1 00:00:12,304 --> 00:00:14,544 Welcome to the Swallow Your Pride podcast. I'm 2 00:00:14,544 --> 00:00:16,804 your host, Theresa Richard. I'm a board certified 3 00:00:16,864 --> 00:00:19,745 specialist in swallowing and swallowing disorders, a mobile 4 00:00:19,745 --> 00:00:22,244 thieves business owner, and founder of the MedSLP 5 00:00:22,385 --> 00:00:22,885 Collective. 6 00:00:23,345 --> 00:00:25,505 This podcast is all about delivering the latest 7 00:00:25,505 --> 00:00:28,170 evidence based practice to medical SLPs everywhere. 8 00:00:28,550 --> 00:00:31,030 Whether you're a new clinician seeking tangible tools 9 00:00:31,030 --> 00:00:33,109 for treatment or a seasoned vet stuck in 10 00:00:33,109 --> 00:00:35,030 a rut, my goal is to help ditch 11 00:00:35,030 --> 00:00:36,630 the old school ways of the past that 12 00:00:36,630 --> 00:00:38,870 no longer serve you or your patients, to 13 00:00:38,870 --> 00:00:41,234 reinvigorate your passion for our field, to broaden 14 00:00:41,234 --> 00:00:43,315 your knowledge about our scope of practice, and 15 00:00:43,315 --> 00:00:45,075 to inspire you to practice at the top 16 00:00:45,075 --> 00:00:47,234 of your license. So if you're listening, I 17 00:00:47,234 --> 00:00:49,554 encourage you to swallow your pride, be open 18 00:00:49,554 --> 00:00:51,635 and willing to learn because let's face it, 19 00:00:51,635 --> 00:00:54,274 your patients deserve that kind of care. With 20 00:00:54,274 --> 00:00:56,135 that, let's dive right in. 21 00:00:56,649 --> 00:00:58,810 Just a quick disclaimer that all statements and 22 00:00:58,810 --> 00:01:01,289 opinions expressed in this episode do not reflect 23 00:01:01,289 --> 00:01:02,109 on the organizations 24 00:01:02,410 --> 00:01:04,730 associated with the speakers and are their own 25 00:01:04,730 --> 00:01:07,130 opinions solely. So welcome, friends. Welcome back to 26 00:01:07,130 --> 00:01:10,104 the Swallow Your Pride podcast. Today's episode, we 27 00:01:10,104 --> 00:01:11,644 have Doctor. Kristin West. 28 00:01:12,024 --> 00:01:13,784 She's an assistant professor and chair in the 29 00:01:13,784 --> 00:01:16,664 Department of Communication Sciences and Disorders at Penn 30 00:01:16,664 --> 00:01:17,484 West University. 31 00:01:17,864 --> 00:01:20,185 Clinically, Kristin has experience in a variety of 32 00:01:20,185 --> 00:01:22,709 pediatric settings, including early intervention, pediatric 33 00:01:24,709 --> 00:01:26,310 acute care, outpatient and school based services. Prior 34 00:01:26,310 --> 00:01:28,390 to joining Penn West, she helped establish a 35 00:01:28,390 --> 00:01:30,469 public school feeding program and served as a 36 00:01:30,469 --> 00:01:33,189 consultant for the same program. Kristin is also 37 00:01:33,189 --> 00:01:36,090 a member and volunteer for SIG thirteen, PSHA, 38 00:01:36,150 --> 00:01:37,609 Feeding Matters and ASHA. 39 00:01:37,924 --> 00:01:39,944 She serves as the ASHA COASLP 40 00:01:40,645 --> 00:01:41,784 member for Pennsylvania. 41 00:01:42,724 --> 00:01:44,105 Alright. Hello, my friend. 42 00:01:44,484 --> 00:01:46,724 Hi, Theresa. How are you today? Good. Thanks 43 00:01:46,724 --> 00:01:47,784 for joining me. 44 00:01:48,325 --> 00:01:50,859 No problem. Happy to be here. Alright. So 45 00:01:50,859 --> 00:01:52,459 a lot of different topics that I want 46 00:01:52,459 --> 00:01:54,700 to dive into with you today. And let 47 00:01:54,700 --> 00:01:57,020 me just set the stage by saying, Kristen 48 00:01:57,020 --> 00:01:59,680 is someone that has been such a personal 49 00:01:59,739 --> 00:02:02,140 reference for me with issues with my son, 50 00:02:02,140 --> 00:02:05,120 and she's just so incredibly well versed in, 51 00:02:05,424 --> 00:02:08,145 like, public school case law for feeding and 52 00:02:08,145 --> 00:02:09,764 swallowing and what 53 00:02:10,305 --> 00:02:12,544 schools can and can't tell us about feeding 54 00:02:12,544 --> 00:02:14,705 our children. So she's been a huge help 55 00:02:14,705 --> 00:02:17,264 with that. But then also, she's worked behind 56 00:02:17,264 --> 00:02:19,360 the scenes at the Modesto P Collective since 57 00:02:19,360 --> 00:02:21,000 we started forever ago. 58 00:02:21,319 --> 00:02:23,240 But she's just taken on more of a 59 00:02:23,240 --> 00:02:24,780 more leadership role recently, 60 00:02:25,400 --> 00:02:27,080 as we've really started to roll out more 61 00:02:27,080 --> 00:02:29,240 active learning, and she's a big part of 62 00:02:29,240 --> 00:02:32,125 our university system and our university outreach. And 63 00:02:32,125 --> 00:02:33,645 so a lot to cover today. So I 64 00:02:33,645 --> 00:02:35,004 just threw all that at you. Where would 65 00:02:35,004 --> 00:02:35,905 you like to start? 66 00:02:36,365 --> 00:02:38,605 Wherever you wanna start. That's a big topic. 67 00:02:38,605 --> 00:02:40,444 So whatever wherever you wanna get started, we 68 00:02:40,444 --> 00:02:41,805 can start there and roll through all of 69 00:02:41,805 --> 00:02:43,885 it. Yeah. Let's let's start with the with 70 00:02:43,885 --> 00:02:46,284 the active learning piece because this is something 71 00:02:46,284 --> 00:02:46,784 that 72 00:02:47,150 --> 00:02:48,610 I've noticed has just become 73 00:02:49,550 --> 00:02:50,689 so much needed 74 00:02:51,069 --> 00:02:53,469 today. Right? We're coming up on the last 75 00:02:53,469 --> 00:02:55,550 part of 2025, hard to believe, coming into 76 00:02:55,550 --> 00:02:57,629 fall twenty twenty five, and we are in 77 00:02:57,629 --> 00:03:01,090 this day of AI and just information 78 00:03:01,469 --> 00:03:01,969 overload. 79 00:03:02,724 --> 00:03:06,164 And there's really not anything. There's no piece 80 00:03:06,164 --> 00:03:08,805 of information that's lacking that people can't get 81 00:03:08,805 --> 00:03:11,205 from AI. And whether people like to admit 82 00:03:11,205 --> 00:03:13,224 that or not, it's really the truth. 83 00:03:13,685 --> 00:03:16,485 And there's, you know, many different ways that 84 00:03:16,485 --> 00:03:19,650 people learn things. Right? There's you can passively 85 00:03:20,189 --> 00:03:22,669 read something, you can passively watch something, or 86 00:03:22,669 --> 00:03:24,530 you can be really actively engaged. 