the initial urgent issues have been resolved. Stacy Kaplan, PhD, CCC-SLP, Director of MS SLP and SLPD Programs at Northwestern. Stacy.kaplan@northwestern.edu
Lynette Austin
01:19:10
My son is a DPT student - he is required to complete weeks of rotations, but not specific # of hours
Stacy Kaplan
01:19:44
CBME provides an exceptional framework for us to begin dialogue
Todd Philbrick
01:19:58
Nola - the CFCC will discuss your suggestion to delay the supervision requirement
Linda Spencer
01:20:06
PT is competency based
Lynette Austin
01:20:20
@Linda Spencer - that is correct
Jeffrey DiGiovanni
01:20:48
The 75 hour limit is not an accommodation - this has been true.
Christiane Dechert
01:20:54
Only a very small proportion of students have undergraduate hours.
Tom Muller
01:21:03
I have to run to a student's defense. Great job. Thanks for doing this!
Ellayne Ganzfried
01:21:03
Very few undergraduate programs provide opportunities for direct clinical care
Miechelle McKelvey
01:21:08
None of this is an accomidation
Lee Anne Luttrell
01:21:22
So I see lots of questions about what to do in the future, but I am most concerned about solutions for our students who are currently suspended indefinitely from earning clinical hours. What are some solutions??
Erin Redle Sizemore
01:21:25
Do you have a sense of how many progams still have undergraduate clinic? This is probably the minority at this point
Aimee Dietz
01:21:27
VERY few students have clock hours beyond observation upon entering grad school
Todd Philbrick
01:21:42
lee - we will be addressing next steps in an upcoming slide
Christopher Heximer
01:21:56
not sure why these notes are considered accommodations.
Erin Page
01:21:59
Once the pandemic is over and our University Clinic re-opens, our students will be doing their telepractice sessions at tele stations set up within the clinic, with the supervisor also present within the clinic premises. In this case, will 100% supervision still be required?
Brandi Newkirk-Turner
01:22:05
Convincing arguments. Presenters are doing a great job making important points.
Aimee Dietz
01:22:09
Can we consider modifications to the supervision required in the CF for students who are just shy of hours as a temporary adjustment?
Amy LeBert
01:22:13
Many in my state do not have undergraduate clinic....just observation course
Stacy Kaplan
01:22:36
We desperately need to refine the wording around clinical hours to reflect the many ways that SLPs work (a) collaboratively and consultatively and (b) through other mediators (parents, caregivers, and teachers).
Carol Dudding
01:22:45
Simulations are beyond the technology and/or platforms used. Not necessary to have the highest fidelity for best outcomes
Benjamin Reece
01:22:56
The practice model for school based SLPs in our area has changed dramatically to a mostly consultative model. Obviously, this is not conducive to direct client contact hours. But it is very valid SLP practice. How can it be that our student cannot count their hours in this type of practice? If we cannot temporarily accommodate by decreasing hours requirement, why cannot we accommodate by expanding the practice to other service delivery models?
Jeffrey DiGiovanni
01:23:03
Great point, Carol.
Renee Wendel
01:23:06
Why has this turned into a "Simulation is ineffective" session? Can we get back on track?
Dede Matrangola
01:23:13
And in a perfect world that is certainly the optimal. The alternate choice in many circumstance where there is not enough Telepractice that means 0 hours is better than Simulated hours????
Todd Philbrick
01:23:20
Aimee - supervision of the CF is up to the state’s regulation. Until at least 8/1 we have allowed for all Mentor observations to be through telesupervision
Kathleen Palatucci
01:23:24
I believe the 7.5 weeks of full-time experience will not typically yield the number of hours calculated since many of those hours do not count as clinical contact hours.
Stacy Kaplan
01:23:24
Agreed @benjaminreece!
Miechelle McKelvey
01:23:27
You either trust us as primes to ensure this is quality or not. We are doing this and at high level of quality.
Rosalie Unterman
01:23:29
And do we need to keep the supervisor requirements during the COVID period (2 credits supervision- 9 months post CCC)?? Sometimes opportunities arise but then to require more from supervisor??
Lynette Austin
01:23:30
Quality vs. quantity is true REGARDLESS of type of setting (simulation or otherwise), and should be the emphasis always
Shannon Lorenz
01:23:34
Exactly Dede. This is not an optimal situation. None of this is new.
Ellayne Ganzfried
01:23:42
I would argue that thorough debriefing of cases in simulation often provides a better experience and increased competency that in a "live" experience
Barbara Jacobson
01:23:43
Our program is currently not allowing students on campus - we are re-opening our OP clinics (gradually) which has the effect of reducing telesupervision opportunities. The net effect may be a reduced access to clinical hours overall.
Stacy Kaplan
01:23:43
we need to count hours in a way they reflect actual practice
Jessica Messersmith
01:23:54
Would it be possible to expand what is considered an allowable hour for SLPs? Use of similar language for audiology of engaged in the practice of SLP, rather than direct patient care?
Todd Philbrick
01:24:29
Jessica - I’ll add this to the May CFCC SLP Committee call
Dede Matrangola
01:24:48
So if it can’t be optimal then in this case you are saying nothing is better than Simulation?
LuAnn Batson-Magnuson
01:24:51
Students can reach out at any time through text, phone to their clinical supervisor if they have a problem.
Kathleen Palatucci
01:24:54
agree with @jessicaMessersmith
Julie Hanks
01:25:09
I agree Jessica. That might give an opportunity to move toward a skill-based model as other disciplines are doing.
Stacy Kaplan
01:25:16
Ditto - agree with @jessicaMessersmith
Lisa Domby
01:25:17
Back in 2010/2011 CAA proposed a 100% competency based model. The academic programs weren’t comfortable with that at that time. There has to be a compromise with allowing more simulations. Well-designed simulations are far more beneficial than telepractice sessions that simply aren’t widely available at a high quality best practice level - especially in Medical SLP.
Felix Matias
01:25:27
"Each student can receive credit for the full hour" is that independent of the student's participation??
Erin Lundblom
01:25:30
Agree with Jessica!!
Lynette Austin
01:25:31
I think the 100% supervision requirement for telepratice does not take into account supervisor judgment - in many cases the competency of the student and the difficulty of the case do NOT require that level of supervision.
