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KINS 4933 and KINS 4943 Practicum/Internship Syllabus & Manual
KINS 4933 and KINS 4943 Practicum/Internship Syllabus & Manual Latest version: Fall 2014 Table of Contents Contact Information ............................................................................................................ 3 Cardiac Rehabilitation Sites ............................................................................................... 4-5 Corporate Fitness Sites ....................................................................................................... 6-7 Acknowledgement of Receipt of Manual ........................................................................... 8 University and Departmental Policies ............................................................................... 9 Introduction ......................................................................................................................... 10 Requirements ...................................................................................................................... 11 Grading ................................................................................................................................. 12 Pre-Internship File Checklist ............................................................................................. 13 Site Information Form ....................................................................................................... 14 Internship Goals Form ....................................................................................................... 15 General Objectives for a Fitness Practicum/Internship .................................................. 16 Objectives for a Cardiac Rehab Practicum/Internship ................................................... 17 Assignments During Internship ......................................................................................... 18 Preparation of Logs & Sample Logs .................................................................................. 19-21 Practicum/Internship Progress Report ............................................................................. 22 Practicum/Internship Responsibilities............................................................................... 23 Site Supervisor Evaluation Form ....................................................................................... 24-27 Intern Feedback Form ........................................................................................................ 28 Internship Coordinator Evaluation Forms ....................................................................... 29-30 Comprehension of Internship Duties ................................................................................. 31 2 Kinesiology Department Addresses and Phone Numbers Dr. Vic Ben–Ezra, Internship Director Texas Woman’s University Kinesiology Department P O Box 425647 Denton, TX 76204 940–898–2597 FAX: 940–898–2581 E-mail: [email protected] Robbie Reid, Administrative Assistant Texas Woman’s University Kinesiology Department P O Box 425647 Denton, TX 76204 940–898–2575 FAX: 940–898–2581 Tara Niemann, Internship Coordinator Texas Woman’s University Kinesiology Department Pioneer Hall, Office 103 940–898–2591 FAX: 940–898–2581 E-mail: [email protected] Michael McGehee, Internship TA Texas Woman’s University Kinesiology Department Pioneer Hall, Office 215 940-898-2261 FAX: 940-898-2581 E-mail: [email protected] Jill Best Sampson, Internship TA Texas Woman’s University Kinesiology Department Pioneer Hall, Office 214 P O Box 425647 Denton, TX 76204 940–898–2643 FAX: 940-898-2581 E-mail: [email protected] Daniel Newmire, Internship TA Texas Woman’s University Kinesiology Department P O Box 425647 Denton, TX 76204 Pioneer Hall, Office 211 940–898–2597 FAX: 940-898-2591 E-mail: [email protected] TA’s are currently for the summer session. TA’s will be reassigned in Fall 2014. 3 Cardiac Rehabilitation Sites This is a list of pre–approved sites. Other sites are subject to the approval of Dr. Ben–Ezra. Please discuss your interests in advance with the TWU Internship Coordinator prior to talking with Dr. Ben– Ezra. If you find that a contact or phone number has changed, please let us know! HCA – Lewisville Ronna Conley 972–420–1047 Huguley Hospital—SFW Kathy Stiever 817–551–2681 Memorial Hermann-Houston Rhonda Leaverton 713-704-5802 Harris HEB – Bedford Jenni Klooster 817–267–9191 Wilson N. Jones Hospital – Sherman Kay Peters 903-870-4402 *only offers 200 hours Charleton Methodist – DeSoto Deb Taylor 214–947–7777 214–947–0553 Denton Regional – Denton Becky Jones 940–384-3960 Medical City – Dallas Bre Finstad TMC Medical Center – Sherman Denise Stephens 903-416-4245 Fit-N-Wise Rehab Center – Decatur Susan Rector 940-627-2708 x2622 Baylor All Saints Hospital – Ft. Worth Education Department Susan Price 817-922-7102 Methodist Medical Center – Dallas St. Luke’s Episcopal Hosp-Houston Pedro Recalde 832-355-1000 Brittini Vaughn 214-947-1893 *Requires submission of resume and a one page letter indicating why you would like to intern in cardiac rehab and what you hope to gain from your internship in cardiac rehab. *Site requires >350 hours, is an entire semester program, and is a comprehensive cardiac facility.