AY 2014-2015 ACADEMIC PROGRAM REVIEW SELF-STUDY Reporting School/College: St. John's College Program Reviewed: Long Island Au.D. Consortium Date Submitted to Department/Division Chair: September, 2015 Overview and Program Review Summary: Please summarize this program’s mission and its relationship to the vision and mission of St. John’s University, and the program’s School/College. Identify similar programs regionally and nationally and distinguish this program from them. In addition, summarize your findings as they relate to (1) program quality, (2) market growth potential, and (3) student learning. Also, summarize any significant changes, achievements (by faculty and students and the program itself), and plans for the future. Finally, based on the information gleaned from the data in the self-study, give an overall rating of the program’s Enrollment/Market Potential by categorizing it as one of the following: (1) Enhance; (2) Maintain; (3) Reduce support, Phase out, Consolidate, or Discontinue. (Suggested limit 1 page) The LI Au.D. Consortium consists of three higher education institutes- Adelphi University, Hofstra University and St. John’s University. This consortium fits the mission of St. John’s University, as it is a program that educates and trains graduate audiology students to serve both children and adults with hearing loss. Academic and clinical components provide the knowledge and skills that result in competent clinicians capable of serving those with hearing loss across the age span and from culturally diverse backgrounds. Similar to other national and regional programs, we have 65 full-time students in our 4-year program. Our market growth potential is excellent as we see a rise in the number of applicants applying to the program yearly. In the Fall 2014, we had 118 applications, accepted 31 students, and enrolled 18 students. Our program enjoys a good reputation as we have a respected faculty that is actively involved in the discipline, publishes, authors textbooks, and presents at national and local professional organizations. We have a high student success rate on the national Praxis exam (100 % pass rate for 2014), and 100% employment upon graduation. With the addition of new audiology faculty, and the continued demand for well-trained audiologist, program expansion is possible. As we grow we also hope expand our course offerings as we continue to provide quality guidance and advisement to our dedicated and engaged students. Self-Study Template 1 STANDARD 1. The purpose of the program reflects and supports the strategic vision and mission of St. John’s University, and the program’s School/College. 1a. What evidence can you provide that demonstrates that the program embodies the Catholic, Vincentian, and metropolitan identity of St. John’s University? www.stjohns.edu/about/our-mission. The purpose of this program is to prepare and educate students to assist individuals with hearing loss. Each university in the Consortium has a Speech and Hearing Center, which provides diagnosis and treatment of communication impairments on a sliding scale, thus ensuring that all who come to the center are served, regardless of their ability to pay. St. John’s Speech and Hearing Center also serves all priests and members of the clergy at no cost. Students are actively engaged and rotate through all three consortium Speech and Hearing Centers. The St John’s Speech and Hearing Center has a presence in Queens. Both the Adelphi and Hofstra Speech and Hearing Centers provide services to the Long Island community. Our students observe and are placed at externship sites in the greater metropolitan area. The students carry the mission of service and as such foster the University’s Catholic identity. Additionally, students participate in Service Learning projects, such as providing free hearing screenings in the community including child and adult day care programs, senior homes, and nursing facilities. 1b. What evidence can you provide that demonstrates that the program embodies the University’s vision. www.stjohns.edu/about/our-mission/vision-statement. The faculty council of the Au.D program recently approved Global Audiology, AUD 566. St. John’s University’s Graduate Council also approved the course. This will enable our students to travel abroad and provide hearing health care in underprivileged areas of the world such as Vietnam, Haiti, Guatemala and Trinidad. Bringing hearing health care to impoverished global communities where health care is limited fulfills the St. John’s mission and Vincentian ideals. Such efforts on the parts of students are voluntary, but provide them with a worldwide view of hearing related difficulties in underserved countries. 