The life of a fully qualified SLT

The life of a fully qualified SLT

Saturday, 9 March 2013

Clinical Supervisiors: The response!

Following on from my blog the other day on Clinical Supervisors, I had an overwhelming response. Many of my followers on Twitter sent me messages saying they had felt the same, and that supervision had been variable between placements. It struck a chord with others more than I realised it would, both with students and supervisors themselves.
 
Many students or practitioners reflecting on their days as a student stated that they always appreciated their supervisor giving feedback on strengths/areas for development. They stated that having the opportunity as a student to have room to grow on placement, and being supported in having the opportunity to experience flying solo in practice. One person even reflected that a supervisors compliments were much more appreciated when they were rarities, when the student had truly exceeded expectations.
 
In discussing whether or not it was the student or the supervisor that adapted their ways on clinical placements, many people stated that both needed to be flexible. They stated that the clinical supervisor should be aware of clinical area and the amount the student was able to achieve in that setting due to specialism and department structure. They also stated that supervisors should be aware of student’s previous clinical experiences, the point at which the student was in their training and the resources available to them.
 
But though this has been focused on what students prefer and what supervisors need to consider about students, I became aware that I hadn’t considered what supervisors preferred or what the student should consider about the supervisor. As it was pointed out to me, supervisors themselves are also learning, both about the profession, but also about how to be a good supervisor. Having asked some peers, it became clear that many supervisors did not ask their students for feedback on their supervision style, therefore how can we expect supervisors to be flexible to our needs if we are not explicit in telling them what we need from them on the placement.

 
“It’s important to remember that supervisors are continually learning and improving as well as students” - @TstarrMarshall
 
In my own experience I have never been explicitly asked and been given the open opportunity to reflect openly to my supervisors about their supervision styles. I was once told that if I had any issues I could approach her, however this seemed to be for extreme cases where I was struggling to keep up, not just general comments on how I felt the student-practitioner supervision process was going. One suggestion was that universities could address the issue of students giving feedback to supervisors prior to clinical placement. At my University we are given booklets which supervisors fill in with sections being labeled “students strengths and areas to develop”, would a booklet that the supervisor has, filled in by the student support this gap? After all, we are all learning from the clinical placement process, a reason why many practitioners continue to take students on.
 
So to any clinical supervisors of students on clinical placements happen to read this, give it a try, ask your students to give you open honest feedback about how your supervision style fits with their learning style. I’d be interested to hear how successful it is and whether or not students have the insight to answer this, and whether they feel “brave enough” to reflect on your practice as well as their own.

Many thanks to all those who tweeted and contributed to the discussion!

Wednesday, 6 March 2013

Put yourself in their shoes

For many years I have had an interest in working with people with ASD (Autism Spectrum Disorder) and have spent many years working for both a disabled charity and a camp in america with a wide range of individuals all heterogenous to each other.  Having attended many CPD events such as the Autism Show and a conference day hosted by Autism Anglia I have had an opportunity to widen my understanding of Autism and gain more of an insight into the lifes of the people I have worked with.  However, can someone ever really have an insight of someone elses life, without having stepped into their shoes?
 
At the Autism Anglia day there were many obstacle courses set up.
 
The first one included un-wrapping a starburst sweet with a mitten on, no ability to grip it, no sensory input to feel the edges of the wrapper and general annoyance that the sweet you wanted was unobtainable to you. 
 
Next obstacle was manouvering around many objects, but whilst using binoculars.  You may think this sounds relatively easy, but when the binoculars are being used in the wrong way, everything diminished in size.  It became both tricky and frustrating to manouvere your way across a classroom.
For me, this was an eye opening experience to begin to make a step toward understanding of how my clients must feel on a daily basis. Then came the surpise of it all. 
 
I was sat in a lecture at university, when the lights began to flicker.  Not only did that come with an annoyance over light input and sight, it was accompanyed by a bleeping noise that persisted the whole lecture.  On top of this I became distinctly aware of the persons next to me heavily breathing through their mouth (a current round of head colds!) and the banging of doors in rooms above and below our classroom.  Having recently experienced some sensory difficulties at the Autism Anglia day, I was overly aware that all these sensory experiences in the lecture were both frustrating, removed my concentration and were out of my control. 
 
This morning I read on Twitter about a new game called "Auti-Sim", a simulation game that replicates sensory overload as a way for people to experience neurological difficulties. The 2 minute youtube clip is enough to throw anyone off and many people who have been diagnosed as having Autism or Aspergers have noted that it is accurate to their daily experiences.
 
This makes me wonder, how many people try to put themselves in the physical shoes of their clients? I know in stroke training hemianopia glasses are given to allow professionals to experience visionary loss.  So besides Autism and Stroke, are there ways to experience how your client feels day in and day out? Has anyone had any other experiences with these client groups that has supported their understanding of their client?
 
