Kent State University ollege of Public Health Undergraduate ... for...Peggy Shaffer- King [email protected] Health Services Administration Ken Slenkovich [email protected] Pre-Medicine

College of Public Health – Kent State University Internship Guide (2/16/2016 JLM) 1 | P a g e

Kent State University College of Public Health Undergraduate Internship Manual

PH 42092- 001, Environmental Health Sciences

PH 44092-001, Allied Health

PH 44092-002, Clinical Trials Research

PH 44092-003, Community Based Public Health

PH 44092-004, Global Health

PH 44092-005, Health Promotion and Education

PH 44092-006, Health Services Administration

PH 44092-007, Pre-Medicine, Dental, Osteopathy


Table of Contents Role of the Internship .......................................................................................................................................................... 3

General Operating Policies ............................................................................................................................................... 3

Professionalism ............................................................................................................................................................... 4

Credit Hours ..................................................................................................................................................................... 4

Course Description ........................................................................................................................................................... 4

Pre Requisites for the Internship ...................................................................................................................................... 5

The Internship Process ......................................................................................................................................................... 6

Planning for an Internship ............................................................................................................................................... 6

Suggested Timeline for Summer Internships ................................................................................................................... 8

Performance Expectations During the Internship ............................................................................................................. 10

Other Required Deliverables ........................................................................................................................................... 10

Expectations ........................................................................................................................................................................ 12

The Role of the Internship Site ........................................................................................................................................ 12

The Role of the Site Preceptor ...................................................................................................................................... 12

The Role of the Student .................................................................................................................................................. 13

The Role of the Departmental Internship Supervisor .................................................................................................... 14

Internship Paperwork ......................................................................................................................................................... 15

Defining the Goals for my Internship Worksheet............................................................................................................ 16

College Of Public Health Internship Approval Form ....................................................................................................... 17

Controlled Course Request Form .................................................................................................................................... 19

Student Statement of Understanding ............................................................................................................................. 20

Weekly Internship Log (Sample 1) ................................................................................................................................... 21

Weekly Internship Log (Sample 2) ................................................................................................................................... 22

Weekly Internship Log 1 (Blank) ..................................................................................................................................... 23

Weekly Internship Log 2 (Blank) ..................................................................................................................................... 24

Midterm Site Assessment Of Student Performance ....................................................................................................... 25

Midterm Student Self-Assessment Of Internship ............................................................................................................ 28

Site Assessment Form ..................................................................................................................................................... 31

Final Site Assessment Of Student Performance ............................................................................................................. 34

Final Student Self-Assessment Of Internship .................................................................................................................. 37

Course Syllabi ...................................................................................................................................................................... 40

PH 42092-001 Environmental Health Sciences Internship .............................................................................................. 41

PH 44092 Internship in Public Health ............................................................................................................................. 48


Role of the Internship

Kent State University and the College of Public Health value students completing practical work in the field to gain additional experience and connect with their major and concentration. Bachelor of Science in Public Health (BSPH) students may have the option of completing an Internship in an approved setting to satisfy requirements of the BSPH program. Students in the Environmental Health Sciences, Global Health and Clinical Trials Research are required to complete an internship to graduate with the Bachelor of Science in Public Health.

This experience provides students with an opportunity to apply public health concepts and skills in a practical setting under the guidance of a trained professional. The supervised internship assists students in making the transition from the university setting to the applied work setting. Furthermore, the internship helps the students adapt more readily to the professional roles they are about to assume upon graduation. The purpose of this manual is to clarify the procedures of the supervised internship and to outline the specific responsibilities of the student intern, the departmental internship supervisor, the health site/agency and the site preceptor.

General Operating Policies 1. The Internship requirement may not be waiver for students who have had professional

experience in the past.

2. The internship will generally correspond with the official calendar of Kent State University, with students fulfilling this requirement during the officially designated fall, spring, or summer semesters. Internships may be designed over more than one semester with approval of the departmental internship contact.

3. The duration of the internship is variable but usually takes place during a regular 15

week semester period. Any deviations must be approved by the departmental internship contact.

4. The internship location, assignments, and project must be approved by the departmental internship contact.

5. All organizations must comply with the policies for the administration of the internship.

6. The internship should not be terminated by any of the parties without first consulting

the departmental internship contact.

7. Students will represent the organization, university, and profession in a professional manner at all times. The student will practice safe work practices and follow the policies of their internship organization at all times. Any issues should be brought to the attention of the departmental internship contact.


8. Work rules and policies established by the internship site, company, or other internship sponsor for employee conduct, dress code, professionalism, ethics, safety, etc. must be followed by the student, unless expressed approval is granted by the internship site and the Departmental Internship Supervisor.

9. Any proprietary information, trade secrets, confidentiality requirements, photography restrictions, etc. must be strictly adhered to by the student

Professionalism The internship experience is an opportunity for students to gain real world hands on experience to assist with the formation of career goals and career identity. Students who are completing internships domestically or abroad represent both the caliber of students in the College of Public Health and at Kent State University. The highest level of professionalism is strongly encouraged. This not only relates to professional dress in the workplace, but also includes workplace attitude, timeliness and behavior while interning. Students who have questions about professionalism should speak with their departmental internship supervisor with any questions or situations that arise. Students’ failure to maintain a professional demeanor may result in removal from the internship site and a failing grade for the internship course.

Credit Hours Students may complete a minimum of three or maximum of six internship hours during their time in the College of Public Health. Students must complete 50 internship hours for each earned credit hour. Therefore:

3 credit hours of Internship = 150 internship hours 4 credit hours of Internship = 200 internship hours


Students have the best opportunity for an internship experience when their hours are earned over a 10-15 week period, this allows for the greatest breadth and depth of experiences and learning. Students may complete an internship in a truncated amount of time with the departmental internship coordinator’s permission. Students in the Environmental Health Sciences concentration must complete a minimum of 4 credit hours of internship to satisfy their program requirements.