(inpatient, outpatient, cath lab, testing, etc) Parkland Memorial Hospital—Dallas Peggy Mallory 214–590–8236 Baylor Grapevine >350 hrs Whitney Conley [email protected] Phone: 817-‐424-‐4564 4 Cardiac Rehabilitation Sites... Continued Smith Tower -- Houston Sarah Alexandria 713-441-5575 Medical Center-Plano Carol Loe 214-473-7774 Texas Health Resources at Craig Ranch Mckinney, TX Jennifer Nagel 469-854-8989 Presbyterian Hospital—Dallas >350 hrs Finley Ewing Cardiovascular and Fitness Center Kelli Mainz 214-345-4838 VA Hospital Dallas Ellen Bracy 214-857-1458 Baylor Plano >350 hrs Julie Hartman 469-814-3555 United Regional Health Care Kelly Warren 940-764-8284 Brazos Port Memorial -Lake Jackson, TX Lauren Bowles 979-285-1884 Denton Presby LaNell Noggler 940-898-7359 5 Corporate Fitness Sites This is a list of pre–approved sites. Other sites are subject to the approval of Dr. Ben–Ezra. Please discuss your interests in advance with the TWU Internship Coordinator prior to talking with Dr. Ben–Ezra. If you find that a contact or phone number has changed, please let us know! Lewisville YMCA Karen Thornhill 972-539-0982 Plano Family YMCA--Plano Alice Carpenter 214-705-9459 Verizon Dwayne Clarke 214-551-7232 Email resume to: [email protected] Richardson or Southlake locations Requires 35-40 hrs/week GM--Arlington Christie Pruitt 817-652-2269 Harris Fitness Center – Ft. Worth Randy Turner 817-878-5050 Fidelity (HFC)--Westlake Chris Hastings 214-474-8747 [email protected] Harris HEB – Bedford Ryan Karnes 817–267–9197 Sterling Commerce FC (HFC)—Irving Kenny Dugan or Julie Kumor 469-524-2042 Texas Instruments – Dallas Arianna Wertheim The Texas T Club —Ft. Worth Michael Whitmarsh 817-215-8958 The Solana Club (HFC)--Westlake Lee Washburn or Christina Fuller 817-674-2325 214-567-9158 Texas Instruments – Dallas Terri Beauchamp (waiting for update) 214-567-9158 Nokia--Irving David Atkinson 972-894-5102 Texas Instruments – Houston Shelby Ocanas 281-274-4328 Raytheon—McKinney Chris Schappaugh 972-952-2150 Fed. Bureau Engraving/Print - Alliance Alicia Darbishire 817-847-3739 InterFit Fitness Management - Houston Courteney Barringer 713-888-5900 Reece Overcash Fitness Center – Irving Christine Sherry 972–652–5818 Coppell Family YMCA - Coppell Gina Tomaso 972-393-5121 x218 (waiting for update) Corporate Fitness Sites… Continued 6 (currently not active) (12 wks/ 40 hrs/wk) Texas Health Systems-Ft Worth Jonathan Key 817-250-5050 Seniors in Motion- Denton Jean Seward 940-566-5291 The Fitness Club at Williams Square 5221 N. O'Connor Blvd. Suite #160 Irving, TX 75039 972-506-7373 Fax: 972-506-7569 Contact: Cassidy Fears Millennium Athletic Club 222 W. Las Colinas Blvd. Irving, TX 75039 972-402-0176 Fax: 972-402-7240 Contact: Mark Fadden Peak Therapy & Sports Medicine 3010 Gaylord Pkwy ste 140 Frisco, TX 75034 972-377-4111 Rebecca McKelvy Michael Johnson Performance Center McKinney, TX >350 hrs Jonny Wright 469-424-6572 [email protected] ***this is not a PT internship, you will performing corp fitness duties in an aftercare program*** *Requires submission video coaching a skill. Requires hours M-F and some Saturday. Prefers you not to take ANY classes while interning. Radio Shack Fitness Center HFC (Ft. W) Melissa Moses 817-415-2768 Freescale Activity Center (Austin) Lesley Rekieta 512-933-6229 Telos >350 hrs Tara Hummel 972-386-2565 [email protected] Huguley Health Systems (Ft. Worth) Assessment Center Dayne Berkner 817-551-2566 Cooper Fitness Center Craig Ranch McKinney, TX Deborah Puskarich 214-383-1019 Velocity Sports Performance Blue Cross Blue Shield – Richardson David Dahlke 972–766–7216 Baylor Tom Landry Center - Dallas > 350 hrs Dr. Bill Smith 214-820-2758 Medifit Website with internship applications: https://careers.medifit.com Texas Woman's University Fit-N-Rec Michelle Reeves 940-898-2908 Texas Instruments – Sherman Stephanie Hawkins 903-868-7733 Food and Fitness Anthony Paradis 570-503-6635 REACT (formerly Project Walk Dallas) Verizon (Richardson location) Office: 972-729-5883 Requires 35-40 hours a week Sam Hale [email protected] Kris Vierra 972-386-0701 [email protected] 7 Acknowledgement of Internship Manual Receipt I have received a printed copy of the internship manual before beginning my internship. Name (Print): Date: Signature of Student 8 University and Departmental Policies Disability Support Policy Statement: If you anticipate the need for reasonable accommodations to meet the requirements of this course, you must register with the office of Disability Support Services (CFO 106, 940-898-3835, [email protected] ) in order to obtain the required official notification of your accommodation needs. Please plan to meet with me by appointment or during office hours to discuss approved accommodations and how my course requirements and activities may impact your ability to fully participate. Academic Dishonesty: http://www.twu.edu/o-sl/StudentLifeOffice/AcademicDishonesty.html Honesty in completing assignments is essential to the mission of the university and to the development of the personal integrity of the student. Cheating, plagiarism, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, or being suspended or expelled. Suspected cases in this course may be reported to Student Life. The specific disciplinary process for academic dishonesty is found in the TWU Student Handbook. Tools to help you avoid plagiarism are available through the TWU Libraries at http://www.twu.edu/library/tutorial/plagiarism/player.html. TWU Kinesiology Dress Code All undergraduate students are expected to dress in appropriate professional physical activity attire when representing the department. TWU Kinesiology attire is required during departmental classroom activities including, but not limited to, student teaching, practicums, and internships. If your internship site requires a specific uniform, you are responsible for complying with the internship site dress code. Appropriate professional attire will be dictated by your internship location. You may be required to wear facility warm-ups, polo shirts and slacks, or hospital scrubs. Pants or shorts should be worn at the natural waistline and not below. Pants or shorts must be hemmed and shorts must be appropriate in length. The shirt must be tucked into the pants or shorts. Clothes should be wrinkle free. For safety reasons, jewelry should be limited to stud earrings within the ears and be careful of necklaces, bracelets, and watches. Take into consideration that other people might interpret exposed tattoos and/or body piercing other than within the ears as offensive. If you are participating in a swim program or water aerobics programs for your internship, bikinis are not allowed. Ladies must wear a one piece swim suit and men should wear appropriate length swim shorts. 