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									George Mason University – Graduate Council Graduate Course Approval
Form
All courses numbered 500 or above must be submitted to the Graduate Council for final approval after
approval by the sponsoring College, School or Institute.

Graduate Council requires submission of this form for a new course or any change to existing courses.
For a new course, please attach a copy of the syllabus and catalog description (with catalog credit
format, e.g. 3:2:1). The designated representative of the College, School or Institute should forward the
form along with the syllabus and catalog description, if required, as an email attachment (in one file) to
the secretary of the Graduate Council. A printed copy of the form with signatures and the attachments
should be brought to the Graduate Council meeting. Please complete the Graduate Course Coordinator
Form if the proposed changes will affect other units.

Note: Colleges, Schools or Institutes are responsible for submitting new or modified catalog descriptions
(35 words or less, using catalog format) to Creative Services by deadlines outlined in the yearly Catalog
production calendar.

Please indicate: New_______                     Modify___X____              Delete_______

Department/Unit:__Health Administration and Policy/CHHS_ Course Subject/Number:___HAP
790_____

Submitted by:____Martin Perlin__________ Ext:___3-1967_________ Email:__
mperlin@gmu.edu______

Course Title:_ Capstone Practicum in Health                           Systems
Management_______________________ ______
Effective Term (New/Modified Courses only): ___Spring 2009__                           Final Term (deleted courses
only):____________


Credit Hours: (Fixed) __3__                (Var.) ______ to ______           Grade Type (check one): ___X__            Regular
graduate (A, B, C, etc.)
                                                                                                            _____      Satisfactory/No
Credit only
                                                                                                            _____      Special
graduate (A, B, C, etc. + IP)

Repeat Status*(check one): ___ NR-Not repeatable ____ RD-Repeatable within degree ____ RT-Repeatable
within term
*Note: Used only for special topics, independent study, or internships courses                Total Number of Hours
Allowed: _______
Schedule Type Code(s): 1._LEC_ LEC=Lecture SEM=Seminar STU=Studio INT=Internship
IND=Independent Study                     2.____ LAB=Lab RCT=Recitation (second code used
only for courses with Lab or Rct component)

Prereq ___ Coreq ___ (Check
one):_______________________________________________________________
______________________________________________________________________________
____________
Note: Modified courses - review prereq or coreq for necessary changes; Deleted courses - review other courses to correct prereqs that
list the deleted course.

Revised 7/28/2012
Description of Modification (for modified courses):
One new objective #7 has been added: Develop a five year career development plan and cultivate
professional networks for mutual support and career development. This addresses the CAHME
content criteria (III.B.19 Professional skills development), and the new program Competency
(Professionalism: The ability to align personal and organizational conduct with ethical and
professional standards that include a responsibility to the patient and community, service
orientation and service to the profession.)


Special Instructions (major/college/class code restrictions, if
needed):__________________________________________




Department/Unit Approval Signature:_________                                               _______       Date:
_____________

College/School Committee Approval Signature:__________________________________
Date:_____________
Graduate Council Approval Date:____________ Provost Office
Signature:_________________________________



George Mason University                                                Graduate Course
Coordination Form
Approval from other units:

Please list those units outside of your own who may be affected by this new, modified, or deleted course. Each of
these units must approve this change prior to its being submitted to the Graduate Council for approval.

Unit:                                 Head of Unit’s Signature:                           Date:



Unit:                                 Head of Unit’s Signature:                           Date:



Unit:                                 Head of Unit’s Signature:                           Date:



Unit:                                 Head of Unit’s Signature:                           Date:



Unit:                                 Head of Units Signature:                            Date:




                                                                                                                    2
Graduate Council approval: ______________________________________________ Date: ____________

Graduate Council representative: __________________________________________   Date: ____________

Provost Office representative: ____________________________________________   Date: ____________




                                                                                                   3
           GEORGE MASON UNIVERSITY
          College of Health and Human Services
      Department of Health Administration and Policy

                     Course Syllabus
HAP 790: Capstone Practicum in Health Systems Management
                        Fall 2008
                           Faculty:
                       Dr. Martin Perlin
               Healthcare Executive in Residence
         Department of Health Administration and Policy

                   Email: mperlin@gmu.edu
                 Office: Northeast Module 114
                 Office Phone: 703-993-1967
                       Fax: 703-993-1953
                Office Hours: To be Determined




                                                           4
                         TABLE OF CONTENTS                       Page


Individuals with Disabilities                                     3
Honor Code                                                        3
Course Descriptions                                               3
Course Requirements                                               3
Overall Objectives of the Capstone Practicum Project Course       3
Course Objectives                                                 4
The Practicum Organization                                        4
Practicum Supervision                                             4
Responsibility of Student                                         4
Responsibility of the GMU Faculty Advisor                         5
Responsibility of the Preceptor/Mentor (Host Agency Preceptor)    5
Practicum Project                                                 5
Access to Agency/Organization Meetings                            5
Student Exposure to Operations                                    6
Logistics and Timing                                              6
General Instructions                                              6
    Instructions for Activity Log                                 6
    Instructions for Seminar Assignments                          6
    Final Project Description                                     7
    Preceptor’s Evaluation                                        7
Comprehensive Examination                                         7
Class and Deliverable Schedule                                    8
Evaluation and Grading                                           13

