Knollhoff Stephanie M
Speech, Language and Hearing Sciences, University of Missouri-Columbia.
Lang Speech Hear Serv Sch. 2023 Apr 3;54(2):425-435. doi: 10.1044/2022_LSHSS-22-00114. Epub 2023 Jan 23.
The purpose of this study was to examine academic preparation in pediatric swallowing and feeding, specifically, how speech-language pathology graduate programs were addressing pediatric swallowing and feeding, both academically and clinically, prior to guideline changes and modifications in 2020 due to updates and the global health pandemic.
To gain a rounded image of speech-language pathology academic programs, two different methodological approaches were utilized. First, courses from 272 accredited programs were analyzed. Second, survey results from 100 participants were analyzed to investigate clinical clock hours and experiences received during participation in a graduate speech-language pathology academic program.
Less than 1% (0.4%) of academic courses analyzed were categorized as pediatric swallowing and feeding. Greater than 90% of participants reported receiving 20 hr or less in pediatric dysphagia, assessment, or treatment. Sixty percent of participants reported not feeling well prepared at all to provide pediatric swallowing and feeding services.
There are a growing number of children requiring swallowing and feeding services, a trend that looks to continue its rise. Pediatric dysphagia is a complex area requiring unique knowledge and skills. Academic programs have a responsibility to their students, and the individuals requiring speech-language pathology services, to provide experiences that allow for knowledge and skill development across the entire scope of practice and life span.
本研究的目的是考察儿科吞咽与喂养方面的学术准备情况,具体而言,即在2020年因指南更新及全球卫生大流行而进行更改和修订之前,言语语言病理学研究生课程在学术和临床方面是如何处理儿科吞咽与喂养问题的。
为全面了解言语语言病理学学术项目的情况,采用了两种不同的方法。首先,对272个认证项目的课程进行了分析。其次,对100名参与者的调查结果进行了分析,以调查他们在参与言语语言病理学研究生学术项目期间获得的临床实习时长和经验。
所分析的学术课程中,不到1%(0.4%)被归类为儿科吞咽与喂养课程。超过90%的参与者报告称,他们在儿科吞咽困难、评估或治疗方面的实习时长为20小时或更少。60%的参与者表示,他们完全没有为提供儿科吞咽与喂养服务做好充分准备。
需要吞咽与喂养服务的儿童数量日益增加,且这一趋势有望持续上升。儿科吞咽困难是一个复杂领域,需要独特的知识和技能。学术项目对其学生以及需要言语语言病理学服务的个体负有责任,应提供能让学生在整个实践范围和生命周期内发展知识与技能的经验。