(A) The purpose of the professional
experience is to provide the opportunity for successful transition in status
from student to independent professional by:
(1) Developing commitment
to quality speech, language, and hearing services;
(2) Integrating and
applying knowledge and skills gained in academic training;
(3) Refining clinical
skills;
(4) Evaluating the
conditional licensee's own professional skills; and
(5) Developing a
commitment to continuing education and professional growth.
(B) Conditional license for professional
experience
(1) The purpose of a
conditional license is to permit an individual to practice speech-language
pathology or audiology while completing the supervised professional experience
as required by division (D) of section 4753.06 of the Revised
Code.
(2) A person performing
speech-language pathology or audiology services in pursuit of the required
supervised professional experience, as prescribed in section 4753.06 of the
Revised Code, and as described in this rule must hold conditional licensure as
prescribed in section 4753.071 of the Revised Code.
(3) A person holding a
conditional license is authorized to practice speech-language pathology or
audiology while working under an approved professional experience plan and the
supervision of a person fully licensed by the board in the area in which
licensure is sought and in accordance with Chapter 4753. of the Revised
Code.
(a) An applicant shall not practice speech-language pathology or
audiology until the conditional license has been granted.
(b) When an applicant starts employment prior to receiving the
conditional license, responsibilities shall be limited to orientation,
observation, and review of paperwork.
(c) The holder of a conditional license shall not provide
clinical supervision for student clinical experience, professional experience,
or any other intern, aide or practitioner.
(4) Requirements for conditional
licensure
(a) A conditional license shall be granted only to individuals
who have made application for licensure pursuant to section 4753.06 of the
Revised Code.
(b) No person shall be eligible for a conditional license unless
he/she has met the following requirements of section 4753.06 of the Revised
Code except for the supervised professional experience:
(i) Educational
requirements;
(ii) Clinical experience
requirements;
(iii) Received an
examination score of one hundred sixty-two or above on the "Praxis
Speech-Language Pathology: 5331" test or a score of one hundred sixty-two
or above on the "Praxis Audiology: 5343" test or a score of one
hundred seventy or above on the "Praxis Audiology: 5342" test
administered by the "Educational Testing Service" of Princeton, New
Jersey;
(iv) Submitted an
application for conditional license to the board including a plan for the
content of the supervised professional experience on a form prescribed by the
board;
(v) Obtained appropriate
signatures; and
(vi) Paid to the board
the appropriate application and licensure fees.
(5) Expiration of the conditional
license
(a) The length of the professional experience is determined by
the professional experience year plan.
(b) The professional experience year report and supervision log
must be submitted to the board within thirty days of completion of the
professional experience.
(c) When the supervised professional experience has been
successfully completed prior to the expiration of the conditional
license:
(i) Applicant may
continue to work under the conditional license and according to the
plan.
(ii) The "Supervised
Professional Experience Report" and "Supervision Contacts Log"
shall be received within at least five business days of the next executive
director review. The executive director will review licensees for approval on
the first and fifteenth of each month. If the first or the fifteenth is a day
the office is not open for business because of a holiday or weekend, the review
will occur on the next day the office is open for business.
(d) When the supervised professional experience is not completed
and the applicant applies for a second conditional license prior to the
expiration of the conditional license the applicant may continue to work
according to the approved plan.
(e) When the supervised professional experience is not completed
and the applicant has not applied for a second conditional license prior to the
expiration of the conditional license:
(i) The applicant shall
discontinue providing services.
(ii) The applicant shall
apply for a second conditional license.
(iii) When the second
conditional license is granted the applicant may resume working according to
the approved plan.
(6) Second conditional
license.
(a) Upon expiration of a conditional license, the board may in
its discretion grant a second conditional license for good cause shown and fix
the term of the second conditional license for eighteen months.
(b) The board shall determine whether good cause for a second
conditional license has been shown by evaluation of both of the following
factors:
(i) The progress made
toward completing the "Supervised Professional Experience", including
the applicant's efforts to obtain employment, if applicable,
and
(ii) The length of time
needed to complete the supervised professional experience.
