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Clinical Competencies for the Burn Speech-Language Pathologist: A Multidisciplinary Development and Delphi Consensus

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Summary
This summary is machine-generated.

A new competency tool for burn speech-language-pathologists (SLPs) has been developed to standardize care. This expert-consensus tool ensures specialized skills for managing burn patients across all care stages.

Keywords:
burncarecompetencyspeech-language pathologisttool

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Area of Science:

  • Rehabilitation Medicine
  • Speech-Language Pathology
  • Burn Care

Background:

  • Clinical competency guidelines are essential for safe, optimal patient care.
  • Established frameworks exist for burn occupational therapists and physiotherapists, but not for speech-language-pathologists (SLPs).
  • A gap in specialized competency standards for burn SLPs necessitates the development of a dedicated tool.

Purpose of the Study:

  • To develop and establish the first internationally recognized, consensus-based competency tool specifically for burn speech-language-pathologists (SLPs).
  • To address the lack of standardized frameworks for SLPs in burn care.
  • To create a resource that supports specialized SLP practice across the continuum of burn care.

Main Methods:

  • A modified Delphi methodology was employed, synthesizing national and international practice guidelines.
  • An expert panel, including burn SLPs, Burn Therapists-Certified (BT-C) clinicians, and a physiatrist, contributed to the development process.
  • The American Burn Association (ABA) Burn Rehabilitation Therapists Competency Tool served as a model, with refinement through two rounds of surveys and consensus meetings involving 18 clinicians from 14 burn centers across three countries.

Main Results:

  • A final competency tool was developed, comprising 81 knowledge and application statements across 17 core clinical domains.
  • The tool is tailored for burn SLPs managing both adult and pediatric populations throughout the acute and rehabilitative phases of care.
  • It is structured into two tiers: Level-1 for minimum specialist skill and Level-2 for expert-level proficiency.

Conclusions:

  • This initiative successfully produced the first internationally developed, consensus-based competency tool for burn SLPs.
  • The tool provides a standardized reference for SLPs to deliver specialized burn care.
  • It aims to enhance the quality and consistency of speech-language pathology services in burn rehabilitation.