87 00:03:24,990 --> 00:03:27,090 And this is something that I've just become 88 00:03:27,150 --> 00:03:29,629 really obsessed with in my PhD studies, and 89 00:03:29,629 --> 00:03:31,810 one of my concentrations is health care education 90 00:03:32,085 --> 00:03:34,085 and just learning about all the different learning 91 00:03:34,085 --> 00:03:35,705 theories that there are, 92 00:03:36,004 --> 00:03:37,925 not just for kids, but for adults. And 93 00:03:37,925 --> 00:03:40,085 it's drastically different for adults and not just 94 00:03:40,085 --> 00:03:43,525 for adults, but specifically in medical education. And 95 00:03:43,525 --> 00:03:45,510 how do we as adults that, you know, 96 00:03:45,510 --> 00:03:47,189 we're all working a million hours a week, 97 00:03:47,189 --> 00:03:48,490 we're managing families, 98 00:03:48,790 --> 00:03:50,330 navigating just life, 99 00:03:50,710 --> 00:03:53,270 but then you also need to keep up 100 00:03:53,270 --> 00:03:54,790 with the times. You need to keep up 101 00:03:54,790 --> 00:03:56,310 with the new technology. You need to keep 102 00:03:56,310 --> 00:03:58,389 up with new assessments and treatments that are 103 00:03:58,389 --> 00:04:00,069 happening for our patients. And how in the 104 00:04:00,069 --> 00:04:01,405 world do we stay on top of all 105 00:04:01,405 --> 00:04:01,905 that? 106 00:04:02,205 --> 00:04:04,444 And is AI the answer? Right? Is just 107 00:04:04,444 --> 00:04:05,905 typing into AI, 108 00:04:06,284 --> 00:04:08,044 you know, hello. Please help me with my 109 00:04:08,044 --> 00:04:10,224 patient. This is what they present with today. 110 00:04:10,525 --> 00:04:12,125 Is that the best use of your time, 111 00:04:12,125 --> 00:04:14,064 and is that gonna be the most reliable 112 00:04:14,125 --> 00:04:16,125 and evidence based? And there's a lot of 113 00:04:16,125 --> 00:04:17,769 ways to argue that. But 114 00:04:18,069 --> 00:04:20,310 where I wanna start is really this active 115 00:04:20,310 --> 00:04:22,069 learning piece, and it's something that we just 116 00:04:22,069 --> 00:04:24,629 made a huge pivot in with the MetaSelf 117 00:04:24,629 --> 00:04:26,149 P Collective this year. And I just like 118 00:04:26,149 --> 00:04:28,470 to share a lot of the reasons why 119 00:04:28,470 --> 00:04:30,470 and why we're doing it and why I 120 00:04:30,470 --> 00:04:32,649 believe this is the way of the future. 121 00:04:32,834 --> 00:04:33,154 So 122 00:04:34,115 --> 00:04:36,115 Yeah. I think it's, like, a really valid 123 00:04:36,115 --> 00:04:38,294 point. So, like, pulling from my my background 124 00:04:38,435 --> 00:04:40,675 in higher ed, you know, we're always you 125 00:04:40,675 --> 00:04:42,435 know, when I'm sitting in a classroom and 126 00:04:42,435 --> 00:04:44,194 I'm teaching my students, and I'm trying to 127 00:04:44,194 --> 00:04:47,649 think, you know, I'm conveying this knowledge to 128 00:04:47,649 --> 00:04:50,370 them. But I think everybody in higher ed 129 00:04:50,370 --> 00:04:52,370 always has these conversations about how do I 130 00:04:52,370 --> 00:04:54,689 make sure that what I tell them is 131 00:04:54,689 --> 00:04:57,569 what they do. Right? That's like the age 132 00:04:57,569 --> 00:05:01,134 old, like, problem in any any field. We 133 00:05:01,134 --> 00:05:03,454 have research. We, you know, do a lot 134 00:05:03,454 --> 00:05:05,294 of research, but then how do we translate 135 00:05:05,294 --> 00:05:07,714 that, or how do we kinda change people's, 136 00:05:08,414 --> 00:05:10,495 practice patterns, or how do we teach them 137 00:05:10,495 --> 00:05:12,175 how to do that thing, if they've never 138 00:05:12,175 --> 00:05:12,834 done it 139 00:05:13,259 --> 00:05:13,759 before? 140 00:05:14,060 --> 00:05:15,740 And, you know, it's the age old, like, 141 00:05:15,740 --> 00:05:18,479 theory practice gap kind of topic. 142 00:05:19,899 --> 00:05:22,620 But the real thing here is just thinking 143 00:05:22,620 --> 00:05:23,120 about 144 00:05:23,659 --> 00:05:25,819 how do we and and, you know, even 145 00:05:25,819 --> 00:05:27,740 in their twenties, students are adults. We're all 146 00:05:27,740 --> 00:05:30,014 adults. Right? How do adults learn and really 147 00:05:30,014 --> 00:05:31,955 thinking about how do we 148 00:05:32,495 --> 00:05:35,535 give them information that they can apply to 149 00:05:35,535 --> 00:05:36,274 a clinical 150 00:05:36,735 --> 00:05:38,735 scenario, and how do we get them to 151 00:05:38,735 --> 00:05:41,214 take that knowledge and turn it into skills, 152 00:05:41,214 --> 00:05:42,254 which is, you know, just how to better 153 00:05:42,254 --> 00:05:43,694 be in higher ed kinda thinks about that 154 00:05:43,694 --> 00:05:44,194 stuff. 155 00:05:45,419 --> 00:05:47,819 And so some of the things that, you 156 00:05:47,819 --> 00:05:50,779 know, we we really have been kind of 157 00:05:50,779 --> 00:05:52,319 finding when we think about 158 00:05:52,779 --> 00:05:55,360 pedagogy and learning and how do people learn, 159 00:05:55,819 --> 00:05:58,639 across the board is really we can't 160 00:05:58,944 --> 00:06:02,305 just assume that when we tell somebody how 161 00:06:02,305 --> 00:06:03,205 to do something 162 00:06:03,904 --> 00:06:06,305 that they're going to be able to to 163 00:06:06,384 --> 00:06:09,745 tomorrow just go do the thing. Right? Like, 164 00:06:09,745 --> 00:06:11,925 I can tell you, you know, 165 00:06:12,269 --> 00:06:15,230 some fluency shaping, you know, approaches. I could 166 00:06:15,230 --> 00:06:17,569 probably ramble off a a very good definition 167 00:06:17,629 --> 00:06:19,389 of that, or I could probably even tell 168 00:06:19,389 --> 00:06:22,269 you some things about voice. But if you 169 00:06:22,269 --> 00:06:24,910 ask me to do that, I could not 170 00:06:24,910 --> 00:06:27,774 do it. Like, I just absolutely could not, 171 00:06:28,175 --> 00:06:30,274 because I've never had the opportunity 172 00:06:31,214 --> 00:06:34,574 recently, in the recent past, to practice that 173 00:06:34,574 --> 00:06:35,074 skill. 174 00:06:35,454 --> 00:06:37,534 And I think, you know, we've known for 175 00:06:37,534 --> 00:06:39,294 a really long time kind of in the 176 00:06:39,294 --> 00:06:41,074 adult learning space that just 177 00:06:41,829 --> 00:06:43,370 sitting and listening 178 00:06:44,709 --> 00:06:45,850 is not really 179 00:06:46,229 --> 00:06:48,490 the best effective way to then get somebody 180 00:06:48,629 --> 00:06:50,789 to turn around and do that with their 181 00:06:50,789 --> 00:06:51,850 patient. Right? 182 00:06:52,949 --> 00:06:55,175 And so I think, you know, what we 183 00:06:55,175 --> 00:06:56,535 were talking about in the collective and what 184 00:06:56,535 --> 00:06:58,455 we've just even been talking about in higher 185 00:06:58,455 --> 00:07:00,615 ed a lot too is we always kind 186 00:07:00,615 --> 00:07:02,795 of have to have that link between 187 00:07:03,895 --> 00:07:05,355 fitting and understanding 188 00:07:06,055 --> 00:07:09,209 and hearing the information and understanding the theory 189 00:07:09,209 --> 00:07:11,629 behind it and and the why behind it. 190 00:07:11,689 --> 00:07:13,769 But that's not enough because you still have 191 00:07:13,769 --> 00:07:15,449 to know how to do it. Right? Like, 192 00:07:15,449 --> 00:07:16,589 you have to know how 193 00:07:17,050 --> 00:07:17,949 how to actually 194 00:07:18,649 --> 00:07:19,709 do the thing. 