9 Introduction The internship experience is designed to provide the kinesiology student with opportunities to gain practical experience in the fields of cardiac rehabilitation and corporate fitness. A successful internship will be mutually rewarding for the student as well as the site. You must complete a total of 350 hours of internship experience. You may do all 350 at a cardiac rehab location or split your hours 175 and 175 between cardiac rehab and corporate fitness. Please see the internship coordinator to determine which route is right for your chosen career field. Note - Many PT schools require more classes in ECG recognition and many hospitals will have PT’s doing phase I cardiac rehab. There are a few sites listed in the manual that are out of town. If there is not one listed for your hometown or you would like to intern at a site not listed, you are responsible for talking to Dr. Ben-Ezra about doing your internship at that site. You will need to provide him the contact information so he can begin the process of a legal affiliation agreement. These agreements take weeks/months to finalize. You will also need to provide a list of duties or goals that you will be completing at that site. You must get this information to him ASAP. Be aware that we are not as readily available to help you if you have a problem at an out of town site. We can make calls and communicate with you or your supervisor via e-mail…but you will have less support than a student who is in the Dallas/Ft. Worth area (as we are able to make any extra personal visits to a site if a student has a problem). Once you turn in ALL pre-internship paperwork, we will then give you course codes to enroll. For the Fall 2014 semester, the deadline for all paperwork is July 14th, 2014. Failure to turn in preinternship paperwork by the deadline will result in postponement of your internship until the following semester. 10 Requirements 1. Cardiac Rehab – grade of C or better in 3601, 3603, 3701, 4601 and 4602 Corporate Fitness – grade of C or better in 3601, 3603, 3701, 4701 and 4702 2. American Heart Association Basic Life Support WITH First Aid (BLS not Heartsaver) a. Kris Ring is a certified instructor. However, you need to work with her schedule and come as a group. b. Many city fire departments will offer classes. c. Check online at the American Heart Association Website for available classes. 3. Immunizations MUST be current with Student Health Services (SHS) and you MUST ask to be added to the Kinesiology Department Report. LOCATE THESE ASAP! a. Immunizations include: i. Hepatitis B (3 doses) ii. Measles, Mumps, Rubella (Titer in Adulthood) iii. Tetanusdiphteria (Tdap) iv. Varicella (2 doses) v. Tb Test vi. Flu Shot (is required for some sites). Bring a copy of your flu shot receipt to the TWU Coordinators. 4. Current copy of unofficial transcript (KINS 2.75 GPA and an overall 2.75 GPA). 5. A wallet size picture of YOU! 6. Many sites require a 10-panel drug screen and national criminal background check. Contact your site supervisor and see if this is mandatory. YOU are responsible for these items as we do not supply them for you. These are REQUIRED unless your site specifically says you do NOT need them. a. The drug screen can be obtained from SHS (940.898.3286), Minor Emergency of Denton (940.382.9898) or Care Now (940.383.2700). b. The background check must be a national check and can be obtained from www.sentrylink.com. 7. If the site is not already pre-approved (listed on our site list), you will need approval of the site by Dr. Ben-Ezra or the TWU Internship Coordinators. 8. Completion of appropriate forms and checklist. 9. Communication with TWU Internship Coordinator prior to start of the internship deadline. 11 Grading System for Internships The grading system is a standard percent grading scale. You will find point values for each assignment, and class meeting/discussion on the grade sheet in the internship manual. A 90-100% B 80-89.9% C 70-79.9% D 60-69.5% F 0-59.9% Failure to earn at least a letter grade of “C” will result in the student repeating the internship. NOTE - If you do not complete the internship in the semester in which you registered, you will receive the grade of an “F” and you will have to enroll in KINS 4933/4943 again. You can NOT receive an Incomplete for any Internship class. In addition, all paperwork (immunization compliance, transcript, CPR/AED/First Aid certification, site information sheet, etc.) will be due 6 weeks prior to the semester you will be enrolled in. For the Fall 2014 semester, the deadline is Monday, July 14th. Failure to turn in pre-internship paperwork by the deadline will result in postponement of your internship until the following semester. NOTE - Internships have a 5-week minimum period for completion during the SUMMER and 10 weeks during the FALL AND SPRING SEMESTERS. NO EXCEPTIONS. NO internship hours may be done before the first day of class or after the last day of class in the semester in which you are registered. NO hours may be done on days in between semesters. You may, however, attend an orientation meeting before the semester begins. Orientation hours can be counted in your logs. 12 Pre-Internship File Checklist: File with the TWU Internship Coordinator ___1. Cardiac Rehab – grade of C or better in in 3601, 3603, 3701, 4601 and 4602 Corporate Fitness – grade of C or better in 3601, 3603, 3701, 4701 and 4702 ___2. Overall GPA 2.75 or higher - File current unofficial transcript with the TWU Internship Coordinator ___3. Current American Heart Association CPR/AED and First Aid certification – File with the TWU Internship Coordinator. ___4. Immunizations current with SHS – Name added to Kines. Department report. The TWU Internship Coordinator needs a copy of your records printed off your “MyMedicalPortal. ___5. If necessary, get a flu shot – File record of shot with TWU SHS. ___6. Turn in a wallet size picture of yourself – File with the TWU Internship Coordinator ___7. Sign receipt of manual page 8 - File with the TWU Internship Coordinator ___8. Sign comprehension of duties page 30 - File with the TWU Internship Coordinator. ___9. Clear site with