Assessing
and Certifying Clinical Competency: Foundations of Clinical Practice
for Audiology and Speech-Language Pathology (2004)
In
the 1980s, the Health Services Directorate of Health and Welfare
Canada collaborated with health professionals, associations,
and provincial governments in developing national clinical guidelines
in order to improve the quality of health care.
The Canadian
Association of Speech-Language Pathologists and Audiologists
(CASLPA), in collaboration with the Department of National Health
and Welfare (now Health Canada), published the first description
of basic competency for speech-language pathologists and audiologists
in 1982. This was followed in 1985 by a second task force report,
which provided a blueprint for the development of a certification
system. A third report was produced in 1988 outlining the scopes
of practice for the training, assessing, and certifying of clinical
competency. The task force reports resulting from this collaboration
are described in the History section of this report. It was
understood that revisions would take place in response to new
knowledge and expanding scopes of practice in the professions.
The original
documents were subsequently updated in 1992 in consultation
with those practising in the professions and in the Canadian
university training programs, to reflect development of the
professions and the resulting document was entitled: Assessing
and Certifying Clinical Competency: Foundations of Clinical
Practice for Audiology and Speech-Language Pathology (1992).
The next
edition of Assessing and Certifying Clinical Competency: Foundations
of Clinical Practice for Audiology and Speech Language Pathology
(1999), reflected further expansion of knowledge necessary for
the practice of the professions which is shared by all those
at the point of entry into clinical practice. The members of
the examination committees, the standards committee, the directors
of the Canadian University Programs in Communication Sciences
and Disorders, and the Board of Directors of CASLPA, as well
as students and members at large were consulted in developing
the revisions. These professionals are to be commended for their
commitment to their professions, to ongoing education, and to
those who require their services.
The document
was further revised in 2004 following a two-year period of broad
consultation with clinicians and university faculty.
Readers
are invited to submit comments and further proposed changes
to:
CASLPA,
1000 – 1 Nicholas Street
Ottawa, Ontario, K1N 7B7
caslpa@caslpa.ca - www.caslpa.ca
Table
of Contents:
Foreword
3
Acknowledgements
3
History
and Progress 7
Certification
Title 9
Footnotes
and References 9
Foundations
of Clinical Practice For Audiology 10
Unit
One: Basic Requirements Common to Audiology and Speech-Language
Pathology 11
Section
1.1 - ANATOMY AND PHYSIOLOGY 11
Section
1.2 - NEUROANATOMY AND NEUROPHYSIOLOGY 11
Section
1.3 - GENETICS AND HUMAN DEVELOPMENT 11
Section
1.4 - COUNSELLING AND APPLIED PSYCHOLOGY 11
Section
1.5 - PSYCHOLINGUISTICS AND LINGUISTICS 11
Section
1.6 - SPEECH PERCEPTION AND ACOUSTICS 12
Section
1.7 - INSTRUMENTATION 12
Section
1.8 - PHARMACOLOGY AND OTHER MEDICAL INTERVENTIONS 12
Section
1.9 - RESEARCH METHODOLOGY 12
UNIT
TWO: PREVENTION, EVALUATION, AND DIAGNOSIS 13
Section
2.1 - PREVENTION 13
Section
2.2 - EVALUATION 13
Section
2.3 - INTERPRETATION OF DATA 14