Wendy Chase
01:25:45
Telepractice rules, then, should be modified to specify observation requirements based on prior student training, location of tele practice services being provided, etc.
Kathy Wheat
01:25:59
Can the chats from today be shared afterward as well?
Beth Miller Swanson
01:26:09
What does "participating" in telepractice sessions look like when multiple students are involved in the same session with a single client?
Amy LeBert
01:26:12
I don't agree with the 100% supervision even with the explanation
Rachael Walden
01:26:14
Was there a change to the hours of Observation standards regarding Audiology hours? All Audiology videos on Master Clinician Network state that they cannot be used for guided observation. Why is this a thing, if Hearing is one of ASHA's Big 9?
Lauren Wright-Jones
01:26:16
I agree Lynette. agree completely. this isn’t taking into consideration students that do not need that level of supervision.
Ellayne Ganzfried
01:26:22
Issues may also remain regionally so there needs to be consideration of that
LESLIE GRUBLER
01:26:26
Will CFCC be meeting in June and July to reassess an extension date?
Gretchen Ehret Hoshaw
01:26:38
Audiology's 2012 and 2020 Standards have not required any # of hours to be completed in supervision
Mark Guiberson
01:26:39
I agree with LuAnn Batson-Magnuson re: students have access as needed to supervisors when conducting tele.
Meaghan Goodman
01:26:40
That doesn't allow programs much time to find externship sites and get contracts signed. Many won't have a conversation about externships until that time.
Andrea Atticks
01:26:44
what is meant by “the need for immediate assistance” if the student and supervisor are confirming location of client for safety reasons at start of call and if dysphagia tx is not provided?
Lisa Domby
01:26:53
Allowing unlimited number of students to “participate” in a telepractice session is *not* a higher level of learning experience than a well-designed simulation.
pamela mathy
01:26:56
When we start getting back into our clinics for in person services, we will need still need to be doing telehealth as well to maintain social distancing. Given this, the telehealth accommodation will need to be continued.
Robert Garcia
01:27:01
I believe there should be greater trust of programs from the CFCC. Even an increase from 75 hours to 100 hours of simulation would be beneficial.
Dana Kovarsky
01:27:09
Yup, rationale for 100% supervision via tele practice is not very strong.
Yolanda Keller-Bell
01:27:14
We need to be able to plan for students who will be entering the second year of the program. They have been impacted as well.
Joanne Ascher
01:27:18
Re: 8/1/2020 date, many programs’ summer clinic sessions will be via telepractice and extend into August. Why not change the date to 9/1 to allow for a full summer telepractice session?
Dede Matrangola
01:27:32
If we are in a state that does not regulate at this maximal level of supervision why is ASHA going with the most restrictive instead of advocating for states to consider loosening. There is no evidence to show way 100% supervision is needed.
Troy Dargin
01:27:37
Can Todd speak up
Stacy Kaplan
01:27:45
Highlighting @KathyWheat’s suggestion to share chat - folks might want to connect to discuss future (and current) initiatives
Lynette Austin
01:27:47
Robert, I agree. We (supervisors and directors) have always been held accountable for determining the % of supervision required by any one student. Why is that not permitted in telesupervision
Aimee Dietz
01:27:48
Yes to 9/1 for tele practice rules. Our term goes through 8/8/2020 and we will need every day possible.
LESLIE GRUBLER
01:27:52
When will CFCC be meeting again to discuss an extension of Telesupervision — June or July?
Jennifer Mackey
01:27:53
I would argue that there is not strong evidence that a graduate student needs 100% supervision—that is an individual decision for the direct supervisor.
Candace Vickers
01:27:53
I can't see a scenario where our campus opens by fall meaning all will have to be via teletherapy.
Lesley Maxwell
01:27:53
Where did the August 1st come from? It does not correspond with the ways that summer academic terms work so that our active telepractice clinics will need to abruptly shut down for arbitrary reasons when campus will not be opened
Ellayne Ganzfried
01:27:57
Nursing has made accommodations as well
Lori Heisler
01:28:22
I agree with you Candace, especially in California
Katie Boarman
01:28:24
If a supervisor needs to be 100% synchronously logged into a tele-therapy session in order to be there for problem solving, then could s/he observe more than 1 session at a time (less than 100% supervision) but still available for troubleshooting as needed? This would allow for MORE students to be seeing MORE clients, but would handle the issue of needing to be available for problem solving.
Amy LeBert
01:28:26
We may have to utilize teletherapy for Fall due to patient request.....need to know if those hours will count for students.
Lynette Austin
01:28:33
@ Lesley Maxwell - agree completely. The Aug 1 date is problematic in the best of times - even a change to just Sept 1 would be better
Lori Heisler
01:28:45
This timeframe does not give us a lot of time to prepare adequately.
Mark Guiberson
01:28:48
The "accommodations" described sound like business as usual, with no adjustments for the COVID-19 Era.
Dr. Marissa Barrera
01:28:51
There needs to be regional consideration in your discussions. Many of us in the Northeast are in serious crisis.
Karmen Porter
01:28:56
We can be available to multiple students at a time via tele supervision. I do not understand why we cannot supervise more than 1 student at a time as long as we are logged in and available to them.
Kathy Jakielski
01:29:06
Getting any change in this committee is like driving a brick around a curve. Impossible.
Shannon Lorenz
01:29:16
Why do you ask for feedback when nothing changes?
Christine Weill
01:29:18
I completely agree about that August 1st date. It cuts our semester off as well.
Nola Radford
01:29:21
They need time; has to do with maturity
Mark Guiberson
01:29:24
Agree with Karmen Porter: we can supervise more than 1 tele student at a time.
Andrea Atticks
01:29:26
Fully agree with @ Karmen Porter
Marjorie Nicholas
01:29:29
In Massachusetts we are being informed that we will likely need to teach remotely n the fall and having a telepractice option at least through the end of the year (2020) would be immensely useful for our continuing AND new students to be able to have clinical practice expereinces. Much better than NONE!
Mona Ryan
01:29:34
I may have missed this point - but if teletherapy is done with student and supervisor in the same facility - then are we good with 25% supervision?
