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Practicing at the Top of the License to Enhance Service Delivery: An Introduction

This presentation by Carmen Vega-Barachowitz on “Top of the License” practice in Speech-Language Pathology (SLP) and Audiology focuses on how professionals can maximize their value and effectiveness. Here’s a summary of the key points: 

1. Definition of “Top of the License”: 

  • Practicing to the full extent of one’s education and training 
  • Delegating tasks that can be effectively done by others 
  • Focusing on activities that require unique knowledge and skills 

2. Importance of Top of License practice: 

  • Economic challenges in healthcare 
  • Demonstrating value and effectiveness of the profession 

3. Key components of Top of License practice: 

  • Considering social determinants of health 
  • Focusing on functional effectiveness rather than just impairments 
  • Linking outcomes to quality of life 
  • Expanding beyond traditional service models 

4. Application in real-world settings: 

  • Example of practice in Chelsea Healthcare Center, addressing needs of diverse, underserved populations 
  • Adapting interventions to meet community needs 
  • Collaborating with other professionals and community partners 

5. Using the International Classification of Functioning, Disability and Health (ICF) framework to guide practice 

6. Importance of empathy, compassion, and patient-centered care in Top of License practice 

7. Cultivating Top of License practitioners: 

  • Building awareness of institutional culture and power dynamics 
  • Developing professional agency and identity 
  • Learning to delegate effectively 
  • Intentionality in practice and education 

8. Suggestions for educating students: 

  • Creating opportunities for perspective-taking and reflection 
  • Using case studies, role-play, and interprofessional education activities 
  • Helping students internalize the commitment to Top of License practice 

The presentation emphasizes that practicing at the Top of the License requires a mental shift and intentional effort, but is crucial for demonstrating the value and effectiveness of SLP and Audiology professions in various healthcare settings. 

Summary generated by Claude 3.5 Sonnet 

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