Supervision of Interns and Assistants

Supervisor Qualifications

A supervisor must be licensed in the same area of the intern/assistant’s license in order to supervise that intern or assistant.

To be eligible to supervise interns and assistants, supervisors must have 2 years of professional experience in providing direct client services with at least a master’s degree with a major in one of the areas of communicative sciences or disorders. The internship year may be counted toward the 2 years of experience.

You may not supervise an individual who is your parent or child.


Responsibilities of a Supervisor

  • Verify intern or assistants license status
  • Verify supervision has been approved by TDLR prior to beginning services
  • Ensure that the scope of practice is appropriate for the intern/assistant
  • Be responsible for all client services performed by assistant/intern
  • Provide the appropriate supervision amount/type in accordance with intern/assistants license requirements
  • Supervisors of assistants are responsible for evaluations, interpretation, and case management
  • Supervisors cannot designate anyone other than a licensed speech-language pathologist or intern in speech-language pathology to represent speech-language pathology to an Admission, Review, and Dismissal (ARD) meetings

Supervision Requirements by License Type

The amount of supervision hours required is independent of the number of hours that an intern or assistant has worked per week or month. For example, an assistant in speech-language pathology must receive 8 hours of supervision per month, regardless of the number of hours actually worked in that month.

Intern in Speech-Language Pathology

The internship will be divided into three segments with no fewer than thirty-six (36) clock hours of supervisory activities to include:

  • Six hours of in person observations per segment by TDLR-approved supervisor(s) of the intern's direct client contact at the worksite in which the intern provides screening, evaluation, assessment, habilitation, and rehabilitation; and
  • Six hours of other monitoring activities per segment with TDLR-approved supervisor(s) which may include correspondence, review of videotapes, evaluation of written reports, phone conferences with the intern, evaluations by professional colleagues. During each segment of the internship, each TDLR-approved supervisor shall conduct a formal evaluation.

Assistant in Speech-Language Pathology

The supervisor is required to provide at least 8 hours per month of supervision, at least 4 hours of which are direct and at least 2 hours of which are in-person and onsite. Up to four hours may be indirect supervision. Telepractice/telehealth provisions may be used for up to 6 hours of supervision without requesting an Alternate Supervision Plan.

Intern in Audiology

The supervisor shall supervise the internship, which consists of 1,600 hours of supervised clinical work. The internship shall begin after completion of all academic course work, and involves primarily clinical activities such as assessment, diagnosis, evaluation, screening, treatment, report writing, family/client consultation, and/or counseling related to the management process of individuals.

Assistant in Audiology

The supervisor is required to be onsite at the assistant's employment location for at least 10 hours per week, or 40 hours per month, and provide at least 1 hour per week or 4 hours per month of direct supervision, at the location where the assistant is employed. Telepractice/telehealth provisions may be used in certain situations.


Indirect Supervision

Indirect supervision includes monitoring activities, such as telephone conferences with the licensed assistant, evaluating the licensed assistant's records and correspondence, reviewing videotapes of the licensed assistant's therapy, and discussing the licensed assistant's performance with professional colleagues. Telepractice/telehealth may be used for in-direct supervision. For instance, a supervisor may wish to video conference with an assistant to discuss areas for improvement.


Adding a Supervisee to Your License

Licensed speech-language pathologists and audiologists who are eligible to supervise may add a supervisee to their license in one of two ways:

Option 1 - Add a Supervisee Online. The online system allows supervisors to add or delete assistant and intern supervisees if the assistant or intern is currently licensed. The online system is not available for supervisees who have not been issued a license. Read detailed instructions for the online system.

Option 2 - Submit the paper form:

Speech-language pathology supervisors may not supervise more than 4 assistants and/or interns at a time.

Audiology supervisors may not supervise more than 2 assistants and/or interns at a time if an assistant holds a high school diploma or equivalent, or no more than 4 assistants and/or interns if the assistant(s) holds a bachelor’s degree.

You may not supervise an individual who is your parent or child.


Terminating the Supervisory Relationship

Interns

Submit a completed Report of Completed Internship Form to TDLR within 30 days of terminated supervision. Both the intern and supervisor must complete and sign this form.

Assistants

You must notify TDLR of any changes in supervision. You may use the Online Supervisee System to delete your interns/assistants from your license. You may also submit a letter to TDLR stating termination of supervision.