Attachment A: Affiliation Agreement                              14
Attachment B: Practicum Activity Log                             18
Attachment C: Final Project Description                          19
Attachment D: Preceptor Evaluation of Student                    20
Attachment E: Final Project Report                               24




                                                                        5
Individuals with Disabilities

George Mason University is committed to complying with the Rehabilitation Act of 1973 and the
Americans with Disabilities Act of 1990 by providing reasonable accommodations for disabled
applicants for admission, students, applicants for employment, employees, and visitors. Applicants
for admission and students requiring specific accommodations for a disability should contact the
Disability Resource Center at 703-993-2474, or the Equity Office at 703-993-8730. Applicants for
employment and employees should contact Human Resources at 703-993-2600 or the Equity
Office. Students and employees are responsible for providing appropriate documentation and
requesting reasonable accommodation in a timely manner (George Mason University Catalog,
2006-2007, p. 55).

Honor Code

“To promote a stronger sense of mutual responsibility, respect, trust, and fairness among all
members of the George Mason University community and with the desire for greater academic and
personal achievement, we, the student members of the university community, have set forth this
honor code: Student members of the George Mason University community pledge not to cheat,
plagiarize, steal, or lie in matters related to academic work” (George Mason University Catalog,
2006-2007, p. 31).

Course Description:

Field practicum in health systems management where students function as an integral
member of an organizational entity to complete a non-thesis project while continuing to build
skills in leadership, critical thinking and systematic problem analysis.

Course Requirements

1. Prerequisites: Taken in last semester of the program after completion of all course work except
   HSCI 712 or 704, which may be taken concurrently.
2. Identify and get approval from Faculty Advisor for Practicum Organization
3. Commit 20 hours per week to practicum experience
4. Complete a non-thesis project conducted for practicum organization/preceptor
5. Attend seminar on campus every two weeks and make presentations as requested

Overall Objectives of the Capstone Practicum Project Course

The capstone practicum is a vital part of the curriculum, where students function as an integral
member of an organizational entity and work 20 hours per week to complete a project assigned by
the agency. The objective of the practicum project course is to enable students to build on their
theoretical preparation to:

1. Develop leadership skills, management skills and systematic problem/issue analysis skills
   through direct participation in management activities in a business or health related
   organizations;
2. Obtain practical information and knowledge about various aspects of developing products,
   analyzing opportunities and managing various aspects of work in business/ health related
   enterprises, or public policy making entities;

                                                                                                    6
3. Utilize research, communication, presentation and writing skills to complete a project
   deliverable as requested by the host agency.

Course Objectives:

   1. Apply theory selectively, to explore and analyze organizational behavior, leadership,
      management, policy and infrastructure in a health related organization or system;
   2. Demonstrate effective functioning as a member of a team to conduct an organizational
      project;
   3. Effectively utilize selected managerial and administrative skills to conduct a problem
      focused analytical project for the organization;
   4. Selectively employs data collection methods (from marketing, operations research, quality
      management or epidemiology) to qualify/quantify the problem and feasible options;
   5. Based upon analytic results and considering risk and opportunity, organizational strategies
      and resources, recommends one or more feasible courses of action for implementation;
   6. Analyzes pertinent interdisciplinary literature and research findings for
      significance/application within the context of the practicum project.
   7. Develop a five year career development plan and cultivate professional networks for
      mutual support and career development.


Textbooks required: None

The Practicum Organization

1. Students may select from a wide array of organizations and agencies in which to conduct their
   Practicum. This may include but not limited to: hospitals, senior care facilities, medical group
   practices, health maintenance organizations, insurance companies, governmental agencies,
   international health organizations, bio-medical equipment companies, management consulting
   firms and others.
2. Students are discouraged from completing the Practicum with the business unit of the same
   organization where they are currently employed.

Practicum Supervision

Students are supervised in the practicum by the academic advisor and a host agency
preceptor/mentor. The preceptor/mentor of record must have a minimum of a Master’s Degree in
healthcare or a related discipline. Responsibilities for the Student, faculty advisor and agency
preceptor follow:

Responsibility of Student

1. Must be self directed and show initiative to:

       a. Negotiate the practicum/project opportunity; sell self to prospective agency/preceptor;
       b. Manage institutional relationships (preceptor and others) to successfully design,
          execute and complete the approved project;
       c. Leverage contacts to facilitate professional advancement/career opportunities after
          graduation

                                                                                                      7
Responsibility of the GMU Faculty Advisor

Work with students to:
1. Clarify and understand the objectives of the practicum;
2. Develop individualized goals for the practicum;
3. Recommend texts, readings and other resources as appropriate to the setting and the
   problem/work under study;
4. Maintain regular contact with the student during the practicum;
5. Be available to preceptor on an as needed bases during the practicum;
6. Evaluate the student’s final deliverable and obtain feedback from preceptor to determine
   grade for the course.