Miechelle McKelvey
01:29:39
Deadline should be extended to Aug 1st for summer
Katie Boarman
01:29:47
agree with @ Karmen Porter
Dawn Vogler-Elias
01:30:01
Agree - more clarification on the Aug 1 date and when that will be revisited is needed! Summer B has alredy gone online at many colleges and that means clinic plans are already past the point of needing this clarification.
Erin Page
01:30:03
My question is the same as Mona Ryan's
Sarita Eisenberg
01:30:10
The 100% for telepractice does not make sense given that externship supervision is 25% over the entire duration of the externship, which means that students may get very little supervision towards the end of the externship - my point is that it should be up to programs to determine the level of supervision that each student requires
Kevin McNamara
01:30:11
Teletheraoy as part of student training and service delivery is here to stay. The 8/1 sunset date has to be eliminated
Nicole Reisfeld
01:30:28
Programs are being required to plan for possible online learning in the fall, or possible in-person training, maybe allowing student and supervisor to be in different locations for telepractice, are having to find off site placements that may or may not take place, and therefore will have to create numerous alternate plans. There are just so many unknowns putting pressure on programs.
Erin Redle Sizemore
01:30:32
Social Work-Yes, but those hours count the time in the placement, not face-to-face, direct care hours
Lynette Austin
01:30:37
PT rotations are counted much differently - their presence in the building with the supervisor counts
Shelley Lund
01:30:56
We have already determined that our on-campus clinic will not open for fall semester - we need to have the teletherapy accommodation extended.
Gretchen Ehret Hoshaw
01:30:59
@Mona, yes. 100% is only when all parties are remote.
Lynette Austin
01:30:59
Erin - right; same for PT
Lesley Maxwell
01:31:10
Yes Kevin!
Todd Philbrick
01:31:15
the accommodations themselves and end dates will be re-examined this summer and we will be asking for program’s feedback
Kate Krival
01:31:16
Correct, Erin Redle-Sizemore. We are comparing apples to kumquats here.
Christine Weill
01:31:18
We absolutely need more guidance for the fall. Universities are already being asked to plan fall. Summer is already starting.
Miechelle McKelvey
01:31:28
Yes CFCC could modifiey how we count hours like PT
Robert Serianni
01:31:32
OT is the same - time in the building versus client care
Laura DeThorne
01:31:35
can telesupervision be provided during two or more sessions simultaneously?
Christie Needham
01:31:38
August 1 cuts our summer short and if a decision is not made until July I do not have time to plan, accommodate and schedule students/patients etc for the fall semester.
Amy LeBert
01:31:43
yes, Christine...same here
Shelley Lund
01:31:47
Christine - YES! I have to have my plans for fall turned in to my Dean tomorrow!
Dr. Marissa Barrera
01:31:51
yes Christine
Dawn Vogler-Elias
01:31:58
Decisions this summer are late since summer plans for on-campus clinics (including client and student and faculty schedules) have already been decided at many institutions. Please revisit 8/1 ASAP!
Todd Philbrick
01:32:04
Laura - if you have the technology capabilities to watch multiple sessions in real time that is fine
Jennifer Mackey
01:32:08
We are planning summer clinics NOW though—they start in a matter of days! We need to know about the Aug. 1st date ASAP. It should be at least extended until the end of the year.
Miechelle McKelvey
01:32:08
Needs to extend to Septmenber 1
Lynette Austin
01:32:09
The PT/SLP hours are not comparable because of "what counts"
Julie Hanks
01:32:14
I agree, our fall plans are due on Friday as well.
Barbara Jones
01:32:17
yes @ dawn
Katie Boarman
01:32:17
Agree with Christie Needham, we need to plan NOW for August
Tina Veale
01:32:21
To the assertion that “we have no evidence that fewer clinical hours will prepare students adequately,” I wonder how we will ever GET such evidence if we don’t try a new model and study it. This just keeps us stuck where we are.
Gretchen Ehret Hoshaw
01:32:31
@MIechelle, that has been added to the CFCC's agenda to discuss at their next meeting.
Miechelle McKelvey
01:32:33
PT doesn’t not count hours in direct patient contact so they can get them easier.
Jeffrey DiGiovanni
01:32:50
Thank you Miechelle - they are not being intellectually honest here
Aimee Dietz
01:32:54
BUT they ARE reducing hours and accommodating
Lynette Austin
01:32:57
Please do not try to make direct comparisons between type of hours
Christine Weill
01:32:58
Need to extend through calendar year at least. This would provide stability and leadership in the face of this situation. It's appropriate given the clientele we serve.
Angela Kennedy
01:33:00
I concur with the need to further examine and define what is acceptable as "hours". If there was more of a practical definition of what is considered "direct contact" then we could more equitably compare ourselves to PT/OT programs. I would love to participate in a work group as well if needed.
Dawn Vogler-Elias
01:33:03
However these professions are more broadly counting hours - not just direct client time.
Cara McComish
01:33:04
PT is a clinical doctorate, so more time/years to get those hours
Lisa Domby
01:33:11
Are you comparing a 2 year master’s degree to a 3 year DPT degree? Are you comparing hours to weeks? These are not comparable.
Linda Spencer
01:33:14
PT is encounters, not clock hours, right
Shelley Velleman
01:33:16
BUT do their hours include preparation, report-writing, meetings w.o clients present, etc.?? You’re not comparing apples to apples.
Jennifer Mackey
01:33:16
That is not a comparison—SW and PT count hours differently.
Tara Marshall
01:33:16
But what are their supervision requirements? Definitely not 100%!!
Kate Krival
01:33:20
If we counted our clinical hours that way ours would have 800 hours by now, too.
Sarah Smits
01:33:20
Those other programs count time in building and other activities.
Kathleen Palatucci
01:33:25
We cannot confuse hours on site with clinical contact hours - these are very different.
Dana Kovarsky
01:33:26
PT is a clinical doctorate that takes longer to complete so it is not surprising they end up requiring more clinical hours, is it?
Vicki Hammen
01:33:27
You have not adequately defined what Soc Wrk and PT 'count' as hours--it is NOT direct service.