1c. What evidence can you provide that demonstrates that the program embodies the vision and mission of the program’s School/College? In alignment with the mission of the College, we are educating health care providers with an appreciation for individuals with a variety of backgrounds and needs. We also offer service opportunities. For example, we provide early childhood hearing screenings in area schools. This helps to identify children with hearing loss during an important developmental period. Self-Study Template 2 STANDARD 2. The program attracts, retains, and graduates high quality students. 2a. Undergraduate SAT and High School Average - Not applicable 2b. Undergraduate 1st Year Retention Rate - Not applicable 2c. Undergraduate 6 Year Graduation Rate - Not applicable 2d. Graduate Standardized Test Scores 2010 * 2011 * 2012 * Program 2013 2014 GRE V 383 GRE V 147 GRE Q 459 GRE Q 147 ** ** ** ** ** N/A N/A N/A N/A N/A School / College Average Rate Regional Comparison *2010-2012 GRE requirements approximated 950 ** Check with institutional service 2e. Please describe how the program compares with peer and aspirational institutions. There are two additional Au.D. programs in the metropolitan area, Montclair State University and the City University of New York (CUNY Au.D.). The American Speech-Language-Hearing Association (ASHA) accredits us, and our program provides similar curriculum to Au.D. programs around the county. Our 4th year students participate in the national match and are offered their first or second choices. Additionally, our graduate students have all gained employment. Though we compare well academically and clinically, we are at a disadvantage when compared to our peer and aspirational institutions with regards to tuition. For example the tuition at the City University of New York is $5,341 for year 1 and $3,345 for year 2. The approximately cost of the 4-year program at CUNY is $15,376. Montclair State is $588 per credit (approximately $52,000 for the 4-year program). Our program is $1,225 per credit. The total cost is approximately $109,000. It is therefore difficult to attract the most desirable students. Self-Study Template 3 2f. If applicable, describe the program’s student performance over the past five years on licensure or professional certification exams relative to regional and national standards. Praxis Licensure Examination Scores 2010 LI Au.D. Consortium 100% Regional (CUNY Au.D) National 91% 2g. 89% 2012 40% 100% 57% 2013 86% 88% 58% 2014 100% 100% n/a Number of majors and minors enrolled over the past five years. 2010 55 LI Au.D. Consortium 2h. 2011 91% 2011 56 2012 60 2013 63 2014 65 Number of degrees granted during the past five years. LI Au.D. Consortium May 2010 15 May 2011 14 May 2012 8 May 2013 14 May 2014 18 Comments: Based on the data in 2g and 2h, how do these trends compare to institutional, regional and national patterns? We have nearly 100% completion rate, which is comparable to our peer institutions 2i. What mechanisms are in place to monitor students’ progress toward degree? And, to what extent is there a collaborative effort to provide quality advising and support services to students? Each student has an advisor that meets with them every semester to review course work, plan, and register for the following semester. Performance in the program is also discussed. Comprehensive evaluations occur at the end of the second and third years. Additionally, all students are met with as a group at the start of each school year. The collaborative meeting is to review degree requirements, support services, and answer questions. Additionally, all students must meet with the clinical coordinator to review their hours, clinical placements, and clinical performances. The hours are signed off on at the end of the 4-year program. Dr. Murad, the LI Au.D Clinical Coordinator, then completes the Knowledge and Skills Area (KASA) form for each student. Students that do not meet a KASA standard (ASHA requirement) in a particular course must complete a remediation plan for that standard before continuing on to the next level. Consortium faculty meets bi-monthly to review student performance in class. Finally, all students must take the National Praxis in Audiology. Self-Study Template 4 2j. If available, provide information on the success of graduates in this program as it relates to employment or attending graduate school. All third year students are successfully placed in 4th year placements. Many students are offered permanent employment by their 4th year placements. The overall employment rate is 100% for all graduates. Employers are surveyed approximately every two years to determine the competency and success of our graduates in their employment setting. Results have all been positive. 2k. Please comment on the students’ competencies in the program. Support your response using data provided below and any other data available. Competencies are measured clinically via assessment scales each semester. A rating scale has been established. No student can proceed clinically in the program if a grade below a B is obtained. Any rating that is substandard is addressed via a remediation program. If performance does not improve, the student is terminated from the program. STANDARD 3. The program engages in ongoing systematic planning that is aligned with the University and School/College planning, direction, and priorities. 