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A short note from Megan.
Creators and Guests
Producer
Megan Berg, SLP
Megan is an SLP based in Montana and owner of Therapy Insights.
What is Inside SLP?
Inside SLP is a limited series podcast that reveals how our profession came to be and why it functions the way it does. Most clinicians work inside a system they were never taught to see, shaped by decades of history, policy, economics, and unspoken assumptions. This show offers lightbulb moments that bring clarity to the structures beneath our everyday work and opens space for thoughtful, grounded understanding of the field we share.
Before you continue, I want to offer a bit of orientation. Inside SLP is a long form exploration of how this profession came to be structured the way it is. We move through history, training models, law, policy, money, and lived experience. Some episodes focus on people, others focus on systems, many focus on the tension between the two. This series makes the most sense if you start at the beginning, but you don't need to remember every detail or agree with every framing to keep going.
Megan Berg:Listening to this podcast does not obligate you to do anything. There is no major call to action at the end of this series. Understanding a system does not require you to fix it, defend it, dismantle it or carry the responsibility for it. Depending on where you are in your career, maybe you're a student, early career clinician, seasoned practitioner, academic, administrator, or something else entirely, different episodes will land differently. Some might feel clarifying, others might feel uncomfortable.
Megan Berg:All perspectives and all experiences around this topic are valid. This podcast is not an expose and it's not an argument against any individual institution or path. It's an attempt to slow the conversation down long enough to see how decades of well intentioned decisions layered on top of one another and how those layers now shape what feels possible, frustrating, or inevitable today. Over the course of the series, we'll continue to look at the questions most of us were never taught to ask, including how a certification designed as a temporary workaround became a defining feature of the profession, why clinical training was never fully embedded into the degree, and what that choice made easier and harder, what ASHA can advocate for and what it legally cannot do, how money membership and certification became intertwined without a single master plan, what happened when audiology decided its inherited structures no longer made sense, what it looks like when individual clinicians try to challenge professional systems through law, and why so much of today's frustration is lacking the framework for true reform. These episodes aren't meant to tell you what to think.
Megan Berg:They're meant to help you see the system more clearly so your reactions, questions, and positions have somewhere solid to land. You're allowed to listen with curiosity rather than certainty. You're allowed to sit with questions rather than conclusions, and you're allowed to pause or skip or return later. Clarity doesn't come from outrage or allegiance. It comes from staying with complexity longer than we usually do.
Megan Berg:I'm Megan Berg. This is Inside SLP, and I'm so glad you're here.