Dr. Ben–Ezra only if it is not a pre-approved site or if you want to do both internships at one site. ___10. Apply and/or interview with site supervisor – you may interview before completion of KINS 4602/4601 or KINS 4701-02, but do not begin your hours until the enrolled semester of 4933 or 4943. ___11. Complete a 10-panel drug screen – File with the TWU Internship Coordinator. ___12. Complete a national background check – File with the TWU Internship Coordinator. ___13. Fill out site information sheet page 14 – Check with Internship Coordinator to see if your site requires any extra paperwork. File with the TWU Internship Coordinator. ___14. Sit down with your site supervisor and fill out your goals sheet page 15. Use the suggested goals in the internship manual and add them in accordance with the individual site. Obtain your site supervisor's signature - File with the TWU Internship Coordinator. ___15. Complete the internship quiz. It will be available on Blackboard. Check often for announcements. Failure to complete a 90% on the internship quiz will result in a one-letter grade drop of your final grade. You MUST complete items 1-13 before you may enroll in internships. Fall interns must submit pre-internship paperwork by July 14th. Failure to meet this deadline will result in the postponement of your internship to the next semester! Item 14 MUST be completed within the first week of the enrolled semester. Item 15 MUST be completed within the first week of the enrolled semester and will be completed online through blackboard. 13 Please submit a photo of yourself Name of Student (Intern): ____________________________________________________________________________________ Address: ____________________________________________________________________________________ Phone: ____________________________________________________________________________________ E-mail Address: ____________________________________________________________________________________ Type of Internship: ( ) Cardiac Rehab Internship KINS4933 ( ) Corporate Fitness Internship KINS4943 ( ) 175 Hours or ( ) 350 Hours Internship Site: ____________________________________________________________________________________ Address: ____________________________________________________________________________________ Supervisor: ____________________________________________________________________________________ Phone: ____________________________________________________________________________________ E-mail Address of supervisor: ____________________________________________________________________________________ Dates: ____________________________________________________________________________________ Days and Hours: ____________________________________________________________________________________ Directions to facility: (PLEASE BE SPECIFIC and ATTACH A MAP, i.e. building name, which part of hospital, different building, etc.) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FILE with the TWU Internship Coordinator 14 Texas Woman’s University - Internship Goals Type of Internship: ( ) KINS 4943 Corporate Fitness Internship ( ) KINS 4933Cardiac Rehab Internship NOTE: These objectives are a compilation of target goals established by both the intern and site supervisor. The objectives listed in the manual are to be used as a guide, but you are not limited to them. You must fill out this sheet with the goals that you and your site supervisor agree upon, both of you will sign it, and return it to the internship coordinator prior to the start of your internship. _____________________________________ Intern Name (Printed) ___________________________________________ Intern Signature _________________________________________________ Site Supervisor Signature _______________________________ Date FILE with the TWU Internship Coordinator 15 General Objectives for a Corporate Fitness Practicum/Internship Overall objectives should include many of the following primarily as hands on experiences: 1) To observe and perform fitness assessments (maximal or submaximal work capacity testing, strength flexibility, and body composition). 2) To assist in health risk and health screening. 3) To prescribe exercise and guide members in successfully carrying out their exercise programs. 4) To counsel, motivate and educate members on heart healthy activities that can include safe exercises, proper nutrition and healthy lifestyle in general. 5) To become involved in healthy lifestyle programming (risk factor, education, good dietary practices, stress reduction, etc.). 6) To develop or implement workshops for members. 7) To assist with newsletter production. 8) To assist in or initiate special events. 9) To take notice of the organizational structure (membership, personnel, administration, etc.) and attend staff meetings when and if possible. You are not: 1) a go for. 2) a receptionist, computer jockey, or locker room attendant. If you find yourself doing these kinds of things for more than 10% of your time, contact your internship supervisor and let him/her know this is not what was agreed upon. 16 General Objectives for Cardiac Rehab Practicum/Internship 1. To observe and when possible participate in stress testing patients (blood pressure measurement, electrode placement, monitoring the 12 lead ECG). 2. To observe and assist with placement of modified lead configuration (3 lead) for cardiac rehabilitation. 3. To understand the different phases of cardiac rehabilitation. 4. To observe and when possible participate in the exercise counseling of the patients (developing an exercise prescription, discussion of the prescription with the patient). 5. To improve cardiac arrhythmia identification through observation and worksite education. 6. To gain an appreciation of the capabilities of a cardiac patient in terms of exercise tolerance (observation/hands–on experiences with patients while exercising). 7. To understand the facility organizational structure. 8. To participate in special events (with patients, workshop opportunities, seminars, observation of heart surgeries). 