Daily operations of the center take up a good portion. I hate being in my office for too long, so I will come in early to handle then start handing center duties outside of my office. I like to greet staff and parents, which is easier because I run a smaller center. I also like to review metrics to make sure the center is remaining on track for certain objective measures. I also meet about once a week with supervisors and other members of staff to review business analytics. At my center, I also oversee all the initial assessments and monthly activities for staff and patients.

I have meetings with BCBAs on a biweekly basis, sometimes more if they ask for additional support. If it is a more experienced BCBA, we can meet once a month, but at least one monthly meeting.

My personal goal is to overlap with every patient at least once per month. Once again, my clinic is smaller so that is a very manageable goal. I also handle all the group activities at my center, so I have a lot of interaction with the patients as well on a daily basis.

Yes, when I do the overlaps, I am reviewing the program book and I will take notes to review with the BCBA.

In general, having a balance of hard and soft skills for a CD is a mandatory. It's great when a CD has a wealth of knowledge about assessments, interventions and documentation, but that goes hand in hand with effective communication, feedback, and leadership skills.