Course Description The Internship experience is a public health setting, industry setting or other approved setting under the supervision of a site preceptor and university supervisor. Students gain experience in public health work.


Pre Requisites for the Internship Prior to beginning the internship process, students must be academically qualified for the internship experience. Students must:

1. Hold junior or senior standing 2. Hold a 2.5 cumulative and major GPA 3. Have completed at a minimum 50% of their core public health courses OR permission from

Departmental Internship Contact.


The Internship Process

Each student's internship experience is developed and conducted on an individual basis. Students may begin the internship process at multiple points; the steps below should help students navigate the steps needed to earn academic credit for their experience. Ideally, students should begin the internship process one semester (3-6 months) prior to the anticipated internship.

Planning for an Internship

Steps for All Students 1. All students should first connect with their academic advisor. The Academic Advisor will be

able to help the student understand how internship credit will apply to their degree. Students can complete internships and not earn academic credit if they are unable to fit the hours in their degree. However, credit is encouraged as it is reflected on a student’s transcripts and validates a student’s experience. Some programs in the College of Public Health require an internship for graduation. Students should consult with their academic advisor for assistance.

2. After speaking with their academic advisor students should connect with their departmental internship contact below to begin to discuss areas of interest and connection of the internship to their academic program. The departmental internship supervisor can help students who are unclear about opportunities or help students with sites in mind clarify their goals for the experience.

a. Students should work to complete the “Defining the goals for my Internship Worksheet” prior to their meeting with their departmental internship supervisor – This document will help you define your professional goals and what experiences you hope to gain from the internship.

Concentration Contact Email

Allied Health Ken Slenkovich [email protected] Clinical Research Trials Dr. Mark James [email protected] Community Based Public Health

Peggy Shaffer- King [email protected]

Environmental Health Dr. Charles Hart [email protected] Global Health Dr. Mark James [email protected] Health Promotion and Education

Peggy Shaffer- King [email protected]

Health Services Administration

Ken Slenkovich [email protected]

Pre-Medicine Dr. Mark James [email protected]

mailto:[email protected]









3. After speaking with their departmental internship contact students should meet with the

Career Ambassadors, housed in 126 Lowry. Students can schedule an appointment online at www.adivsing.kent.edu or by calling (330) 672-6500. The Ambassadors can help speak with students about resumes, cover letters, job search/internship search, discuss internship leads and professionalism. Students should also review the “Defining the goals for my Internship Worksheet” with the Ambassadors.

4. Students may begin searching for an internship. Students are highly encouraged to locate internship experiences on their own, with the assistance of the departmental internship supervisor, Career Ambassadors, faculty, staff, etc. This is part of the learning experience of the internship; that is, learning to speak comfortably with people you do not know to request something, skills for finding a job, etc.

a. Students are also encouraged to look at Career Services for information in internship searches (http://www.kent.edu/career/job-internship-search).

b. Students are also encouraged to look to Kent State University job and internship

positing’s, career fairs, and community events and programs for opportunities.

c. Environmental Health students can view the Environmental Health Jobs and Internships page at http://www.kent.edu/publichealth/environmental-health-jobs-internships.

d. Students can also look to the organizations below for opportunities:

American Public Health Association

National Association of County and City Health Officials

Public Health Jobs Worldwide

World Health Organization

U.S. Centers for Disease Control and Prevention

State of Ohio

Public Health Jobs Net

Public Health Employment Connection

Ohio Public Health Association Association of Ohio Health Commissioners

5. The student should also reconnect with the Departmental Internship Supervisor to verify

that the proposed internship site has a valid Site Agreement with the College of Public Health. If the internship site has a Site Agreement in place the student can begin the internship as soon as the academic term begins in which the student is registered as long as their internship is approved. If a Site Agreement is not in place, then the Departmental Internship Supervisor must notify the Office of Public Health Practice and Partnerships (Elizabeth Shaffer-King) who will negotiate a Site Agreement with the organization. Students cannot begin an internship until a Site Agreement is in place. This process can take two to six weeks; students must request approval of a new site at least two months

http://www.adivsing.kent.edu/

http://www.kent.edu/career/job-internship-search

http://www.kent.edu/publichealth/environmental-health-jobs-internships

http://www.kent.edu/publichealth/environmental-health-jobs-internships

http://careers.apha.org/jobs

http://careers.naccho.org/jobs

http://www.jobspublichealth.com/topjobs.html

http://www.who.int/employment/en/

http://www.cdc.gov/Fellowships/StudentInternships.html

http://www.cdc.gov/Fellowships/StudentInternships.html

http://careers.ohio.gov/

http://www.publichealthjobs.net/

http://cfusion.sph.emory.edu/PHEC/phec.cfm

http://www.ohiopha.org/Tabs/Jobs/JobListings.aspx

http://www.aohc.net/


before they plan to begin their internship.

6. Once a student has secured an internship he/she will need to complete the appropriate paperwork. Students will obtain all necessary signatures – Internship Site Supervisor, Departmental Internship Supervisor and return their paperwork to 126 Lowry to Jennifer Miller for official processing. Students should submit their paperwork no later than two weeks prior to the beginning of the term in which the internship is anticipated to be completed. Failure to submit paperwork by this deadline could result in a delay in approving the internship site and registering for the course.

a. Required Paperwork Includes: i. College of Public Health internship Approval form

ii. College of Public Health Controlled Course Request Form iii. College of Public Health internship Contract iv. Student Statement of Understanding v. Defining the goals for my Internship Worksheet

vi. A detailed job description from the company where the student will be completing the internship. (The position description should indicate the type of duties students will be expected to perform, roughly the percent of time students will be spending on each type of responsibility, the approximate number of hours the student will be working each week, and the performance standards the student will be expected to meet in your position.)

7. Students are then notified via email of their ability to register for the internship course. It is

the student’s responsibility to register for the course by the university deadlines and complete all assignments to the satisfaction of the instructor. Students who fail to register cannot be provided with retroactive credit for the course.