3a. How does your program’s strategic goal/objectives link to your School/College plan and the University’s strategic plan? http://www.stjohns.edu/about/leadership/strategic-planning The Au.D. program trains students to be clinical practitioners sensitive to the needs of the economically disadvantaged. Service learning activities at the Jewish Home Lifecare, St Michel’s Villa, Ozaman Hall, campus speech and hearing centers as well as other practicum sites such as Harlem Hospital. These sites allow students to integrate academic coursework (e.g. geriatrics, pediatrics, genetics, amplification, early intervention) and clinical understanding. Coursework and clinical placements help to strengthen student competency and ensure exposure to diverse populations across the lifespan. 3b. What is the evidence of monitoring the external and internal environments, specifically what are the strengths, weaknesses, opportunities and threats facing the program? How were they identified? What actions have been taken in response to these findings? What characteristics of the program suggest a competitive edge against other programs regionally and nationally? The Audiology program is currently grounded in strong foundations connected to the professional needs required by present demographic and health care demands. A recent report in US News and Report described Audiology as one of the fastest growing occupations in the United States. Changes in demographics, including the increasing number of adults with hearing impairments, have placed skilled hearing professional in demand. Also, the federal Early Intervention Program, which guarantee therapeutic services for premature infants and other infants with special needs have similarly impacted the number of therapists required to meet the growing demands in health care. By hiring faculty in areas consistent with professional demands, our program has a solid basis to provide the training required by audiologists reflecting current demographic and health care demands. Self-Study Template 5 A recent threat was the 2012 student performance on the Praxis exam. This concern was addressed by providing more preparation and counseling to students anticipating the exam, which resulted in better scores in 2013 (86%) and 2014 (100%). Our competitive edge is jeopardized by the cost of our tuition, and the debt that our students incur, which is challenging to overcome based on salaries upon employment. 3c. What is the current and future market demand for the program? Support your response using the data provided below or any other internal or external sources to justify your response. Admission applications and enrollment patterns have steadily increased in the past five years. We have been very competitive, accepting students with an average GPA of 3.6. We selected 36 students for admission for which 18 responded in the Fall 2014. We anticipate that enrollments in Audiology graduate programs will continue to grow in view of the demographic and health care trends. In 2013 US News and World Reports ranked Audiology #2 for "10 Hidden Gem Careers for 2013 and Beyond". In addition, the U.S. Bureau of Labor Statistics reported that employment of audiologists is projected to grow 34 percent from 2012 to 2022, much faster than the average for all occupations. This is due in large part to the rapid growth anticipated in older population segments. Since hearing loss is strongly associated with aging, rapid growth in the 55 and older population group will cause the number of people with hearing impairments to increase proportionately. STANDARD 4. The program provides a high quality curriculum that emphasizes and assesses student learning and engagement. 4a. Please indicate how the program curriculum is in alignment with the following three items: 1. Standards within the discipline 2. Curriculum integrity, coherence, academic internships, teaching excellence, teaching vibrancy, and study abroad experiences. 3. The University Core competencies In compliance with professional requirements from the Council of Academic Accreditation (CAA) of the American Speech-Language-Hearing Association (ASHA) and licensure-qualifications from the New York State Board of professional licensing of the State Education Department, our teaching framework integrates theoretical, empirical, and clinical domains which meet the knowledge and skills pertinent to the field of Audiology and New York State professional license. Curricular planning and course offerings are grounded in both external professional standards as well as internal institutional goals that fulfill the Program’s mission to train individuals to be competent and respectful professionals that accurately evaluate and treat communication impairments in both children