Nola Radford
01:33:29
So, am I correct, of all the health professions, they require significantly more clinical practice hours than SLP? At issue: the profession is expanding in terms of the competencies SLPs must acquire.
Aimee Dietz
01:33:30
Please address telehealht rules through 8/1
Amy Herren
01:33:36
Todd can you clarify your comment? Are you saying as long as you are logged in to both sessions, you can count both as 100% supervision?
Lee Anne Luttrell
01:33:41
I completely agree with Tina Veale's comment!!
Carolyn Perry
01:33:49
but PT students do not have the same type of supervisory intensity (i.e., PT students conduct therapy without their supervisor immediately present)
Sarita Eisenberg
01:33:50
No PT & OTdo not requie double the hours - they count total time at the practicum. PT & OT actually end up requiring fewer contact hours
Amy LeBert
01:33:53
true, PT is not a good comparison
Sarah Smits
01:34:18
I'm not feeling 'supported' right now...
Aimee Dietz
01:34:20
Summer term goes past 8/1 and our ability to develop plans to get hours for students is dependent on access to telehealth
Erin Kolonich
01:34:25
It’s important to know what to tell students and clients after Aug 1. Maybe students have returned home and no longer have housing close to campus. It would make it very difficult for students and clients to switch at the end of the semester from tele practice to in-person.
Sharon Cote
01:34:25
Will we get transcripts of the content of this chat as well as the recording?
Brandi Pergament
01:34:29
yes please clarify as Amy Herren as stated! If we can log into two sessions at once does that count as 100%
Ellayne Ganzfried
01:34:32
That is not correct that simulation has been expanded. It was always 75 hours even pre-COVID
Shannon Lorenz
01:34:36
I agree with Sarah Smits.
Lynette Austin
01:34:36
@ Sarita Eisenberg - that is what I have found via investigation of PT requirements, and what we as a family are experiencing directly as our son moves through DPT program
Aimee Dietz
01:34:39
Also, our HOURS are different than PT—time in a setting does not = hours in direct care
Wendy Quach
01:35:16
@Todd, can you please explain the comment you made to Laura about watching multiple sessions in real time? Zoom has breakout rooms. Would that be fine?
Sarah Smits
01:35:41
I've reached out to facilities to ask if students can participate in their in-house sessions remotely---it is not well-received.
Jeffrey DiGiovanni
01:35:43
These are not accommodations, but creative ideas we are doing in the trenches with our students.
Kathleen Palatucci
01:35:52
When students need to have placements deferred their graduation dates will be delayed. Will this be held against programs? There will be a large number of students who do not gradate on time.
Kenneth Logan
01:35:55
The Audiology standards have a mechanism for students to complete some practicum hours after graduation. These hours are completed under supervision of licensed/certified individuals. Any discussion of doing something similar in SLP, e.g., 10% of total hours?? This may allow for more face-to-face experiences.
Dede Matrangola
01:36:01
Hospitals do not have the PPE to afford to take a student. It is beyond reasonable to expect that Universities who were already having trouble getting medical placements would be able to get ANY medical placements in the Fall.
Jessica Messersmith
01:36:02
@sarah smits - we have experienced the same response
Becky Lulai
01:36:02
Waiting to decide on the Aug 1 telesupervision accommodation until July does NOT help us trying to plan for our summer clinical operations that typically extend through August. A decision needs to happen as soon as possible.
Miechelle McKelvey
01:36:03
Many hospitals are not allowing this
Robyn Wahl
01:36:06
Yes, @Todd - can you clarify the multiple screen/break-out room issue?
Christiane Dechert
01:36:06
What it comes down to is that CE are your stakeholders to. With programs struggling nationwide with funding, how can the 100% supervision be maintained without hiring more CEs.
Rosalie Unterman
01:36:11
Nice idea for medical settings, but what about other settings? Facilities won't allow students live or via teletherapy.
lesli cleveland
01:36:30
I chair an OT program too. While they have fieldwork rotations that are “full-time” for 3 months each, their time counts as soon as they walk in the door. Everything counts for them, not just direct contact with clients. In reality they do less hours than our students.
Dana Kovarsky
01:36:30
Is CFCC open to ideas of how to change % of tele therapy supervision needed too?
Katie Boarman
01:36:31
Todd said, “if you have the technology capabilities to watch multiple sessions in real time that is fine” does this count as 100% supervision if we are watching more than 1 student at a time?
Aimee Dietz
01:36:32
Facilities are canceling pracitcumes
Sarah Smits
01:36:34
Yes, @ Rosalie--that's my experience as well
Todd Philbrick
01:36:46
Ken - Audiologists can obtain CCC-A observed hours post graduation for certification but the CAA requires 12 months of experience to earn the degree.
Aimee Dietz
01:36:52
The University may not allow students to go to SNFs either —due to the high risk.
Jessica Messersmith
01:36:52
I agree with Kenneth Logan- great question
Lynette Austin
01:37:12
@Lesli Cleveland - thanks!! for that clarification. The hours comparisons between disciplines just does not work
Carolyn Perry
01:37:19
could we allow students to count IPE team collaboration/communication since we are now more than ever needing to provide IP care. Even allowing up to 25 hours would be a help
Tina Veale
01:37:20
I appreciate that the 400 hours requirement has served us well over the years. But it is no longer working. It wasn’t working before COVID—due to increased work demands in education and healthcare, and less time to teach students in these environments, as well as more graduate programs opening. It is time that we MUST explore other options. Just because we haven’t studied other models doesn’t mean we can’t devise an equally robust model of clinical education. Fully robust. We can do this.
Erin Redle Sizemore
01:37:26
Isn’t the point to ensure students are ready for ASHA certification? Why are decision being made to be the ‘catch all’ for those who don’t choose ASHA certification?
Courtney Karasinski
01:37:29
I would think we would be highly encouraging students to pursue ASHA CCCs, which do require a CF. I’m surprised by comments suggesting that this is not important.
Aimee Dietz
01:37:32
Please answer the 8/1 tele therapy deadline given most semesters go past 8/1
Dede Matrangola
01:37:33
This seems like ASHA is leaving it up to universities to just be more creative but not willing to make any adjustments to allow for our creativity.