195 00:07:20,649 --> 00:07:23,289 And so we know that by giving things 196 00:07:23,289 --> 00:07:24,029 like guided 197 00:07:24,415 --> 00:07:26,654 practice. Right? Like, being able to so Kristen 198 00:07:26,654 --> 00:07:28,194 doesn't know how to do 199 00:07:28,735 --> 00:07:30,355 fluency shaping. But 200 00:07:30,814 --> 00:07:32,814 if somebody shows me how to do it, 201 00:07:32,814 --> 00:07:34,654 and then I can practice it, and they 202 00:07:34,654 --> 00:07:35,875 can give me feedback 203 00:07:36,254 --> 00:07:38,080 or give me a little bit of, like, 204 00:07:38,080 --> 00:07:40,240 a demonstration or a little bit of, oh, 205 00:07:40,240 --> 00:07:41,920 well, Kristen, that was really great, but that 206 00:07:41,920 --> 00:07:44,160 really wasn't. Let's go ahead and shape that, 207 00:07:44,160 --> 00:07:45,600 change that, or next time I would do, 208 00:07:45,600 --> 00:07:47,060 you know, x y z. 209 00:07:47,439 --> 00:07:50,160 Then I know, oh, so that's what that 210 00:07:50,160 --> 00:07:51,860 thing that you were talking about 211 00:07:52,544 --> 00:07:54,384 is. Right? And I've done it a little 212 00:07:54,384 --> 00:07:55,024 bit more. 213 00:07:56,064 --> 00:07:57,444 And I think for me, 214 00:07:58,144 --> 00:07:59,824 I've always learned the best that way. Like, 215 00:07:59,824 --> 00:08:01,185 I like, I am a book smart person. 216 00:08:01,185 --> 00:08:02,625 Like, I do like to sit in here, 217 00:08:02,625 --> 00:08:05,285 but still sometimes leaving those kind of classes 218 00:08:05,345 --> 00:08:07,685 or CEOs or whatever, there's still, I think, 219 00:08:07,819 --> 00:08:09,379 for any of us is that, how do 220 00:08:09,379 --> 00:08:11,500 I, like, do that tomorrow? Right? Like, how 221 00:08:11,500 --> 00:08:12,879 do I apply to that? 222 00:08:13,339 --> 00:08:15,740 Yeah. It's it's completely not lost on me 223 00:08:15,740 --> 00:08:18,300 the irony of owning a few different continuing 224 00:08:18,300 --> 00:08:21,134 education businesses. Right? And, you know, I I 225 00:08:21,134 --> 00:08:23,214 just keep telling everyone, like, we are done 226 00:08:23,214 --> 00:08:25,214 with death by PowerPoint. We are done with 227 00:08:25,214 --> 00:08:27,134 it. Like, I can't stand doing it when 228 00:08:27,134 --> 00:08:29,855 I present. Like, I don't wanna read your 229 00:08:29,855 --> 00:08:32,254 PowerPoint times a million again. That being said, 230 00:08:32,254 --> 00:08:34,210 I very much understand the power of visuals, 231 00:08:34,210 --> 00:08:36,129 and sometimes we do have a few slides 232 00:08:36,129 --> 00:08:37,570 with a few words on them and things 233 00:08:37,570 --> 00:08:40,289 like that. But, you know, what what is 234 00:08:40,289 --> 00:08:42,870 important here is we just kept getting overwhelming, 235 00:08:43,570 --> 00:08:46,210 you know, feedback from our members, but then 236 00:08:46,210 --> 00:08:48,309 also, like I said in in my PhD 237 00:08:48,634 --> 00:08:50,495 studies and stuff that I was learning too, 238 00:08:50,955 --> 00:08:53,514 is how do we get SLPs to just 239 00:08:53,514 --> 00:08:55,514 learn how to do the thing? Because the 240 00:08:55,514 --> 00:08:58,394 reality is there's so many new treatments coming 241 00:08:58,394 --> 00:09:00,154 out, and there's so many new, you know, 242 00:09:00,154 --> 00:09:02,629 assessment tools and and things like that. And 243 00:09:02,629 --> 00:09:05,210 what's interesting is we're in this time where 244 00:09:05,669 --> 00:09:07,669 SLPs don't want to go to a live 245 00:09:07,669 --> 00:09:10,549 course and really get hands on. They don't 246 00:09:10,549 --> 00:09:11,049 want 247 00:09:11,669 --> 00:09:14,149 to see see another SLP do it. They 248 00:09:14,149 --> 00:09:14,970 want everything 249 00:09:15,615 --> 00:09:17,534 online, on demand, on a computer, and that's 250 00:09:17,534 --> 00:09:19,475 fine. You know, it's it's really what we've 251 00:09:20,014 --> 00:09:21,715 grown accustomed to since COVID. 252 00:09:22,095 --> 00:09:25,054 But how do we adapt our teaching style 253 00:09:25,054 --> 00:09:27,315 to meet the learning needs of 254 00:09:27,629 --> 00:09:29,790 SLPs so that they can learn this stuff 255 00:09:29,790 --> 00:09:30,610 in the fastest, 256 00:09:30,910 --> 00:09:32,370 best, most efficient way. 257 00:09:32,750 --> 00:09:34,830 And so it's really been I don't wanna 258 00:09:34,830 --> 00:09:36,269 say a challenge to us. It's been really 259 00:09:36,269 --> 00:09:37,870 fun. I I just, like, love this stuff. 260 00:09:37,870 --> 00:09:39,674 But, you know, even ways that we have 261 00:09:39,674 --> 00:09:41,674 changed it in the collective is with our 262 00:09:41,674 --> 00:09:44,075 Facebook group. Like, we now have mentors that 263 00:09:44,075 --> 00:09:45,914 instead of, you know, typing out a whole 264 00:09:45,914 --> 00:09:48,315 long response to someone, they'll actually just film 265 00:09:48,315 --> 00:09:50,235 a quick video of, oh, hey. You know, 266 00:09:50,235 --> 00:09:52,409 try putting your lips like this, or this 267 00:09:52,409 --> 00:09:54,089 is what it actually this is how I 268 00:09:54,089 --> 00:09:55,450 model it when I teach it to the 269 00:09:55,450 --> 00:09:58,669 patient. And so just having that instant feedback 270 00:09:58,809 --> 00:10:00,269 is so, so, so helpful. 