Responsibility of the Preceptor/Mentor (Host Agency Preceptor)

1. Identify a suitable project, based upon initial identification of a specific management
   problem area or opportunity issue (likewise for a health policy issue);
2. Provide recommendations to the student to obtain a self-directed orientation to the
   agency/organization;
3. Discuss with or involve the student in relevant organizational meetings;
4. Meet regularly with student during the practicum (minimum of every three weeks). Meetings
   should allow for discussion of the preceptors current assignment(s) and ongoing challenges
   and issues impacting the host agency. Should include a discussion of the students project
   (i.e., progress);
5. Upon course completion, give feedback to the faculty advisor on the student’s practicum
   performance.

Practicum Project

A major component of the practicum is the assigned project that gives practical experience to
ensure that the student gains a well-rounded experience.

1. The project should be sufficiently complex and comprehensive to afford adequate contact
   with a variety of different situations and with various departments and or stakeholders.
2. It is recommended that the project assigned would allow the evaluation and resolution of a
   specific management/organizational issue or to develop a proposal or background document
   related to a particular organizational need or opportunity.
3. Upon identification of the project, the student will prepare a statement of work to be
   completed and a detailed description of the final deliverable.
4. The student will also identify with input from the preceptor, the frequency and form of
   regular progress reports (including interim project reports) that the preceptor and agency may
   expect.

Access to Agency/Organization Meetings

The student can benefit by attendance at a variety of meetings within the organization and in the
community. Students have been instructed that the subject matter discussed at all organizational
meetings and related to all institutional correspondence and data is sensitive and always deemed
confidential.


                                                                                                8
Student Exposure to Operations

The student is expected to seek sufficient exposure to the organization’s operations to be able to
develop and understanding of the following areas and prepare reports for classroom presentation
and discussion.

      Organization and Governance
      Managing Organizational Performance and Quality
      Managing Strategic Opportunity
      Leadership and Management
      Organizational Communication
      Professional Development

Logistics and Timing

1. Students are expected to have secured an approved Practicum Organization with an assigned
   Preceptor prior to the beginning of the semester in which they intend to begin the Capstone
   Practicum Project Course.
2. An Affiliation Agreement must be executed by the Preceptor and Dean, College of Health
   and Human Services. (See Attachment A: Affiliation Agreement)

General Instructions

1. Instructions for Activity Log:

   Activity Logs are required every two weeks indicating that student has spent on average at
   least twenty (20) hours per week on activities relating to the practicum. The log is due the
   day prior to class for the preceding two weeks of the practicum, following the required
   format (See Attachment). Please complete the top section with your name, log number and
   dates. Complete the log and submit as an attachment to your submission. You should also
   provide an electronic copy to your preceptor. Students are expected to provide an explanation
   if the total hours for the two week period are less than Forty (40). (See Attachment B:
   Practicum Activity Log)

2. Final Project Description

   Students are expected to have an approved Final Project by the end of Module 2, (See
   Attachment C: Final Project Description)

   Students are expected to review this with their Preceptor prior to submission. If this
   timeframe is missed it is likely that the completion of the final project will be put in jeopardy.
   Students are encouraged to meet individually with their faculty advisor in person or by
   teleconference to discuss the Final Project Description. For students out of town, a one hour
   telephone conference should be scheduled, following the submission of the Final Project
   Description.




                                                                                                   9
3. Preceptor’s Evaluation:

   Student is responsible for assuring that Preceptor’s Evaluation is submitted by the date
   requested and using the template provided. (See Attachment D: Preceptor Evaluation of
   Student)

4. Final Project Report:

   The Final Project Report should be no more than ten pages in length and include specific
   information. (See Attachment E: Final Project Report)

Comprehensive Examination

The Comprehensive Examination is designed to provide evidence that students completing the
program have mastered the Program Competencies. This is accomplished through a
comprehensive exam, which is taken in three parts to test the ability of students to apply the
knowledge and skills learned to complex cases in executive management

1. Comprehensive Exam on Financial Management and Economics: This exam would
   include course content and program competencies addressed by the following courses:

   HAP 702: Managerial Accounting in Health Care Organizations
   HAP 703: Financial Management of Health Systems
   HAP 705: Health Economics

2. Comprehensive Exam on Performance and Quality Management: This exam would
   include course content and program competencies addressed by the following courses:

   HAP 512: Introduction to Health Services Research
   HAP 586: Operations/Quality Management of Health Services
   HAP 740: Management of Health Information Systems
   HAP 750: Legal Issues Relevant to Health Care Administration

3. Comprehensive Exam on Health Systems Leadership and Management: This exam
   would include course content and program competencies addressed by the following courses:

   HAP 704: Contemporary Issues in Health Systems Leadership and Management
   HAP 705: Healthcare Strategic Management and Marketing
   HAP 706: Integrated Health Systems Management

Further information and logistics for the Comprehensive Exam will be discussed in class.