(c) A second conditional license shall be granted only to
individuals who have filed an application and paid the appropriate
fee.
(C) Requirements for professional
experience
(1) Definition of
professional experience
(a) Pursuant to section 4753.06 of the Revised Code, hours of
professional experience are defined as those hours of contact with persons
served, consultations, record keeping, clinical conferences, in-service
training, or any other relevant duties in a paid professional setting in which
bona fide clinical work has been accomplished in the major professional area,
speech-language pathology or audiology, in which licensure is being
sought.
(b) Full time experience consists of a minimum of thirty hours of
professional experience per week, for a minimum of thirty-six weeks. Part time
experience consists of a minimum of fifteen hours of professional experience
per week for a minimum of seventy-two weeks.
(c) Time spent in academic teaching, research or management that
does not deal directly with treatment programs of person(s) served will not be
counted a professional experience for licensure.
(2) Work settings for
professional experience
(a) Professional experience for licensure may be obtained in a
variety of diverse employment settings providing services for persons with
speech, language, and hearing disorders.
(b) An employment setting shall be appropriate for the
professional experience of the particular program or program component is
designed to evaluate, habilitate or rehabilitate the communicative functioning
of persons with speech, language, hearing, and vestibular
disorders.
(c) Evaluation and treatment programs including, but not limited
to, schools, clinics, hospitals, community agencies, home health care, nursing
homes, and private practice are appropriate professional experience
settings.
(d) Programs which provide primarily screening services shall not
be accepted.
(3) Professional
experience performed in Ohio
(a) Professional experience accomplished in the state of Ohio
shall be acceptable for licensure only when done under the supervision of an
individual, who during the professional experience, was licensed by the speech
and hearing professionals board in the area in which licensure is sought and
shall have twenty-four months of full time clinical experience as a licensed
speech-language pathologist or audiologist or the equivalent of qualifications
set forth in paragraph (D) of this rule.
(b) Applicants for Ohio licensure who received the "American
Speech and Hearing Association" certificate of clinical competence or
licensure in another state based upon professional experience accomplished in
Ohio, in violation of Ohio law and rules, shall not be licensed by
waiver.
(c) Professional experience accomplished in the state of Ohio
prior to September 1, 1979 shall be acceptable for licensure only when done
under the supervision of a person who during the experience met the academic,
clinical practicum, experience, and examination requirements as described in
rule 4753-3-04 of the Administrative Code, or the equivalent as determined by
the board; or who during the professional experience was licensed in any state
in the professional area in which licensure is sought; or who during the
professional experience was certified by the "American Speech and Hearing
Association" in the professional area in which licensure is
sought.
(4) Professional
experience performed outside of Ohio
Professional experience, when completed outside the state of
Ohio, shall be acceptable for licensure only when done under the supervision of
a person who during the professional experience, was licensed in the state in
the professional area in which licensure is sought; or in states without
licensure who during the professional experience was certified by the
"American Board of Audiology" or the "American Speech and
Hearing Association" in the professional area in which licensure is
sought.
(5) Requirements for the
professional experience shall be deemed to be met when the applicant is
certified by the "American Board of Audiology" except when the
professional experience obtained in Ohio was in violation of Ohio laws and
rules. This does not limit or prohibit licensure by waiver based on
certification by "The American Speech and Hearing Association" as
listed in paragraph (C)(3)(b) of this rule.
(6) The supervised
professional experience requirements are deemed to be met when an applicant has
graduated from a four year post graduate doctor of audiology program from a
college or university accredited as set forth in rule 4753-3-04 of the
Administrative Code and the university chairperson provides a letter to the
board attesting that the following requirements have been met;
(a) The fourth year of the program is predominately a clinical
externship.
(b) Prior to beginning the fourth year externship the applicant
shall have met the following requirements of section 4753.06 of the Revised
Code except for the supervised professional experience:
(i) Educational
requirements.
(ii) Clinical experience
requirements.
(iii) Received a passing
score on the "Praxis Series II Test in Audiology" administered by the
"Educational Testing Service" of Princeton, New Jersey.