271 00:10:00,730 --> 00:10:02,289 And it's not just reading it. And because 272 00:10:02,289 --> 00:10:03,929 I think for me, sometimes I read something 273 00:10:03,929 --> 00:10:05,875 and I'm like, I think that's how I 274 00:10:05,875 --> 00:10:07,955 interpreted it, but I don't know if that 275 00:10:08,035 --> 00:10:09,634 if I go do that on a patient 276 00:10:09,634 --> 00:10:12,035 right now. Is that the best and safest 277 00:10:12,035 --> 00:10:13,394 thing to do for my patient if I'm 278 00:10:13,394 --> 00:10:14,995 not even sure that I interpreted it or 279 00:10:14,995 --> 00:10:16,674 read it the right way? So there's a 280 00:10:16,674 --> 00:10:18,769 lot that goes into this, and I'm and 281 00:10:18,769 --> 00:10:20,610 I'm really proud of a lot of the 282 00:10:20,610 --> 00:10:22,950 ways that we've integrated more of these 283 00:10:23,490 --> 00:10:25,809 these I keep calling them show and tells 284 00:10:25,809 --> 00:10:27,990 for, like, for lack of a better term. 285 00:10:28,370 --> 00:10:30,450 But we have technology available to us, so 286 00:10:30,450 --> 00:10:31,649 I love that we're able to use it 287 00:10:31,649 --> 00:10:32,149 more. 288 00:10:33,054 --> 00:10:34,815 Yeah. No. And I think, you know, I 289 00:10:34,815 --> 00:10:36,575 think it it's it's kinda that full circle 290 00:10:36,575 --> 00:10:38,415 moment because I think we all remember, like, 291 00:10:38,415 --> 00:10:40,335 being, you know, in, like, preschool or early 292 00:10:40,335 --> 00:10:42,014 elementary, and it was, like, show and tell. 293 00:10:42,014 --> 00:10:44,175 Let me bring you my toy. Let me 294 00:10:44,175 --> 00:10:45,929 show you what I like about it or 295 00:10:45,929 --> 00:10:47,289 tell and then let me let you play 296 00:10:47,289 --> 00:10:48,490 with it because then you learn how to 297 00:10:48,490 --> 00:10:50,009 play with it with a kid. Right? So 298 00:10:50,009 --> 00:10:51,629 it's just like the grown up version 299 00:10:52,089 --> 00:10:54,350 of that we know is really, like, that 300 00:10:54,409 --> 00:10:57,129 active learning, like, the doing the doing and 301 00:10:57,129 --> 00:10:59,065 connecting it with the thinking and all the 302 00:10:59,065 --> 00:11:01,144 expertise that we have as SLPs that are 303 00:11:01,144 --> 00:11:01,644 practicing. 304 00:11:02,264 --> 00:11:04,024 Right? And then being able to kinda pull 305 00:11:04,024 --> 00:11:05,004 it all together. 306 00:11:05,544 --> 00:11:06,044 But 307 00:11:06,424 --> 00:11:08,345 it's just going back to that, like, roots. 308 00:11:08,345 --> 00:11:09,865 Like, oh, let me learn about that thing. 309 00:11:09,865 --> 00:11:11,304 Oh, now let me put my hands on 310 00:11:11,304 --> 00:11:12,985 that thing. Like, we did that way back 311 00:11:12,985 --> 00:11:13,485 when. 312 00:11:13,799 --> 00:11:15,580 It's just now how do we do that 313 00:11:16,039 --> 00:11:17,419 in that in that career, 314 00:11:17,799 --> 00:11:19,399 and how do we do that even in 315 00:11:19,399 --> 00:11:20,700 in any sort of classroom 316 00:11:21,639 --> 00:11:23,259 setting? And we know that 317 00:11:24,200 --> 00:11:26,054 that's been backed by research for you know, 318 00:11:26,054 --> 00:11:27,894 because I was gonna put that that research 319 00:11:27,894 --> 00:11:29,575 hat on. We know that that's been backed 320 00:11:29,575 --> 00:11:31,195 by research for a really long 321 00:11:31,654 --> 00:11:32,955 period of time, 322 00:11:33,575 --> 00:11:36,375 but it's just that the landscape for how, 323 00:11:36,375 --> 00:11:38,615 you know, continuing education has been provided for 324 00:11:38,615 --> 00:11:40,750 a really long time has not you you 325 00:11:40,750 --> 00:11:42,290 know, we we do that at a university. 326 00:11:42,509 --> 00:11:45,170 You work under an SLP. You get mentored. 327 00:11:45,230 --> 00:11:46,670 Right? But then you get out in the 328 00:11:46,670 --> 00:11:48,350 field, and you might be the only one 329 00:11:48,350 --> 00:11:51,230 at your setting or the only person doing 330 00:11:51,230 --> 00:11:52,990 peds in an adult hospital. It's like, you 331 00:11:52,990 --> 00:11:54,745 know, the ones I bring. But, like, you 332 00:11:54,745 --> 00:11:56,425 could also be the only SNF in a 333 00:11:56,425 --> 00:11:58,745 building or the only home health person. So, 334 00:11:58,745 --> 00:11:59,245 like, 335 00:11:59,785 --> 00:12:01,545 what do you do when you don't have 336 00:12:01,545 --> 00:12:04,504 that SLP that has a strength in something 337 00:12:04,504 --> 00:12:06,345 that you're trying to grow in and and 338 00:12:06,345 --> 00:12:07,945 turn to? You can go and sit and 339 00:12:07,945 --> 00:12:09,690 get the information, but how do we make 340 00:12:09,690 --> 00:12:11,870 sure that you get that opportunity to practice 341 00:12:12,410 --> 00:12:13,769 that, you know, a setup that does kind 342 00:12:13,769 --> 00:12:14,990 of earlier stages 343 00:12:15,450 --> 00:12:17,950 of your career? Because we all know, like, 344 00:12:18,410 --> 00:12:19,309 we don't necessarily 345 00:12:20,009 --> 00:12:21,584 stay in the place where we had our 346 00:12:21,584 --> 00:12:23,745 CFY or stay just in those lanes that 347 00:12:23,745 --> 00:12:25,105 we were trained in even though we're trained 348 00:12:25,105 --> 00:12:27,424 very broadly in grad school. Like, we honestly 349 00:12:27,424 --> 00:12:29,345 stay there. We might change later in our 350 00:12:29,345 --> 00:12:31,745 career, and so there's still that place and 351 00:12:31,745 --> 00:12:32,804 that need for 352 00:12:33,184 --> 00:12:35,204 that active hands on 353 00:12:35,899 --> 00:12:37,279 learning through cases 354 00:12:37,899 --> 00:12:40,379 or, you know, let me let me try 355 00:12:40,379 --> 00:12:41,040 this approach, 356 00:12:41,500 --> 00:12:43,500 or let me try this in a low 357 00:12:43,500 --> 00:12:44,399 stakes environment, 358 00:12:45,580 --> 00:12:47,660 you know, where I'm not gonna do any 359 00:12:47,660 --> 00:12:49,660 harm, and I can learn and get feedback 360 00:12:49,660 --> 00:12:50,879 and and try again. 361 00:12:51,584 --> 00:12:53,605 So I think, you know, that's just really, 362 00:12:54,304 --> 00:12:55,985 really where we're all thinking. It's gotta be 363 00:12:55,985 --> 00:12:58,944 accessible. It's gotta also be really targeted. You 364 00:12:58,944 --> 00:13:01,125 know, I think people are being very mindful, 365 00:13:01,745 --> 00:13:04,759 just in some of my conversations about, I 366 00:13:04,759 --> 00:13:07,960 wanna grow in this area. Right? Like, I'm 367 00:13:07,960 --> 00:13:09,559 a consumer of knowledge all the time, and 368 00:13:09,559 --> 00:13:11,559 I will, like, go and this course is 369 00:13:11,559 --> 00:13:14,200 interesting and that's interesting, but, and I even 370 00:13:14,200 --> 00:13:16,039 myself now find myself going, I really, like, 371 00:13:16,039 --> 00:13:18,039 wanna hone in on this skill or this 372 00:13:18,039 --> 00:13:19,179 topic or this 373 00:13:19,575 --> 00:13:20,075 area, 374 00:13:20,455 --> 00:13:22,615 and so then really kind of focusing our 375 00:13:22,615 --> 00:13:23,355 our growth, 376 00:13:23,815 --> 00:13:26,215 and as if that's what is applicable to 377 00:13:26,215 --> 00:13:28,535 me today. Right? And so Yeah. I love 378 00:13:28,535 --> 00:13:29,915 seeing that, but it is 379 00:13:30,295 --> 00:13:32,795 challenging to do that and make it accessible 380 00:13:33,014 --> 00:13:35,089 when you can't always sit next to the 381 00:13:35,089 --> 00:13:38,230 person that you're working with for sure. Yep. 382 00:13:38,929 --> 00:13:40,610 Let's talk a little bit about something that 383 00:13:40,610 --> 00:13:42,929 we've really invested a ton this year in 384 00:13:42,929 --> 00:13:45,509 the Medice LP Collective in is these clinical 385 00:13:45,649 --> 00:13:46,549 case simulations. 