During your clinical training, you will see a wide variety of common and uncommon medical and communication disorders.
You will acquire the skills and experience necessary to independently evaluate and treat simple and complex speech, voice, language and communication problems. The Medical Speech Pathology Fellowship offers a unique opportunity to participate in a team approach to managing medical problems that include communication disorders.
After an initial period of observation of the work of consultants and allied health clinicians in speech pathology, you will generally complete at least two one-to-two-week rotations in medical subspecialty areas (e.g., neurology hospital practice, movement disorders neurology, behavioral neurology and otorhinolaryngology).
Following or simultaneously with those rotations, you will gradually take increasing responsibility for evaluating patients on the Speech Pathology Hospital Service. Ultimately, you will respond to all consultations sent to the acute hospital service.
You also will gradually assume responsibility for evaluating outpatients, initially in collaboration with a supervising consultant. The rate at which you assume clinical responsibilities varies with your prior experience and clinical progress.
When appropriate, you may spend a period of time working on the Rehabilitation Unit, with responsibilities for ongoing patient management and participation in other Rehabilitation Unit activities and responsibilities.
You will also work with patients being treated through a number of outpatient interdisciplinary teams or clinics, including:
- Craniofacial Clinic
- Learning Disorders Assessment Program
- ALS (Lou Gehrig's disease) Clinic
- Voice Disorders Clinic
When appropriate, you will attend team meetings for patient review or discussion of other team activities.
You will meet periodically with various faculty members and the program director to discuss your career goals.
Clinical conferences, seminars, small discussion groups and one-on-one instruction are all an integral part of the Medical Speech Pathology Fellowship Program.
Grand Rounds in neurology, neurology subspecialty conferences and monthly Speech Pathology Division meetings offer excellent didactic learning experiences. You will be encouraged to take advantage of a variety of additional lectures or portions of courses in areas of interest to speech-language pathologists.
Fellows are typically invited to make one or more formal presentations at Speech Pathology Division meetings and may be asked to participate in other teaching conferences. They also have frequent opportunities to teach medical students and residents who do clinical rotations in the Division of Speech Pathology.
Although the Medical Speech Pathology Fellowship focuses on patient care, there are numerous opportunities for research stemming from this clinical work and nearly all fellows undertake at least one research project.
Research projects undertaken by the fellow are generally done in collaboration with one of the speech pathology consultants, although occasionally fellows work more closely with a physician in a relevant medical subspecialty (e.g., neurology, ENT).
To ensure that you acquire adequate knowledge and develop your technical skills, your performance is monitored carefully during the course of your program training.
At the completion of each rotation, fellows are evaluated by the faculty to whom they were assigned. This is accomplished through Mayo Clinic's Residency Management System, MedHub. MedHub is linked to the six core competencies identified by the Accreditation Council for Graduate Medical Education (Patient Care, Medical Knowledge, Interpersonal Skills and Communication, Professionalism, Practice-Based Learning and Improvement, and Systems-Based Practice).
Completed faculty evaluations are reviewed by the program director, who assigns a pass/fail grade based on the scores and comments by the faculty member. Upon approval of the evaluation by the program director, the evaluation immediately becomes available electronically to the fellow in the MedHub system.