Gretchen Ehret Hoshaw
01:37:34
Audiology standards allow for hours after graduation only for the purposes of the CCC, since all 12 months of full-time equivalent experience is completed in the doctoral program. They cannot do less than 12 month's equivalent in order to graduate. They can complete any hours not supervised by a CCC-A after graduation, but they still need 12 months experience to graduate.
Aimee Dietz
01:37:45
@Dede=EXACTLY
Stacy Kaplan
01:38:29
At the heart of these issues is the fact that our educational requirements are derived largely from tradition, not data. What is the data for 400 hours (and not more or less)? What is the data for 75 sim (and not more or less)? What is the data for % supervision in f2f vs tele? If we were driven truly by evidence, there wouldn’t be arguments, and we could flex…led by data.
Nancy Alarcon
01:38:37
Kathleen, CAA anticipates that programs will have delayed program completion dates. We will be providing guidance to all accredited programs in the next few weeks. We will be providing a webinar hosted by CAPCSD on May 11th, visit capcsd.org to register.
Jessica Messersmith
01:38:49
The question about hours after graduation is a good question, though. As licensure and CCC are separate, many states do not require a minimum number of hours.
Rosalie Unterman
01:38:49
Really? Isn't it a requirement of CAA accredited programs for students to complete ALL hours??
Nicole Reisfeld
01:38:54
yes Stacy!
Kathleen Palatucci
01:39:21
Thank you Nancy!
Lisa LaGorio
01:39:28
Stacy Kaplan--yes! Evidence is what we need.
Lesley Raisor-Becker
01:39:32
@Stacy Kaplan--YES!
Gretchen Ehret Hoshaw
01:39:41
Yes. CAA programs must graduate all students with all hours completed.
Lynette Austin
01:39:42
Praxis exam has announced this week that at-home administrations will be provided
Dawn Hennes
01:39:44
Praxis is offering home testing now
Brad Crowe
01:39:44
Is there any consideration of tele practice training hours becoming a permanent allowance for a set number of hours. Much in the same way as simulations.
Troy Dargin
01:39:51
Can’t hear Todd
LESLIE GRUBLER
01:40:11
When is the next date that CFCC will be meeting — June or July?
Amy LeBert
01:40:16
I echo Brad's question
Aimee Dietz
01:40:24
@Stacy—YES!
Gretchen Ehret Hoshaw
01:40:31
CFCC Committees meet monthly.
LESLIE GRUBLER
01:40:36
TY
Tina Veale
01:40:36
Many programs do not make completion of the 400 hrs a graduation requirement, so as to allow for programs to finish up hours after graduation if a problem occurs. In this way, if something occurs to interrupt practicum hour completion, the student’s graduation is not at risk.
Nola Radford
01:40:39
Will students have a proctor for the at home praxis?
Stacy Kaplan
01:40:51
If folks want to connect after immediate/pressing issues have been addressed, please email me – stacy.kaplan@northwestern.edu. I would love to connect with folks
Todd Philbrick
01:41:22
Dede - per accreditation standards we have flexibility, especially in our current pandemic to change how hours are earned but showing that fewer hours are needed is difficult as that data doesn’t support that
Rachael Walden
01:41:25
@tina we considered this, but decided that liability issues were too great
Helen Sharp
01:41:40
Thanks Stacy - that would be great!
Todd Philbrick
01:41:46
yes - they will be watched in real time
Aimee Dietz
01:41:48
WHEN? We need to know.
Nancy Alarcon
01:41:57
Rosalie, I believe Patti was providing an example where a student would be completing their 75 hours at their offsite placement and be considered a student until the hours are completed. Then once the program requirements are met, the student graduates and continues at that site as a CF. A transition from grad to CF within the site site.
Miechelle McKelvey
01:41:59
Some programs need to have the extension now because they need to report to their universities
Todd Philbrick
01:42:17
Mid-May - when I have an exact data and registration details we will send that to programs, NSSLHA, and post to the website
Felix Matias
01:42:38
So, asking again, in case I missed the answer. Can you have more than one student in teletherapy sessions and count the entire time no matter the participation level?
lesli cleveland
01:42:39
If an extension is likely, then when will you announce the extension of tele practice hours? We need to know now. Our universities want our fall plans.
Julie Dalessio
01:42:50
Stacy Kaplan is absolutely correct in her comment "Where is the data for 400 hours (and not more or less)? What is the data for 75 sim (and not more or less)? What is the data for % supervision in f2f vs tele? If we were driven truly by evidence, there wouldn’t be arguments, and we could flex…lead by data" Also, the telepractice rationale is very weak and telepractice will likely continue to be part of our service reality, so we need to dig into this.
Aimee Dietz
01:43:07
We are banking on every day we have of summer term to get Telehealth hours for some students who lost placements in spring and now summer.
Stacy Kaplan
01:43:09
Thanks, Julie!
Dr. Marissa Barrera
01:43:16
Yes, Julie!
Ellayne Ganzfried
01:43:21
Wondering how program's admissions have been impacted for the Fall?
Miechelle McKelvey
01:43:26
I was told to look at the evidence on the practice portal for the 400 hours justification
Aimee Dietz
01:43:37
Did you find it, @Miechelle?
KIMBERLY TRAVER
01:43:37
But if we have our grading policy published as graded, it then goes against accreditation if we allow p/f...correct?
Laura DeThorne
01:43:39
When it comes to grading, thank you for recognizing University/academic program authority
Jessica Messersmith
01:43:39
Is there anything prohibiting a student from working as a temporary-licensed SLP while being enrolled in graduate study?
Dede Matrangola
01:43:54
@Todd. Thank you. Would ASHA be able to provide us with the data? The conclusion does not match annectodal experiences and would help us better understand the rational to actually see the data vs just telling us there is data.
Todd Philbrick
01:43:56
Jessica - that would be a state licensure question
Brigette Wilson
01:44:08
Can you put the links in the chat please?
Brandi Pergament
01:44:42
Did the breakout rooms via ZOOM count for 100% supervision?? If I have two students at one time in zoom breakout rooms, is this considered 100%?