                                                                                                 10
Class and Deliverable Schedule

                           Module 1 (Two weeks ending September 7 )
Report           Organization and Governance: Submit a paper, which provides an overview of
                 your practicum organization. (Maximum length 2 pages, New Roman 12 point,
                 single spaced). What is the organization and what role does it play in the
                 healthcare delivery system. What is the organization’s mission? If your primary
                 practicum site is a specific business unit or department, how does it fit into the
                 overall organization structure and what is its function? What are the organization’s
                 (or your specific business unit’s) current priorities and challenges? What is the
                 role and function of the Board of Directors? What is the nature of the relationship
                 between the CEO and the Board?
                 Due: Day Prior to Class

Preliminary      Submit the first three sections of the Final Project Description
Project Idea     Due: Day Prior to Class

Preceptor and
Capstone         Please provide the following information:
Information
                   Name of Student
                   Name of Preceptor
                   Title
                   Organization
                   Department
                   Mailing Address
                   Telephone Number
                   e-mail

                 Due: Day Prior to Class

Activity Log 1   Due: Day prior to class for preceding two weeks of the practicum.

Recommended 1. The American Journal of Public Health, Jan 2006 v96 i1 p 167(6)
Readings    2. Structure and functions of state public health agencies. (RESEARCH AND
               PRACTICE)(Author Abstract) Leslie M. Beitsch; Robert G. Brooks; Meade
               Grigg; Nir Menachemi.
            3. The Health Care Manager, April-June 2005 v24 i2 p 177(12)
            4. Larger, smaller, and flatter: the evolution of the modern health care
               organization. Charles R. McConnell.
            5. Organizational development for clinical governance. (Clinical Governance in
               Primary Care, part 3) June Huntington, Stephen Gillam, Rebecca Rosen.
               British Medical Journal Sept 16, 2000 v321 i7262 p679.
            6. Associations and bureaucracies. Elliott Jacques. Physician Executive May-
               June 2000 v26 i3 p6(6).
            7. Organizational synergy in medical groups. (Health Care Organizational
               Structure). Bernhoff A. Dahl. Physician Executive May-June 2000 v26 i3
               p29(5)

                                                                                                11
                        Module 2 – (Two weeks ending September 21)
Final Project   Students are expected to have an approved project by the end of this Module.
Description     Please submit a Final Project Description using the template provided in
                Attachment C. Final Project Description.
                Due: Day Prior to Class

               Following submission of the Final Project Description, students are encouraged to
               meet individually with their faculty advisor in person, by teleconference or by e-
               mail (in special circumstances) to discuss the project scope and methodology and
               receive approval.
Report         Managing Organizational Performance and Quality. Submit a paper, (Maximum
               length 2 pages, New Roman 12 point, single spaced).on how the host organization
               manages organizational performance and quality to achieve operational plan
               priorities and assure/track performance. Consider how organizational performance
               is evaluated and managed by the organization’s board of directors, the chief
               executive officer and the strategic business units. How are quality planning and
               management organized? What role does accreditation and licensure play in quality
               management?
               Due: Day Prior to Class
Activity Log 2 Due: Day prior to class for preceding two weeks of the practicum.
Recommended 1. The Health Care Manager, Jan-March 2005 v24 i1 p48 (7) Using a
Readings           multipronged approach to implement organizational performance
                   improvements. (management of resistance) Makhdoom Ali Shah; Elizabeth
                   Layman.
               2. Management Decision, August 2003 v41 i8 p760-770 The use of multilevel
                   performance indicators in managing performance in health care organizations.
                   Louise Lemieux-Charles; Wendy McGuire; Francois Champagne; Jan
                   Barnsley; Donald Cole; Claude Sicotte.
               3. Use of the balanced scorecard in health care. William N. Zelman, George H.
                   Pink, Catherine B. Matthias. Journal of Health Care Finance Summer 2003
                   v29 i4 p1(16)
               4. Journal of Healthcare Management, Nov-Dec 2002 v47 i6 p390(13)
                   Healthcare managers' roles, competencies, and outputs in organizational
                   performance improvement. William G. Wallick.
               5. Mission and Organizational Performance in the Healthcare Industry. Aimee
                   Forehand. Journal of Healthcare Management July 2000 v45 i4 p267