9. To present educational seminars/lectures to the patients when and if appropriate and possible (at the discretion of the intern supervisor). 10. To observe (if possible) a by pass surgery, the cath lab, or pulmonary rehabilitation sessions. 17 Assignments During Your Internship 1. During your Internship: When communicating via e-mail to the coordinators, please e-mail the TWU internship coordinator and carbon copy YOUR SPECIFIC Teaching Assistant. 2. During your Internship: Check Blackboard and your e-mail at least twice a week. It is your responsibility to stay up to date and check for announcements that are sent out. 3. Complete the internship quiz. It will be available on Blackboard. Check often for announcements. Failure to complete the internship quiz will result in a one-letter grade drop of your final grade. 4. Complete your goal sheet with your site supervisor. The goal sheet should be signed by you and your site supervisor. Turn goals into the Internship Coordinator within 1 week of starting your Internship. 5. Keep a DAILY record of your activities and responsibilities…this will be your log. (Each log interval is worth 10 points) 6. Turn in 5 logs for EACH internship course in which you are enrolled. With each interval of logs, turn in a progress report. Upload the logs and progress reports to the blackboard at these intervals: a. For 175 hour internship: 30, 75, 100, 135, 175 b. For 350 hour internship (all hours at one site): 30, 75, 100, 135, 175, 210, 250, 280, 310, and 350. c. An example progress report and log can be found on pages 19-20 of the manual and on blackboard. You MUST upload both a progress report and log. You may upload your log each day but you must turn it in at the intervals listed above. 7. You will receive a 1-point reduction for every day your log is late, beyond 5 days of completion of the logged hours. After 10 days late, no points will be awarded for that log. a. Example: If you finish 75 hours on October 15, you should upload the 75-hour log no later than October 20 to avoid penalty or no credit. b. In other words, keep your logs up to date and promptly post them at the end of each interval. 8. Online Assignments: You will be required to participate in 4 graded online discussion boards throughout the semester. These discussion boards will be posted on the blackboard. The 1st three discussion board’s require 1 initial post and 2 replies to 2 different people (Initial post: 10 points, 2 replies: 10 points) (20 points possible for each discussion board). The last Discussion Board you will discuss your future plans after graduation (10 points) (no replies needed). 9. Ensure your site supervisor has completed a mid-evaluation at the midpoint of your internship hours. After receipt of your evaluation, the internship coordinator will make a site visit. (The evaluation document will be sent to your site supervisors email) (130 points) 10. At the end of your internship: Ensure your site supervisor has filled out your online final evaluation. (The evaluation document will be sent to your site supervisors email) (150 points) 11. You will also be required to attend one online chat during the semester. That date will be posted mid semester, on the course blackboard, and also emailed to the class. Failure to do so will result in a 1 letter grade drop. 12. At the end of your internship: Fill out the online Internship Feedback with your honest assessment of your internship site. (The online link will be sent to your TWU email) (20 points) 18 Preparation of Logs The daily log will serve as a place for you to keep a record of your various activities and responsibilities. It will help you keep track of your experiences and notes and is a good place to put material you will collect during your practicum/internship. It will also serve to help your supervisors assess your work. The following suggestions are made to help you know what to include. 1. A great deal of detail is expected early on in your log. List and explain everything you do. If you are observing, tell specifically what you see. The first time you perform a procedure or experience, describe it in detail. The next time you perform the same procedure, you can describe the differences or anything new, but you do not have to repeat previously mentioned items. Note any interpersonal interactions that are relevant to your internship. 2. The logs must be typed, uploaded to blackboard, and each log must be turned in within 5 days of completion of the hours logged to the TWU Internship Coordinator. 3. The progress report MUST be included with each log. Upload your progress report with each log you upload to the blackboard. See page 20 for format. 4. Feel free to add any sample worksheets, ECG strips, data that you find relevant to your logs. Please remember patient/client confidentiality and remove any names from the material you add to your log. Annotate any strips that you upload. 5. Please refer to example logs, see page 21. * Grading of the logs will be as follows: 1. Timeliness (0-2 pts.). If each log is turned in on time, 2 points will be given. Any late logs will result in a 1-point deduction per day for every day it is late after 5 days of completion of the hours. After 10 days late, no points for that set of logs will be awarded. 2. Mechanics (0-2 pts.). Grammar, punctuation, spelling, and syntax. USE SPELLCHECK! We will ask you to rewrite poor quality logs. 3. Completeness (0-2 pts.). Include Internship Progress Report & Log for each set of logs you upload to the blackboard. 4. Thoroughness (0-2 pts.). How well your logs cover what you performed or experienced during your day. No bullet points! 5. Documentation of hours (0-2 pts.). For each day you perform your internship, you will need to write at least 1 paragraph (more if necessary). For each day you record in your logs include, as a header, the date, the hours that you were at the internship site (from when to when) and the cumulative number of you have completed in your internship. 