Suggested Timeline for Summer Internships This example of a timeline should assist students with the steps for finding and securing an internship.

October/November During Required advising appointment student discusses internship options for credit and identifies where credit can be applied for BSPH degree.

Late November Student meets with Departmental Internship Supervisor and Career

Ambassadors to review resume, discuss plans for internships and interest areas.

December Student registers with Career Services job board. Polishes resume and

cover letter.

http://www.kent.edu/career/job-internship-search


January-April Student completes optional job shadow that was set up by Career Ambassadors and identifies contacts for internship. Student searches online for internships and connects with faculty.

May Student successfully completes interview and is offered summer

opportunity. Student reconnects with Departmental Internship Contact for paperwork approval and site agreement. Submits all paperwork by the end of the semester for approval and registers for the course.

June – August Student completes internship and all required assignments as part of

internship requirements.


Performance Expectations During the Internship

The student will be required to complete the following requirements to pass the course, additional materials many be requested be requested of the student. Students should consult their course syllabus for additional items.

The student will maintain a daily log of work activities, to be submitted at the end of the internship for evaluation. The log must include each day’s activities, time worked, person they worked with, what they did, and what skills or learning they experienced.

The student will complete and submit the midterm and final Student Self-Evaluation Form.

The student will develop and maintain an internship portfolio. All internship materials required will be organized into a portfolio to be submitted for evaluation at the end of the internship by the departmental internship supervisor. The portfolio should include the following:

o Daily Log of Work activities o Midterm and Final Student evaluations o Site Assessment Form o A two to five page essay on the goals the student defined in the “Defining

The Goals For My Internship Worksheet” and how the internship experience assisted the student with goal clarification.

o Additional concentration specific assignments may be reflected in student’s course syllabus.

All required work must be submitted to the Departmental Internship Supervisor by 5:00 PM on the Monday of finals week for the semester enrolled for evaluation.

Other Required Deliverables

Though not required, if reasonably possible, the Departmental Internship Supervisor will visit the site of the internship during the student's experience or speak with the organization by phone. The purpose of the visit is to meet with the preceptor and evaluate the student's progress at the site. Students may be asked to participate. The organization will be asked to complete and submit a student evaluation form on the student’s work (midterm and final) to the Departmental Internship Supervisor as part of the internship evaluation process.


Based on the specific course, departmental internship supervisors may request students complete additional assignments. Students should refer to their course syllabus for additional information.


Expectations

The Role of the Internship Site 1. Designate one staff person as site preceptor. This person will be an employee (part-

time, full-time, or contracted with the Site) of the Site where the internship will be conducted.

2. Providing opportunities for the intern to interact with stakeholders, understand services

and/or community resources as appropriate in a professional setting.

3. Providing opportunities to practice skills and utilize equipment relevant to the role of the intern.

4. Providing opportunities for interns to practice skills through one or more public health or business method(s).

5. Providing opportunities to integrate knowledge and practice toward the development of public health services and programs.

6. Providing opportunities to identify with the public health profession.

7. Providing opportunities to visit potential sites to observe additional tasks.

8. Providing models of professional competence.

The Role of the Site Preceptor 1. Orienting the student to the site.

2. Making site material available to the student.

3. Sensitizing the student to broad issues, trends, and dilemmas relevant to the organization,

so that the student may gain perspective of the macro-system in which the site operates.

4. Planning, organizing and coordinating activities and learning experiences for the student so that s/he will understand the total function of the internship site. (i.e. instruction on inspections, use of equipment, use of surveys, etc)

5. Assisting the student in development of an internship contract that specifies the projects and/or activities the student will be responsible for during the course of the internship.

6. Helping the student in planning, organizing, and implementing duties as specified in internship contract.


7. Establishes learning situations such as interviews and staff meetings so the student can be a participant/observer.

8. Monitoring that the student performs meaningful tasks during the internship.

9. Discussing policies, roles, and concerns activities in formal and informal supervisory sessions.

10. Completing evaluation forms on student intern performance at Week 8 and Week 15. 11. Informing the student of steps s/he should take to improve areas of needed growth

and further develop strengths.

12. Monitoring that the student has appropriately completed the required number of hours during the internship experience.

13. Maintaining communication with the University in relation to internship activities

through available means such as field supervisor meetings, email, correspondence telephone contacts and on-site visits by the University program coordinator.

The Role of the Student 1. Learning and observing site procedures, policies, and regulations of the site.

2. Developing an internship contract detailing specific projects and activities for which the

student will be responsible during the internship. (See Internship Contract form).

3. Asking for assistance and supervision when needed to assure that all projects and assignments are appropriately completed.

4. Informing the site preceptor when he/she will be late or absent.

5. Completing a log (see sample Internship Log Sheet) and submitting the log every other

week to University supervisor.

6. Completing the Student Self-Assessment form and the Site Evaluation form and return them to the University supervisor by the end of the 14th week of the semester.

7. It is the student’s responsibility to become familiar with the policies of the internship site. The student may be reassigned or asked to take time out until the next semester if during the course of the internship, the site supervisor or University supervisor determines that the student has difficulty functioning in a particular setting.

8. Completing an Internship project designed to make a public health contribution to the site.


9. Submitting copies of the project to the site preceptor and University supervisor

10. Complete a Final Internship Report of the Internship experience.

The Role of the Departmental Internship Supervisor The Departmental Internship Supervisor operates as a liaison between the university and the site. Periodic contacts between the Departmental Internship Supervisor and the site preceptor help to maintain a focus on the student throughout the internship experience. Specific responsibilities include:

1. Assisting the student in identifying placement opportunities and assuring that the proposed site is approved by the CPH Office of Public Health Practice and Partnerships (OPHPP).

2. Approving the internship contract developed by the student and internship site.

3. Providing opportunities for the student to discuss his/her experiences as necessary. 4. Reviewing student logs to assure that internship is providing an appropriate

learning experience. 5. Addressing any academic or internship issues that may develop between the student

and the internship site or preceptor.

