天堂鸟先生

AuD Clinical Hours and Supervision

Throughout the 4-year AuD program, students will be expected to complete clinical hours through direct patient care and clinical simulations. Students are required to complete clinical experiences across the lifespan and in a variety of clinical settings. To meet HSLS program and accreditation requirements and to prepare students for Ohio state licensure and certification requirements the following applies to all AuD students (these are subject to change).

Clinic Hours

  • Students must complete 25 observation hours in speech-language pathology or audiology before working directly with a patient. These can be obtained prior to entering the AuD program and during fall and winter break Year 1. Students must provide signed documentation of the 25 hours and post to Typhon.
  • Clinical training must be conducted for a variety of clinical training experiences (i.e., different work settings and with different populations) to validate knowledge and skills across the scope of practice in audiology.
  • Students must complete the equivalency of a 12-month fulltime supervised clinical experience and obtain 1,820 clinical hours under a state licensed audiologist over the course of the 4-year Au.D. program. These will be acquired through the following:
    • HSLS 6921, 7921, and 8921 Audiology Practicum I-III
    • HSLS 7910
    • HSLS 8910 Final Externship
  • Clinical experiences should include interprofessional education and interprofessional collaborative practice (IPE/IPP).
  • Students must acquire a minimum of 5 hours in speech-language pathology. This can include screenings.
  • State licensure: Students will be provided opportunities to meet Ohio state licensure requirements. Students who choose to seek licensure outside of the state of Ohio are expected to research state requirements as they vary by state. Students will be required to track out-of-state requirements. Students who wish to seek licensure outside Ohio are encouraged to meet with the DCE to review state requirements. In accordance with the Department of Education state licensure requirements have been updated as of 07/2024.
  • ASHA clinical hours: Students will be given opportunities to obtain clinical hours under ASHA certified and non-ASHA certified preceptors (aka clinical preceptor). Students who choose to obtain ASHA certification must follow these requirements:
    • Supervision must be completed under the direct supervision of an ASHA certified and state licensed audiologist for the equivalency of 12 months.
    • The preceptor must have completed two hours of continuing education in clinical instruction and supervision.
    • The preceptor must have a minimum of 9 full-time months of clinical experience post certification.
    • Students who do not meet the above requirements during the 4-year program may complete ASHA supervised experiences post-graduation and still meet the certification requirements.
      • Applicants who apply for certification without completing a full, supervised clinical experience under an ASHA certified audiologist during the 4-year program will have 24 months from their application received date to ASHA to initiate the remainder of their experience and will have 48 months from the initiation date of their post-graduation supervised clinical experience to complete the experience.
      • If clinical instruction and supervision are completed post-graduation, they must comply with the requirements above except for on-site clinical instruction and supervision. Remote supervision or telesupervision methods may be used, provided they are permitted by the employer(s) and by local, state, and federal regulations.
  • Clinical experiences will be recorded through Typhon under the primary preceptor. Students may have more than one preceptor at a site. The primary preceptor(s) will be required to approve Typhon clinical time by the end of each semester.

Supervision

A minimum of one state licensed audiologist must be designated as the clinical preceptor. In the case that this individual is not available, at any time (vacation, sick leave, etc.), a backup preceptor must be assigned.

For students acquiring ASHA clinical hours an ASHA certified preceptor with a state license must be designated.

  • The designated clinical preceptor must be on site during all times in which the student provides services. Exception to this may occur with clinical simulations and telepractice.
  • Medicare patients require 100% direct supervision. The preceptor must be always in the room with the student and patient.
  • The amount of supervision must be appropriate to the student鈥檚 level of training, education, and competence. Supervision must be sufficient to ensure the welfare of the patient and the student in accordance with certifying bodies and state licensure code of ethics.
  • Supervision must include oversight of clinical and administrative activities directly related to client/patient care, including direct client/patient contact, telehealth, consultation, record-keeping, and administrative duties relevant to audiology service delivery.
  • Supervision must include direct observations, guidance, and feedback, to permit the student to monitor, evaluate, improve performance, and develop clinical competence.

Telepractice

  • Telepractice experience may be acquired through telepractice with in person or telesupervision with the patient at a distance. Preceptors must be available 100% of the time and provide a minimum of 25% direct supervision of the total contact time with each patient.
  • Telepractice is permitted provided it is acceptable by the prevailing regulatory body and the patient consents.
  • 40% of clinical practicum experience may include telepractice, provided regulations permit.

Clinical Simulations

  • Clinical simulations can account for 10% of the student鈥檚 total supervised clinical experience.
  • According to 2020 Certification Standards: Clinical simulations (CS) are distinct from labs and may include the use of standardized patients and simulation technologies (e.g., virtual patients, digitized mannequins, immersive reality, task trainers, computer-based interactive). These supervised CS experiences under a CCC-A can be synchronous simulations (real-time) or asynchronous (not concurrent in time) simulations. Up to 10% of an applicant鈥檚 supervised clinical experience for ASHA certification can be obtained through CS. CS experiences for ASHA certification can only count when obtained within the doctoral program.
  • Clinical simulations must include a debriefing component for the purposes of meaningful learning. In the instance of a virtual client, debriefing sessions should be conducted after the completion of the CS in order to meet the 25% observation requirement. For example: Student A can complete a simulation for 60 minutes followed by a 15-minute debriefing with the clinical educator and receive credit for a 60-minute session that was observed 25% of the time.
  • Debriefing activities may include face-to-face discussion, self-reflection with feedback, and/or written self-evaluation with feedback. Debriefing can meet the 25% supervision requirement in asynchronous learning situations. In synchronous learning, the observation is taking place while the student is completing a task with either a live patient or with a simulation, such as a virtual mannequin.

Council for Clinical Certification in Audiology and Speech-Language Pathology of the American Speech-Language-Hearing Association. (2018). .