386 00:13:47,009 --> 00:13:47,509 And 387 00:13:47,934 --> 00:13:48,754 they've been 388 00:13:49,055 --> 00:13:51,134 really, really cool at like, I love this 389 00:13:51,134 --> 00:13:53,055 stuff. I love to dig into this stuff 390 00:13:53,055 --> 00:13:54,495 and nerd out into it and see, you 391 00:13:54,495 --> 00:13:57,055 know, how can we bring something that is 392 00:13:57,055 --> 00:14:00,014 really prevalent in other, you know, medical fields 393 00:14:00,014 --> 00:14:00,899 and and other 394 00:14:01,460 --> 00:14:03,139 realms of adult learning. How can we bring 395 00:14:03,139 --> 00:14:05,379 that into medical SLP? And I'm super proud 396 00:14:05,379 --> 00:14:06,899 of our team with what we've come up 397 00:14:06,899 --> 00:14:08,899 with, but you've been the biggest proponent in 398 00:14:08,899 --> 00:14:09,639 helping us 399 00:14:10,100 --> 00:14:12,180 roll these out and and why we want 400 00:14:12,180 --> 00:14:13,700 to do them and all of the things 401 00:14:13,700 --> 00:14:15,904 that go into them. And you've set your 402 00:14:15,904 --> 00:14:17,904 standards, like, super, super high on how we 403 00:14:17,904 --> 00:14:19,764 wanna produce these, and I love that. 404 00:14:20,225 --> 00:14:21,665 So let's can you share a little bit 405 00:14:21,825 --> 00:14:24,144 yeah. Share what went into all of this 406 00:14:24,144 --> 00:14:25,445 and why we're doing it. 407 00:14:25,825 --> 00:14:27,125 Yeah. So, I mean, 408 00:14:27,600 --> 00:14:28,100 every 409 00:14:28,559 --> 00:14:30,240 a lot of health care does simulations, and 410 00:14:30,240 --> 00:14:32,240 they do hands on simulations and have sim 411 00:14:32,240 --> 00:14:33,919 labs and stuff. Right? And we're just talking 412 00:14:33,919 --> 00:14:36,079 about how people aren't always able to go 413 00:14:36,079 --> 00:14:37,600 to the place to, like, get their their 414 00:14:37,600 --> 00:14:38,159 hands on. 415 00:14:38,879 --> 00:14:40,720 But we are able to, like, leverage tech 416 00:14:40,720 --> 00:14:43,764 and leverage technology and leverage, you know, a 417 00:14:43,764 --> 00:14:45,205 a lot of the back end stuff that 418 00:14:45,205 --> 00:14:47,125 I don't necessarily understand, but that Joy and 419 00:14:47,125 --> 00:14:48,345 her team do understand, 420 00:14:48,965 --> 00:14:50,985 to kinda bring bring that information 421 00:14:51,365 --> 00:14:51,845 live. 422 00:14:52,245 --> 00:14:54,504 And so just really talking about, 423 00:14:55,009 --> 00:14:56,850 you know, how do we give people the 424 00:14:56,850 --> 00:14:57,350 opportunity 425 00:14:58,769 --> 00:15:00,929 to really you know, they've learned the information 426 00:15:00,929 --> 00:15:02,769 or they know it, but they want to 427 00:15:02,769 --> 00:15:05,250 grow in maybe an area of medical SLP 428 00:15:05,250 --> 00:15:06,529 that they haven't had a lot of practice 429 00:15:06,529 --> 00:15:09,004 in. Right? Like apraxia or just, you know, 430 00:15:09,004 --> 00:15:11,264 a specialized dysphagia or aphasia. 431 00:15:12,445 --> 00:15:14,684 How do we bring a case scenario to 432 00:15:14,684 --> 00:15:15,745 them that they can 433 00:15:16,125 --> 00:15:18,684 read and watch and hear what happens and 434 00:15:18,684 --> 00:15:20,684 then answer some questions and then move on 435 00:15:20,684 --> 00:15:23,039 and kinda see and work through that, like, 436 00:15:23,279 --> 00:15:23,779 clinical 437 00:15:24,240 --> 00:15:27,379 reasoning in an evidence based practice way because 438 00:15:27,519 --> 00:15:29,600 that is active learning. Right? So, like, I've 439 00:15:29,600 --> 00:15:30,339 learned something. 440 00:15:30,720 --> 00:15:32,480 I've read about this approach. Maybe you've even 441 00:15:32,480 --> 00:15:34,399 seen it demonstrated, but then, you know, what 442 00:15:34,399 --> 00:15:36,419 am I gonna do when this 443 00:15:36,884 --> 00:15:39,205 client does x or y? Right? And why 444 00:15:39,205 --> 00:15:40,345 did I make that choice? 445 00:15:40,884 --> 00:15:42,965 And what is is kind of that stronger 446 00:15:42,965 --> 00:15:44,644 evidence? And so that's really where that kinda 447 00:15:44,644 --> 00:15:47,125 came from is that, you know, if you 448 00:15:47,125 --> 00:15:49,379 go to any CEU, you hear people want 449 00:15:49,459 --> 00:15:51,299 like, they wanna hear cases, and they wanna 450 00:15:51,299 --> 00:15:54,419 see how somebody, that expert, navigated that case 451 00:15:54,419 --> 00:15:55,799 and understand why. 452 00:15:56,500 --> 00:15:58,339 But the next step of that is now 453 00:15:58,339 --> 00:16:01,000 you navigate a case, and you try to, 454 00:16:01,464 --> 00:16:02,985 you know, do it, and how would you 455 00:16:02,985 --> 00:16:04,585 do it if you were the one that 456 00:16:04,585 --> 00:16:07,144 was the with clinician. And, again, that's really 457 00:16:07,144 --> 00:16:09,065 embraced in in higher ed and a lot 458 00:16:09,065 --> 00:16:11,705 of our, you know, pre professional preparation programs, 459 00:16:11,705 --> 00:16:12,605 but it's not 460 00:16:13,144 --> 00:16:14,764 something that we always see, 461 00:16:15,440 --> 00:16:18,000 from the professional end unless somebody's gone back 462 00:16:18,000 --> 00:16:19,360 to school and they're trying to add something 463 00:16:19,360 --> 00:16:22,160 from a specialty. And so adding that piece 464 00:16:22,160 --> 00:16:23,139 of not just 465 00:16:23,519 --> 00:16:24,019 seeing 466 00:16:24,480 --> 00:16:26,559 and watching a demo and having discussion in 467 00:16:26,559 --> 00:16:28,320 a practice, but then also having a case 468 00:16:28,320 --> 00:16:29,299 where you can 469 00:16:29,735 --> 00:16:32,695 apply some of these skills or kinda hone 470 00:16:32,695 --> 00:16:35,174 that critical thinking and and that clinical decision 471 00:16:35,174 --> 00:16:37,674 making is really where they came from. 472 00:16:38,454 --> 00:16:40,615 And so they you know, kinda leveraging the 473 00:16:40,615 --> 00:16:42,934 expertise of experts in the field and and 474 00:16:42,934 --> 00:16:45,329 our mentors and those that have really bringing 475 00:16:45,329 --> 00:16:48,049 these cases forward that then are, you know, 476 00:16:48,049 --> 00:16:49,649 well, then this is the decision and this 477 00:16:49,649 --> 00:16:51,169 is why, and it's linked to, like, an 478 00:16:51,169 --> 00:16:52,850 article. And it'll kinda tell you, like, if 479 00:16:52,850 --> 00:16:54,209 you, you know, if you have a question 480 00:16:54,209 --> 00:16:55,970 about this, go read this or go dig 481 00:16:55,970 --> 00:16:56,470 deeper, 482 00:16:56,929 --> 00:16:57,750 to kind of 483 00:16:58,205 --> 00:17:01,165 help people really feel more confident in taking 484 00:17:01,165 --> 00:17:04,204 that knowledge and turning it into skills. And 485 00:17:04,204 --> 00:17:05,825 so that's really you know, 486 00:17:06,285 --> 00:17:09,644 the the case based, like, simulation active learning, 487 00:17:09,644 --> 00:17:10,710 working on a case, 488 00:17:11,109 --> 00:17:13,929 is really that application piece, but it's errorless. 