19 SAMPLE Internship Progress Report Name: XXXXX Phone: 940-111-1234 Current address: XXXXX Facility Location and Phone #: HEB Fitness Center; Bedford, TX 817-555-XXXX Supervisor’s Name: XXXXX Hours completed: XXXX Summarize objectives met to date: § Observing patients and talking with them while they are exercising § Gaining knowledge about the facility organizational structure § Participating in special events: went to Friday education class § Understanding the facility organizational structure § Observing and participating in exercise counseling of the patients List objectives yet to be achieved and plan for meeting them § To observe and when possible participate in stress testing patients: find out if they do stress testing, and observe as much as I can and participate when/if they let me. § Improve cardiac arrhythmia identification through observation and worksite education: study my books that I have at home and keep familiar with the different arrhythmias, buy those books or become familiar with the books that the Cardiac Rehab staff has. Also, observe the computer monitor as much as I can and go see as many surgeries at the hospital as I can. § To gain an appreciation of the capabilities of a cardiac patient in terms of exercise tolerance: get as much hands on experience as I can by talking with the staff and patients about where the patient is in their rehabilitation, to know what is expected and normal during which week of rehabilitation and recovery. § To participate in special events: observe any surgeries and attend any seminars that are available or anything that would be beneficial to me. Identify any new skill or knowledge you acquired during this period of time: I learned some things about the organization of keeping track of the patients. For example, attending the education classes. 20 Internship Progress Report MAKE COPY AND ATTACH WITH EACH LOG SECTION Student Name ________________________________________ Phone _________________________ Facility Location and Phone # ___________________________________________________________ ____________________________________________________________________________________ Supervisor’s Name ____________________________________________________________________ Type of Internship: ( ) Corporate Fitness Internship ( ) Cardiac Rehab Internship Hours completed: _______ 1. Attach daily log summary to date. 2. Summarize objectives met to date. 3. List objectives yet to be achieved and plan for meeting them. 4. Identify any new skill or knowledge that you acquired during this period of time. 5. Problems/Questions 21 SAMPLE Internship Log Your Name Cardiac Rehabilitation or Corporate Fitness Site Name and Location § § § Monday, July 18, 2005 7:00am – 12:15pm Total hours completed: 313.5 Today, I finished putting packets together, and I put the originals that were kept in a binder in order of how they were on the shelf. The originals were mixed up in the binder. I also, visited with members and staff, helped with the supervised class. In cardiac rehab, they have a list of the patients’ names and their class times on a sheet, so they can add new patients or erase graduated patients. I recopied the changes for two people. § § § Tuesday, July 19, 2005 5:30am – 3:15pm Total hours completed: 322.25 Today, I took blood pressures, visited with the patients and the staff, I observed the staff, I did 5 cool downs, 1 warm up and I participated in the rest. I also did some prescriptions and looked over some prescriptions. I helped the patients with their equipment. I also taped the ECG strips on the back of the patients charts, helped take flyers off the equipment that designates that the equipment is for cardiac rehab patients and not the members at that time. Finally, I helped clean up. § § § Wednesday, July 20, 2005 7:00am – 12:00pm Total hours completed: 327.25 Today, another intern and I made flyers for the upcoming bake sale and car wash. I visited with members and the staff. I also helped members with their equipment; I cleaned equipment, and helped at the front desk some. § § § Thursday, July 21, 2005 5:30am – 3:15pm Total hours completed: 336 Today, I put ECG strips on the back of the patients’ charts, did some warm up and cool downs and participated in what I did not lead. I took blood pressures and the pulse ox. I visited with members, patients, and staff. I also helped the patients with their equipment, did some prescriptions, and helped clean up. 22 The Practicum/Internship Responsibilities The process of involving interns in a program has been designed to insure that the placements made will result in positive experiences for all concerned. The success of this process is dependent upon the cooperation of the interns as well as the company/hospital staff. The following “Bill of Rights” for Interns and the responsibilities that accompany them outline the mutual expectations of the intern and the company/hospital that he/she serves. The principles or codes underlying the responsibilities of interns are no different than those that might be established in a family, social association or among friends and neighbors, yet they often bear repeating. Your site supervisor will use the following as criteria for grading your performance 1. ATTITUDE Interns are expected to take to the job an attitude of open–mindedness. 2. DEPENDABILITY The intern is expected to be dependable as this is essential if he/she is to be of real service to the company/hospital. If the intern cannot report at an appointed time, it is his/her responsibility to notify the supervisor. 3. COMMUNICATION The intern is expected to ask questions about things he/she does not understand. The intern serves the needs of the agency by providing services and by acting as a vital link between the company and the employees as a friend, supporter and interpreter. 4. RESPONSIBILITY Interns assume responsibilities similar to those of a professional and are expected to serve with the same high standards as company/hospital staff. All confidential matters must be kept confidential. Interns are expected to become familiar with their own job assignments and are encouraged to offer suggestions or changes that they may see necessary. 