6. Evaluating student performance and submitting grade to university.


Internship Paperwork


Defining the Goals for my Internship Worksheet

NAME:

PHONE:

Email:

Student ID #:

TRANSPORTATION AVAILABLE TO OFF-CAMPUS INTERNSHIP SITE: yes no

LOCAL ADDRESS:

PROFESSIONAL GOALS:

DESCRIBE THE TYPE OF INTERNSHIP EXPERIENCE YOU SEEK:

SPECIFIC INTERNSHIP SITES CONSISTENT WITH YOUR PROFESSIONAL GOALS:


COLLEGE OF PUBLIC HEALTH INTERNSHIP APPROVAL FORM

Complete the form and return it to 126 Lowry

Student’s Full Name ___________________________ Student ID # ________________ Local Address Local Phone Number Local City, State and Zip Email I am applying for the: □ Spring □ Summer □Fall of __________ (year) I am requesting permission to register for __________ credit hours. (Students can receive three credit hours for 150 hours of work or six credit hours for 300 hours of work)

Please initial items 1-14 as a confirmation of your understanding of the following requirements: 1. _____I am a Public Health major with 18-21 hours of Public Health coursework

completed/in progress or I have obtained special permission to register for these credits.

2. _____I have at least a 2.5 cumulative and major GPA. 3. _____I have obtained approval from my University Internship Supervisor and an

undergraduate advisor at least two weeks before the official registration deadline. 4. _____I understand that my final project will be placed on file in the school office. 5. _____I understand that I may register for up to six credit hours for my requested course. 6. _____I understand that no more than six hours combined of PH 44092, PH 40092 and

PH 40196 may apply toward major requirements. However, additional hours may apply toward General Electives.

7. _____I understand that internship credit may not take the place of a required Public

Health core course. 8. _____I understand that I will receive either a grade of “S” or “U” only for Internship.


9. _____I understand that I will be expected to devote a minimum of 50 hours for every one credit hours registered for the semester. I also understand that my site preceptor will be asked if I have completed the minimum hours required.

10. _____I have attached a detailed job description from the company where I will be

completing my internship. (The position description should indicate the type of duties you will be expected to perform, roughly the percent of time you will be spending on each type of responsibility, the approximate number of hours you will be working each week, and the performance standards you will be expected to meet in your position.)

11. _____I have completed and have obtained the necessary signatures on the attached

forms. (Controlled Course Request Form and Internship Approval Form, if appropriate)

12. _____I understand that after I have completed all appropriate forms and submitted

them to the College of Public Health for approval, I will receive an email with instructions on the registration process, if approved.

13. _____I have read and completed all items listed above to the best of my ability. Supervisor’s Full Name Address Phone Number City, State and Zip Email Student’s Signature Date: ATTACH THE FOLLOWING TO THIS APPLICATION:

□ Position Description and offer on Company Letterhead/e-mail address.

□ Controlled Course Request Form signed by all necessary parties. Complete the form and return it to 126 Lowry. You will be notified when registration authorization has been issued. IT IS YOUR RESPONSIBILITY TO REGISTER YOURSELF for the actual course once authorization is given.


COLLEGE OF PUBLIC HEALTH CONTROLLED COURSE REQUEST FORM

I am applying for the: □ Spring □ Summer □Fall of __________ (year)

Student’s Full Name Student ID # Local Address Local Phone Number Local City, State and Zip Email @kent.edu Concentration: □ Allied Health □ Community Based Public Health □ Clinical Trials Research □ Environmental Health Sciences □ Global Health □ Health Promotion and Education □ Health Services Administration □ Pre-Medicine Signatures: Student_____________________________________________________ Date__________

You will be notified when registration authorization has been issued. IT IS YOUR RESPONSIBILITY TO REGISTER YOURSELF for the course once authorization is given.

STOP – PLEASE SUBMIT FORM TO 126 Lowry for APPROVAL Advisor

Date

University Internship Supervisor Date

Override Given Date Communication Sent to Student Date

You will be notified when registration authorization has been issued. IT IS YOUR RESPONSIBILITY TO REGISTER YOURSELF for the course once authorization is given.


Student Statement of Understanding

In consideration for the opportunity to participate in the internship/practicum experience, I affirm that I understand the following responsibilities and agree to adhere to such to the best of my abilities throughout the course of the internship/practicum experience: 1. I agree that I will perform the duties as required by the Site under the internship/practicum in a

professional manner and will follow the reasonable requests and instruction of the Site supervisor. 2. I agree that I shall be responsible for attending advising sessions as needed for the internship/practicum. 3. I agree that I will complete a bi-weekly log and activity report (see enclosed form) and will submit the

originals on a bi-weekly basis to the University program coordinator, and provide copies to the site supervisor, as needed.

4. I agree that I will complete duties assigned and at hours scheduled at the internship/practicum site,

according to the agreement established between the student and Site representative. 5. I agree that I am responsible for seeing that all paperwork related to the internship/practicum is completed

in a timely fashion (i.e., according to deadlines specified in the Program Handbook or as otherwise published or provided to me) and on file.

6. I agree that I will be certain the internship/practicum site and assigned site supervisor receive a copy of the

University calendar, and/or any other documentation provided by the University program coordinator for this purpose, as needed.

7. I agree that I will be certain that the Site supervisor and University program coordinator receive copies of

the completed Internship/Practicum Agreement, and any other necessary paperwork required by the University, at least 8 weeks before the internship/practicum experience begins. I agree that I will also be certain that the mid-semester evaluation, final evaluation, and evaluation of the internship/practicum (Site and University) are properly completed and placed in my internship/practicum file at the University.

