Communication Sciences and Disorders 640

COSD 640: Advanced Practicum in Speech-Language-Hearing

Prequisites: Admission to COSD Graduate program

Credit Hours: (1-6)

A clinical practicum course involving principles and methods of prevention, assessment, and intervention for people with communication and swallowing disorders, including consideration of anatomical/ physiological, psychological, developmental, linguistic, and cultural correlates of disorders of articulation, fluency, voice and resonance, receptive and expressive language, hearing, swallowing, and cognitive and social aspects of communication

Prerequisite: Admission to COSD Graduate program.


Detailed Description of Content of Course

Applicants for Certification in Speech-Language Pathology must complete a program of study that includes supervised clinical experiences sufficient in breadth and depth to achieve the skills outcomes described in Standard IV of the 2005 Standards for the Certificate of Clinical Competence in Speech-Language Pathology. This practicum course is designed to provide both on-campus and off-campus clinical experiences that contribute to the achievement of the knowledge and skills outcomes required for certification.


Detailed Description of Conduct of Course

Students will engage in a variety of clinical and academic experiences in order achieve the skills outcomes described in Standard IV of the 2005 Standards for the Certificate of Clinical Competence in Speech-Language Pathology. Students will be assigned practicum only with faculty approval and only after they have acquired a sufficient knowledge base to qualify for such an experience. In this course, students will complete observation and direct client /patient contact hours under the supervision of individuals who hold the Certificate of Clinical competence. They will engage in a variety of evaluation, intervention, and professional interaction activities with client/patient populations including both children and adults with a range of communication disorders and differences, from culturally and linguistically diverse backgrounds. Students are expected to complete a minimum of 400 clock hours of supervised clinical experience in the practice of speech-language pathology; including at least 325 hours while engaged in graduate study, 25 hours of observation, and 375 hours of direct client/patient contact. Most students will earn more than the minimum number of clock hours.

Students will also be engaged in maintaining documentation of their acquisition of required skills and outcomes through maintaining the Knowledge and Skills Acquisition (KASA) form.


Goals and Objectives of the Course

The goals and objectives for this course are for students to develop the skills outcomes described in Standard IV of the 2005 Standards for the Certificate of Clinical Competence in Speech-Language Pathology, including

  • Demonstrate communication skills sufficient to achieve effective clinical and professional interaction with clients/patients and relevant others as specified in Standard IV-B
  • Demonstrate speech and language skills in English, which, at a minimum, are consistent with ASHA’s most current position statement on students and professionals who speak English with accents and nonstandard dialects, and
  • Write and comprehend technical reports, diagnostic and treatment reports, and professional correspondence.
  • Demonstrate abilities in prevention, identification, evaluation, intervention, and interaction and personal qualities as specified in Standard IV-G:


  • Conduct screening and prevention procedures (including prevention activities)
  • Collect case history information and integrate information from cients/patients, family, caregivers, teachers, relevant others, and other professionals
  • Select and administer appropriate evaluation procedures, such as behavioral observations, nonstandardized and standardized tests, and instrumental procedures
  • Adapt evaluation procedures to meet client /patient needs
  • Interpret, integrate, and synthesize all information to develop diagnoses and make appropriate recommendations for intervention
  • Complete administrative and reporting functions necessary to support evaluation
  • Refer clients/patients for appropriate services


  • Develop setting-appropriate intervention plans with measureable and achievable goals that meet clients’/patients’ needs. Collaborate with clients/patients and relevant others in the planning process.
  • Implement intervention plans (Involve clients/patients wand relevant others in the intervention process.
  • Develop or select and use appropriate materials and instrumentation for preventions and intervention
  • Measure and evaluate clients’/patients’ performance and progress
  • Modify intervention plans, strategies, materials, or instrumentation as appropriate to meet the needs of clients/patients
  • Complete administrative and reporting functions necessary to support intervention
  • Identify and refer clients/patients for services as appropriate

Interaction and Personal Qualities

  • Communicate effectively, recognizing the needs, values, preferred mode of communication, and cultural/linguistic background of the client/patient, family, caregivers, and relevant others
  • Collaborate with other professionals in case management
  • Provide counseling regarding communication and swallowing disorders to clients/patients, family, caregivers, and relevant others
  • Adhere to the ASHA Code of Ethics and behave professionally


Assessment Measures

Students will be engaged with faculty and clinical supervisors in ongoing formative assessment of their acquisition of requisite knowledge and skills, using the KASA form and other measures, including measures described in the clinical practicum handbook. Students must earn a minimum grade point average of 3.0 in COSD 640 courses in order to graduate with a master’s degree in Communication Sciences and Disorders. If a student earns a grade of F in any section of COSD 640 for behavior that is not consonant with professional service delivery and/or any violation of the code of ethics of the American Speech-Language-Hearing Association, the result will be automatic termination from the COSD graduate program.


Other Course Information

Outside readings may be assigned by individual supervisors to aid students in working with particular types of disorders.


Review and Approval

January 2003 Course content revised to reflect changes in accreditation standards by COSD curriculum committee and Raymond Linville, Chair.