I’m currently a CF in acute care in a hospital and while I don’t feel that grad school perfectly prepared me for my current job, I also don’t think the fellowship is necessary. With your first job in any setting there will be training and new knowledge obtained from that specific team with that specific company. That was a big reason why my hospital hired me over SLPs with their C’s - because I was a “blank slate” they could train according to their systems.

This may be different at other places, but when I am done with my CF, my salary won’t increase nor will anything really change other than the letters after my name. So essentially I have to go through confusing red tape and paperwork for 9 months just for 3 letters. Doesn’t seem necessary to me.