8. I agree that a signed version of this statement may be provided to the Site upon request. The signatures below indicate each person understands of the Internship/Practicum requirements. The signatures also represent each person’s agreement to upholding his or her respective responsibilities outlined in this Internship/Practicum Agreement form. Student Departmental Internship Supervisor

Signed: ________________________________ Signed: _________________________________ Printed: ________________________________ Printed: _________________________________ Date: __________________________________ Date: ___________________________________


Weekly Internship Log (Sample 1)

Student

Week Number

Site

Hours Worked M T W R F

Activities

1. Met with supervisor to develop recruitment strategy for smoking cessation program.

2. Conducted literature search on effective smoking cessation programs.

3. Contacted 10 local businesses to identify possible sites.

4. Attended a planning meeting on upcoming budget review.

5. Meet with committee for planning of annual health conference.

Observations

1. Planning for conference requires more lead-time than I thought.

2. Three of ten businesses contacted are potentially interested.

3. Some companies felt they were doing enough for employee health.

4. Many smoking cessation programs available need to choose more feasible one.

Planning For Next Week

1. Meet with personnel department of each interested company.

2. Meet with supervisor to select smoking cessation program.

3. Contact guest speakers for conference.

4. Make reservations for conference meeting rooms and A/V equipment.



Work Log for: ____________________________________________________ Organization _______________________________________________________ Semester ________________________________ Year ___________________ Hours Verified by _______________________________

Date # Hrs Mentor Activity/Skills &Learning

June 1

6

John Smith

Today was my first day. I attended the weekly staff meeting and was introduced to all the staff members. I was escorted on a building tour and was provided with my badge to access the building. I learned about the projects that I will be working on and started to set up times to shadow other employees.



Student

Week Number

Site

Hours Worked M T W R F

Activities

1.

2.

3.

4.

5.

Observations

1.

2.

3.

4.

5.

Planning For Next Week

1.

2.

3.

4.



Work Log for: ____________________________________________________ Organization _______________________________________________________ Semester ________________________________ Year ___________________ Hours Verified by _______________________________

Date # Hrs Mentor Activity/Skills &Learning


MIDTERM Site Assessment of Student Performance

To be completed by site preceptor

Student Name: _____________________________________________________________

Preceptor:

Title:

Site:

Site Address:

City, State, Zip:

Phone: _____________________________ Dates of Placement: ______________ Please evaluate the student’s performance by placing a check mark in the appropriate boxes, using as a basis the work that you have observed the student performing

Student has the following KNOWLEDGE Excellent Above Average

Average Poor Below Average

Of scientific basis for the profession

Of methods to assess & analyze client/organizational needs

Of appropriate theories/models relevant to the internship site

Of individual, small and/or large group public health strategies

Of relevant policies and practices at the state, federal and local level

Of local resources

Of models for designing and implementing programs

Of effective management practices such as planning, budgeting, marketing, staffing

Of effective methods of program evaluation

Additional Comments:


MIDTERM SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)

Student exhibits the following SKILLS: Excellent Above Average


Able to identify problem/assess client/organizational interest and need

Formulates goals and objectives

Selects strategies relevant to the situation

Delivers service or program effectively to clients

Makes optimum use of available service/resources

Develops measures to evaluate outcomes

Prepares appropriate reports/maintenance records

Plans and organizes time effectively

Accomplishes assigned tasks with a minimum of supervision

Makes sound decisions, using good judgment and common sense

Produces accurate, thorough work

Expresses self well in oral and written work

Follows policies and procedures



Student exhibits the following INTERPERSONAL SKILLS:

Excellent Above Average


Works harmoniously with colleagues

Works harmoniously with staff

Works harmoniously with representatives of other agencies

Participates effectively with group situations

Communicates effectively with stakeholders

Communicates effectively with staff



MIDTERM SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)

Student exhibits the following ATTITUDES: Excellent Above Average


Possesses emotional stability and maturity

Is mentally active and attentive

Shows leadership qualities

Shows interest & enthusiasm for assigned activities

Recognizes own strengths and weaknesses

Responds positively to supervision


Student exhibits the following POTENTIAL: Excellent Above Average


Shows potentialities of becoming an effective site employee

Has potential for contributing to profession

Has potential for supervisory & administrative work


Please include any additional documentation below or attached related to the students on the job performance. Overall Performance

□ Excellent □ Above Average □ Average □ Below Average □ Poor

Signature

Date


MIDTERM Student Self-Assessment of Internship

To be completed by student

Student Name:

Site preceptor:

Title:

Site:

Site Address:

City, State, Zip:

Phone:

Dates of Placement:

Please evaluate your performance by placing a check mark in the appropriate boxes, using as a basis the work that you have observed the student performing








Of local resources






MIDTERM STUDENT SELF-ASSESSMENT (Cont.)




























MIDTERM STUDENT SELF-ASSESSMENT (Cont.)

















Signature Date


SITE ASSESSMENT FORM


Student Name:

Site preceptor:

Title:

Site:

Site Address:

City, State, Zip:

Phone:

Dates of Placement:

---------------------------------------------------------------------------------------------------------------------

NUMBER OF HOURS WORKED PER WEEK:

1. Description of duties and responsibilities:


2. Describe the learning experience at this site?

A. What experience(s) were most helpful? Why?

B. What experience(s) were least helpful? Why

3. Do you receive adequate supervision and guidance from your site preceptor?

4. What feedback or recommendations do you have to improve the internship experience at the placement facility?


5. Would you recommend other students use this placement facility?

6. Other comments:


FINAL Site Assessment of Student Performance

To be completed by site preceptor

Student Name: _____________________________________________________________

Preceptor:

Title:

Site:

Site Address:

City, State, Zip:

Phone: _____________________________ Dates of Placement: ______________ Please evaluate the student’s performance by placing a check mark in the appropriate boxes, using as a basis the work that you have observed the student performing








Of local resources






FINAL SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)





























FINAL SITE ASSESSMENT OF STUDENT PERFORMANCE (Cont.)
















Please include any additional documentation below or attached related to the students on the job performance. Overall Performance

□ Excellent □ Above Average □ Average □ Below Average □ Poor

Signature

Date


FINAL Student Self-Assessment of Internship


Student Name:

Site preceptor:

Title:

Site:

Site Address:

City, State, Zip:

Phone:

Dates of Placement:

--------------------------------------------------------------------------------------------------------------------- Please evaluate your performance by placing a check mark in the appropriate boxes, using as a basis what you have accomplished rather than what you may be able to do.