                                                                                               12
                           Module 3 (Two weeks ending October 5)
Report         Managing Strategic Opportunity: Submit a paper, (Maximum length 2 pages, New
               Roman 12 point, single spaced).on how the host organization formulates,
               implements, and evaluates cross-functional decisions that enable it to achieve its
               objectives. How does the organization utilize strategic decision support (e.g.,
               planning; marketing; modeling; forecasting; consultants)?. What are the
               organization’s current strategic priorities? What are the biggest barriers and
               challenges to the achievement of the organization’s strategic priorities? What are
               the methods, tactics and processes your preceptor uses to implement the strategic
               priorities and deal with the barriers and challenges?
               Due: Day Prior to Class
Activity Log 3 Due: Day prior to class for preceding two weeks of the practicum.
Recommended 1) Health Care Strategic Management, Nov 2001 v19 i11 p12 (1); Facility
Readings           capacity constraints present a strategic planning opportunity. (Planning). (Brief
                   Article) B.J. Miller.
               2) Healthcare Financial Management, Nov 2005 v59 i11 p22 (1); What's the
                   difference? Does your organization have strategies or goals? Or both? (FROM
                   THE EDITOR)(Editorial) Robert Fromberg.
               3) Healthcare Financial Management, Nov 2005 v59 i11 p36 (3); Financing the
                   Future II, report 3: essentials of integrated strategic financial planning and
                   capital allocation: executive summary.
               4) Modern Healthcare, Sept 12, 2005 v35 i37 p21; It's all in the preparation;
                   Warner Thomas says strategic planning is crucial. (Ochsner Clinic
                   Foundation) Warner Thomas.




                                                                                               13
                          Module 4 (Two weeks ending October 19)
Report         Leadership and Management: Submit a paper, (Maximum length 2 pages, New
               Roman 12 point, single spaced) on how the organization’s leaders inspire
               individual and organizational excellence, create a shared vision and successfully
               manage change to attain the organization's strategic ends and planned
               performance. How would you describe your Preceptor’s leadership style and how
               might you lead differently if you were in charge. Describe how the organization’s
               leaders make sure that sound principles of business ethics are employed
               throughout the organization and ethical of problems in leadership are avoided.
               Due: Day Prior to Class
Activity Log 4 Due: Day prior to class for preceding two weeks of the practicum.
Recommended 1) Annals of Family Medicine, July-August 2005 v3 i4 p312; Increasing capacity
Readings           for innovation in bureaucratic primary care organizations: a whole system
                   participatory action research project. Thomas Mann; Juliet McDonnell; Janette
                   McCulloch; Alison While; Nick Bosanquet; Ewan Ferlie
               2) Health Care Management Review, July-Sept 2005 v30 i3 p270(10);
                   Prospective evaluation of a Bayesian model to predict organizational change.
                   Todd Molfenter; Dave Gustafson; Chuck Kilo; Abhik Bhattacharya; Jesper
                   Olsson.
               3) Journal of Healthcare Management, May-June 2004 v49 i3 p155(16); A
                   practice change model for quality improvement in primary care practice.
                   Deborah Cohen; Reuben R. McDaniel Jr.; Benjamin F. Crabtree; Mary C.
                   Ruhe; Sharon M. Weyer; Alfred Tallia; William L. Miller; Meredith A.
                   Goodwin; Paul Nutting; Leif I. Solberg; Stephen J. Zyzanski; Carlos R. Jaen;
                   Valerie Gilchrist; Kurt C. Stange.
               4) The Health Care Manager, April-June 2004 v23 i2 p132(9); Leaders who
                   create change and those who manage it: how leaders limit success. John G.
                   Bruhn.




                                                                                           14
                         Module 5 (Two weeks ending November 2)
Report         Organizational Communication: Submit a paper, (Maximum length 2 pages, New
               Roman 12 point, single spaced) on how the host organization manages
               communication strategies and issues with its various constituencies. Who are the
               major constituencies (internal and external) with whom the organization maintains
               regular communication? What routine communication mechanisms are used to
               communicate what? What communication breakdowns have occurred? What
               opportunities exist to improve communication strategies and tactics?
               Due: Day Prior to Class
Activity Log 5 Due: Day prior to class for preceding two weeks of the practicum.
Final Report   By end of this module you should be putting the final touches on your Final
               Project Report and Presentation.
Recommended 1) Nursing Economics, March-April 2005 v23 i2 p72(6); Nurse-physician
Readings          communication: an organizational accountability. Patricia H. Arford.
               2) Journal of Healthcare Management, Jan-Feb 2005 v50 i1 p16(3); Teams as the
                  key to organizational communication. (Communication) Paul Preston.
               3) Journal of Healthcare Management, Nov-Dec 2004 v49 i6 p354(4);
                  Communicate for change. (Physician-Executive Relations) Barbara
                  LeTourneau.;
               4) How to communicate effectively with your organization's "C" suite--the CFO,
                  CEO, COO. (Champions of change: innovative people, organizations, and
                  ideas). Vicki Crane, Mark Teresi. Formulary Oct 2002 v37 i10 p531;
               5) Improving organizational communication and cohesion in a health care setting
                  through employee-leadership exchange. (Abstract) Elisa J. Sobo, Blair L.
                  Sadler. Human Organization Fall 2002 v61 i3 p277(11)