489 00:17:13,990 --> 00:17:16,390 Right? Like so if you pick the wrong 490 00:17:16,390 --> 00:17:16,890 answer, 491 00:17:17,349 --> 00:17:19,349 it's just gonna tell you no on the 492 00:17:19,349 --> 00:17:22,230 computer screen, but you haven't harmed anybody that's 493 00:17:22,230 --> 00:17:24,015 sitting in front of you. And then you 494 00:17:24,015 --> 00:17:26,494 can reflect and say, like, oh, okay. Like, 495 00:17:26,494 --> 00:17:28,335 I understand why. Right? Again, it's just a 496 00:17:28,335 --> 00:17:29,955 lot of what we kinda did 497 00:17:30,335 --> 00:17:33,215 in grad school or hopefully had access to. 498 00:17:33,215 --> 00:17:34,894 But when you're doing when you're trying to 499 00:17:34,894 --> 00:17:37,170 continue to hone and grow your skills, 500 00:17:37,710 --> 00:17:39,390 you know, it's just another way to kind 501 00:17:39,390 --> 00:17:42,529 of enhance that that learning. And, again, really 502 00:17:42,830 --> 00:17:44,990 not just sit and get, but get up 503 00:17:44,990 --> 00:17:46,830 and do kind of piece of it, but 504 00:17:46,830 --> 00:17:49,265 in an accessible way because, you know, not 505 00:17:49,265 --> 00:17:52,544 everybody can fly to wherever these people are, 506 00:17:52,784 --> 00:17:54,464 to help get that one on one training. 507 00:17:54,464 --> 00:17:56,944 So it's just really bringing that accessibility to 508 00:17:56,944 --> 00:17:58,804 that evidence base and that active 509 00:17:59,345 --> 00:18:00,944 learning. And you're right. It is something we 510 00:18:00,944 --> 00:18:03,269 use in in a lot of higher ed 511 00:18:03,269 --> 00:18:03,769 everywhere. 512 00:18:04,549 --> 00:18:06,869 But bringing it and using it as an 513 00:18:06,869 --> 00:18:07,369 actual 514 00:18:08,230 --> 00:18:08,730 learning 515 00:18:10,150 --> 00:18:10,650 application 516 00:18:11,110 --> 00:18:12,570 kind of for professionals 517 00:18:13,269 --> 00:18:15,954 is not always as common. Yeah. Yeah. And 518 00:18:15,954 --> 00:18:18,115 I love the the components that I love 519 00:18:18,115 --> 00:18:19,335 that we've integrated 520 00:18:19,634 --> 00:18:21,794 is, you know, anybody can create a multiple 521 00:18:21,794 --> 00:18:24,595 choice test question. Right? I mean, ChatGPT can 522 00:18:24,595 --> 00:18:26,054 literally do that for you. 523 00:18:26,515 --> 00:18:28,919 But what this does is, you know, gives 524 00:18:28,919 --> 00:18:30,919 you the options, but if you click the 525 00:18:30,919 --> 00:18:33,559 wrong one, it tells you why. And then 526 00:18:33,559 --> 00:18:35,399 it also you know, like like you said, 527 00:18:35,399 --> 00:18:37,399 it's this errorless learning. Right? Like, you don't 528 00:18:37,399 --> 00:18:39,559 wanna push the wrong button in the ICU 529 00:18:39,559 --> 00:18:41,994 on a vent patient. Right? Like, that has 530 00:18:41,994 --> 00:18:44,234 life or death repercussions, but like this has, 531 00:18:44,234 --> 00:18:45,835 oh, okay, this is why you don't do 532 00:18:45,835 --> 00:18:46,335 that. 533 00:18:46,634 --> 00:18:48,315 But also what I love too is we 534 00:18:48,315 --> 00:18:51,275 also, there's these critical thinking components too. Like 535 00:18:51,275 --> 00:18:53,994 they'll also be, okay, well, this patient also 536 00:18:53,994 --> 00:18:54,894 has a comorbidity 537 00:18:55,355 --> 00:18:55,855 of 538 00:18:56,349 --> 00:18:59,569 diabetes, or now this patient also is, 539 00:19:00,669 --> 00:19:02,750 you know, on event. You know, now there's 540 00:19:02,750 --> 00:19:05,630 all these different components that we layer into 541 00:19:05,630 --> 00:19:08,750 it, which is is actually reality with our 542 00:19:08,750 --> 00:19:10,755 patients. You know, it's I don't want to 543 00:19:10,755 --> 00:19:12,914 say it's not hard to say, okay, if 544 00:19:12,914 --> 00:19:15,015 this is the situation, this is the answer. 545 00:19:15,234 --> 00:19:17,474 But most times, our patients are never, this 546 00:19:17,474 --> 00:19:19,974 is the situation. It's this is the situation 547 00:19:20,115 --> 00:19:20,371 compounded with this, with these environmental factors, with 548 00:19:20,371 --> 00:19:21,095 these family factors, with 549 00:19:22,500 --> 00:19:23,000 factors, 550 00:19:23,460 --> 00:19:23,960 with 551 00:19:24,420 --> 00:19:26,660 what the doctor wants to do, with this 552 00:19:26,660 --> 00:19:27,619 doctor's out sick today. Oh, now the patient 553 00:19:27,619 --> 00:19:28,119 has 554 00:19:28,619 --> 00:19:29,119 pneumonia. 555 00:19:29,619 --> 00:19:30,119 You 556 00:19:30,500 --> 00:19:32,180 know, there's so many things that go into 557 00:19:32,180 --> 00:19:34,180 it, and that just muddies the water so 558 00:19:34,180 --> 00:19:35,875 much. And I think that's what causes so 559 00:19:35,875 --> 00:19:36,855 much overwhelm 560 00:19:37,555 --> 00:19:40,214 for clinicians is, you know, textbook, 561 00:19:40,595 --> 00:19:43,474 they understand if a then b. Right? But 562 00:19:43,474 --> 00:19:45,555 when you're actually thrown into the thrown to 563 00:19:45,555 --> 00:19:47,875 the wolves and thrown in the ICU or 564 00:19:47,875 --> 00:19:49,174 thrown in a hospital without 565 00:19:49,555 --> 00:19:52,109 any mentorship or, you know, immediate, 566 00:19:52,730 --> 00:19:55,289 yeah, mentorship, then it's it's really hard to 567 00:19:55,289 --> 00:19:57,710 make these really high level complex decisions. So 568 00:19:57,769 --> 00:19:59,230 I love that we've included 569 00:19:59,609 --> 00:20:01,849 a lot of, you know, somebody I have 570 00:20:01,849 --> 00:20:03,369 a close friend that says, like, just just 571 00:20:03,369 --> 00:20:04,650 know that you're gonna have a bunch of, 572 00:20:04,650 --> 00:20:07,044 like, flaming barrels coming at you. And, like, 573 00:20:07,044 --> 00:20:08,804 I feel like that's really what we've done 574 00:20:08,804 --> 00:20:11,284 with these. It's like, you think you know 575 00:20:11,284 --> 00:20:12,484 what to do with this patient, and then 576 00:20:12,484 --> 00:20:14,085 we're just gonna you know, the