Of local resources






FINAL STUDENT SELF-ASSESSMENT (Cont.)





























FINAL STUDENT SELF-ASSESSMENT (Cont.)
















Signature Date


Course Syllabi


SAMPLE SYLLABUS – CONTENT MAY CHANGE FROM SEMESTER TO SEMESTER.

Please review your Blackboard course for current syllabus.

Instructor:

Email:

Phone:

Office Address:

Office Hours:

Course Information

The purpose of the environmental and occupational health and safety internship is to supplement the student in-class learning experiences with practical hand-on skills and work practice experiences that helps them develop the environmental competencies required for success in the field. Prerequisite: junior or senior standing; and special approval.

General Operating Procedures 1. The Internship requirement may not be waiver for students who have had professional

experience in the past.

2. The internship will generally correspond with the official calendar of Kent State University, with students fulfilling this requirement during the officially designated fall, spring, or summer semesters. Internships may be designed over more than one semester with approval of the departmental internship contact.

3. The duration of the internship is variable but usually takes place during a regular 15 week

semester period. Any deviations must be approved by the departmental internship contact.


5. All organizations must comply with the policies for the administration of the internship.

6. The internship should not be terminated by any of the parties without first consulting the

departmental internship contact.

Environmental Health Sciences Internship

4-6 Credit Hours





Credit Hours This course is a variable hour course. Students may complete a minimum of three or maximum of six internship hours during their time in the College of Public Health. Students must complete 50 internship hours for each earned credit hour. Therefore:




Prerequisite and co-‐requisite course(s) Prior to beginning the internship process, students must be academically qualified for the internship experience. Students must:

1. Hold junior or senior standing 2. Hold a 2.5 cumulative and major GPA (2.0 for students in the Environmental Health

Sciences Concentration) 3. Have completed at a minimum 50% of their core public health courses

Competencies and Learning Objectives

1. Students will be able to gain additional experience and connect with their major and concentration

2. Students will be able to apply public health concepts and skills in a practical setting under the guidance of a trained professional.


3. Students will be able to understand the transition from the university setting to the applied work setting

4. Students will be able to adapt more readily to the professional roles they are about to assume upon graduation.

Required Textbook

College of Public Health Internship Manual

Class Attendance Class attendance is not required. However, it is expected that the student and the site preceptor define a work schedule for the duration of the internship.

Use of E-‐mail

Email is an official means of communication between Kent State University and students. It

is your responsibility to check your Kent State email account regularly. It is also important to

use your Kent State email account when corresponding with your instructor. E-mail services

such as Gmail, Hotmail, and Yahoo can be blocked by the university and should not be used

to correspond with your instructors. You may email instructors within LEARN at email

addresses listed above. Due to FERPA regulations, we do not communicate grades or course

related materials to non-KSU email addresses.

Students are responsible for all information sent to them via their university-assigned

email account. If a student chooses to forward information in their university email

account, he or she is responsible for all information, including attachments, sent to any

other email account. To stay current with university information, students are expected

to check their official university email account and other electronic communications on a

frequent and consistent basis. Recognizing that some communications may be time

critical, the university recommends that electronic communications be checked

minimally twice a week.

For a complete listing of university communication policies, please refer to the

Administrative policy regarding electronic communication for students on the KSU

Policy Register.

Technological Competencies

Students must be proficient with basic computer operations including, but not limited to:

copying and printing files, accessing files in directories and subdirectories, logging

onto all KSU Internet systems (e.g., FlashLine, LEARN, Gmail, etc.), accessing the Internet,

using a word processor (e.g., Microsoft Word), using a spreadsheet program (e.g., Microsoft

Excel), and using a presentation program (e.g., Microsoft PowerPoint). Students lacking

these skills must contact the KSU Helpdesk for assistance ([email protected] or 330-672-

mailto:([email protected]


4357). It is the student’s responsibility to acquire these skills, be able to perform

them independently, and have sufficient access to a computer capable of performing all

of these functions.

Students with Disabilities

University policy requires that students with disabilities be provided reasonable

accommodations to ensure their equal access to course content. If you have a

documented disability and require accommodations, please contact the instructor at the

beginning of the semester to make arrangements for necessary classroom adjustments.

Please note that you must first verify your eligibility through Student Accessibility Services.

Contact (330)672-3391 or visit www.kent.edu/sas for more information on relevant

policies and registration procedures.

Class enrollment

Students have the responsibility to ensure that they are properly enrolled in classes.

Students are advised to review their official class schedule (using Student Tools in

FlashFast) during the first week of the semester to ensure proper enrollment in courses

and sections. If errors are found you have until Sunday, January 24, 2016 to correct the

error with the College of Public Health advising office (126 Lowry). If you attend a class in

which you are not properly registered you will not receive a grade at the conclusion of

the semester.

Cheating and Plagiarism

As stated by the university, “Students enrolled in the university, at all its campuses, are to

perform their academic work according to standards set by faculty members,

departments, schools and colleges of the university; and cheating and plagiarism

constitute fraudulent misrepresentation for which no credit can be given and for which

appropriate sanctions are warranted and will be applied.” Thus, any form of cheating and

plagiarism, as defined by KSU policy, may result in an immediate failing grade for the

affected assignment(s) and the student may be referred to appropriate departmental,

college, and university officials for further action.