For me, I have widened my understanding of both those I have previously worked with and those I will in the hopeful furture work with. 
 
In the coming month myself and my peers hope to attend a special Autism Screening at the local Cinema to review this, and to get some feedback about how these specialist set ups not only help decrease sensory stimulation in those with autism, but also how they allow someone with autism to access society.
 
Reference:

Tuesday, 5 March 2013

Clinical Supervisors..A Rose by any other name!

Last week I finished my 8 day placement and was able to on my final day reflect on me, my performance on the placement and my practice as a student SLT . However, having had my final appraisal with my practice educator (of which went very successfully) I realised that I could reflect on practice educators and styles of supervision over my past placements.
 
On my latest placement I had a supervisor who was really good at letting me take the lead in my clients journey, having told her that I wanted an opportunity to be autonomous and independent.  I was able to leave comprehensive clinical notes, email her and on occasion track her down and have face to face conversations when I initiated.  During this placement I really grew as a student SLT and even in some ways as a SLT.  However, I was surprised on my final assessment for her to be so fully aware of everything I had done and all my successes, including having gained feedback from staff I had been working with.  Whilst I did not feel I needed her around any more than she already was, I was pleasantly surprised to find out how active she had been behind the scenes following me through my placement.
 
Compared to this, my last block placement I had 4 therapists shadowing me (or me shadowing them in some instances) and of these 4, one was my practice educator.  I was with her 1 day a week for 5 weeks and conducted all therapy in front of her, as well as having her review all clinical case notes and reports with me.  Whilst she was a very hands on therapist, I felt the final assessment was not fully holistic of my performance with all the  therapists, as well as with her.  She gave me feedback that she had noted and whilst her feedback was very useful, I felt I lacked input from the other 3 therapists.  Despite this, I returned to University the following week to be greeted by my tutor who stated that my practice educator had rang the university to tell them how successful I had been on my placement and that they would not hestitate to have students from Essex again. 
 
If I compare this again with my very first SLT supervisor, she was very hands on, it was just the 2 of us in therapy every second of the day together.  She gave me brilliant points at my final assessment, but little indication of areas to develop despite having observed me hands on for 8 days. 
 
Overall, I have enjoyed experiencing many different supervisors, and many different ways of supervision and have grown through each of these.  I have been very lucky to have such wonderful placements, with such wonderful supervisors though each different in their own ways.
 
Therefore, this really got me questioning which style of placement supervisor/practice educator is most effective for students? It is all a very personal experience and I wonder if hands on works best for some, but not for others?
 
Do some students prefer more positive feedback, whilst others prefer more structural areas to develop?
 
Having done some reading for my research proposal in the area of clinical placements, I am aware that there are many ways for a supervisor to conduct their student placements.  Though I wonder, do supervisors change their ways of conduct dependent on the student? Or is it the student that is flexible to the supervisors ways?
 
Any comments/tweets about this are much appreciated, I would love to have an insight from students and clinical placement supervisors.

Monday, 4 March 2013

The last long run..

I am sure that I am not the only student SLT in this position, the position where the long stretch from now to qualifying means that the end is in sight, but that there is still a lot of hard work and time to put in over the next few months.

This unfortunately means that my Blog has taken a back seat, though I do want to thank all those that continue to visit my blog - I really do appreciate it!

So what is to come for me and my peers at the University of Essex over the next 5 months, 4 weeks and 1 day? (Thanks to my Countdown app I know exactly how long it is until my final University deadline).

Well I have 7 more weeks of University term, which includes 2 essays, 2 placements, and a Research Proposal to write, on top of 3 days a week of class.  Luckily for me, I just finished 1 of my 2 placements and have completed 1 of the 2 essays, so a little breathing space means more time for Research Proposal (Anyone else doing a MSc SLT degree? Hard hard work, but feels so so worth it!). 

Then in 7 weeks time I start my block placement.  And for anyone on the University of Essex degree programme, the block placement is the light at the end of the tunnel, its 5 whole weeks of doing what you are here to do, be a SLT! I am very excited to announce that my block placement is in Surrey, in the Community Adult LD team and I for one cannot wait to begin it!

And then it really is a whirlwind after block.  We luckily have TAPP - Transition to Autonomous Practitioner Placement, where we get an opportunity to work with paediatric client having not seen any littlies since May 2012! And then a VIVA to end the summer, and a CPD portfolio to bring it all together. 

So whilst it may seem like a long hard stretch, this really is my last long run as a Student SLT and I cannot wait for the day I can blog and work as a real SLT!
 
 
Any other student SLTs in the same position?
How are you coping with the last few months of being a Student SLT?
 How are your placements going?
I'd love to hear all about it!
 