monkey is 577 00:20:14,085 --> 00:20:15,765 gonna throw a flaming barrel at you, and 578 00:20:15,765 --> 00:20:17,605 you have to just learn how to navigate 579 00:20:17,605 --> 00:20:20,349 the situation. So I'm I'm very proud of 580 00:20:20,349 --> 00:20:21,950 what we've done, and I give you all 581 00:20:21,950 --> 00:20:23,950 the credit, Kristen, for for the way that 582 00:20:23,950 --> 00:20:24,450 you've, 583 00:20:25,069 --> 00:20:26,990 you know, managed all of this. And and, 584 00:20:26,990 --> 00:20:28,750 yeah, we have an incredible tech team that 585 00:20:28,750 --> 00:20:30,349 has rolled all of this out, but Kristen's 586 00:20:30,349 --> 00:20:32,430 standards have been very, very high, which I'm 587 00:20:32,430 --> 00:20:33,230 grateful for. So 588 00:20:33,964 --> 00:20:35,724 Well, we've had great people writing. You know? 589 00:20:35,724 --> 00:20:37,085 I think that's the other thing too. We 590 00:20:37,085 --> 00:20:39,404 have clinicians who are expert clinicians writing their 591 00:20:39,404 --> 00:20:40,765 case. I do not wanna be remiss in 592 00:20:40,765 --> 00:20:43,164 saying that yet. Thank you. And so they're 593 00:20:43,164 --> 00:20:45,960 so good at, like, submitting things that are, 594 00:20:46,039 --> 00:20:49,339 you know, rooted in their their real life, 595 00:20:49,399 --> 00:20:52,039 like, experience of what they're navigating and then, 596 00:20:52,039 --> 00:20:53,720 you know, sending that through to us. And 597 00:20:53,720 --> 00:20:55,159 so, you know, it's easy to turn out 598 00:20:55,159 --> 00:20:56,919 a good product when you get good input. 599 00:20:56,919 --> 00:20:58,839 So wanna wanna shout out to them as 600 00:20:58,839 --> 00:21:00,140 well. Yes. Yes. 601 00:21:00,654 --> 00:21:03,055 Let's also talk about we do have a 602 00:21:03,055 --> 00:21:05,694 lot of universities that are using this this 603 00:21:05,694 --> 00:21:07,454 information as well. And can you speak to 604 00:21:07,454 --> 00:21:10,515 the lens of how universities can use this 605 00:21:10,575 --> 00:21:12,035 for clinical hours? 606 00:21:12,980 --> 00:21:15,880 Yeah. So, you know, simulation is really commonly 607 00:21:16,019 --> 00:21:17,000 used in, 608 00:21:17,539 --> 00:21:19,299 in higher ed and used as a way 609 00:21:19,299 --> 00:21:20,519 that, you know, universities 610 00:21:20,900 --> 00:21:21,960 are able to, 611 00:21:22,580 --> 00:21:24,500 you know, provide a a pre brief or 612 00:21:24,500 --> 00:21:26,325 provide, like, a little, you know, summary of 613 00:21:26,325 --> 00:21:28,164 what's going on in the situation with the 614 00:21:28,164 --> 00:21:30,825 case, and then, the universities can 615 00:21:31,285 --> 00:21:33,605 then you know, with this case, whether that 616 00:21:33,605 --> 00:21:35,525 be a platform or there's multiple ways that 617 00:21:35,525 --> 00:21:37,204 universities can do that. But they can then 618 00:21:37,204 --> 00:21:38,884 go through, like, a simulation of a case, 619 00:21:39,125 --> 00:21:41,640 some and then work through that simulation. And 620 00:21:41,640 --> 00:21:43,559 then when they have a debrief with the 621 00:21:43,559 --> 00:21:44,279 with the, 622 00:21:44,759 --> 00:21:46,599 student about, okay. Like, what did we do? 623 00:21:46,599 --> 00:21:49,159 Let's do some, like, reflection or, you know, 624 00:21:49,159 --> 00:21:51,799 some feedback on that learning. They can count 625 00:21:51,799 --> 00:21:53,960 that, you know, under ASHA hours. And so 626 00:21:53,960 --> 00:21:54,779 ASHA has, 627 00:21:55,255 --> 00:21:55,994 you know, parameters 628 00:21:56,534 --> 00:21:58,214 around that, but that's something that we do 629 00:21:58,214 --> 00:22:00,775 use because, again, it's best practice for that 630 00:22:00,775 --> 00:22:01,755 errorless learning. 631 00:22:02,454 --> 00:22:04,775 So that's definitely something that is embedded in 632 00:22:04,775 --> 00:22:06,534 the collective, and it's great for our practicing 633 00:22:06,534 --> 00:22:08,775 clinicians. But we do have the university program 634 00:22:08,775 --> 00:22:09,914 where, you know, universities 635 00:22:10,214 --> 00:22:12,049 can give access to the collective to their 636 00:22:12,049 --> 00:22:12,549 students. 637 00:22:13,170 --> 00:22:14,690 And when they do that, they get access 638 00:22:14,690 --> 00:22:15,750 to these simulations 639 00:22:16,130 --> 00:22:18,930 that are case based, authentic, again, linking to, 640 00:22:18,930 --> 00:22:20,630 like, additional readings and resources. 641 00:22:21,570 --> 00:22:24,404 But that also allows those faculty to review 642 00:22:24,404 --> 00:22:25,765 them and say, hey. You know, I'm using 643 00:22:25,765 --> 00:22:27,365 the collective maybe as this part of a 644 00:22:27,365 --> 00:22:29,524 class or part of some of their clinical 645 00:22:29,524 --> 00:22:31,524 resources. And, oh, I really want them to 646 00:22:31,524 --> 00:22:32,024 do 647 00:22:32,325 --> 00:22:33,444 you know, read these, 648 00:22:33,845 --> 00:22:35,950 resources, and sometimes we do link, like, our 649 00:22:35,950 --> 00:22:38,110 resources to the to the simulations, and then 650 00:22:38,110 --> 00:22:38,930 do this simulation, 651 00:22:39,470 --> 00:22:41,150 and then, you know, then we can have 652 00:22:41,150 --> 00:22:42,450 that as part of an assignment, 653 00:22:43,309 --> 00:22:45,230 and they can, you know, choose to to 654 00:22:45,230 --> 00:22:47,549 use that as part of that clinical training 655 00:22:47,549 --> 00:22:50,355 piece because, again, knowledge and skills that that 656 00:22:50,355 --> 00:22:52,214 ASHA requires of them. 657 00:22:53,075 --> 00:22:54,454 And so that's something that 658 00:22:55,234 --> 00:22:57,894 is new in the collective in general, but 659 00:22:57,954 --> 00:23:00,115 when universities are using us, they do have 660 00:23:00,115 --> 00:23:01,414 access to that. Yeah. 661 00:23:01,970 --> 00:23:03,730 Awesome. Thank you. Yeah. And a and a 662 00:23:03,730 --> 00:23:05,809 lot of this obviously stemmed from, you know, 663 00:23:05,809 --> 00:23:08,950 COVID, and we have so many SLPs that 664 00:23:09,089 --> 00:23:11,490 came out during the COVID era that just 665 00:23:11,490 --> 00:23:12,549 did not have 666 00:23:12,930 --> 00:23:14,849 this hands on learning. You know? I mean, 667 00:23:14,849 --> 00:23:16,130 I, you know, I talk about all the 668 00:23:16,130 --> 00:23:16,869 time how 669 00:23:17,255 --> 00:23:18,775 my grad school experience I just did not 670 00:23:18,775 --> 00:23:21,575 have medical externships, so my experience was all 671 00:23:21,575 --> 00:23:23,815 with school and with peds, and, you know, 672 00:23:23,815 --> 00:23:25,335 I would have loved to have been able 673 00:23:25,335 --> 00:23:26,634 to have access to, 674 00:23:27,095 --> 00:23:28,934 you know, like you said, this errorless learning, 675 00:23:28,934 --> 00:23:30,855 these these ways of just going through these 676 00:23:30,855 --> 00:23:33,369 complex cases and just, you know, quizzing myself. 