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Social Work

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Students entering the field of speech-language pathology or audiology recognize the rigorous academic coursework required to complete the degree. They are aware of the time, effort and dedication it will take to become certified professionals. Clinical practicum requirements, internship placements and comprehensive exams are at the forefront of their concerns. Conversely, professional issues including ethics and workplace dilemmas seem to be the least of their worries. Beginning clinicians may enter the workforce assuming all professionals adhere to ethical standards. They may think "workplace dilemmas" are simply fabricated scenarios they will never encounter. Unfortunately, the dynamic and evolving scope of the professions of speech-language pathology and audiology can present unforeseen challenges in the workplace, especially for beginning clinicians. However, with the proper education and training, students can enter the workforce prepared to handle any conflict that may compromise their ethicality. In order to demonstrate how to resolve ethical dilemmas occurring in the workplace, two scenarios involving support personnel, prescription and misrepresentation will be discussed in further detail.

The first scenario involves the administrator of an outpatient rehabilitation clinic. She is requiring a certified speech-language pathologist (SLP) to supervise a speech-language pathology assistant (SLPA). While supervising a session, the SLP notices the SLPA performing a diagnostic evaluation, a service that exceeds her competency level and clearly goes beyond the American Speech-Language-Hearing Association's (ASHA) guidelines for support personnel. The administrator told the SLP she cannot afford to hire an additional certified professional and stated supervision was part of his duties. The SLP was recently hired at the facility and feels he must comply with the

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