10/11/2019 Board of Examiners for Speech Language Pathology and Audiology: SLP Assistant Guidelines OSHA Presentation October 12, 2019 1 SLP-A Supervision Guideline Revisions: Process - Organized meetings with a diverse stakeholder group from across the state - Identified needs to consider revisions across the state: - Identified need for recalibration - Increasing accountability of professionals collaboration - Providing systems with an increased understanding of what levels of collaboration support high-quality services; refining the understanding of roles and functions of each professional 2 Considerations: Increased focus on the consultative process that will translate to higher quality services and outcomes for students SLP direct contact every 60 days (minimum) with students: - What does this look like? - How does it impact schedules and workloads? - How to engage in this process in a comprehensive manner? 3 1
10/11/2019 Previous Criteria Revised Criteria Key Changes Division 95 Requirement of a degree from a regionally-accredited Must be from an accredited program Definitions program: that renders a 335-095-0010 (a) Associate’s degree in speech-language pathology degree. (1) Approved Training assisting or Program: (b) Bachelor’s degree in communication sciences and Accredited program A post secondary training disorders. in speech-language program that has approval pathology (BS / AA) Official transcripts showing successful conferral of a by the Oregon Board of reflects degree from an Approved Training Program as defined Examiners for Speech- comprehensive in 335-095-0010(1). Language Pathology & theoretical course of Audiology to offer specific study. coursework and practica Clinical interaction must be completed within seven years prior to the date the application for licensure is leading to licensure as a speech-language pathology received by the Board. assistant. SLP’s who supervises 15 or more hours of fieldwork must complete and sign the Board’s Competency Checklist. 4 Previous Criteria Revised Criteria Key Changes Definitions (4) Supervision: Updated supervision 335-095-0010 definition highlights A process in which two or more people increased role and participate in a joint effort to promote, involvement of supervising establish, maintain and/or evaluate a level of SLP performance. The speech-language pathologist is responsible for evaluation, monitoring of practice outcomes, and documentation to accomplish the goals and objectives. 5 Previous Criteria Revised Criteria Key Changes Definitions (5) Direct Supervision: On-site, within Direct supervision must be 335-095--0010 sight and sound, or live videoconference within sight AND sound. observation and guidance by a speech- language pathologist while a speech- (4) Direct Supervision: On-site, language pathology assistant performs a within sight and/or sound, or clinical interaction. live videoconference observation and guidance by a speech-language pathologist while a speech-language pathology assistant performs a clinical interaction. 6 2
10/11/2019 Previous Criteria Revised Criteria Key Changes Definitions (6) Consultative Supervision: Those activities “Indirect Supervision” 335-095-0010 other than direct observation and guidance percentage tracking no conducted by a speech-language pathologist longer required. (5) Indirect Supervision: that may include consultation, file or chart Those activities other than review, and intervention planning. “Consultative supervision” direct observation and Consultative supervision may be done in centers on the qualitative guidance conducted by a person or via telephone or electronic process that focuses on a speech-language pathologist communication modes such as live video- deeper partnership between that may include conferencing. the SLP and SLP-A to consultation, record review, enhance communication lesson planning, and review opportunities regarding and evaluation of audio-or client / student needs. videotaped sessions. Indirect supervision may be done in person or via telephone or electronic communication modes. 7 Previous Criteria Revised Criteria Key Changes 335-095-0010 Definitions (8) Medically fragile: Severe health condition Definition added to provide and/or disability which requires ongoing clarification regarding No previous definition of monitoring and interpretation of signs, restrictions regarding areas medical fragile symptoms, and interventions. of treatment. 8 Previous Criteria Revised Criteria Key Changes 335-095-0030 (1) Official transcripts showing successful Conferral of a degree is Certification of SLP - A’s conferral of a degree from an Approved required Training Program as defined in 335- 095-0010(1). (1) Official transcripts showing 45 quarter hours or 30 semester hours of (1) The Board will no longer accept “loose” speech-language pathology credits outside of a degree program. technical course work; (2) Official transcripts showing 45 quarter hours or 30 semester hours of general education credit 9 3
10/11/2019 Previous Criteria Revised Criteria Key Changes 335-095-0030 (c)….Clinical interaction must be (c)Time limit for Certification of SLP - A’s completed within seven years completion of clinical prior to the date the application interaction. (c) Clinical interaction documentation must show the for licensure is received by the date, clinical activity, amount of time and the supervisor's initials for each activity, and be signed by Board. (d) Clarifies minimum both the supervisor and fieldwork participant. The amount of time required clinical fieldwork supervisor must be licensed by the for clinical supervisor to Board, or hold the ASHA Certificate of Clinical (d) … If there is more than one sign Board Competency Competency during the fieldwork. fieldwork supervisor, each Checklist. supervisor who supervises 15 or (d) The supervising speech-language pathologist and more hours of fieldwork must the fieldwork participant must complete the Board’s complete and sign the Board’s SLPA Competency Checklist during and at the Competency Checklist. completion of 100 hours of clinical interaction to document the fieldwork participant’s developing skills and competencies. The fieldwork participant must be rated as meeting or exceeding all skills upon completion of the fieldwork to qualify for certification as a speech-language pathology assistant. If there is more than one fieldwork supervisor, each supervisor must complete and sign a Board SLPA Competency Checklist. 10 Previous Criteria Revised Criteria Key Changes 335-095-0030 (f) Applicants who completed (f) out of state applicants Certification of SLP - A’s fieldwork in another state must must provide proof of 100 provide documentation of at least hours of clinical supervision. 100 clinical interaction hours and Supervising SLP must (f) Applicants who completed fieldwork in another state must provide documentation the Board’s Competency Checklist complete the Board’s of at least 100 clinical interaction hours and which must be completed and Competency Checklist. a final assessment of their skills and signed by their supervising speech- competencies completed and signed by their language pathologist. supervising speech-language pathologist. The supervisor must have held the ASHA Certificate of Clinical Competency while supervising the applicant. The Board will review the fieldwork log and final assessment in accordance with its clinical interaction requirements and SLPA Competency Checklist. If the fieldwork is not deemed equivalent to Oregon standards, the applicant must obtain a provisional speech- language pathology assistant certificate to complete fieldwork requirements for certification in Oregon. 11 Previous Criteria Revised Criteria Key Changes 335-095-0040 (4) The supervising speech-language To align with the upcoming 2020 Qualifications for pathologist must have a minimum of two (2) ASHA (American Speech and Supervising SLPAs hours of qualifying professional development Hearing Association) requirement regarding speech-language pathology for SLP-A supervision training. assistant supervision on file with the Board office All current supervisors must meet this All current supervising SLP’s will No previous requirement rule within one year of the effective date of be required to complete a two the rule. hours professional development session in the area of SLP- Assistant supervision. 12 4
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