(c) The fourth year externship shall:
(i) Meet the supervision
requirements of rule 4753-3-07 of the Administrative Code,
(ii) Full time experience
consists of a minimum of thirty hours of professional experience per week, for
a minimum of thirty-six weeks. Part time experience consists of a minimum of
fifteen hours of professional experience, for a minimum of seventy-two
weeks.
(D) Supervisor qualifications and
responsibilities
(1) In order to supervise
professional experience, a supervisor shall:
(a) Hold a current Ohio license in the same area as the
conditional license applicant or licensee.
(b) Have twenty-four months of full time clinical experience as a
licensed speech-language pathologist or audiologist or the equivalent within
the last sixty months under a valid license or certification by the
"American Board of Audiology" or the "American-Speech and
Hearing Association."
(2) The supervisor shall
agree to supervise the practice of speech-language pathology or audiology
experience of the applicant according to a plan approved by the
board.
(3) The supervisor of
professional experience shall complete the supervisor's portion of the
"Supervised Professional Experience Plan," "Supervised
Professional Experience Report," and "Supervision Contacts Log"
as required by this rule.
(4) The supervisor shall
retain copies of all professional experience supervision
documents.
(5) No supervisor of
persons completing professional experience may concurrently supervise more than
four supervisees unless approved by the board.
(6) The board, for
purposes of licensure, recognizes only professional experience that has met the
supervision requirements of this rule.
(E) Professional experience
plan
(1) Pursuant to section
4753.071 of the Revised Code, an applicant for a conditional license shall
include a plan for professional experience.
(2) Granting of the
conditional license shall be based upon approval of the plan for professional
experience.
(3) A completed plan
shall be submitted on a form prescribed by the board.
(4) The board may approve
a plan indicating that an applicant is seeking employment.
(a) Time spent seeking employment shall not be credited toward
professional experience requirements for licensure.
(b) Upon employment, a new plan shall be submitted within thirty
days.
(c) A new plan shall be submitted for changes in employment and
supervision within thirty days of a change. When a plan is not submitted within
thirty days, it will be considered late and the experience shall be adjusted to
extend the plan by the number of days the plan was late.
(d) An amended plan shall be submitted for changes in supervision
or in the start or end date of an approved plan within thirty calendar days of
the change.
(e) Failure to submit the plan or amended plan or failure to
practice according to the plan shall be considered practice without a license
and, therefore, cause for suspension, probation, or revocation of the
conditional license according to Chapter 119. of the Revised Code.
(F) Supervision of professional
experience
(1) Professional
experience shall entail the direct involvement of the supervisor in any and all
ways, which may include telepractice that will permit the supervisor to
monitor, improve, provide feedback, and evaluate the applicant's
performance in professional employment.
(2) When onsite
supervision occurs via telepractice applications, supervision shall occur using
real time, synchronous, encrypted videoconferencing and shall meet the
supervision requirements as specified in this rule.
(3) Asynchronous,
recorded therapy sessions submitted for later review shall not meet the
requirements for onsite supervision but may suffice as "Other Supervisory
Activity" as outlined in the supervision log.
(4) Mentoring paradigm
(a) The supervisor's role throughout the professional
experience year shall be viewed as that of a mentor. This mentoring paradigm
shall include a schedule of regular monthly communication around mutually
developed goals including professional, educational and personal
objectives.
(b) Mentoring activities shall include, but are not limited
to:
(i) Orienting the
conditional licensee to employment site and professional job
responsibilities;
(ii) Providing support to
the conditional licensee;
(iii) Being available to
answer questions; and
(iv) Providing
feedback/evaluation to the conditional licensee and about clinical
competencies.
(5) Supervision requirements
(a) Supervision of the professional experience shall
include:
(i) Eighteen on-site
conferences with the conditional licensee and the supervisor of the
professional experience with at least six of the on-site conferences during
each third of the professional experience.
(ii) A monthly evaluation
conference which may be in conjunction with one of the on-site
conferences.
