So you have just graduated as a Speech Language Pathologist (SLP), congratulations! The next steps in your career development are passing the Praxis exam and beginning your clinical fellowship(CF).

A clinical fellowship provides you with supervised clinical experience in a setting where you can learn and grow your SLP skills, under the supervision of a seasoned SLP.

A clinical fellowship is a post-graduate program designed for SLPs who have recently earned their Master’s degree but who have not yet met all the requirements to obtain a Certificate of Clinical Competence (CCC).

Completing a clinical fellowship is a requirement for obtaining a CCC.

Why Pursue a Clinical Fellowship?

First off it is a requirement to obtain your Certificate of Clinical Competence (CCC). Completing a clinical fellowship offers many benefits. There has been an increase in clinical fellowship jobs in RI along with a rise in salaries. The CF provides a new  SLP with the opportunity to apply the knowledge they have accrued during graduate school to the real world situation of providing therapy to a caseload of clients with the support of an experienced mentor providing guidance.

As well, completing a clinical fellowship can improve your chances of passing the Praxis exam. Studies show that SLPs with a clinical fellowship had a higher pass rate than those who did not complete one.

How to Complete a Clinical Fellowship

An SLP must complete supervised clinical hours in order to complete a clinical fellowship (at least 1,260). They must be supervised by an experienced SLP for a minimum of nine months and holds a CCC.

The CF supervisor helps guide the SLP and offers support as they build their clinical skills. This mentorship allows the SLP to effectively provide therapy in a professional setting.

Examining the Value of a Clinical Fellowship

Research studies show that completing a clinical fellowship has a significant impact on an SLP’s long-term career success. CF graduates have more job opportunities, earn more income, and often have a more diverse set of clinical skills.

Completing a clinical fellowship can also lead to job placement and advancement opportunities. Clinics and hospitals desire SLPs with practical experience in a work setting and practical skills.

Once completed, SLP clinical fellowship on the SLPs resume demonstrates that they have acquired extensive clinical experience and technical skills needed to hit the ground running in a new job.

Challenges and Potential Downsides

While completing a clinical fellowship offers many benefits, it may come with some challenges and potential downsides.

One of the most significant challenges experienced by SLPs pursuing clinical fellowships is time management. Balancing their caseloads, clinical fellowship requirements, and personal responsibilities can be challenging.


Completing a clinical fellowship is a crucial step for SLPs who are in the process of obtaining their Certificate of Clinical Competence (CCC) by building experience and knowledge in the workplace SLP-CCCs can competently provide speech therapy in a variety of professional settings. In addition, completing a clinical fellowship typically leads to an increase in salary.

Combining a clinical fellowship with other SLP educational programs, such as SLP school jobs in RI, CFY supervision in MA, and exploring online speech therapy options, can lead to greater career advancement.

Reach out to the experienced SLP professionals at to guide you through your clinical fellowship application process.

Universal strategies support learning for all students regardless of their disability status. However, systems embedded in the classroom are especially beneficial to students at risk of falling behind or receiving special education or related services. Providing best practices to all of your students is a win-win for general and special education staff and, of course, students.


Flexible Seating

Many people picture elaborate chairs and spaces when the topic of flexible seating comes up. T-stools, rocking chairs, and swings built into classrooms are excellent but flexible seating doesn’t have to be complex! Allow your students to stand at their table, move to a different space, or lay on their bellies during read-aloud. Movement helps both children and adults focus (hence the popularity of the office sit-stand desk). 

Positive Reinforcement

Positive reinforcement helps create a nurturing classroom environment and is a tool that encourages children to engage in appropriate behaviors. Positive reinforcement also builds up a child’s self-esteem. Give your students a high-five, recognize their hard work, or allow them to earn a fun activity. Use positive reinforcement often and with all of your students.


Use a Routine

Routines provide structure for a day with academics, social participation, lunch, breaks, and more. A transition is much smoother when a student is expecting it. Let your students know when there will be a change in the routine and remind them throughout the day. Post a schedule of the day where everyone can see it. Use picture images for young children and write the plan out for students who are confident readers.



For student well-being to occur at school, an adult must connect with them. Touching base with them each day can foster a community of positive mental health. You can use the Zones of Regulation or other programs or even teach and provide language for them in the classroom. Make them feel comfortable sharing by using examples from your own life and validating that experiencing different emotions is okay. When appropriate, offer strategies such as deep breathing or movement to help your students feel their best, and feel supported.

Provide Extra Time

Some children can easily recognize and process sensory information in the world and then quickly recall information and figure out how to respond to a question, for example. For others, it takes longer. Giving extra time to all students offers everyone a chance to participate in the conversation. Especially after asking, “does anybody have questions?” try to pause for five to ten seconds. 

Heavy Work

Sensory supports encompass a wide variety of strategies to support student learning. One popular activity, heavy work, targets the proprioceptive system to help students feel calm and regulated. Classroom jobs like pushing in or stacking chairs, wiping down tables or chalkboards, or carrying heavy books to the library all target the proprioceptive system. If any of your students are seeking movement, offer structured activities at recess. Include activities and games like wheelbarrow walking, hopscotch, four-square, climbing monkey bars, or climbing a hill. Embedded strategies aren’t just for children who receive special education or related services. Try these ideas to help all of your students be their best.

Any questions? Give us a call!


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