School or Medical SLP: An SLP-CF Decision

For those SLPs who have been in the field a little longer than I (which is technically no time at all), when you applied for a Clinical Fellowship (CF) were you afraid to be stuck in one setting for your entire career?

I have been getting some serious negative feedback for possibly starting my SLP journey in a school system. Not in the sense that schools are a bad place to work; not at all! Rather, schools are an entirely different beast to tackle: IEPs, scheduling, groups of kids working on 5 different goals, billing, planning, field trips, snow days, teachers’ schedules… Then there are the medical settings: Constant swallowing evaluations, patients being discharged just as you get started, patients can be fine one day and pass away the next, uncooperative, non-compliant with diet consistencies. The lists for both go on-and-on.

The most common feedback is that if I complete my Clinical Fellowship in a school system, I won’t be able to transition to a medical setting as easily once I am finished. 

Maybe this is just my own fear or my own insecurity combined with feedback, but I still have this pit of anxiety in my poor #slp2b soul. I convince myself that no matter where I start, I have the next 30+ years to get over it and transition to wherever I want, or that I can take continuing education to brush up on skills no matter where I start out. Blah…blah…blah. I am still anxious. Please excuse my anxiety this one time.

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SLP Hipster Salad

Are you aware that you have a mammillary body, infundibular stalk, peduncles, and an inferior olive in your brain? Well, you do; but it sounds more like hipster salad ingredients to me. If this comes up on my Neuropathologies quiz tomorrow, I plan to put “hipster salad” on the label; I will get extra points for my quip, I imagine.


“Tough times never last, but tough people do.” ~ Robert H. Schuller


Cause of Stuttering?? More than One Answer…

I recently wrote a paper for my Summer SLP Graduate course about Stuttering theories and treatments. My paper was entitled “The Impact of Developmental, Environmental, and Learning Factors on Stuttering” based on a Chapter in Barry Guitar’s textbook (sounds thrilling, I know). While I was not entirely excited about topic, it turned out to be more helpful than my doubtful #slp2b brain wanted to admit.

There is no one theory about the cause of stuttering. Some refer to genetics for their cause – “My dad and grandpa stuttered, so that’s why I do” – while others say it was the environment – “My mom punished me if I ever stuttered, but I ended up stuttering more”. Guitar’s (2006) textbook (Chapter 3) gives great insight into the generally accepted theories for causes of stuttering – I highly recommend his (expensive) textbook…

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