(b) Supervisory activities may include, but are not limited
to:
(i) Conferring with the
applicant concerning clinical treatment strategies;
(ii) Monitoring changes
in communication behaviors of person(s) served;
(iii) Evaluating the
applicant's clinical records, including: diagnostic reports, treatment
records, correspondence, plans of treatment; and summaries of clinical
conferences.
(iv) Monitoring the
applicant's participation in case conferences;
(v) Evaluating the
applicant's performance by professional colleagues and
employers;
(vi) Evaluating the
applicant's work by person(s) served and their parents; and
(vii) Monitoring the
applicant's contributions to professional meetings and publications, as
well as participation in professional growth opportunities.
(6) Conferences
(a) The supervisor shall share and discuss their evaluation with
the conditional licensee in a monthly supervision conference.
(b) The supervision conference shall include:
(i) Providing detailed
feedback to the conditional licensee regarding their clinical performance;
and
(ii) Summarizing for the
conditional licensee a list of clinical strengths and goals on the
"Supervision Contacts Log."
(c) On completion of the professional experience, a conference
shall be held to provide the conditional licensee the opportunity to read and
discuss with the supervisor the final "Supervised Professional Experience
Report."
(d) When the conditional licensee has not made satisfactory
progress, the supervisor shall counsel the applicant verbally and document on
the "Supervision Contacts Log."
(G) Supervised professional experience
report and supervision contacts log
(1) Upon completion of
the professional experience year or when there is a change in the professional
experience year plan, the conditional licensee shall submit a "Supervised
Professional Experience Report" and a "Supervision Contacts Log"
of the supervisory contacts that occurred during the experience to the board
within thirty calendar days.
(2) After submission of
the "Supervised Professional Experience Report" and "Supervision
Contacts Log," the conditional licensee shall abide by the requirements
for conditional licensure until full licensure is granted.
(3) Completion of
professional experience
(a) The "Supervised Professional Experience Report" and
"Supervision Contacts Log" are due within thirty days of completion
of the professional experience.
(b) The "Supervised Professional Experience Report" and
"Supervision Contacts Log" shall be submitted on forms prescribed by
the board.
(c) If no report and log are submitted, the conditional
licensee's application remains open until expiration of the conditional
license.
(d) If the conditional licensee discontinues pursuit of Ohio
licensure, written notice by either the supervisor or the conditional licensee
may be submitted in lieu of the report and log.
(e) Unsuccessful completion of the professional experience shall
result in extending the supervised professional experience or repeating the
entire supervised professional experience.
(4) Partial completion of
professional experience
(a) Interim completion of professional experience means
supervised professional experience that is completed prior to meeting
requirements as set forth in paragraph (C)(1)(b) of this rule.
(b) The "Supervised Professional Experience Report" and
"Supervision Contacts Log" are due within thirty days of completion
of the partial professional experience.
(c) If no "Supervised Professional Experience Report"
and "Supervision Contacts Log" are submitted, the conditional
licensee's application remains open until expiration of the conditional
license.
(d) If the conditional licensee discontinues pursuit of Ohio
licensure, written notice by either the supervisor or the conditional licensee
may be submitted in lieu of the report and log.
(5) Non-approval of the
supervised professional experience.
(a) When the supervisor does not approve the professional
experience, the supervisor shall:
(i) Indicate the
disapproval on the "Supervision Contacts Log" and sign the
"Supervised Professional Experience Report."
(ii) Submit the
"Supervision Contacts Log" and the "Supervised Professional
Experience Report."
(b) The applicant may request that the board accept this
experience toward the requirements for licensure by submitting a letter of
explanation ad supporting documentation.
(c) The board may share this information with the applicant and
supervisor.
(d) The board shall review the "Supervised Professional
Experience Report," documentation, and the "Supervision Contacts
Log" to determine if approval of the supervised professional experience
shall be granted.
(e) When the board rejects the experience, the applicant shall be
offered the opportunity for a hearing according to Chapter 119. of the Revised
Code.
(H) Reimbursement for
services
A person holding a conditional license may perform services for
which reimbursement will be sought under the medicare program established under
Title XVIII of the "Social Security Act" but all requests for
reimbursement for such services shall be submitted by the person who supervises
the person performing the services.