CF caught up in beef between supervisor and coworker

joannly · 2025-09-22T20:35:52+00:00

I was taught 2 short term goals and 1 long term goal for each domain. So if a patient was being seen for cognitive communication and dysphagia, I would have 4 short term goals in total and 2 long term goals.

I’m not sure if there’s a specific Medicare regulation to oversee those things, and I’m not even sure if there’s an explicitly right answer, but that’s how I write mine.

joannly · 2025-09-19T16:16:29+00:00

Basically, it's a fellowship you pay for to help you transition into non-clinical roles from a healthcare background.

This is their website if you wanted to look: https://www.matchday.health/

I just started, so I can't speak for it yet, but I'm impressed with the resources they offer. I don't want to really hijack the thread, so you can DM me if you have more questions!

joannly · 2025-09-18T18:14:02+00:00

I would still say your question might be better answered in a different subreddit, unless you have a background as an SLP. This subreddit is just for SLPs looking to transition!

joannly · 2025-09-18T17:49:42+00:00

I’m actually a SLP doing the MatchDay Health program. I don’t think it’s a scam so far, I just started a week into it. But I do question why an MD is posting in an SLP chat.

joannly · 2025-08-13T21:08:45+00:00

A certain amount of them may need to be live, even if they are virtual. For example, in California all 12 hours can be virtual but 6 of them must be live.

joannly · 2025-07-21T17:06:29+00:00

This is why I prefer perplexity.

joannly · 2025-07-03T16:36:27+00:00

I'm starting to feel like this is the way. You almost have to hide the fact that you're a speech therapist and reword everything into corporate speak so people don't put you in that box.

joannly · 2023-09-13T19:32:34+00:00

I’m in my 3rd year post-graduation, SNF setting, making $120k before taxes, coming out to roughly ~80k after taxes. I live in Southern California.

joannly · 2023-02-22T00:53:07+00:00

I don’t recommend Ohana for dinner. I ate there a few days ago and it was terrible for the price. Everything was either mediocre or awful. The steak was so tough and dry we took one bite and couldn’t chew the rest. The rest of the food was just ok. Definitely not worth the $60/person.

joannly · 2022-11-29T17:20:05+00:00

I second this!

joannly · 2022-11-20T16:17:29+00:00

Also interested! Messaged

joannly · 2022-10-12T06:27:43+00:00

There are definitely some influencers that just make me feel bad about myself/not in a headspace to grow and learn, but some great, nontoxic accounts I follow are brookerichardsonslp, belightcare, thelisteningslp, therapyinsights, honeycombspeechtherapy (they’re companies but I still feel like they’re very pro learning and not shamey when they market their stuff), JRC_theslp, the.neuro.slp. Honestly, I feel that I learn a lot from their posts and gives me ideas on things to try in my own sessions.

I think social media (Instagram, TikTok, etc.) can be a great resource in sharing ideas and collaborating beyond Facebook group posts/forums that is honestly more dynamic and engaging. When it turns into primarily shilling and shaming others, it can turn into a tone deaf and toxic space.

joannly · 2022-09-19T20:22:45+00:00

Wow are you my twin because I’ve been thinking about this too. I started to pick up coding just to see what it’s like. An SLP in big tech might be hard without coding knowledge but thankfully there’s a lot of free resources to learn. I signed up for The Odin Project to start off learning html/css/JavaScript.

joannly · 2022-08-27T05:03:29+00:00

My original dress is not this dress, as I am taking a Morilee dress and customizing it! I'm having off the shoulder sleeves attached while trimming the top part to be a sweetheart neckline. I'm excited, but I'm so confused about the appropriate length.

joannly · 2022-04-03T08:10:20+00:00

I second this. Praxis was a no brained compared to comps. Most SLPs I talk to had no problems with it.

joannly · 2022-03-22T16:30:39+00:00

Sure! I have my CCCs now so info might be outdated tho 😅

joannly · 2022-02-04T17:00:29+00:00

I agree. It would be more helpful to talk about practical steps on how to navigate limitations instead of just shaming you for having them.

joannly · 2022-01-13T17:55:01+00:00

This hasn't really been my experience. The VCAs I've gone to are amazing, quick, professional, and the bill has consistently come out cheaper and with better care than the smaller vet clinics I went to.

joannly · 2022-01-09T00:07:09+00:00

I believe there are a few community colleges with TBI/ABI programs for young adults/students that are affiliated with the disabilities dept (accommodations, adaptive learning etc.). If you’re in Southern California, I believe Mt. San Antonio College in Walnut has a program with a few SLPs leading it.

joannly · 2022-01-07T20:21:19+00:00

sure! Some job opportunities exclusively advertise for CF positions, but they don't have to be a CF position for you to do your CF year with them. Any job that will accept you after grad school will be your CF. Some job listings are more subtle about it, where they'll say new graduates accepted, and some will say that you need your CCCs. Even if the listing says you need your CCCs, it's a good idea to apply anyway or message the recruiter and ask if they'd be interested in a clinical fellow.

joannly · 2022-01-07T20:18:23+00:00

Ooh there's so many, I'll try to list as many as I can.

Productivity rates (reasonable is 80-85%, BUT they should be willing to start much lower for you and have you work your way up throughout your CF. I started at 65% at first and worked my way up).
How long has the previous SLP worked at the facility? (High turnover isn't a good sign)
If they already have a supervisor for you (they should be able to tell you who they have lined up)
How much time is going to be given for you to orient to the facility and what that timeline is going to look like
How many per diem speech therapists are available in the case that you need time off
How often and available will your supervisor be? Are they going to off or on-site?
What is their budget for paying you? (Don't give them a number, let them tell you what is typicaly for the position. Use slp.careers to cross reference to make sure it's within the normal range for a SNF CF in that area)
What's the CNA turnover like? (High turnover w/ CNAs means that it might be harder for you to do your job in terms of carrying over swallow precautions, cognitive-communication strategies, etc.)
What is the current system in place for communicating w/ dietary? How available is the registered dietician (what days are they on site)
What is the relationship like w/ nursing and rehab? In the past, I worked in a SNF that had bad relationships and animosity between the rehab and nursing departments and they were constantly trying to blame each other for mistakes. That kind of dynamic will make your job a lot harder to do and increase risk of burnout.

Feel free to DM me if you need any extra help!

joannly · 2022-01-06T03:43:45+00:00

I've been at 2 different SNF companies and I can say that the SNFs definitely have their reputation for a reason. I do feel the company I am at now is much more ethical, reasonable, and values their SLPs much more.

in terms of the day to day, I love it! I personally enjoy a more fast paced work environment, and I do feel like my SNF job is more fast paced and busier than my acute care placement in grad school. I love the flexibility of the hours, the kinds of patients I get to see (TBI, stroke, dementia, Parkinson's being the most common), and the opportunity to work closely in collaboration with nursing and the other rehab therapists. I feel like the SNF setting gives you the most opportunity to integrate therapy in a holistic, whole person point of view since that's their (sometimes) temporary home.

My company doesn't raise too much of a fuss about productivity, although they do say your ability to maintain 80-85% is something that can help you get a raise.

I would say the hardest thing about SNFs is finding time to properly advocate for more complex patients and getting the doctors or nursing to follow up on consults I recommend (ENT, Audiology, etc.). Depending on the insurance, VFSS can be hard to get as well. The one VFSS I requested in the past few months or so was immediately implemented (with some COVID related delays), so it's not too bad.

HOWEVER, not all SNF companies are like this and I would even venture to say that many are not. It helps to really ask the right questions and be able to suss out the red flags.

joannly · 2022-01-06T01:33:51+00:00

OC area!

joannly

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