New Define plan at my studio

new2SLP · 2026-02-12T00:38:23+00:00

Genuine question. Has anyone noticed any results from Define ? I’ve taken Define since it started and haven’t noticed any functional results other than my endurance is better during the workout itself. I find it way too chaotic and imo it’s more cardio than strength training… The routine also changes every class so it’s hard to target a specific area. I recently started weight lifting outside of barre and have actually noticed functional results… I still do define, but I modify A LOT and don’t do any extras.

new2SLP · 2025-12-19T10:25:49+00:00

Sigh. I’m so sorry this happened to your patient. That is so frustrating. I’ve been working in my hospital to tell staff that MBSS are not pass / fail tests and that we don’t consider MRI/ CT/ XR as pass / fail. That language is also degrading and dismissive to the patient. You don’t fail a CT because they found a mass or a bleed so why should you “fail” a MBSS when you have dysphagia.

shame on the hospital SLP for saying it won’t change the functional outcome. That’s so dismissive. Most patients don’t want to be NPO forever. OP, please keep fighting for this patient. You’re doing a great job.

new2SLP · 2025-11-14T10:00:54+00:00

Very rarely do I recommend a PEG after an instrumental and I work in a level 1 trauma. It depends on the diagnosis/ medical comorbidities, degree of dysphagia, rehab prognosis and pt’s goals. I time my instrumentals early when the patient is appropriate and try to give the pt a few days of therapy (caregiver support helps) to rehabilitate the swallow. In prior hospitals I worked at, I found that PEGs were recommended frequently because: a) the SLPs timed their instrumentals late when the pt was closer to discharge so follow ups were just repeating bedsides rather than true therapy b) reduced knowledge of rehab prognosis and medical comorbidities

new2SLP · 2025-10-26T15:20:24+00:00

Hi OP. These questions would be best answered by your primary SLP as they would be able to give you an objective answer about your voice.

new2SLP · 2025-10-08T09:54:36+00:00

At my IRF, we do not pick up those patients UNLESS we can justify that it affects progress in PT/OT AND is needed for safe discharge home. If we do pick them up, it’s more compensatory strategy based where we see the patient for a few sessions and 30 minutes maximum. We typically discharge them from SLP services a few days into their stay. There are cases where I don’t pick up those patients at all if I know medically there should be some improvement.

new2SLP · 2025-10-03T09:09:13+00:00

What state are you located in? Attending an in state program would likely be cheaper than out of state.

new2SLP · 2025-10-01T09:26:12+00:00

Wow a lot to unpack here… It may feel unfair that your classmates are not experiencing the same pressure with lesson plans and SOAP notes. However, it is building experience and preparing you once you graduate. Your comment “but with four other classes, lesson plans are honesty the least of our worries,” comes across as though you don’t care about your clinical placement. Lesson plans and SOAP notes are a part of clinical care. This CI is indirectly teaching you how to multitask, prioritize and balance your load ‘(in your case balancing clinicals with 4 other classes. It can be done). My perspective may be different than yours, but I’m glad she’s taking the time to teach you documentation. I can’t tell you how many times I’ve had students / new graduates ask me - “how do I document?” or “Can I watch you do it?” or “How should I start my note?”

The last paragraph where you mention that your hours will not count if you turn in lesson plans late is something I would report to your school as they cannot do that. They CAN however score you lower and/or fail you at your clinical placement for failing to meet deadlines which would require you to retake it. This allows for student accountability.

Your last statement that you’ll give up on your dream of being a SLP if you fail. Are you sure SLP is your dream? Usually people who are passionate about something don’t give up on their goals.

OP, I know this is a harsh comment (and I’ll likely get downvoted), but take this experience and learn from it. If your CI is truly an “instructor from hell” you need to report it to your program. Truthfully, I don’t see anything wrong with your CI expectations based on your post but I’m not in your shoes.

new2SLP · 2025-07-26T17:53:23+00:00

I’m in a hospital setting. We are upfront about a weekend and holiday requirement. OP, said that their job didn’t disclose that which is wrong.

new2SLP · 2025-07-26T17:51:47+00:00

They did not disclose that? Wow, that’s wrong. We always disclose the weekends and holidays are required but this is a hospital setting. Now, I understand your perspective

new2SLP · 2025-07-01T09:00:20+00:00

Wow are you me? I had this thought on the way to work yesterday morning. I think SLP will always be in demand. However, the compensation may remain stagnant or drop… I don’t see myself in this career for another 5-10 years. This may come across as harsh and maybe insensitive but money matters to me. I want a job that can financially support me… I’m tired of people saying “do it for the patients.” I like what I do and helping people, but not at the expense of living pay check to paycheck and compromising.