and adults. Students learn the bases of hearing and balance disorders and the tests used to make a differential diagnosis. Students learn to apply research evidence and theoretical principles. Internal institutional goals are infused throughout all aspects of student training to enhance awareness of service to the Self-Study Template 6 disadvantaged in a respectful and sensitive manner that is consistent with the diverse community in which we live. We have high expectations for the students. Student progress is monitored through performance in tests, assignments, and clinical experiences. Feedback and pertinent remedial measures (e.g., writing improvement at the Writing Center) are implemented whenever necessary. A dismissal policy is applied if results from multiple remedial approaches have not been positive. Additionally, our clinical coordinators are in constant contact with preceptors at outside placement sites to monitor the competency of our students, knowledge base, and skill sets to determine adequacy of instruction and practice. 4b. The syllabi for the courses within this program incorporate the suggested elements of a syllabus – an example of which can be found at the following St. John’s University Center for Teaching and Learning link. http://stjohns.campusguides.com/content.php?pid=71651&sid=984766 All syllabi follow the template determined by the Au.D. Faculty Council and meets the requirements of all three schools. The syllabi include a course description, course objectives, performance outcomes, performance assessments, required readings, the American Speech-Language-Hearing Association's Council on Academic Accreditation for Audiology Knowledge and Skills Area (KASA) requirements. Additionally, University and program policies are in the course outline. Each individual university, with its own approval processes, often three levels, must approve all new courses. Thus, each course is highly scrutinized and adapted to meet all three school’s criteria. 4c. Describe the assessment model currently in place for the program and indicate the extent to which disciplinary and core knowledge, competence, and values are met, as well as findings and action plans for improvement. Not applicable 4d. What, if any, external validations, e.g. specialized accreditations, external awards, other validations of quality has the program received? The Council on Academic Accreditation certifies the program for the American Speech-LanguageHearing Association (ASHA). Students receive all coursework and clinical hours to be eligible for New York State licensure and ASHA certification. All clinical supervisors are ASHA certified to approve clinical clocked hours. Self-Study Template 7 STANDARD 5. The program has the faculty resources required to meet its mission and goals. 5a. Below you will find the number of students enrolled as majors and minors in the program. Please complete the table by adding the number of full-time faculty assigned to the program. Then calculate the student to full-time faculty ratio. Long Island Au.D. Consortium Faculty (FTE) Fall 2010 Fall 2011 Full-time Faculty 10 (9.33) 10 (9.33) Majors 55 56 Faculty / Student Ratio 1:5.8 1:6 Fall 2012 10 (9.33) 60 1:6.4 Fall 2013 10 (9.33) 63 1:6.7 Fall 2014 8 65 1:7.8 5b. Below you will find the credit hours the department has delivered by full-time faculty and part-time faculty (including administrators) and the total credit hours consumed by non-majors. Full-time faculty teach a 3-course load, 9 credits, provided they are not on research reduction. Part-time faculty typically teaches a 1-course load, 3 credits. Non-majors do not participate in LI Au.D. Consortium coursework. 5c. Below you will find the number of courses the department has delivered by full-time faculty and part-time faculty (including administrators). Of the 2 full-time faculty members, both full-time faculty members are on research reduction for the 2015-2016 academic year. One faculty teaches 1 Au.D. course and 1 undergraduate CSD course per semester. The other full-time faculty member will be teaching 2 Au.D. courses in the Fall 2015. Additionally, one part-time faculty teaches 1 course (3 credits). An additional part-time faculty teaches 2 courses (3 credits each). Finally, two part-time faculty members each teach a 1-credit course. 5d. What is the representative nature of faculty in terms of demographics, tenure and diversity? (See departmental information on next page). How well does this support the program? There are two full-time faculty members, both women, one tenured and one untenured. The AuD. Clinical Coordinator, an employee of all three universities, is also a woman. The two part time clinical supervisors include one male and one female. The nature of our faculty is representative of our current enrollment, which is primarily female, and mirrors national trends. 