Section
2.4 - REPORTING 14
UNIT
THREE: CLIENT MANAGEMENT 15
Section
3.1 - REFERRAL 15
Section
3.2 - AMPLIFICATION AND ASSISTIVE LISTENING DEVICES 15
Section
3.3 - COUNSELLING 15
Section
3.4 - (RE)HABILITATIVE PROCEDURES 16
UNIT
FOUR: NEONATAL AND INFANT POPULATION 17
Section
4.1 - EARLY DETECTION/IDENTIFICATION 17
Section
4.2 - DIAGNOSTIC EVALUATION 17
Section
4.3 - COUNSELLING 17
Section
4.4 - REHABILITATION 17
UNIT
FIVE: PRESCHOOL AND SCHOOL POPULATIONS 18
Section
5.1 - PREVENTION/IDENTIFICATION 18
Section
5.2 - DIAGNOSTIC EVALUATION 18
Section
5.3 - COUNSELLING 18
Section
5.4 - REHABILITATION 18
UNIT
SIX: PROFOUNDLY HEARING IMPAIRED POPULATIONS 19
Section
6.1 - DIAGNOSTIC EVALUATION 19
Section
6.2 - COUNSELLING 19
Section
6.3 - REHABILITATION 19
UNIT
SEVEN: THE AGING ADULT POPULATION 20
Section
7.1 - IDENTIFICATION 20
Section
7.2 - DIAGNOSTIC EVALUATION 20
Section
7.3 - COUNSELLING 20
Section
7.4 - REHABILITATINO 20
UNIT
EIGHT: OCCUPATIONAL HEARING LOSS 21
Section
8.1 - CONSERVATION/IDENTIFICATION 21
Section
8.2 - NOISE CONTROL 21
Section
8.3 - MANAGMENT 21
Section
8.4 - EDUCATION 21
Section
8.5 - LEGISLATION 21
UNIT
NINE: PROFESSIONAL PRACTICES AND ISSUES 22
Section
9.1 - DELIVERY SYSTEMS 22
Section
9.2 - PROFESSIONAL ACCOUNTABILITY 22
Section
9.3 - ADMINISTRATIVE SKILLS 22
Foundations
of Clinical Practice for Speech-Language Pathology 23
UNIT
ONE: BASIC REQUIREMENTS (AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY)
24
Section
1.1 - ANATOMY AND PHYSIOLOGY 24
Section
1.2 - NEUROANATOMY AND NEUROPHYSIOLOGY 24
Section
1.3 - GENETICS AND HUMAN DEVELOPMENT 24
Section
1.4 - COUNSELLING AND APPLIED PSYCHOLOGY 24
Section
1.5 - PSYCHOLINGUISTICS AND LINGUISTICS 24
Section
1.6 - SPEECH PERCEPTION AND ACOUSTICS 25
Section
1.7 - INSTRUMENTATION 25
Section
1.8 - PHARMACOLOGY AND OTHER MEDICAL INTERVENTIONS 25
Section
1.9 - RESEARCH METHODOLOGY 25
UNIT
TWO: PRINCIPLES OF CLINICAL PRACTICE & PROFESSIONAL PRACTICE
ISSUES 26
Section
2.1 - PREVENTION 26
Section
2.2 - EVALUATION 26
Section
2.3 - CLIENT MANAGEMENT 26
Section
2.4 - REPORTING 27
Section
2.5 - PROFESSIONAL BEHAVIOUR 27
UNIT
THREE: DEVELOPMENTAL ARTICULATION/PHONOLOGICAL DISORDERS 28
Section
3.1 - NATURE 28
Section
3.2 - ASSESSMENT 28
Section
3.3 - INTERVENTION 28
UNIT
FOUR: NEUROLOGICALLY BASED SPEECH DISORDERS 29
Section
4.1 - NATURE 29
Section
4.2 - ASSESSMENT 29
Section
4.3 - INTERVENTION 29
UNIT
FIVE: DEVELOPMENTAL LANGUAGE DISORDERS 30
Section
5.1 - NATURE 30
Section
5.2 - ASSESSMENT 30
Section
5.3 - INTERVENTION 30
UNIT
SIX: ACQUIRED LANGUAGE DISORDERS 31
Section
6.1 - NATURE 31
Section
6.2 - ASSESSMENT 31
Section
6.3 - INTERVENTION 31
UNIT
SEVEN: VOICE DISORDERS 32
Section
7.1 - NATURE 32
Section
7.2 - ASSESSMENT 32
Section
7.3 - INTERVENTION 32
UNIT
EIGHT: RESONANCE DISORDERS 33
Section
8.1 - NATURE 33
Section
8.2 - ASSESSMENT 33
Section
8.3 - INTERVENTION 33
UNIT
NINE: FLUENCY DISORDERS 34
Section
9.1 - NATURE 34
Section
9.2 - ASSESSMENT 34
Section
9.3 - INTERVENTION 34
UNIT
TEN: AUGMENTATIVE AND ALTERNATIVE COMMUNICATION 35
Section
10.1 - NATURE 35
Section
10.2 - ASSESSMENT 35
Section
10.3 - INTERVENTION 35
UNIT
ELEVEN: HEARING DISORDERS AND RELATED SPEECH-LANGUAGE DISORDERS
36
Section
11.1 - NATURE 36
Section
11.2 - ASSESSMENT 36
Section
11.3 - INTERVENTION 36
UNIT
TWELVE: DYSPHAGIA 37
Section
12.1 - NATURE 37
Section
12.2 - ASSESSMENT 37
Section
12.3 - INTERVENTION 38
GLOSSARY
38
