If you mean your own artwork, then you'd take a picture of it, upload it to your computer (make sure you know where you're saving it), then select Insert > Picture in Word, browse in the location where you saved the photo, click the picture, and insert. If you mean an image from the internet or something, you can just save it to your computer and basically follow the rest of the steps above.
I used clipart a LOT for newsetters and other documents. I don't always want a photo - clipart is often better at getting an idea across quickly, and I didn't need to worry about copyright because I assumed it was OK to use without permission as it was a part of the MS package. The BING option is terrible - very juvenile and hardly extensive with fewer than 50 options. And by-the-way, most of the online sites for "accessing clipart in MS Word 2010" still say to go to insert then click on clipart. Really - we hardly need such basic instructions when they aren't even correct anymore!
This is TERRIBLE! Besides being able to edit vector images like Will mentioned (which is important for those of us who don't have graphic artists available to create custom images or the budget or time to buy that service ad hoc), you could also search for style "families" (different graphics that were all in the same style). There was a huge range of files and styles in the collection and it was much faster to find what you need than to do a Bing search. Plus, you knew that everything there was free and free to use, without having to worry about CC license issues.
My school district doesn't allow students to access anything except Google; therefore, clipart is useless. More and more school districts and companies are blocking applications and websites to prevent access to inappropriate images and content. My first and second graders have always loved doing PowerPoints; however, with clipart no longer working, they cannot do these projects any longer. Older students access Google images to get graphics for their projects.