Speech and Language Therapy

Student Information for Practice Educators Hosting a First Placement

This is the student's first clinical placement.

To Student: Please complete this form and take it with you on your first day of placement.

§  If you are on a shared placement, please remember to take a copy for each of your SLT placement hosts.

§  Please remember to keep a copy for your clinical portfolio.

Student's Name:
Student's Programme: / Honours Degree Year 2 / Pg Dip Year 1 please delete as applicable

Please note any relevant non-clinical experience you have had (eg volunteering, previous employment): [(]

Setting / People Involved / Your Key Learning Outcomes

Please note any relevant clinically related experience you have had prior to coming on the course, eg cases observed when finding out about SLT or during voluntary or employed work:z

Setting 1 / Client Group 2 / Your Key Learning Outcomes

1 eg Community clinic, mainstream school, outreach, language unit/class, special school, hospital inpatients, hospital outpatients, hospital rehab, day centre, home visits, research clinic, multi-disciplinary team.

2 eg Acquired neurological disorders (AAN), progressive neurological disorders (PND), traumatic brain injury (TBI), augmentative and alternative communication ( AAC), autism spectrum disorder ( ASD), cerebral palsy, down’s syndrome, cleft lip/palate, ENT, head and neck surgery, laryngectomy, dysphagia, dysfluency, voice, hearing impairment, visual impairment, learning disability, mental health, challenging behaviour, developmental speech disorders, specific language impairment (SLI), literacy difficulties, multi-lingual, parent programmes, carer programmes, multi-professional training.

Note any assessment procedures you have observed:
Note any therapeutic interventions have you observed:
Note any skills you have which might be especially useful in a clinic context eg knowledge of sign language, fluency in another language, teaching experience, previous academic qualifications:
Note any other information which it would be helpful to let your Practice Educator know. (This could include any disability/religious requirements you may have):
Signature: / Date:

G:\Sch - Hs - Slt - Placements\Forms\Student Info For Pes\Student Info For Pes - Placement 1.Doc

[(]z Remember to observe confidentiality – general descriptive terms only to be used, i.e. not people's names or addresses.