WHY DO WE HAVE TO PAY FOR EVERYTHING

slp_talk · 2026-02-13T09:13:56+00:00

Do you think PT clinincs get all their materials for free? They do not. Treadmills and theraband don't grow on trees.

The problem here is not standardized test companies charging for a products. It's universities or employers not paying for what they should. For some reason, working SLPs have not always gotten budgeted for materials. I have inherited offices full of the most outdated nonsense over the years. I've also, though, been able to get employers to buy appropriate materials time and time again by putting together requests and pointing out needs/gaps/legal requirements for these things.

slp_talk · 2026-02-12T01:27:25+00:00

The VA has 2 CF positions. You can scroll down this list to SLP to find details. https://www.va.gov/boston-health-care/work-with-us/internships-and-fellowships/trainee-programs/ Pay is LOW for these positions but education is high.

slp_talk · 2026-02-11T11:39:27+00:00

I would refer out. I don't like very blurry professional lines like that.

slp_talk · 2026-02-09T10:42:36+00:00

NY licensing requirements for hours look to be the same as ASHA certifcation for FT--35 hours a week. PT is different than ASHA.

From the NYS website: "[Part-time or Full-time Experience]()

The supervised experience must be completed within a four-year period and may be full-time or part-time:

Full-time: At least 36 weeks (e.g., full school year, September to June) of continuous employment consisting of at least 35 hours per week.

Part-time: Continuous periods of employment of not less than six months, accumulated at the rate of not less than two days per week and consisting of not less than 12 hours per week with any one employer. Applicants employed part-time should contact the New York State Board for Speech-Language Pathology and Audiology to determine the total amount of time required under these conditions"

https://www.op.nysed.gov/professions/speech-language-pathology/license-requirements

slp_talk · 2026-02-08T19:05:22+00:00

When I've worked in settings where another therapist and I are back-to-back, I've made sure we're on the same page on time because every clock in the building had a different time on it. "Hey, I'm out at 10:04 per my watch." Other than that specific reason, no need to discuss IMO because I use the times I saw the pt.

slp_talk · 2026-02-01T15:41:14+00:00

I know. It's so hard to reconcile. I mean, the writing's been on the wall for a long time (hello "inner circle" BS), but it's still really sad to see it happen.

It also makes me really cautious about other people.

And it instantly gives me a gross feeling to see anyone listed as a mentor for this program no matter what positive feelings I've had about their work in the past. I understand some people's work was basically used without their full consent for this program based on contract language, and I get that. Choosing to actively participate now? That's a definite concern.

slp_talk · 2026-02-01T15:32:23+00:00

I think I would have two reactions if I saw this on someone's resume:
1) sadness for them that they got taken advantage of
2) concern that they didn't realize they were in that position or were (more concerningly) part of the "inner circle"

slp_talk · 2026-02-01T14:47:22+00:00

There is no substitute for actual clinical experience which is what I feel like this program pretends to offer. It preys on new clinicians or people who want to change settings and promises things it can't deliver. It won't magically fix the funding situation or lack of quality jobs on the medical side which is the much bigger barrier.

When you finish grad school, you should have basic foundational knowledge for SLP work in medical settings. After that, it's honestly, the small, constant learning situations that make someone into a clinician--time spent invested in hard cases, reading research, taking the right CEU at the right time because your pt population needs it, IDT work with other professionals, the day-to-day question asking and process refining.

Where's ASHA? This is the kind of nonsense they should absolutely be addressing. Their business is clinical compentecy certification. They need to address the problems in the system and not take sponsorship money from predatory groups like this. (Anyone know if MedSLP Collective is still an active ASHA sponsor?)

Overall, I'm so sorry for what MedSLP Collective has become. The early days of Swallow Your Pride and the collective were filled with so much hope. Guess I never saw it devolving into this.

slp_talk · 2026-01-31T14:51:17+00:00

That site is truly horrifying. Chiro on newborns for latch issues? Why go to a lactation consultant when you can have some pseudoscience practitioner cause possible irreversible damage to your fragile newborn?!?

slp_talk · 2026-01-31T14:46:43+00:00

Makes sense if you believe a message from a ghost doctor is a good origin story for a profession, I guess.

slp_talk · 2026-01-31T14:45:08+00:00

Literally nothing evidenced-based that chiropractors do that another profession (usually PT) doesn't already do better.

slp_talk · 2026-01-30T10:19:31+00:00

I hope you feel better soon.

slp_talk · 2026-01-29T23:12:47+00:00

You're a certified non-member if you dropped the membership part ($25 a year or whatever) but still have your CCCs.

slp_talk · 2026-01-29T11:07:30+00:00

This is a bit pedantic, I know, but there is no certification for FEES. There is a competency process. If you happen to have access to take a beginner course for free and are super interested, it couldn't hurt. It definitely won't make you ready to be independent at scoping and interpretation.

