
SLP Full Disclosure Ep. 118: Your Clinical Fellowship Questions Answered
For speech-language pathologists (SLPs), the Clinical Fellowship (CF) process is both an exciting and challenging chapter in their careers. Whether you're about to begin your CF, currently navigating it, or supervising a CF for the first time, Episode 118 of the SLP Full Disclosure podcast is packed with expert guidance to help you succeed.
Host Michelle dives into a Q&A session, pulling real questions from the SLP Clinical Fellow Facebook community and sharing personal experiences, expert advice, and actionable insights. Here's a detailed look into what this episode offers and how it can help you tackle your CF journey with confidence.
What is a Clinical Fellowship and Why Is It Important?
For new SLPs, the Clinical Fellowship is the bridge between academic training and becoming an independent clinician. Required for acquiring the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA, this supervised period ensures you apply theoretical knowledge in real-world settings, develop hands-on skills, and gain confidence in independent practice.
CFs typically take place in schools, hospitals, private practices, or early intervention settings, and the experience is shaped significantly by the quality of supervision and the unique challenges of each placement.
Key Takeaways from Episode 118 of SLP Full Disclosure
Episode 118 answers some common—but critical—questions about the Clinical Fellowship process. Here’s a sneak peek at the highlights:
Supervision Tips for Sixth-Year SLPs Supporting Clinical Fellows
Question: What advice do you have for supervising a Clinical Fellow as a sixth-year SLP?
Michelle reflects on her own experience supervising CFs and emphasizes two key pillars:
- Communication: Open, frequent communication creates a supportive environment for CFs. Make yourself accessible via text, email, or quick check-ins, especially when they feel overwhelmed.
- Personal Connection: Take the time to understand your CF’s personal circumstances. Life outside work can significantly impact their performance on the job.
She also notes the importance of balancing constructive criticism with positive reinforcement. CFs need actionable feedback to improve but also thrive on encouragement to build their confidence.
Constructive Criticism Done Right
Question: How can supervisors deliver critical feedback effectively?
Supervisors must strike a balance between honesty and encouragement. Michelle shares a valuable strategy: begin with a positive comment, deliver constructive criticism gently but clearly, and finish with an actionable plan or praise for progress.
An example from her experience highlights long-term benefits, as a CF who struggled with assessments later credited her supervisor’s candid feedback as the turning point in her development as an SLP.
Navigating IDEA and the Referral Process
Question: How can Clinical Fellows prepare for special education workflows, like understanding IDEA and referral processes?
Michelle stresses becoming highly familiar with IDEA (the Individuals with Disabilities Education Act) and the specific resources available on your state’s Department of Education website. For those working in school-based settings, grasping the differentiation between speech-language referrals and comprehensive special education referrals is essential. Building relationships with key professionals, such as school psychologists and resource teachers, can also be a game-changer.
Assessment Resources and Tools
Question: What about assessments and screeners? Will CFs have everything they need?
Michelle reassures listeners that school districts or employers typically provide the necessary tools and materials for assessments. However, it’s up to CFs to familiarize themselves with these tools. She advises taking assessment manuals home to study procedures, practicing administration with friends or family, and mastering how to interpret and present findings effectively.
Connecting with Other Professionals
Working in schools or private practices often involves collaboration with other professionals, such as occupational therapists (OTs) and physical therapists (PTs). Michelle emphasizes the value of learning from these team members, as their expertise can enrich an SLP’s understanding of child development and create a more holistic approach to therapy.

Why Episode 118 Is a Must-Listen for SLPs
Episode 118 of SLP Full Disclosure dives deep into the realities of Clinical Fellowships, offering real-life advice and solutions to common challenges. Whether you’re starting your CF, serving as a supervisor, or simply navigating the challenges of being an SLP, Michelle’s insights remind listeners that they’re not alone in their experiences.
This episode doesn’t just offer advice—it fosters a sense of community among SLPs, highlighting the importance of supporting each other and sharing knowledge within the SLP community. If you’re looking for reassurance, guidance, and practical tips, this episode is made just for you!
For more insights into this topic and innovative solutions in speech therapy, tune in to Episode 117 and subscribe to SLP Full Disclosure today to stay informed about the most relevant trends and insights impacting the world of speech therapy.