The definitions of cheating and plagiarism are defined by Section 3-01.8 of KSU’s official policies:

(B) Definitions. As used in this rule:

(1) "Cheat" means intentionally to misrepresent the source, nature, or other

conditions of academic work so as to accrue undeserved credit, or to cooperate with

someone else in such misrepresentation. Such misrepresentations may, but need not

necessarily, involve the work of others. As defined, cheating includes, but is not limited to:

(a) Obtaining or retaining partial or whole copies of examination, tests or quizzes

before these are distributed for student use;

http://www.kent.edu/sas


(b) Using notes, textbooks or other information in examinations, tests and

quizzes, except as expressly permitted;

(c) Obtaining confidential information about examinations, tests or quizzes other

than that released by the instructor; (d) Securing, giving or exchanging information during examinations; (e) Presenting data or other material gathered by another person or group as one's own;

(f) Falsifying experimental data or information;

(g) Having another person take one's place for any academic performance without

the specific knowledge and permission of the instructor; (h) Cooperating with another to do one or more of the above; and

(i) Using a substantial portion of a piece of work previously submitted for another

course or program to meet the requirements of the present course or program without

notifying the instructor to whom the work is presented.

(j) Presenting falsified information in order to postpone or avoid examinations,

tests, quizzes, or other academic work.

(2) "Plagiarize" means to take and present as one's own a material portion of the

ideas or words of another or to present as one's own an idea or work derived from an

existing source without full and proper credit to the source of the ideas, words, or works.

As defined, plagiarize includes, but is not limited to: (a) The copying of words, sentences and paragraphs directly from the work of another without proper credit; (b) The copying of illustrations, figures, photographs, drawings, models, or other

visual and nonverbal materials, including recordings, of another without proper

credit; and

(c) The presentation of work prepared by another in final or draft form as one's

own without citing the source, such as the use of purchased research papers.

The full policy, including sanctions, can be found here:

http://www.kent.edu/policyreg/policydetails.cfm?customel_datapageid_1976529=2037779

Additional resources regarding plagiarism can be found here:

http://www.kent.edu/academics/resources/plagiarism/Information-for-

Students/index.cfm

Assignments


The student will maintain a daily log of work activities, to be submitted at the end of the internship for evaluation. The log must include each day’s activities, person they worked with, what they did, and what skills or learning they


http://www.kent.edu/academics/resources/plagiarism/Information-


experienced.

The student and site preceptor will complete and submit the midterm and final Student Self-Evaluation Form.

The student will conduct and complete an individual project selected by the

student, approved by the Departmental Internship Coordinator and as assigned by the organization. The project must have a written paper, report, training program, data analysis, or other documented and project outcome as required by the organization. A copy must be given to the organization and submitted to the EHS internship coordinator for evaluation as part of the internship evaluation process.


o Daily Log of Work activities o Midterm and Final Student evaluations o Site Assessment Form o A two to five page essay on the goals the student defined in the

“Defining The Goals For My Internship Worksheet” and how the internship experience assisted the student with goal clarification.


Late assignments will not be accepted. All work submitted will be considered your final work and intended for grading and review according to standards of academic honesty. If you maintain multiple copies of electronic files, you are strictly responsible for ensuring that the one submitted is final, complete, and fully cited according to APA style guidelines. Course Web Space

This course will be utilizing web space on the Blackboard Learn server. To log in, go to the

following address http://learn.kent.edu and select Kent State University from the list. You

should log on using your Flashline username and password. Blackboard Learn utilizes pop-up

windows and Java based software. You can contact the help desk at (330) 672-HELP if you are experiencing technical difficulties.

http://learn.kent.edu/


Grading This course is graded on a Pass/Fail Basis. Students who complete all internship assignments and perform at an average to above average level will receive a passing grade. Students who fail to turn in all internship assignments or perform at a below average level will receive a failing grade for the course.


SAMPLE SYLLABUS – CONTENT MAY CHANGE FROM SEMESTER TO SEMESTER.

Please review your Blackboard course for current syllabus.

Instructor:

Email:

Phone:

Office Address:

Office Hours:

Course Information

Capstone internship experience in a public health setting under the supervision of a site preceptor and university supervisor. Students gain experience in public health work. Prerequisite: senior standing and special approval.

General Operating Procedures 1. The Internship requirement may not be waiver for students who have had professional experience in the past.

2. The internship will generally correspond with the official calendar of Kent State

University, with students fulfilling this requirement during the officially designated fall, spring, or summer semesters. Internships may be designed over more than one semester with approval of the departmental internship contact.

3. The duration of the internship is variable but usually takes place during a regular 15

week semester period. Any deviations must be approved by the departmental internship contact.


5. All organizations must comply with the policies for the administration of the

internship.

6. The internship should not be terminated by any of the parties without first consulting the departmental internship contact.

Internship in Public Health

3-6 Credit Hours





Credit Hours This course is a variable hour course. Students may complete a minimum of three or maximum of six internship hours during their time in the College of Public Health. Students must complete 50 internship hours for each earned credit hour. Therefore:




Prerequisite and co-‐requisite course(s) Prior to beginning the internship process, students must be academically qualified for the internship experience. Students must:

1. Hold junior or senior standing 2. Hold a 2.5 cumulative and major GPA (2.0 for students in the Environmental Health

Sciences Concentration) 3. Have completed at a minimum 50% of their core public health courses

Competencies and Learning Objectives

1. Students will be able to gain additional experience and connect with their major and concentration

2. Students will be able to apply public health concepts and skills in a practical setting under


the guidance of a trained professional.

3. Students will be able to understand the transition from the university setting to the applied work setting

4. Students will be able to adapt more readily to the professional roles they are about to assume upon graduation.

Required Textbook

College of Public Health Internship Manual

Class Attendance Class attendance is not required. However, it is expected that the student and the site preceptor define a work schedule for the duration of the internship.

Use of E-‐mail

Email is an official means of communication between Kent State University and students. It

is your responsibility to check your Kent State email account regularly. It is also important to

use your Kent State email account when corresponding with your instructor. E-mail services

such as Gmail, Hotmail, and Yahoo can be blocked by the university and should not be used

to correspond with your instructors. You may email instructors within LEARN at email

addresses listed above. Due to FERPA regulations, we do not communicate grades or course

related materials to non-KSU email addresses.