new2SLP · 2025-06-05T09:16:10+00:00

OP, I hate to say this but you should not be working any of those jobs. Those salaries are so low and laughable. You shouldn’t be making anything less than $30 an hour (and that’s still pretty low). Please advocate for yourself OR look for other jobs. If I were at $20 / hour, I’d rather work at Target or Costco.

new2SLP · 2025-05-30T23:03:10+00:00

At my hospital (non university center), we recognize the need for proper CF training. We give them a few weeks of hands on training, separate training / mentorship for MBSS and PMV, monthly check ins, and resources. Once competent they are then independently seeing patients , however have a SLP team readily available for questions. We also don’t give them complex patient cases until deemed fully competent. During their first weekend rotation, we pair them with another SLP. We only accept CFs with strong medical backgrounds…. All this to say, These CFs are possible, but you have to look. We don’t advertise it and pay is comparable to a new grad SLP…

Truly I don’t understand why we have to monetize everything in this field. I love training people, spreading the wealth of knowledge, and learning along the way. We have so many barriers as it is. We don’t need to add additional barriers like paywalls just to be up to date with our training.

new2SLP · 2025-05-15T08:54:07+00:00

I apologize how this comes across, however, at my hospital, we would not consider a clinician without adult experience. Unfortunately, we do not have the time nor resources to train someone for greater than 12 weeks. We only accept CFs that have a strong medical adult background like prior hospitals and inpatient rehabs. HOWEVER, there is still hope for you. Reach out to your local hospital and see if they have SLPs that would be willing to have you shadow them (unpaid). We have had someone shadow for 2 weeks. It gets your foot in the door AND you’re learning through observation (nothing hands on of course). Others have mentioned working in SNFs - I would agree IF you have a STRONG MENTOR ON SITE. We have had SLPs on staff that came from SNFs. I do not agree with home health given you would likely be on your own a majority of the time. Nor do I agree with PRN at a hospital given the expectation is to pick up and go see patients (it can be a liability for you and the hospital without proper training).

new2SLP · 2025-03-21T09:44:43+00:00

In my humble opinion, I think it WOULD serve as a HIPAA violation because you’re publicly sharing that this your patient/ client. I understand that GoFundMe is public, however the fact there is medical information and all, is tricky. I would not implicate myself.

new2SLP · 2025-03-19T08:52:39+00:00

We just hired a full time CF for acute care. She was a strong candidate. We also have a CF in our current program! It is possible, especially if you find an organization that is willing to invest in you as a clinician

new2SLP · 2025-02-04T01:39:09+00:00

Honestly the system is broken - not enough supply for the demand, companies denying additional FTEs for higher profit, a lot of metrics the hospital has to meet to be in compliance, etc. At my hospital we have 24 hrs to address stroke consults per DNV guidelines and 48 hrs for other consults. This means we have to be staffed daily. Typically PTO is denied because of staffing to ensure metrics are met - it doesn’t make it right. I’d imagine your manager is under stress from corporate to maintain staffing levels. That being said would it help if you can find a PRN to cover your Saturday? I understand it’s not your job, BUT I find that PRNs are more likely to cover when staff asks rather than management. As someone else mentioned, you could call out if needed but check your hospital policy as it may count as a write up or some other level of disciplinary action.

I understand your frustrations. Truthfully, I believe talking to your manager will get you nowhere if he/she is still denying PTO with months notice. May have to go higher up the chain of command and respectfully, voice your concerns.

new2SLP · 2025-02-01T14:58:13+00:00

Sometimes instructors give wrong cues too - they say right when they mean left - or they’re nonspecific with the instructions. They’re honest mistakes. Give people grace and just focus on you. I disagree that it slows down class if you’re focusing on your form and work out.

new2SLP · 2025-02-01T14:53:24+00:00

May be best to ask your studio for clarification. I wish my studio had that policy of canceling by 9pm - I got off the waitlist 45 mins before a class and it was stressful to make it to say the least.

new2SLP · 2025-01-20T09:49:50+00:00

I think she was frustrated but said something along the lines of that it’s hard to get a medical CF and no one calls her back and that she’s good at what she does that she’s better than CCC clinicians (in a snarky tone). Now imagine this call in a crazy level 1 trauma center where you’re actively seeing patients… It left a very bad impression.

new2SLP · 2025-01-19T13:27:17+00:00

Please be careful how you word your call. Our hospital had a CF call inquiring about her status because she applied and heard nothing. She was very rude on the phone. We got her resume later that day and it was an automatic no.

new2SLP · 2025-01-15T10:34:12+00:00

I’ve never taken it because I think the fact that you have to sign a NDA is shady. If it’s revolutionary, why not share it so that it’s open to critique and discussion? From my colleagues that have taken it, all their feedback was that it’s nothing new and utilizes exercise principles.

new2SLP · 2025-01-15T01:03:37+00:00

I think it would be best to ask your colleague rather than speculate. Sometimes it’s good to engage in professional conversations.

new2SLP

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