Todd Philbrick
01:44:43
Based off this chat - we will update our COVID statement and FAQs in the upcoming days
Lesley Maxwell
01:44:58
telepractice is just a different service delivery mode that is going to be a the new normal we need to allow it with the same standards for supervision and with few limits on hours since it should just be a mode to deliver evidence based practice
Anne Marie Skvarla
01:45:01
Reginal accommodations are VERY critical. There is a VERY real possibility here in the greater NYC /Northeast area that we will be online again for Fall as will many others programs. Even if open, substantial restrictions will be in place and patients are correctly hesitant to attend. Budgets have been cut drastically across all universities. If clinical experiences remain online, or even partially online relying on telepractice and 100% supervision, students will earn significantly less clinical hours as less clinical supervisory hours will be available as well.
Jessica Messersmith
01:45:03
Todd- to confirm, there is nothing within CFCC that would limit the ability of a student from working as a temporary-licensed SLP while being enrolled in graduate study?
Sarah Smits
01:45:21
ASHA/CFCC blames the state licensure boards. The states blame ASHA/CFCC.
Julie Scherz
01:45:56
Is it possible to review these chat comments on the recorded version of this session?
Aimee Dietz
01:46:09
Being creative is hard when things are “not open to discussion."
Katie Boarman
01:46:11
Can we please get clear guidelines on this statement, “if you have the technology capabilities to watch multiple sessions in real time that is fine”. Does that mean we can supervise more than 1 tele-therapy sessions at a time if we are connected to all sessions 100% of the time?
Dr. Marissa Barrera
01:46:11
Yes, regional accommodations are essential.
Todd Philbrick
01:46:18
Jessica - please email me tphilbrick@asha.org to discuss your question. I want to run this by a few other departments
Nancy Hall
01:46:21
Tangentially related, why not accept observation hours that include other related disciplines? If we are committed to IPE and IPP, it makes sense to start that with the guided observation hours.
Gretchen Ehret Hoshaw
01:46:28
This chat transcript will be available after the chat.
Shelley Lund
01:46:46
Patti said at the start of the presentation that the 2020 standards allow telepractice - so why are there only temporary accommodations allowing telepractice?
Dawn Vogler-Elias
01:47:07
Same question at Shelly - clarification needed on that point!
Kimberlee Moore
01:47:41
Kimberly- Prior to changing or revising grading policies, it is expected that the programs would go through the appropriate approval processes at their university. If changes are made to grading polices these policies would need to be published and communicated to students.
Kristy Weissling
01:47:41
What is the guidance for what counts as a clinical simulation?
Kelly Kleinhans
01:47:45
We debrief in groups in traditional models, why would it change for clinical simulations?
Nancy Alarcon
01:47:51
Julie, CFCC and CAA will be reviewing all of these questions to be sure we address your questions and comments as directly as possible. I'm hearing a request for the research behind hours, etc.. Not speaking for CFCC, however I'm sure that will be made available as a follow up.
Nicole Reisfeld
01:47:58
Pre COVID externships in medical settings were very difficult to obtain and externship coordinators were reaching out to ASHA for more support. Now externships experiences are in extreme jeopardy for at least the next year or more. If these experiences are required, how can ASHA support programs in obtaining these experiences for students?
Dana Kovarsky
01:48:05
Katie’s question on supervising more than 1 tele therapy session at a time if viewing both the whole time is an important one. Is there an answer?
Nola Radford
01:48:18
I have done 15 minutes per student of direct interaction, with all sitting in if it is the same case simulation. After that, question and answer with all students participating and randomly answering.
Benjamin Reece
01:48:40
Yes Nicole Reisfeld!
Gretchen Ehret Hoshaw
01:49:01
www.asha.org/certification/certification-standards-for-slp--Clinical-Simulation/
Rosalie Unterman
01:49:33
Thank you Nicole!
Jeffrey DiGiovanni
01:49:35
Thank you, Carol
Vicki Hammen
01:49:38
Good resource for best practices in clinical simulation:https://www.capcsd.org/best-practices-in-csd/
Todd Philbrick
01:49:46
Let me reconfirm the multiple live sessions with the CFCC after this call and this will be added to our existing questions/pages.
Kerry Howland
01:50:01
Thank you Carol!
Todd Philbrick
01:50:13
Feel free to email me directly tphilbrick@asha.org to get the answer in the next 24 hours.
Kate Krival
01:50:15
@Carol Dudding thank you — many of us would be GLAD to listen to more of your lectures and education.
Patti Solomon-Rice
01:50:17
Thank you, Carol
Gretchen Ehret Hoshaw
01:50:18
The CAA nor CFCC standards state that specific placements are required (i.e., specific # of hours in schools vs hospitals) or a specific number of hours per population type. THis is a programmatic decision. The Standards just state "400 hours across the lifespan and addressing the range of disorders as outlined in Standard IV-C."
Janet Lovett
01:50:21
I include the students who did the simulation in the debrief then require journal reflections for me to review. We continue the prebrief, session and then debrief.
Elaine Mormer
01:50:26
https://www.capcsd.org/covid-19/
Stacy Kaplan
01:50:37
Important points re low fidelity - in fact, there are situations in which low fidelity may be the best place to start!
Lynette Austin
01:50:38
Thank you Carol - we've been reading and studying about clinical simulations and we do see that pre and post briefings lead to very effective learning via simulatin
Sarah Wallace
01:50:39
The one on simulations is excellent - thank you Carol!
Carolyn Perry
01:51:05
yes, Carol!! quality of experiences is important ...not just quantity. I have had several students who have had F2F contact hours that were miserable and they learned what NOT to do
Vicki Hammen
01:51:57
If multiple students can get credit for a full hour of clinical work via teletherapy why do they have to divide it for face to face? We could get students into some facilities that are open and could have them earn more hours if the multiple requirement was modified for face to face as well.
Jeffrey DiGiovanni
01:51:59
@Carolyn - which the same is true for F2F. Really, nothing is different with simulation. We can have poor and excellent experiences for F2F and simulatoin
Ashley Meaux
01:52:03
Thank you Carol!
Lynette Austin
01:52:11
Carolyn Perry - yes!! the # of F2F contact hours is not a good metric for a quality learning experience!
Lee Robinson
01:52:12
Carol Dudding is a voice of reason. I love her work.