                        Module 6 (Two weeks ending November 16)
Report         Professional Development: Submit a paper, (Maximum length 2 pages, New
               Roman 12 point, single spaced) on what your career plan is for the next five years
               and what you have done this semester in cultivating professional organizations
               and networks for mutual support and career development.
               Due: Day Prior to Class
Activity Log 6 Due: Day prior to class for preceding two weeks of the practicum.
Final Report   By end of this module you should be putting the final touches on your Final
               Project Report and Presentation.
Comprehensive Taken anytime during the semester but no later than November 13
Exam

                         Module 7 (Two weeks ending November 30)

                               THANKSGIVING – NO CLASS

Activity Log 7   Due: Day prior to class for preceding two weeks of the practicum.




                                                                                            15
                           Module 8 (Two weeks ending December 14)
Class               Class on Thursday, December 4
Final Project       Final Project Report. Please send to course faculty by midnight, Sunday,
Report               December 7
                    PowerPoint Presentation of Project. Please send to course faculty by midnight
                     Sunday, December 7
Project             Final Presentations. to be scheduled the week of December 8 (Final Week).
Presentations
Preceptor’s    Preceptor’s Evaluation: Student is responsible for assuring that Preceptor’s
Evaluation     evaluation is submitted by midnight Sunday, December 7. (See Template
               provided in this Syllabus)
Activity Log 8 Due: Day prior to class for preceding two weeks of the practicum.
Recommended None
Readings

Evaluation and Grading:


Evaluation                                                                       Grading
Activity Logs submitted, indicating that student has spent on average twenty
                                                                                      20%
(20) hours per week on activities relating to the practicum

Discussion Papers on Organization and participation at class sessions                 20%

Preceptor’s Evaluation of Student                                                     20%

Final Practicum Project Report                                                        20%

Comprehensive Exam                                                                    20%

Total                                                                             100.00%


A = 94-100                       B = 83-86                        C = 70-75
A- = 90-93                       B- = 80-82                       D = 60-69
B+ = 87-89                       C+ = 76-79                       F = 0-59




                                                                                              16
ATTACHMENT A
AFFILIATION AGREEMENT


       THIS AGREEMENT, made this Day of                   Month, Year by and between GEORGE
MASON UNIVERSITY, a State Agency, hereinafter referred to as the “University” and NAME
OF ORGANIZATION, hereinafter referred to as the ”Entity.”

WITNESSETH
       WHEREAS, University and Entity recognize the need for preparing students to meet the
health and social needs of the community; and
        WHEREAS, University provides a course of study embodying theory and practice to
students who have enrolled in its College of Health and Human Services baccalaureate, masters, and
doctoral programs; and
       WHEREAS, University desires that each student, as a part of such course of study, shall
be provided with experiences in Health Care, Community, Human Service Organizations, and
Public/Private Agencies, in planned educational programs pertaining to the health needs of
individuals, families and groups; and
       WHEREAS, Entity maintains such facilities as will enable it to provide such field
practice;
       NOW THEREFORE, in consideration of the mutual promises, agreements, covenants
and undertaking hereinafter set forth, the parties agree as follows:


1.0 SCOPE
       1.01    The term of this agreement shall begin on M/D/YR and end on M/D/YR. The
               parties may agree to extend this period only by written agreement signed by both
               parties.


2.0 RESPONSIBILITIES OF ENTITY
       2.01    Entity agrees to accept a mutually agreed upon number of such students each
               semester for purposes of providing field practice for the students. The number
               shall be expressed in the Letter of Confirmation of Student Placement.
       2.02    Entity shall:
               (a)        orient University faculty and students to Entity staff, physical environment
                          and policies and regulations;

                                                                                                   17
            (b)    supervise the students throughout their field practice;
            (c)    provide opportunities for student practice and observation in any
                   diagnostic, assessment, treatment or intervention modalities, or in any
                   experiences, in which their individual clients are involved unless specific
                   restriction is deemed necessary by the Entity;
            (d)    work with University Health Administration and Policy faculty in the
                   selection of assignments in order that the objectives of courses being
                   offered can be met;
            (e)    where available:
                   (i)     provide classroom or conference room space for experiential
                           conferences concerning client care where applicable.
                   (ii)    permit use of library facilities by University faculty and students.
                   (iii)   provide locker space or similar facilities for University faculty and
                           students.
                   (iv)    permit students to utilize designated parking spaces on the same
                           basis as the Entity employees.
                   (v)     permit students to use dining facilities on the same basis as the
                           Entity employees.


