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Becoming a Speech and Language Therapist

Monthly Archives: March 2017

A list of some things that have happened, and why they’re significant

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Since I last wrote a blog, a few things have happened. These have included:
  • I’ve started the process of cat re-homing, so that I finally have an animal to go with the cat flap in my front door.
  • I got back a piece of work for which I was awarded the lowest mark that I’ve had on the course so far.
  • We had the most intense workshop session that we’ve experienced as a year group, in which pretty much every person revealed personal stories and struggles- and we realised how lucky we are to be studying with such supportive peers.
  • I’ve decided I’m determined to pass my grade 8 saxophone by the end of the year.
So, why are all these things significant in terms of my university experience?
The cat kind of signifies the last stage in getting my living situation sorted and settled. It was always only going to start happening when the flat I bought as a totally unlivable residence last year was renovated and both my spare rooms filled. So it feels like a big tick off the list. 
The second is, in some ways, more significant. I passed the assignment (just to give you an idea, 40% is a pass at undergraduate level, this is a national system) but I wasn’t really happy with how I did. Up to this point, I’ve always been surprised with my grades, usually doing better than I thought. But I’ve had to reassess what is actually really important on this course, and recover from the disappointment. There is not, quite frankly, enough time to think about it for too long- the next pieces of coursework are always due. I’ve definitely reset my mind to not put too much pressure on myself to get great grades all the time. It’s just not possible. So sometimes, a pass will do just fine. 
The third has opened my eyes to two very important things. Firstly, the year group I’m in can be very emotionally open and vulnerable with each other and that it’s totally OK for us to be this way. A lot of people commented afterwards that they wished that they had talked to others more about things they are/were feeling and experiencing before now…. and that it feels like we’re now closer as a year group. The second is that when we raise concerns about how sessions are conducted, our tutors really listen and respond to these. They take time to meet us and hear feedback and that things can change on the course because of what we say. I also discovered that the structure of courses can change, based on student feedback about their experiences. But, of course, none of this can happen if you keep quiet.
The last point? This is something I’ve wanted to do for a while, and it has felt like the course has overtaken my practice time. I’m going to make sure I redress the balance between stuff that I want to do and stuff that I NEED to do for the course. I think this is particularly important as we head into the exam period (again?! Where did that time go…?), so that, basically, I stay sane (or, as sane as possible). Over the next few weeks, I’m looking forward to getting into going over the year’s content and finding out where I’ll be for my next clinical placement. Oh, and having a rest.

I realise that so far, I haven’t mentioned one thing that is an essential and really valuable part of training to be an SLT, clinical placements. We’re lucky at City to be on placement pretty much all of the time we’re studying, so we have opportunities to apply what we’re learning as we go along. This isn’t the same for every uni offering this course, but for me it works, as I learn much better by giving something a go rather than sitting and listening…which is also an important part of how we learn….but that’s another story.

Since September, I’ve been on placement in mainstream primary schools in London. I guess something really important to mention here is that whilst we’re training, and when we’re on the job, maintaining confidentiality for our clients is essential, which is why I’m not going to tell you where in London I’m working. What I can tell you is that once I week, I meet my Practice Educator-or PE- who’s an experienced SLT, and I work with her/observe her/do some activities with the children she works with/sometimes even run a whole session by myself. This experience has been nothing if not a massively steep learning curve; partly because of the setting I’m in and partly because it’s given me a real taste for things that I’ll have to be doing every day once I’m qualified. Up to now, I’ve seen therapy mainly designed for children with a diagnosis of autism (which can affect their attention, turn-taking and language skills, among other things), children with Cerebral Palsy, two children with Down’s syndrome, a child with a speech sound disorder and children who are recovering from stroke. With such a huge range of needs, I’m seeing so many different therapy techniques and trying to figure out others that I can bring to the table, based on our teaching and up-to-date research of interventions that are being widely-used. I’m learning how to write case notes and reports, grade assessments and take speech samples from children. My conclusion: there is A LOT to know.

It’s taken a while to get my head around therapy session structure and commonly used methods of intervention that can be adapted for different children; where every day is different, there are loads of different opportunities. The picture is some of the resources I recently used for a session, in which I was working with a boy who is having difficulties with playing football in the playground, so I used a homemade board and some questions to help him talk about accepted behaviours. For him, this is one of the main goals in therapy; helping him to be more integrated with other children at school, and these goals are different for every client.  A lot of what we do is pretty good fun, but at the end of the day, my brain feels saturated and I am totally knackered! My clinical tutor (the City staff member who is assigned to look after us whilst we’re on placement) assures me this is totally normal. Alongside the intervention work, we have to complete written assignments and a video which will be used for a clinical exam in April: this is where we film ourselves doing therapy with a client, analyse it and present a report on it to our examiners.

I’ll be working in this setting until the end of March, and be on a different placement in June for a whole month, after we’ve finished our exams. I’m hoping for an adult or adolescent placement, particularly in youth or adult justice….so, yes, that means working in a secure unit with offenders. However, this depends on the SLTs who make offers to have students where they work, and this is pretty unpredictable. Until then, I’ll mainly be playing lots of board games and rolling lots of colourful balls/doing activities with soft toys and picture books….is it like work, honest.

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City, University of London is an independent member institution of the University of London. Established by Royal Charter in 1836, the University of London consists of 18 independent member institutions with outstanding global reputations and several prestigious central academic bodies and activities.

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