As a future speech-language pathologist, I aspire to empower my patients to
become effective and confident communicators and enable them to actively participate in their daily lives. My goal as a professional is to establish and/or restore functional communication while simultaneously creating meaningful relationships. I see the value of understanding the big picture with my patients, and I hope to make a positive impact that will promote carryover of learned skills into their everyday lives. Incorporating theory, evidence-based practice, and continuous education into my clinical practice will allow me to accomplish these goals. Theory is important to incorporate into clinical practice as it serves as foundational support for assessment and treatment decisions. Many speech-language pathologists find success using a combination approach by blending several theories together. Other clinicians may primarily depend on one or two theories alone. I believe that I will use more of an eclectic approach throughout my clinical practice. For example, I will turn to several key theories of language development including Skinners behavioral theory, Chomskys nativist theory, Piagets cognitive theory, and Vygotskys social interactionalism theory in order to best serve my clients and their individual needs. Theoretical approaches are an integral part of service delivery, and they can significantly impact the progression of intervention. (Roseberry-McKibbin & Hedge, 2016). I will use an evidence-based practice approach throughout my clinical practice in order to preserve the quality and integrity of my services. This approach will include the integration of clinical experience, external scientific evidence, and patient/caregiver preference/perspective. Evidence-based clinicians would not use one parameter to make clinical judgements, as they would use all three components to ensure best practice in service delivery. For example, speech-language pathologists would not be able to say that empirical evidence alone is sufficient evidence to justify treatment decisions. Treatment decisions have to made based on high quality research, clinical expertise, and family involvement. Parameters of evidence-based practice will help guide my judgements in clinical practice in order to provide services that are supported by empirical evidence, clinical expertise, and patient values and expectations (American Speech-Language-Hearing Association, 2017). As I begin to enter into the field of speech-language pathology as a practicing clinician, I am committed to planning my professional development efforts in order to grow as a service provider. I will pursue continuing education opportunities in order to keep up with the changes in the field and to increase my knowledge and skills. This means that I will be an active learner in the field of speech-language pathology and will continually reflect on my role as a service provider. In addition to continuing education, I will also take advantage of collaborating with other professionals in the field as well as communicate with professionals in neighboring fields. I will also acknowledge that culture will constantly be changing, and what is culturally competent now may not be acceptable in the years to come. Therefore, I will be prepared to adapt and adjust to my patients individual needs regardless of their cultural-linguistic background (Riquelme, 2013). I have grown as a student clinician over the past eight-teen months and believe that I have the ability to be a confident and competent entry-level speech language pathologist. I have the knowledge and skills to appreciate how theory, evidence-based practice, and continuous education will profoundly impact the way I interact, communicate, and provide services for my clients and family members. As I move forward to begin my career as a speech-language pathologist, I look forward to teaching functional communication skills that will enable my patients to participate and enjoy life to its fullest. References
American Speech-Language-Hearing Association. (2017). Cultural Competence.
Available at the Practice Portal at http://www.asha.org/Practice-Portal/Speech- Language-Pathologists/ American Speech-Language-Hearing Association. (2017). Evidence-based practice (EBP). Retrieved from http://www.asha.org/Research/EBP/ Riquelme, L.F. (2013). Cultural Competence for Everyone: A Shift in Perspectives. SIG 15 Perspectives on Gerontology, May 2013, Vol. 18, 42-49. Roseberry-McKibbin, C., & Hegde, M. N. (2016). An advanced review of speech- language pathology: Preparation for the praxis and comprehensive examination.
after school clubs and extracurricular activities is beneficial in a variety of ways for the K-12 population. For example, school clubs can offer a place to form relationships and foster learning, and this was demonstrated with multiple groups. Research including students with disabilities involved in extracurricular activities show that they were more likely to have friends than those who were not involved.[4] Similar findings with racial and ethnic minorities and immigrant adolescents showed that minority, first, and second generation adolescents were less likely than their counterparts to have friends and be engaged in relationships, however, extracurricular activities facilitated socialization.[5] Thus, being involved in activities outside of school increases student’s chances of creating friendships. Furthermore, extracurricular activities increase positive self-development, regardless of where the activities take place (at school or away from school) [6] Likewise, female adolesc