Wendy Chase
01:52:21
It is important to recognize that the CFCC 2020 standards allow for simulation of many types including a catch all term about “other” simulation activities. So a wide variety of options can be included and we should get creative about what we are using as long as learning outcomes can be demonstrated.
MaryAnn Schiattarella
01:52:27
The teletherapy extension through the fall would be a helpful accommodation- that would not impact the integrity of the license, since most programs require plans for completing summer clinicals and planning fall clinicals to be determined in July.
Lisa Domby
01:53:02
Please be aware that not all clinical settings are even doing telepractice, leaving large gaps in clinical experience opportunities.
Tess Kirsch
01:53:08
@Kimberly Traver regarding grading policies:
Erin Redle Sizemore
01:53:22
What or where exactly do you want us to do with the “out of the box” ideas but I feel like these have been shared in surveys, questions submitted, etc. but all I have really heard is “we are not changing the requirements”
Tess Kirsch
01:53:33
Grading policies and practices are at the discretion of the program and its university. The CAA does not have any guidelines on grading practices and does not require a specific grading system to be used. Programs are encouraged to consult their institutional grading policies and satisfactory academic progress standards, if applicable, when making these determinations for temporary or permanent implementation.  If temporarily changing grading policies, such as moving to “pass/fail” rating, the program needs to consider how remediation may be identified and addressed if tied to letter grades. At a minimum, the CAA expects programs to have clear communications to students and faculty about grading or remediation processes so that all are duly advised and the new processes can be consistently applied.
Jeffrey DiGiovanni
01:53:34
yup
Elizabeth Connors
01:53:36
Totally agree with Kevin McNamara. Students need to be trained in tele practice as they will be doing this in many of their positions after graduation.
Sarah Smits
01:53:43
Yes, @Lisa--Only ~20% of our normal clients are even appropriate for sessions
Rosalie Unterman
01:53:44
@Lisa Very true! Especially in schools
Lynette Carlson
01:53:45
It would hurt nothing to make the decision now to allow us to use telepractice for clinical education in AY2020-2021. It would allow all of us to plan and move ahead with educating our students.
Candace Vickers
01:54:19
Thanks for recapping our concerns and questions.
Rosalie Unterman
01:54:22
Yes Lynette- agree!
Aimee Dietz
01:54:27
Knowing we probably still will not be on campus on allowed to other sites in the fall.
Carolyn Perry
01:54:39
thanks for the recap!
Dawn Vogler-Elias
01:54:39
Please consider a longer extension. In NY we are already online in Fall in many places and really need this for planning purposes.
Helen Sharp
01:54:40
For students who do not have undergraduate experience, some flexibility on allowing more graduate simulation hours (to the maximum current 125 hr combined Undergrad & Simulation) would be very helpful & still meet CFCC's 250 direct service hours.
Melissa Edrich
01:54:55
thank you
Brad Crowe
01:54:56
Wanted to confirm something I saw in earlier slide. Was it noted that multiple students can participate in 1 tele-therapy session and each receive full credit for the clinical time? Just wanted to confirm since this seems counter to typical hour allowance.
Jessica Messersmith
01:54:57
Great idea Helen!
Courtney Karasinski
01:55:02
Helen Sharp, that is a great suggestion!
Kathleen Palatucci
01:55:16
Thank you for giving us the opportunity to bring these questions forward.
Katie Boarman
01:55:17
Agree Helen Sharp!
Ashley Meaux
01:55:20
Todd- thank you for keeping track of queries. Where will we find responses?
Rosalie Unterman
01:55:21
Great idea Helen
Pam Holland
01:55:21
Jo, thank you for your work and guidance.
Lydia Hernandez-Perez
01:55:24
Will the recording of session be shared with participants?
Kenn Apel
01:55:37
Appreciate the speakers on this panel. I recognize you represent CFCC while also maintaining your day jobs. Thanks for providing this opportunity.
Stacy Kaplan
01:55:37
Agreed re Helen Sharp’s suggestion!
Lisa Domby
01:55:45
Yes Helen, this is an excellent proposal.
Erin Lundblom
01:55:46
Agree with Helen Sharp!
Troy Dargin
01:55:46
Well said Todd, many changes! I like that analogy
Shelley Velleman
01:55:46
Please make the chat available as well as the video.
Rosalie Unterman
01:55:47
Thank you for this meeting
Anu Subramanian
01:55:50
Thank you to the CFCC board for listening and sharing their thoughts and time.
Elizabeth Adams
01:55:53
Thank you for hosting and addressing these issues
Michelle Ciucci
01:56:10
Yes, Jo-thanks!
Peggy Conner
01:56:11
Thank you for the information and support. Greatly appreciated.
Sarah Smits
01:56:14
Yes--how many on the CFCC board are in Academia??
Patti Solomon-Rice
01:56:25
Excellent presentation as well as Q and A's on chat all relevant and good for future considerations.
Sarah Smits
01:56:26
Maybe making that a new seat
Phyllis Palmer
01:56:26
Yes Jo. That woudl be awesome!
Carol Dudding
01:56:26
oh yes....
LESLIE GRUBLER
01:56:28
I appreciate your efforts to meet and look forward for more opportunities.
Gretchen Ehret Hoshaw
01:56:28
7 of 15
Aimee Dietz
01:56:32
But those experiences and ideas are not relevant if the 75 hours are not expanded…..
Rosalie Unterman
01:56:38
That would be a great idea!
Gretchen Ehret Hoshaw
01:56:42
Half of the CFCC are in academic
Emily Buxbaum
01:56:44
And, videos are not simulation (per ASHA)
Joanne Ascher
01:56:44
Appreciate your presentations today! Thank you!
Gretchen Ehret Hoshaw
01:56:45
academia
Joy McKenzie
01:56:46
Thank you CFCC members for your work and time and thank you to everyone else for your thoughts. I see a lot of opportunities to work together and move our profession in a united way!
Todd Philbrick
01:56:48
I’ll see if we can create a summary of the presentation that addresses the questions and concerns raised
Dede Matrangola
01:56:48
@Gretchen - Yes but without medical placements students are not eligible for those jobs. Also without those placements we do not have enough placements for all students in our program. We were barely hanging on as it is and can right now anticipate that we will not have enough externships for Fall. If we have to rely on all Telepractice placements we can already anticipate that students will not be able to get the same # of hours as in past semesters. It is a high degree of anxiety in this crisis situation and would love to hear ways ASHA is specifically willing to compromise on regulations rather than just ask us to be more creative. We need the support in that way not just sympathy though we know you are all very kind. We just need some kind of flexibility so we can be reassures and also help reassure our students.