5e. What evidence exists that the program’s faculty have engaged in research and scholarship on teaching and/or learning in the program’s field of study? Academic and clinical faculty attends regional, state, and national conferences. Many present short courses and posters at noteworthy conferences including the American Speech-Language-Hearing Self-Study Template 8 Association (ASHA) and the American Academy of Audiology (AAA). Additionally, faculty members mentor 3rd year students as they develop a research project in the advanced research class. Students have the opportunity to complete their research project in the 4th year and often present their work during student poster sessions at regional and national conferences. 5f. What initiatives have been taken in the past five years to promote faculty development in support of the program? In 2014 there was an increase in funds of $1,200 in the area of intellectual engagement to support faculty and clinical supervisors in their attendance of scholarly events and continuing education events/programs. In addition, funding was also provided in 2014 for a student lab assistant. The role of the lab assistant is to support faculty that teach courses with lab assignments, which necessitate the use of lab equipment for diagnostic audiological services. 5g. The table below shows the amount of external funding received by the department. If available, please provide the dollar amount of externally funded research for full-time faculty supporting the program under review. (Program dollar amounts are available through departmental records.) 2010 2011 2012 0 Funding 2013 0 2014 0 5h. Please comment on the table below that shows trends in overall course evaluation and instructional vibrancy for your program (if available), your college and the university. Overall Evaluation (Spring) Communication Sciences and Disorders (Q-GR) Instructional Vibrancy (Spring) 2011 2012 2013 2011 2012 2013 4.07 4.13 4.14 4.27 4.22 4.31 Self-Study Template 9 5i. What percentage of full time faculty assigned to this program have terminal degrees or industry certifications renewed within the past 2 years? Comment. All faculty hold New York State Licensure in Audiology, 100% of the faculty have received terminal degrees, either the research Ph.D. or clinical doctorate in audiology, Au.D. Standard 5. Comments: Indicate to what extent the program has the faculty resources required to meet its mission and goals. Include references from 5a – 5i. Due to the voluntary separation offer, we are in need of one additional full-time audiology faculty. A search has commenced for the position starting Fall 2016. STANDARD 6. The program has adequate resources to meet its goals and objectives. And, it is costeffective. 6a. Narrative/Supportive Technological Environment - Comment on classrooms and labs meeting industry-standards for quality and availability of hardware, software, and peripherals; library space, holdings and services; science laboratories, TV studios, art/computer graphic labs; etc. We do not have lab space to conduct research. Due to the lack of space, it is also difficult to properly store audiologic equipment. 6b. Narrative/ Supportive Physical Environment - Comment on level of faculty and student satisfaction with HVAC; faculty and student satisfaction with classroom lighting, crowdedness, and acoustics; flexible teaching environments, and faculty offices, etc. The physical environment is adequate. Due to the large class size, classroom instruction occurs on the main campus, separate from the Speech and Hearing Center. 6c. To what extent has the University funded major capital projects, e.g., renovations, which are linked directly to the program during the past five years? There has been no funded major capital projects linked directly to the program in the last 5 years. Self-Study Template 10 6d. If external data that describes the cost effectiveness of the program has been provided by your School/College Dean, please comment on the program’s cost-effectiveness. Based on Fall 2013 institutional data, there are 43 students enrolled in the Long Island Au.D. Consortium. Total revenue for the program is $577,502 with direct expenses at $237,368 and a contribution margin of $340,134. The program is therefore cost-effective and there is additional room for growth as the quality and quantity of applications for admissions continues to rise. Gross Credit Tuition Financial Tuition Enrollment Hours Tuition Fees & Fees Aid Remission Fellowships 43 715 583,520 20,528 604,048 0 0 28,320 Other Direct Revenue 1,774 Total Revenue 577,502 Direct Expenses 237,368 Net Tuition Revenues 575,728 Contribution Margin #1 340,134 STANDARD 7. Effective actions have been taken based on the findings of the last program review and plans have been initiated for the future. Faculty continues to write grants and seek external funding for the program. We are looking forward to the addition of a new faculty member so that we may strongly develop our research reputation and better serve our students. Self-Study Template 11