Inside SLP

Megan Berg
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Inside SLP is a limited series podcast that reveals how our profession came to be and why it functions the way it does. Most clinicians work inside a system they were never taught to see, shaped by decades of history, policy, economics, and unspoken assumptions. This show offers lightbulb moments that bring clarity to the structures beneath our everyday work and opens space for thoughtful, grounded understanding of the field we share.

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    01: START HERE: The Summer I Failed the Test

    In 2015, a paperwork mistake and a failed jurisprudence exam left me living in a tent in Montana and questioning everything I thought I knew about becoming a speech-language pathologist. This episode tells the story of my first encounter with the profession’s hidden architecture and how that experience opened a decade-long journey of trying to understand the system we all work inside of. Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.com

    11 мин.

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    02: Fixing vs. Contemplating

    In this episode, I talk about the pull of certainty and how reassuring it can feel to believe there are clear answers, fixed structures, and someone who has it all figured out. We explore how professional cultures reward confidence over curiosity, how uncertainty often gets smoothed over rather than examined, and why so many clinicians sense something doesn’t quite line up but struggle to name it. Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSpecial thank you to Dr. Angela Louvenbrouk (former President of the American Academy of Audiology, ASHA Fellow, former ASHA board member, and recipient of Honors of the Academy—AAA’s highest award—2019) for being a primary source for this podcast series.

    10 мин.

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    03: How the CCC Came to Be

    Every system has an origin story. In Episode 3, we step back in time to examine how the CCC was created, what problems it was meant to solve, and why it once made sense. This episode traces the early structure of certification in speech-language pathology and follows how its meaning and function evolved as the profession expanded, state licensure emerged, and training pathways shifted. Rather than asking whether the CCC is “good” or “bad,” this episode asks a quieter question: What happens when a solution outlives the moment it was built for? Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSources:Duchan, J. F., & Hewitt, L. E. (2023). How the charter members of ASHA responded to the social and political circumstances of their time. American Journal of Speech-Language Pathology, 32(3), 1037-1049. Malone, R. (1999). The first 75 years: An oral history of the American Speech-Language-Hearing Association. American Speech-Language-Hearing Association.

    10 мин.

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    04: It’s 1969 in Florida

    In 1969, Florida became the first state to license speech-language pathologists and audiologists, which reshaped the entire profession. But the fight for licensure started years earlier, fueled by fraud, unqualified practitioners, and the dawning realization that ASHA had no legal authority to protect the public or the profession. This episode dives into the drama, resistance, and grassroots organizing that led clinicians in Florida to say: “If we don’t regulate ourselves, someone else will.” Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSources: Malone, R. (1999). The first 75 years: An oral history of the American Speech-Language-Hearing Association. American Speech-Language-Hearing Association.

    9 мин.

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    05: The Patchwork Profession

    Across the United States, speech-language pathology licensure looks wildly different from state to state. It's a patchwork of rules shaped not by a single national authority but by thousands of individual decisions over decades. This episode traces how school systems, state agencies, and clinician-run boards created a maze of inconsistent standards. And it reveals the surprising truth at the center of it all: The people regulating SLPs… are SLPs. Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSources: New Jersey statutesUtah — Speech Language TechniciansIdaho public school requirementsNorth Dakota licensing rules and satutesMalone, R. (1999). The first 75 years: An oral history of the American Speech-Language-Hearing Association. American Speech-Language-Hearing Association.

    12 мин.

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    06: A Training Model Unlike Any Other

    SLP is the only allied health or education-adjacent profession that completes most of its clinical training after the degree. This episode unpacks how unusual that structure is and how it shapes hiring, supervision, billing, and professional identity. We explore why it affects nearly every tension we feel in the field today. Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.com

    13 мин.

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    07: Why the Degree Never Changed

    Why has the speech-language pathology entry-level degree remained unchanged for over 70 years while the medical world evolved around it? This episode excavates the critical turning points of 1963 and 1983, where the profession repeatedly chose academic purity and economic convenience over clinical readiness.  We dive into the 2020 Ad Hoc Committee Report, a document that effectively pulled the fire alarm on our current training model. We also cover: The Highland Park standoff: Why 1960s leaders feared a vocational degree and institutionalized the workaround we now call the Clinical Fellowship. The 1983 economic pivot: How the profession crunched the numbers and chose a model that favored immediate paychecks over university-owned clinical residencies. The modern crisis: Why 47% of modern graduate programs admit they may not have the capacity to teach the full scope of practice across the lifespan. The subtext of survival: A look at the faculty deserts and the hidden revenue needs that keep our accrediting systems anchored to a 1960s architecture. This episode is about policy and also about removing the shame of the training gap by seeing it as a documented structural failure rather than a personal one. Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSources: Malone, R. (1999). The first 75 years: An oral history of the American Speech-Language-Hearing Association. American Speech-Language-Hearing Association.Final Report, Ad Hoc Committee on Graduate Education for Speech-Language Pathologists, March 2020Graduate Education in Speech Pathology and Audiology: Report of a National Conference Highland Park, Illinois, April 29 Through May 3, 1963.National Conference on Undergraduate, Graduate, and Continuing Education (1983 : Saint Paul, Minn.); Rees, Norma S.; Snope, Trudy L.

    10 мин.

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    08: The Under-Built House

    Are you failing, or is the system failing you? This episode explores the psychological and political costs of an under-built profession. Using the 2020 ASHA Ad Hoc Report, we look at how a lack of a unified competency framework leads to arbitrary power dynamics and gratitude compliance. We also discuss the looming generational shift in state associations and the danger of leaving a vacuum of power that insurance lobbyists and competing disciplines are eager to fill. Subjective gatekeeping: Why competence feels like a personal judgment without objective rubrics.The certainty market: How structural gaps in grad school created an influencer economy that sells confidence as a product.The power vacuum: Why the decline in professional volunteering is a threat to our scope of practice.This is an invitation to stop personalizing the friction and start seeing the architecture. Contact Megan: therapyinsights.com/insideslpPACT Survey: pactsurvey.comSources: Final Report, Ad Hoc Committee on Graduate Education for Speech-Language Pathologists, March 2020

    10 мин.
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Inside SLP is a limited series podcast that reveals how our profession came to be and why it functions the way it does. Most clinicians work inside a system they were never taught to see, shaped by decades of history, policy, economics, and unspoken assumptions. This show offers lightbulb moments that bring clarity to the structures beneath our everyday work and opens space for thoughtful, grounded understanding of the field we share.

Информация

  • Автор
    Megan Berg
  • Годы выхода
    2 тыс.
  • Выпуски
    22
  • Ограничения
    Без ненормативной лексики
  • Авторские права
    © 2025 Megan Berg
  • Сайт подкаста
    Inside SLP