3.0 RESPONSIBILITIES OF UNIVERSITY

     3.01   University agrees that:
            (a)    University shall assign to Entity only students who shall have successfully
                   completed prerequisite courses.
            (b)    University shall assign to the Entity only such students as meet the health
                   requirements of Entity. Such health requirements must be specified by the
                   Entity thirty (30) days in advance of each semester.
            (c)    University faculty shall participate jointly with the Entity staff in the
                   selection of experiences for student assignments.
            (d)    prior to any student experience, University shall provide Entity with
                   estimated number of students and faculty to be assigned and length and
                   dates of the projected assignments; by beginning of the field practice,
                   University shall provide names of assigned students, days and hours of
                   assignments and University holidays.
                                                                                                  18
4.0 MUTUAL RESPONSIBILITIES

     4.01    The relationship of University and Entity hereunder is solely that of independent
             parties. Neither party shall be considered to be an employer or agent of the other;
             nor shall anything contained in this Agreement be construed to create any
             partnership or joint venture between the parties.
     4..02   Both parties hereto agree that, in the event of unsatisfactory performance by a
             student, and/or faculty member, each party reserves the right to recall that student
             and/or faculty member from the field and shall so notify the other party through
             that party's agent who is most closely associated with the field practice.

     4.03    No modification of this Agreement shall be valid unless in writing
             and executed with the same formality as this Agreement. No waiver of any
             breach or default hereunder shall be deemed to be a waiver of any subsequent
             breach or default of the same or similar nature.
     4.04    This agreement maybe terminated by either party by the furnishing of ninety (90)
             days notice in writing of its intention to so terminate providing that such
             termination shall not occur during an academic session.
     4.05    To the extent permitted by the laws of the Commonwealth of Virginia, University
             shall be responsible for the simple negligent acts or omissions of its agents and
             employees causing harm to persons not a party to this Agreement. Entity shall be
             responsible for the negligent acts or omissions of its agents and employees
             causing injury to persons not a party to this Agreement. Nothing herein shall be
             deemed a waiver of the sovereign immunity of the Commonwealth of Virginia.
     4.06 Neither party shall discriminate on the basis of race, color, religion, national
             origin, sex, sexual orientation, or age (except where sex or age is a bona fide
             occupational qualification).




                                                                                              19
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year
first above written.


NAME OF ENTITY                                       GEORGE MASON UNIVERSITY


BY:______________________________             BY:___________________________________


Print Name:_______________________            Shirley Travis, PhD, APRN, FAAN


Title: ____________________________           Title: Dean, College of Health and Human Services


Date:_____________________________            Date:___________________________________




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ATTACHMENT B: PRACTICUM ACTIVITY LOG



                                       PRACTICUM ACTIVITY LOG

Student Name:
Log #:
For weeks beginning on:                                    And ending On:
                                                  Activity
Date        Please be specific and indicate the type of activity: (i.e. meetings and seminars;   Time Spent
            document review; project research, report development, etc.)




                                                                Total Hours for Two Week Log*
* Please type an explanation here if total is less than forty (40) hours:




                                                                                                              21
ATTACHMENT C: FINAL PROJECT DESCRIPTION

                                    FINAL PROJECT DESCRIPTION

Student Name:
Organization:
Title of Project:

Organization/Department that is focus of Project
Please type your response in this box:


Problem Statement/ Statement of Need and Scope of Project
Please type your response in this box:


Expected Impact/Value Added of Project
Please type your response in this box:


Research Methods/Methodology to be employed
Please type your response in this box:


Final Project Deliverable(s)
Please type your response in this box:


Project Timetable (including components, assignment of responsibility)
Please type your response in this box:


Project Tracking and Reporting Plan (What is your plan for tracking the completion of the project by the
deadline?)
Please type your response in this box:


Statement that Preceptor has reviewed and approved this Final Project Description
Please type your response in this box:


Faculty Approval




                                                                                                           22
ATTACHMENT D: PRECEPTOR EVALUATION OF STUDENT
IDENTIFYING INFORMATION


                   Student’s Name                                              Organization


                 Preceptor’s Name                                         Date of this Evaluation


                Preceptor’s Position


                                                                                     ASSESSMENT

                                                                      On a scale of 1 to 5 please indicate your
                                                                      assessment of how well the student
                                                                      performed
         PRECEPTOR EVALUATION OF STUDENT
                                                                      Please provide an explanation for any
         Please provide us with your evaluation of the student as     ratings that are below 4 and provide your
         you have come to know him/her during the project             recommendations regarding opportunities
         practicum, focusing on student strengths and areas           for student to strengthen his/her
         needing improvement.                                         performance.

                                                                       1         2        3          4          5
                                                                      Low              Average               High
                                                                              Type your Rating in this Box
    1.   Problem Analysis and Solution Skills

         Ability to identify and analyze problems, conceive
         solutions and make recommendations. This includes
         collection of relevant information and analysis of that
         information.

Please type your explanation and recommendations in this box:



                                                                                     ASSESSMENT
         PRECEPTOR EVALUATION OF STUDENT
                                                                       1         2        3          4          5
                                                                      Low              Average               High
                                                                              Type your Rating in this Box
    2.   Human Relations Skills

         This includes sensitivity to the needs of colleagues and
         others in the organization; ease of communication in
         group situations; willingness to cooperate as well as seek
         assistance.

