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ADVANCE Perspective: Speech & Audiology

Are SLPs Being Left Behind?

Published November 29, 2012 10:25 AM by Danielle Bullen
A session at the ASHA Convention earlier this month asked that very question. Panelists at The Clinical Doctorate in SLP: Summary of a Consensus Meeting talked about the results of a recent conference and a survey sent to ASHA members about the feasibility of an optional post-grad clinical doctorate for the profession. The lively discussion showed that there is a lot of debate in this area.

The conversation began in earnest four years ago at the 2008 ASHA Convention when a session raised the issue that colleagues from other disciplines who had adopted doctoral education had left speech-language pathologists behind. In a conference this summer hosted by the MGH Institute of Health Professions, these questions were raised: Do clinicians think an optional post-grad doctorate is needed? Why would that degree be better than an MS? Are SLPs falling behind?

The answer to questions one and two was a unanimous yes. One attendee commented, "Masters students can't gain all the knowledge they need." A doctorate would allow speech-language pathologists to push for autonomy as it confers a sense of authority. For example, school-based SLPs would be better positioned to advocate for institutional change. Medical SLPs could gain autonomy in billing. Those in higher ed would be better positioned to be on a tenure track.

"We would have parity with out other rehab professions," another attendee at the MGH Institute of Health Professions summer conference was quoted. In many VA settings, AuDs often lead the speech and hearing department over SLPs. In hospitals, the director of the therapy department is often a member of another discipline, like a DPT.

So, a clinical doctorate is a good idea in theory but would practicing SLPs go back to school? An ASHA survey reported 47.5% felt there was a need for such a degree; 22.1% said there was no need; and 30.4% were unsure. However, when asked if they would pursue such a degree, 25.4% said yes; 40.5% said no; and again, 34.1% were unsure. It seems as if there is still a good amount of convincing left to do among rank-and-file practitioners.

We'd love to hear your take. Would you pursue an optional, post-grad clinical doctorate? If so, what would motivate you to go back to school? If not, what's holding you back?

 

5 comments

I personally would not want to pursue a doctorate unless it is streamlined to fit the working SLP's life. In the schools, we are bombarded with paperwork and high caseloads, not affording us with much free time for other pursuits. I would hope that there would be a program that could be finished in one to two years strictly online, giving the SLP flexibility to complete courses on their own time. Other fields have these kind of options, why not ours as well?

It took me almost five years (including summers) to finish my graduate degree track. This included almost 80 credits, 2 hospital internships and one school internship. It almost felt like I should have had a doctorate at that point, or at least some credit beyond a normal master's degree. All of this was done while working part-time.

Another issue would be keeping down the cost of tuition or making grants available. Some employers might be willing to pay some of your fees, but not all. I am still paying back my graduate loans after 11 years in the field and teachers in my district have not gotten raises for two years now.

So for me it all boils down to decreased amount of time/ costs and flexibility of the program.

Theresa L, public K-8 schools - speech-language pathologist December 9, 2012 12:34 PM
NJ

There was a point in my career when I thought about pursuing my PhD in speech to gain more credibility with co-workers as well as to advance in the profession.  Unfortunately, at the time programs were not available in my area and since I had small children, going elsewhere was not an option.  As my children got older and I again began debating continuing my formal education, the financial considerations were significant - the tuition costs far surpassed the financial compensation I would recieve on the job, and college funds seemed better spent for my children.  An alternative I would love to see is a certificate program that would allow further studies into the field to expand my knowledge base.  I do think if your choice for a career path is at the college professor level, or in a hospital/clinic with a medical model, having a PhD would be more beneficial than in the school setting.

Debbie Brown, , Augmentative Communication Specialist School Based December 6, 2012 1:52 PM
MD

I definitely see a need for a clinical doctorate program in our profession.  Both for financial reasons - many employers pay a higher salary to those who hold a PhD - and for professional credibility reasons.  Many of us with Master's degrees would like to continue our professional development with a doctorate, but either are not interested in academia or prefer to further our education with a clinical emphasis.  We risk missing out on professional opportunities as the related rehab professions move to the PhD.

Monica, Speech-Language Pathologist December 6, 2012 1:13 PM
Ogden UT

Many of the other disciplines (OT, PT, etc.) we work with have various options for continuing their education.  Programs are custom designed for the returning student with years of practice under their belt, utilizing online methods for convenience.  More SLPs might be willing to obtain a doctorate under these circumstances.  Personally, I would love to work for a higher degree than a Master's, but do not want to be "lumped in" with recent grads with no work experience.  We simply need to learn different things.

Jennifer Dodson, Speech Pathologist - Schools December 6, 2012 10:20 AM
Chanhassen MN

I have always had the opinion that speech pathology needs to be a 5-6 year program, with the speech pathologist graduating with a master's degree.  there is such a shortage of speech pathologists, at least in this area of the country, that this would help take care of the need.  it is also unfair to students who complete 4 years of undergraduate school, and then are not accepted to graduate school.  the way the system works now, I would never encourage anyone to enter our field, until a master's degree program becomes automatic with acceptance into a program.

elissa lindsay, , speech pathologist vamc and pvt. practice December 6, 2012 8:56 AM
beckley WV

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