Kathleen Palatucci
01:56:50
Yes Jo! Please share your expertise!
Susan Alimonti
01:56:51
Thank you so much for your time and efforts!
Sarah Smits
01:56:51
Thank you
Lisa Domby
01:56:54
Very few of our students come in with undergraduate clinical experience hours. Those who do typically have approximately 5 hours. I agree that allowing 50 flexible hours that could be obtained in a variety of ways would be very helpful.
Candace Vickers
01:56:57
Yes and expand simulation hours at least somewhat...
Miechelle McKelvey
01:57:01
Great Idea if 75 hours were increased
Claudia Meyer
01:57:03
I just want telepractice to be given the status that it had prior to covid. We have had a strong tele practice clinic for years and have received nothing but praise for innovating with that model. Now we are suddenly worried that we will no longer be able to provide sessions to rural populations and people with accessibility issues.
Patti Nelson
01:57:03
Thank you for this!
Judith Vander Woude
01:57:04
Agreed! thank you for hosting this and all of the work you are doing!
Jenn Simpson
01:57:08
Many thanks to the CFCC!
Rosalie Unterman
01:57:09
Can we have access to the chat? Many helpful comments
Patti Solomon-Rice
01:57:14
Thank you all very much, excellent information. Rosie Martinez
Jennifer St. Clair
01:57:19
There are a lot of great creative ideas we can come up with for simulation, but we are still limited by the number of hours allowed.
Lynette Austin
01:57:19
So many important points to consider, but my main takehome is to take what we are learning and build on it to make our programs stronger - including experience and competency based clinical requirements vs. clock hours metrics. THANKS for the opportunity to interact
Kristy Weissling
01:57:23
Also please address how programs will report late graduations in their reports
Brad Crowe
01:57:30
Thank you for all the information. Great job!
Miechelle McKelvey
01:57:36
If you click on the three dots in the chat it will save to your computer
Carol Koch
01:57:37
Excellent information and discussion. Thank you!
Melissa Edrich
01:57:42
Thank you again for all the information
Rachel Flemming
01:57:43
Thank you!
Kelly Gillespie
01:57:44
Thank you!
Wendy Chase
01:57:45
Thanks Dede for all of your comments
Adam Follmer
01:57:50
There's a save chat button as a part of Zoom if you want the chat immediately.
Katie Boarman
01:57:56
Excellent question Kristy Weissling “Also please address how programs will report late graduations in their reports”
Carolyn Perry
01:57:58
thanks everyone!!!!!
Kailyn Stewart
01:57:59
Thank you for the information! Much appreciated .
Terrie Gibaon
01:57:59
Thanks
Beth Miller Swanson
01:58:05
Thank you presenters! I really appreciate the time and effort you have spent trying to address this difficult and unprecedented situation! It is clear that the integrity of the profession in terns of client care is paramount!
Pam Hart
01:58:05
Thank you!
Theresa Jones
01:58:08
Thank you!
Julie Schow
01:58:08
thanks everyone!
Barbara Jones
01:58:11
thank you!
Gina Riggs
01:58:11
Thank you for the information.
Carolyn Perry
01:58:13
be safe and well all
Tina Smith
01:58:15
Thank you
Gretchen Bennett
01:58:15
Thank you!
Christopher Bolinger
01:58:15
Thank ya'll!
Michaela Medvedc
01:58:20
Thank you so much
Aimee Adams
01:58:21
Thank you from Southeastern Louisiana University
Mareile Koenig
01:58:22
Thank you!!
Robert Serianni
01:58:25
thanks for the time CFCC
Maria Grigos
01:58:26
Thank you!
Kathy Cienkowski
01:58:27
Thank you for the information.
Ashley Meaux
01:58:28
thank you for putting this together!
Camille O'Quin
01:58:29
Thank you!
Rachel Flemming
01:58:30
Thank you from SUNY Plattsburgh!
Dede Matrangola
01:58:35
Thank you all! We know you all are working very hard too.
Rachel Wolf
01:58:38
Can programs offering specialized trainings in swallowing or tract care and post ventilator care where there are cases presented for hours ?
Donald Vogel
01:58:46
Thank you from Hunter College and the rest of CUNY!
Lee Robinson
01:58:52
this was helpful. Thank you for taking the time. and thank you for recording and posting
Erin Colone Peabody
01:58:53
Thank you for your time and thoroughness in your decision making.
Shirlain Darby
01:58:54
Thank you!
Karmen Porter
01:58:59
Thank you for all you do.
Karen Fallon
01:59:20
Thank you for your time and support!
Patricia McCaul
01:59:25
Thank you!
Claire Edwards
01:59:27
thank you!!
Amy LeBert
01:59:28
Thank you!
Janis Jarecki-Liu
01:59:28
Thanks for listening to all concerns - from Clarion Univ of PA
Kate Krival
01:59:30
Thank you for your service. And to everyone for these comments, too. I look forward to those out-of-the-box ideas coming quickly to a university near you . . .
LESLIE GRUBLER
01:59:32
Thank you all!
Jeffrey DiGiovanni
01:59:32
I would encourage the CFCC and CAA to be a bit more transparent as to what is and what isn’t a “new” accommodation. There are a couple, minor ones, but confusing the issue by saying “75 hours” is an accommodation, it is not. Moreover, many comments and suggestions were given, that are thoughtful and creative and would like to see those addressed instead of resubmitting a host of ideas.
Natalie Wilson
01:59:43
https://www.asha.org/certification/
Rachael Walden
01:59:44
Thank you from U of Nevada, Reno!
Wendy Bower
01:59:47
Thanks from SUNY New Paltz for providing this platform to disperse information
Betholyn Gentry
01:59:49
Thank you!
Carol Ann Raymond
01:59:49
Thank you for providing this information!
Lynn Flahive
01:59:50
Thanks to all of the CFCC members who volunteer their time!