5. PROFESSIONALISM The intern represents not only themselves, but the Kinesiology Department and Texas Woman’s University. The quality of work you perform during the internship can have a tremendous impact either positively or negatively toward your career. Conduct yourself as a professional in all aspects of the internship process, including the interview. Dress appropriately (ask your supervisor for guidelines). 23 Cardiac Rehabilitation Internship Evaluation Form for the Site Supervisor This is just an example (Evaluation will be sent to your site supervisor’s email) TO BE COMPLETED WHEN HALF OF INTERNSHIP HOURS ARE COMPLETED AND AGAIN AT THE END OF THE INTERNSHIP (2 Pages) Student Name ___________________________________________________________ Total hours completed _____________________________________________________ Supervisor/Position _______________________________________________________ Company _______________________________________________________________ On a scale from 0–10 please rank the student intern from TWU on each of the following or write no opportunity to observe (NA). We use a standard grading scale with 9-10 being an A, an 8 is a B, 7 is a C, 6 is a D, and <5 is failing. Please assign a point value to each category as well as writing comments....we use the point values to assign grades. Please write the corresponding numbers next to each category. If you feel you need to explain your score, please write comments after the score. Please feel free to discuss this evaluation with your intern. The scores you assign will be factored into the student's letter grade for this course. Pt Value Task Comments ___________________ Technical Skills _____ 1. ECG reading/recognition ____________________________________ _____ 2. Blood pressure measurement __________________________________ _____ 3. Exercise prescription for cardiac rehab_____________________ _____ Communication Skills _____ 1. With staff _________________________________________________ _____ 2. With clients _______________________________________________ _____ 3. Presenting information to groups ______________________________ Professional Skills _____ Attitude ____________________________________________________ _____ Responsibility _______________________________________________ _____ Initiative ____________________________________________________ _____ Appropriate Attire ____________________________________________ _____ Professionalism ______________________________________________ _____ Personality in working with others _______________________________ _____ Collegiality with co–workers ___________________________________ 24 Based upon beginning personnel that you have employed or worked with, is this student ready for a full time position? Yes ____No ____If yes, is the student adequate ______ or superior _______ to most? Again, these answers factor into the student’s grade. Please comment on how this student can improve his/her performance and job potential. Thank you for your help with our students and your willingness to aid our program. We appreciate the time and trouble you take to improve our program and our students. Sincerely, Please mail/FAX this to: Vic Ben-Ezra Professor Office: 940-898-2597 25 Internship Coordinator Texas Woman’s University Dept. of Kinesiology P O Box 425647, TWU Sta. Denton, TX 76204 FAX: 940-898-2581 Corporate Fitness Internship Evaluation Form for the Site Supervisor This is just an example (Evaluation will be sent to your site supervisor’s email) TO BE COMPLETED WHEN HALF OF INTERNSHIP HOURS ARE COMPLETED AND AGAIN AT THE END OF THE INTERNSHIP (2 Pages) Student Name ___________________________________________________________ Total hours completed ____________________________________________________ Supervisor/Position _______________________________________________________ Company _______________________________________________________________ On a scale from 0–10 please rank the student intern from TWU on each of the following or write no opportunity to observe (NA). We use a standard grading scale with 9-10 being an A, an 8 is a B, 7 is a C, 6 is a D, and <5 is failing. Please assign a point value to each category as well as writing comments....we use the point values to assign grades. Please write the corresponding numbers next to each category. If you feel you need to explain your score, please write comments after the score. Please feel free to discuss this evaluation with your intern. The scores you assign will be factored into the student's letter grade for this course. Pt Value Task Comments ___________________ Technical Skills _____ 1. Fitness Testing ____________________________________________ _____ 2. Exercise Prescription ________________________________________ _____ 3. Overall Exercise Physiology Knowledge_____________________ ___ Communication Skills _____ 1. With staff _________________________________________________ _____ 2. With clients _______________________________________________ _____ 3. Presenting information to groups ______________________________ Professional Skills _____ Attitude ____________________________________________________ _____ Responsibility _______________________________________________ _____ Initiative ____________________________________________________ _____ Appropriate Attire ____________________________________________ _____ Professionalism ______________________________________________ _____ Personality in working with others _______________________________ _____ Collegiality with co–workers ___________________________________ 26 Based upon beginning personnel that you have employed or worked with, is this student ready for a full time position? Yes ____No ____If yes, is the student adequate ______ or superior _______ to most? Again, these answers factor into the student’s grade. Please comment on how this student can improve his/her performance and job potential. Thank you for your help with our students and your willingness to aid our program. We appreciate the time and trouble you take to improve our program and our