As for me and the next few months, I have built up a long list of ideas that I want to blog about.  So look out for me and my blog over the next month or two and I hope to return back to the blogging scene on full form

As for today, research methodologies await me.

Monday, 4 February 2013

Twitter Help..

So this month's RCSLT Bulletin stars Your's Truly! And I'm writing about advocating Twitter. I've had many of my own cohort join recently and start to develop their own personal Twitter accounts to being professional SLT accounts and so I thought I'd write a post to help those starting out on Twitter as an SLT to use it to the best of its ability...
 
However, as a believer of "if someone's already done something, and done it well, why do it again?" I would like to direct everyone to @SLPTanya's blog where she outlines Twitter in a 101 full explanation format! Go visit it at: Twitter 101 - LINK!
 
But for those in need of a quick how to, I recommend searching for the following hashtags:
#slpeeps #slt2b #slp2b #slpbloggers
 
Once there, add many SLTs/SLPs, read a wealth of recent tweets, and favourite or retweet those you like the best.  Reply to people to add to discussion and write tweets to ask for advice, (making sure you add #slpeeps or #slt2b or #slp2b at the end!) or write tweets to update on your daily ongoings, recent evidence base discoveries or general SLT thoughts :)
 
Glad to see so many #slt2b's and #slp2b's using Twitter and would suggest encouraging any SLTs/SLPs to get involved in such an active community!
 
 

Saturday, 2 February 2013

RCSLT Bulletin

Today my "Letter to the Editor" was published in the February 2013 edition of the RCSLT Bulletin!  For those that aren't subscribers to the bulletin (why the heck not, get yourself a RCSLT membership!) here is a picture for you all to see...


Friday, 1 February 2013

ICE Sharing Day Conference: Ros Blackburn

I'm currently on a 1 day per week for 8 weeks placement where I attend every Wednesday.  This week I was lucky enough for that Wednesday to fall on the ICE Sharing Day conference.  ICE is Inclusive Communication Essex and is a library of AAC resources set up around the county in order to promote communication for all.  Parents, professionals and service users are able to access and trial AAC, get support and advice through the programme.  The sharing day was an example of how professionals parents and service users can come together and share experiences and knowledge in order to learn and grow. 


I was lucky enough to be invited along by my placement educator and so had not seen the agenda until the day.  Once I did see it however I was like a child at Christmas..
Ros Blackburn was presenting! So I skipped off as quickly as I could to squeeze in to the tiny lecture room she had been given. 

Now if you ever question your understanding of autism, or on the opposite scale, believe you know all there is about autism - I suggest you go see Ros Blackburn.  She gives an insightful account of life as a person with autism and really highlights the fact that beyond hand flapping and unusual vocalisations, the bare bones of autism is social communication disorder. 

She describes instances of having to communicate and be social as a form of torture and pain and that a reward is being left alone.  Consider how many people interact with children and adults with autism on a daily basis and you will come to realise that this is not at all how many carers and professionals work with individuals with autism.  We've all seen instances of a child with autism being coaxed to sit in close proximity to peers whilst bribing them with items that we perceive as "rewards" which may in fact be less rewarding than the notion of being alone to a child with autism.   

Ros also covered aspects that have been tentative in the media recently.  Much research and opinion pieces focus on the terms "cure" with "autism" and what I believe to become "functional" was reinforced by Ros.  She stated that she was more than capable of learning how to function and that the difference was was that she was unable to inference and learn from inferences.  Instead she was more likely to learn when explicitly told in a logical way, and with a logical reason for why this was a skill necessary to learn.  I believe that is why her famous quote "I can only know what I am told, taught and shown" has become such a well known phrase.  It really highlights that many individuals with autism appreciate and like rules, therefore social communication skills need to be viewed as a set of rules that require being explicit taught.  She states that these rules should always have a logic, a reason and an incentive behind them in order to be learnt, just as you would with anyone else.  However, she stresses that generalisation is a big issue and that anything that you teach in the classroom is not necessarily accessible knowledge when out in public.  Therefore its necessary to teach the skills you want the child or adult to learn in the place that you want them to use them in. 

Overall it was an insightful workshop and I would recommend that any professional or parent of a child with autism jump at the chance to see Ros Blackburn present.  She has the capability to voice what you may already know and give you the clarity you hadn't realised you had about the world of autism. 

Amongst the rest of the sharing day I was able to talk with service users and parents about their experiences with SLT, AAC and daily living and gained further insight into the LD and ASD community, of which was invaluable.  I was also able to learn more about how to develop and write my own sensory stories, and how social stories are written and why (from Dr Siobhan Timmins) and finished the day off with a Makaton sing and sign along session of "I can sing a rainbow".

I can certainly say that this is one placement day I will not forget

Ros Blackburn (Logically Illogical) - Leave a comment for Ros Blackburns details if you would like to contact her regarding talks.