Students are responsible for all information sent to them via their university-assigned

email account. If a student chooses to forward information in their university email

account, he or she is responsible for all information, including attachments, sent to any

other email account. To stay current with university information, students are expected

to check their official university email account and other electronic communications on a

frequent and consistent basis. Recognizing that some communications may be time

critical, the university recommends that electronic communications be checked

minimally twice a week.

For a complete listing of university communication policies, please refer to the

Administrative policy regarding electronic communication for students on the KSU

Policy Register.

Technological Competencies

Students must be proficient with basic computer operations including, but not limited to:

copying and printing files, accessing files in directories and subdirectories, logging

onto all KSU Internet systems (e.g., FlashLine, LEARN, Gmail, etc.), accessing the Internet,

using a word processor (e.g., Microsoft Word), using a spreadsheet program (e.g., Microsoft

Excel), and using a presentation program (e.g., Microsoft PowerPoint). Students lacking


these skills must contact the KSU Helpdesk for assistance ([email protected] or 330-672-

4357). It is the student’s responsibility to acquire these skills, be able to perform

them independently, and have sufficient access to a computer capable of performing all

of these functions.

Students with Disabilities

University policy requires that students with disabilities be provided reasonable

accommodations to ensure their equal access to course content. If you have a

documented disability and require accommodations, please contact the instructor at the

beginning of the semester to make arrangements for necessary classroom adjustments.

Please note that you must first verify your eligibility through Student Accessibility Services.

Contact (330)672-3391 or visit www.kent.edu/sas for more information on relevant

policies and registration procedures.

Class enrollment

Students have the responsibility to ensure that they are properly enrolled in classes.

Students are advised to review their official class schedule (using Student Tools in

FlashFast) during the first week of the semester to ensure proper enrollment in courses

and sections. If errors are found you have until Sunday, January 24, 2016 to correct the

error with the College of Public Health advising office (126 Lowry). If you attend a class in

which you are not properly registered you will not receive a grade at the conclusion of

the semester.

Cheating and Plagiarism

As stated by the university, “Students enrolled in the university, at all its campuses, are to

perform their academic work according to standards set by faculty members,

departments, schools and colleges of the university; and cheating and plagiarism

constitute fraudulent misrepresentation for which no credit can be given and for which

appropriate sanctions are warranted and will be applied.” Thus, any form of cheating and

plagiarism, as defined by KSU policy, may result in an immediate failing grade for the

affected assignment(s) and the student may be referred to appropriate departmental,

college, and university officials for further action.

The definitions of cheating and plagiarism are defined by Section 3-01.8 of KSU’s official policies:

(C) Definitions. As used in this rule:

(1) "Cheat" means intentionally to misrepresent the source, nature, or other

conditions of academic work so as to accrue undeserved credit, or to cooperate with

someone else in such misrepresentation. Such misrepresentations may, but need not

necessarily, involve the work of others. As defined, cheating includes, but is not limited to:

(a) Obtaining or retaining partial or whole copies of examination, tests or quizzes

mailto:([email protected]

http://www.kent.edu/sas


before these are distributed for student use;

(b) Using notes, textbooks or other information in examinations, tests and

quizzes, except as expressly permitted;

(c) Obtaining confidential information about examinations, tests or quizzes other

than that released by the instructor; (d) Securing, giving or exchanging information during examinations; (e) Presenting data or other material gathered by another person or group as one's own;

(f) Falsifying experimental data or information;

(g) Having another person take one's place for any academic performance without

the specific knowledge and permission of the instructor; (h) Cooperating with another to do one or more of the above; and

(i) Using a substantial portion of a piece of work previously submitted for another

course or program to meet the requirements of the present course or program without

notifying the instructor to whom the work is presented.

(j) Presenting falsified information in order to postpone or avoid examinations,

tests, quizzes, or other academic work.

(2) "Plagiarize" means to take and present as one's own a material portion of the

ideas or words of another or to present as one's own an idea or work derived from an

existing source without full and proper credit to the source of the ideas, words, or works.

As defined, plagiarize includes, but is not limited to: (a) The copying of words, sentences and paragraphs directly from the work of another without proper credit; (b) The copying of illustrations, figures, photographs, drawings, models, or other

visual and nonverbal materials, including recordings, of another without proper

credit; and

(c) The presentation of work prepared by another in final or draft form as one's

own without citing the source, such as the use of purchased research papers.

The full policy, including sanctions, can be found here:


Additional resources regarding plagiarism can be found here:

http://www.kent.edu/academics/resources/plagiarism/Information-for-

Students/index.cfm

Assignments


The student will maintain a daily log of work activities, to be submitted at the end of the internship for evaluation. The log must include each day’s activities,


http://www.kent.edu/academics/resources/plagiarism/Information-


person they worked with, what they did, and what skills or learning they experienced.

The student and site preceptor will complete and submit the midterm and final Student Self-Evaluation Form.


o Daily Log of Work activities o Midterm and Final Student evaluations o Site Assessment Form o A two to five page essay on the goals the student defined in the

“Defining The Goals For My Internship Worksheet” and how the internship experience assisted the student with goal clarification.


Late assignments will not be accepted. All work submitted will be considered your final work and intended for grading and review according to standards of academic honesty. If you maintain multiple copies of electronic files, you are strictly responsible for ensuring that the one submitted is final, complete, and fully cited according to APA style guidelines. Course Web Space

This course will be utilizing web space on the Blackboard Learn server. To log in, go to the

following address http://learn.kent.edu and select Kent State University from the list. You

should log on using your Flashline username and password. Blackboard Learn utilizes pop-up

windows and Java based software. You can contact the help desk at (330) 672-HELP if you are experiencing technical difficulties. Grading This course is graded on a Pass/Fail Basis. Students who complete all internship assignments and perform at an average to above average level will receive a passing grade. Students who fail to turn in all internship assignments or perform at a below average level will receive a failing grade for the course.

http://learn.kent.edu/

Documents

Kent State University ollege of Public Health Undergraduate ... for...Peggy Shaffer- King [email protected] Health Services Administration Ken Slenkovich [email protected] Pre-Medicine