students. Sincerely, Please mail/FAX this to: Vic Ben-Ezra Professor Office: 940-898-2597 27 Internship Coordinator Texas Woman’s University Dept. of Kinesiology P O Box 425647, TWU Sta. Denton, TX 76204 FAX: 940-898-2581 Practicum/Intern Feedback Form This is just an example (Evaluation will be sent via Psychdata to your email) TO BE COMPELTED AT THE END OF INTERNSHIP Site: ______________________________________ Type of internship ________________ Name: ______________________________________ Date: ___________________________ Please rate the Practicum/Internship program by using the number that closely describes your experiences (Question 1 – 5). Add any notes or comments you feel may be helpful to us. Very helpful = 5; somewhat helpful = 4; neutral = 3; somewhat unhelpful = 2; very unhelpful = 1 1. Was the experience you received in your practicum/internship helpful to you? _________ 2. Did you feel your contributions were helpful? ______ 3. Was the supervision you received adequate to meet your needs? _____ 4. Was the training/orientation you received adequate and beneficial? _____ 5. Would you be willing to intern at this site if you had it to do over again? _____ Additional questions: 1. Would you recommend this company/hospital to future interns? Yes_____ No______ 2. How prepared were you to be successful at this internship? _____ (5 = extremely; 4 = very well; 3 = adequately; 2 = less than adequate; 1 = poorly) Do you have any suggestions that might help us better prepare students for their internships? Additional Comments: Student’s Name (Printed): ____________________________ Student’s Signature: ____________________________ 28 C ardiac R ehab G rade S heet N am e Internship Supervisor Evaluation G rades MID T ER M EVA L ECG BP Ex Rx for CR Comm Staff Comm Clients Presenting Attitude Responsibility Initiative Appearance Professionalism Personality Colleg iality Total Points Actual Possible 10 10 10 10 10 10 10 10 10 10 10 10 10 0 130 FIN A L EVA L ECG BP Ex Rx for CR Comm Staff Comm Clients Presenting Attitude Responsibility Initiative Appearance Professionalism Personality Colleg iality Employable D eg ree Emp Total Points Actual Possible 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 150 0 Internship Coordinator G rades L OG S Timeliness Quality Complete Thoroug hness D ocumentation Log 1 2 2 2 2 2 Log 2 2 2 2 2 2 Log 3 2 2 2 2 2 Log 4 2 2 2 2 2 Log 5 2 2 2 2 2 Log 6 2 2 2 2 2 Log 7 2 2 2 2 2 Log 8 2 2 2 2 2 Log 9 2 2 2 2 2 Log 10 2 2 2 2 2 Total Points OT H ER Actual D iscussion Board 1 D iscussion Board 2 D iscussion Board 3 Future Plans D is.B. Feedback Form Total Points 0 Possible 20 20 20 10 20 90 Total IS Total IC Total Points Quiz Online Chat Grade % Grade L etter G rade 29 Actual Possible 10 10 10 10 10 10 10 10 10 10 100 0 Actual 0 0 0 Complete Complete Possible 280 190 470 Incomplete Incomplete 0 0 C orporate F itness G rade S heet N am e Internship Supervisor Evaluation G rades MID T ER M EVA L Actual Fitness Testing Ex Rx for CF Ex Phys Knowledg e Comm Staff Comm Clients Presenting Attitude Responsibility Initiative Appearance Professionalism Personality Colleg iality Total Points 0 Possible 10 10 10 10 10 10 10 10 10 10 10 10 10 FIN A L EVA L Fitness Testing Ex Rx for CF Ex Phys Know Comm Staff Comm Clients Presenting Attitude Responsibility Initiative Appearance Professional Personality Colleg iality Employable D eg ree Emp Total Points 130 Actual Possible 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 150 0 Internship Coordinator G rades L OG S Timeliness Quality Complete Thoroug hness D ocumentation Log 1 2 2 2 2 2 Log 2 2 2 2 2 2 Log 3 2 2 2 2 2 Log 4 2 2 2 2 2 Log 5 2 2 2 2 2 Log 6 2 2 2 2 2 Log 7 2 2 2 2 2 Log 8 2 2 2 2 2 Log 9 2 2 2 2 2 Log 10 2 2 2 2 2 Total Points OT H ER Actual D iscussion Board 1 D iscussion Board 2 D iscussion Board 3 Future Plans D is.B Feedback Form Total Points 0 Possible 20 20 20 10 20 90 Total IS Total IC Total Points Quiz Online Chat Grade % Grade L etter G rade 30 Actual Possible 10 10 10 10 10 10 10 10 10 10 100 0 Actual 0 0 0 Complete Complete Possible 280 190 470 Incomplete Incomplete 0 0 Comprehension of Internship Responsibilities I have read a copy of the internship manual and understand the responsibilities, necessary paperwork, and professional behavior required of my internship. I have read the section of the manual regarding the logs and grading system. I understand the intervals that I need to turn in progress reports and logs. I also understand that my grade comes from the site supervisor and from the work I turn in to the internship coordinator. I also understand that I am expected to treat the internship as a job. I should act in a professional manner and dress appropriately for the internship. I will give my internship site supervisor a written request in advance if I need time off. I will also be sure to call if something comes up and I will be late to my shift. The site supervisor will counsel me if my behavior, performance, or attendance becomes an issue. I understand that I may be required to come to campus for a meeting to counsel me on my performance or behavior if necessary. If that issue cannot be resolved, I understand that I may be dismissed from the internship site. If that happens, I understand that I will need to drop my Internship course(s); I will have to meet with TWU Kinesiology faculty to explain the issues. I will also have to reregister for internships the following semester. I will also be required to write a letter to the Kinesiology department explaining corrective action of my behavior. I understand that if I re-register for my internship the following semester, or thereafter, that it will be my last chance to Intern as an Exercise Science student. If I fail to comply during my second chance, I will not be permitted to pursue an Exercise Science concentration in Kinesiology. Information for this class will be posted on the blackboard for internships and through emails. I understand that I need to check my TWU email account and class blackboard on a regular basis. Name (Print) Signature of student Date 31