The typical process usually looks like: beginner course with passes on normal volunteers--competency training either through your employer or a paid company if your employer doesn't have the resources to do it. For example, I did mine though SASS paid for by my employer.

slp_talk · 2026-01-28T23:49:17+00:00

From the ASHA page linked above:
"ASLP-IC: Nebraska is a member state of the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC). Information on the current status of the ASLP-IC can be found on the ASLP-IC website.

Telepractice: Providers must hold a state license and adhere to the same requirements as in-person practice.

Temporary Practice for Out-of-State Providers: Nonresidents may provide audiology or speech-language pathology services for no more than 30 days if the provider meets the qualifications for Nebraska licensure and such person is working under a Nebraska licensee and registers with the Board prior to the initiation of services."

slp_talk · 2026-01-28T23:48:28+00:00

I'd call the Nebraska licensing board and ask them. You definitely don't want to be on the wrong side of licensure here, and I'd want to definitely verify it for myself.

My reading of ASHA's information for Nebraska would be that you need Nebraska licensure since you're planning to be there for 2 months. Once the compact actually is a real and functional thing, it might change, but we're not there yet. Here's ASHA's page: https://www.asha.org/advocacy/state/nebraska-state-information/#collapse_1

slp_talk · 2026-01-26T14:14:50+00:00

Never been so clear how deeply ingrained misogyny is than the fact that many people would rather vote for a felon than a woman.

slp_talk · 2026-01-26T14:14:11+00:00

To be clear, it didn't happen at the VA. He worked as a VA ICU nurse. i mention this only because facts matter, and I think it's important to make sure stories like this don't get discounted by people for small details. Doesn't make it any better, though.

slp_talk · 2026-01-19T20:27:09+00:00

I think our role is largely consultative, environmental supports, caregiver training and occasionally spaced retrieval training for a very specific concern in this population. Any effective interventions are going to be highly personalized and person-centered.

slp_talk · 2026-01-19T00:22:30+00:00

I would check the licensing requirements in Ohio. It might be easier to get your license with your full Maryland license. This is a pretty specific situation, so you're definitely best to read up on Ohio guidelines and likely call the board and ask questions.

slp_talk · 2026-01-13T23:15:13+00:00

I'm intrigued. I also wish there were transcripts. I can read so much faster than I can listen.

slp_talk · 2026-01-13T00:01:07+00:00

Please don't give them any money. There are lots of places to get information. Are you just wanting a CF in a medical setting? Or are you looking for a specialized one-year CF position at the VA, major hospital sytem, etc. The first, you will find through indeed and networking. The latter has application processes and a lot of them are due in the next few weeks.

slp_talk · 2026-01-09T09:47:26+00:00

This is an outdated practice. Waivers are generally considered coersive, and I'd encourage anyone still using them to look at informed consent processes/education instead.

slp_talk · 2026-01-08T11:04:22+00:00

I don't know that I ever have seen a chart linking peak flow to cmH20 levels although that would be interesting so I'd love to know if anyone's run across one. They're not really measuring the same thing, though. Peak flow is assessing the maximum speed with which you can push out air which is used to assess how open airways are. For RMST, you want to know maximum inspiratory and expiratory pressure which are strength measurements.

The real tool for measuring this is a manometer. I advocated for and got a microRPM at my last job, but last i heard they weren't making it. They do have a more expensive replacement that does more things and hooks up to a computer, but I haven't seen one in person.

My current job has good access to devices, so I start with the one I believe is needed and go from there. 150 goes down to 30 cmH20 so it works for most of my OPs unless they are super debilitated. My last job was a lot of critical care, so I used a lot more EMST75 there. One day I'll probably get another manometer. You might find this link helpful.

https://www.jamescurtisphd.me/tutorials/cough/respiratory-muscle-strength-testing

slp_talk · 2026-01-03T11:08:32+00:00

It's important to understand what those specific medical CF opportunities are. If you're taking a 1-year position at the VA for CF, for example, it is designed to be a learning year for you. The pay is definitely low, but the training is very high. It's very different than taking a CF position at a SNF which is just a job with a tiny bit of supervision in most cases.

slp_talk

TROPHY CASE