Please type your explanation and recommendations in this box:




                                                                                                                  23
                                                                                   ASSESSMENT
         PRECEPTOR EVALUATION OF STUDENT
                                                                       1       2        3          4          5
                                                                      Low            Average               High
                                                                            Type your Rating in this Box
    3.   Leadership Skills

         Ability to assume initiative, provide vision and proactive
         observations and directions, capacity to generate support
         for projects and ideas.

Please type your explanation and recommendations in this box:




                                                                                   ASSESSMENT
         PRECEPTOR EVALUATION OF STUDENT
                                                                       1       2        3          4          5
                                                                      Low            Average               High
                                                                            Type your Rating in this Box
    4.   Organizational Structure and Professional Groups

         Knowledge of the organizational structure and
         relationships among professional groups. Examples
         include organization and responsibility of governing
         board, function of executive director, and involvement of
         medical staff or allied health professions in corporate
         structure and decision-making.

Please type your explanation and recommendations in this box:




                                                                                   ASSESSMENT
         PRECEPTOR EVALUATION OF STUDENT
                                                                       1       2        3          4          5
                                                                      Low            Average               High
                                                                            Type your Rating in this Box
    5.   Communication Skills

         Ability to communicate in oral presentations and in
         writing analysis of problems, reports of meetings, and
         recommendations for action.

Please type your explanation and recommendations in this box:




                                                                                                              24
                                                                                  ASSESSMENT
         PRECEPTOR EVALUATION OF STUDENT
                                                                      1       2        3          4          5
                                                                     Low            Average               High
                                                                           Type your Rating in this Box
    6.   Project Management Skills

         Ability to manage Final Project on scope and on time, and
         add anticipated value to your organization.

Please type your explanation and recommendations in this box:




                                                                                  ASSESSMENT
         PRECEPTOR EVALUATION OF STUDENT
                                                                      1       2        3          4          5
                                                                     Low            Average               High
                                                                           Type your Rating in this Box
    7.   Health Care System Knowledge

         Knowledge about the various community organizations
         providing health services and the problems in access and
         financing health services.

Please type your explanation and recommendations in this box:



    General Observations:
    A. Please comment on those management skills and knowledge areas where the practicum student has
    demonstrated excellence.

Please type your observations and recommendations in this box:




    General Observations:
    B. Please comment on management skills and areas of knowledge to which the practicum student needs more
    development.

Please type your observations and recommendations in this box:




                                                                                                              25
    General Observations:
    C. How receptive would you be to employing this individual in your organization?

Please type your observations and recommendations in this box:




        Comments on the Graduate Curriculum:
        A. Please give suggestions you may have regarding Strengths and weaknesses of the practicum

Please type your observations and recommendations in this box:




        Comments on the Graduate Curriculum:
        B. Please give suggestions you may have regarding The extent to which practicum students have been
            properly prepared

Please type your observations and recommendations in this box:




        Comments on the Graduate Curriculum:
        C. Identify primary areas of knowledge and skills that should be added to the Graduate Program
        curriculum.

Please type your observations and recommendations in this box:




        Additional Comments
        Please provide below any other observations or recommendations

Please type your observations and recommendations in this box:




                                                                                                             26
ATTACHMENT E: FINAL PROJECT REPORT


The Final Project Paper should be no more than ten pages in length (New Roman, 12 point font,
single spaced) and should contain the following sections, presented in this order:


           Section                                  Suggestions                                 Suggested
                                                                                                 Length
Title of Paper               Program Plan for…….
                             Feasibility Study of……
                             Analysis of …….
                             Evaluation of …….
Synopsis                     A concise summary including the problem statement,               200 words
                              methodology, conclusions and recommendations.
Statement of Problem or      What is the problem site? (i.e. organization, department,        1 page
Project Objective             section, etc.)
                             What problems or issues were addressed?
                             Did you have a hypothesis that you planned to prove or
                              disprove?
                             Did you have an objective that you planned to accomplish?
                             Were there any limitations regarding the project scope?
Methodology                  What research methods were used?                                 1 page
                             How was the information collected?
                             What analytical methods were used?
                             Was statistical methods were used?
                             How was study designed to assure validity of the findings?
Findings                     What were the results?                                           2 – 3 pages
                             How valid are the results?
                             What bias may be present in the results?
Conclusions and              What valid conclusions can you draw from the results?            1 – 2 pages
Recommendations              What recommendations do you have as a result of your work?
                             What are the limitations or caveats regarding your
                              recommendations?
                             What should happen next?
Sources                      All information from news paper articles; television coverage;   1 page
                              books and periodicals; congressional record; public records;
                              dependable internet sources; interviews and any other sources
                              should be properly cited using APA format.




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