677 00:23:33,369 --> 00:23:35,690 Yeah. I'm super super grateful that we've been 678 00:23:35,690 --> 00:23:37,289 able to develop all of this stuff and 679 00:23:37,289 --> 00:23:39,369 and help SLPs no matter where they are. 680 00:23:39,369 --> 00:23:41,609 I think what always surprises me and doesn't 681 00:23:41,609 --> 00:23:43,529 surprise me is, you know, we have SLPs, 682 00:23:43,529 --> 00:23:44,730 like I said, that came out during the 683 00:23:44,730 --> 00:23:46,509 COVID era that just never had access 684 00:23:46,884 --> 00:23:48,644 to any of this stuff, but we also, 685 00:23:48,644 --> 00:23:50,404 you know, have newer clinicians that just want 686 00:23:50,404 --> 00:23:53,204 more experience or we have more seasoned clinicians 687 00:23:53,204 --> 00:23:54,964 that want to switch to a different setting. 688 00:23:54,964 --> 00:23:57,444 And so it's it's really helpful that it's 689 00:23:57,444 --> 00:23:59,845 just, you know, we wanna just meet SLPs 690 00:23:59,845 --> 00:24:01,285 where they are, and it doesn't matter what 691 00:24:01,285 --> 00:24:03,269 your background is or was or what you 692 00:24:03,269 --> 00:24:05,829 want to do. And I'm really passionate about 693 00:24:05,829 --> 00:24:07,669 helping those SLPs that, you know, maybe you've 694 00:24:07,669 --> 00:24:09,349 been in the schools for twenty years or, 695 00:24:09,349 --> 00:24:10,710 you know, life that is just leading you 696 00:24:10,710 --> 00:24:12,230 to a different direction. And how do you 697 00:24:12,230 --> 00:24:14,089 get that knowledge and how do you just, 698 00:24:14,255 --> 00:24:15,695 know, like we said, just fiddle around on 699 00:24:15,695 --> 00:24:18,335 your phone and actually get some really good 700 00:24:18,335 --> 00:24:20,674 good knowledge and some good skills just by 701 00:24:21,055 --> 00:24:23,295 going through some of these clinical simulations. So 702 00:24:23,295 --> 00:24:25,295 thank you, Chris, and I'm super, super grateful 703 00:24:25,295 --> 00:24:27,134 for all of your help in spearheading all 704 00:24:27,134 --> 00:24:27,795 of that. 705 00:24:28,130 --> 00:24:30,049 No problem. I you know me. I always 706 00:24:30,049 --> 00:24:32,210 like learning, and I always like to learn 707 00:24:32,210 --> 00:24:34,369 and grow. Yeah. Yeah. And this is something 708 00:24:34,369 --> 00:24:35,970 that I always feel like I navigate, you 709 00:24:35,970 --> 00:24:37,970 know, in my full time faculty role a 710 00:24:37,970 --> 00:24:41,009 lot. That is something that just keeps coming 711 00:24:41,009 --> 00:24:42,230 coming up. Like, 712 00:24:42,755 --> 00:24:44,595 you know, well, can I just put this 713 00:24:44,595 --> 00:24:47,715 into chat GPT or what any other AI 714 00:24:47,715 --> 00:24:49,315 program? Right? That's just the one that most 715 00:24:49,315 --> 00:24:51,875 people around me use, and say, hey. Like, 716 00:24:51,875 --> 00:24:53,235 is that gonna give me the answer? Is 717 00:24:53,235 --> 00:24:54,994 that gonna tell me what to do with 718 00:24:54,994 --> 00:24:55,894 that case? 719 00:24:57,049 --> 00:24:59,529 And what I will say is it's really 720 00:24:59,529 --> 00:25:01,049 good with facts, but it also if it 721 00:25:01,049 --> 00:25:02,829 doesn't know, it makes things up. 722 00:25:03,130 --> 00:25:06,029 So, you know, if there is a place 723 00:25:06,250 --> 00:25:08,329 for it, but I think, you know, it's 724 00:25:08,329 --> 00:25:09,710 never going to 725 00:25:10,009 --> 00:25:13,804 replace somebody with a lot of expertise and 726 00:25:13,804 --> 00:25:15,644 knowledge. And so, like, you can't remove the 727 00:25:15,644 --> 00:25:18,865 human piece from from our field. Right? 728 00:25:19,724 --> 00:25:20,464 It definitely 729 00:25:20,845 --> 00:25:22,765 is a tool that I think, you know, 730 00:25:22,765 --> 00:25:24,625 people as they talk about, you know, 731 00:25:24,990 --> 00:25:27,809 managing schedules, making, you know, making therapy activities, 732 00:25:28,109 --> 00:25:30,430 like, you know, those kind of things, problem 733 00:25:30,430 --> 00:25:31,869 solving. It might be a tool that can 734 00:25:31,869 --> 00:25:34,509 help support, but it's never gonna replace, like, 735 00:25:34,509 --> 00:25:35,009 our 736 00:25:35,470 --> 00:25:38,990 clinical decision making. Right? And it's never gonna 737 00:25:38,990 --> 00:25:39,490 replace 738 00:25:40,035 --> 00:25:40,535 fully 739 00:25:41,075 --> 00:25:43,234 that mentorship or that ability to, like, have 740 00:25:43,234 --> 00:25:46,195 a conversation with somebody about this is the 741 00:25:46,195 --> 00:25:48,355 patient and just like you were saying, like, 742 00:25:48,355 --> 00:25:50,195 here's all these seven other things on top 743 00:25:50,195 --> 00:25:52,455 of, like, the main reason I'm seeing them. 744 00:25:52,609 --> 00:25:54,369 So what am I supposed to do, or 745 00:25:54,369 --> 00:25:56,230 how do I navigate that with them? 746 00:25:56,930 --> 00:25:59,190 It might direct you to some resources, but 747 00:26:00,049 --> 00:26:02,230 we still have to make those decisions. Right? 748 00:26:02,529 --> 00:26:03,910 And so I think, you know, 749 00:26:04,210 --> 00:26:05,830 there is a lot it can 750 00:26:06,214 --> 00:26:10,134 do to help support us, but it's it's 751 00:26:10,134 --> 00:26:11,115 not going 752 00:26:11,414 --> 00:26:13,335 to be the thing that really helps us 753 00:26:13,335 --> 00:26:14,775 level up our skills, if you know where 754 00:26:14,775 --> 00:26:16,375 I'm going with that. Like, we still have 755 00:26:16,375 --> 00:26:18,055 to have that mentorship. We still have that 756 00:26:18,055 --> 00:26:20,955 active learning. So it is finding that 757 00:26:21,299 --> 00:26:23,140 that balance because I you know, I'll say 758 00:26:23,140 --> 00:26:25,220 sometimes, like, out from students or other people, 759 00:26:25,220 --> 00:26:27,380 they'll be like, is AI gonna, like, replace 760 00:26:27,380 --> 00:26:29,160 us? And I'm like, no. 761 00:26:29,460 --> 00:26:31,299 I don't think it's gonna replace us at 762 00:26:31,299 --> 00:26:34,180 all. I think it helps aid our learning, 763 00:26:34,180 --> 00:26:35,480 but it's not gonna replace 764 00:26:35,865 --> 00:26:38,664 replace us either. Right. I was listening to 765 00:26:38,664 --> 00:26:40,904 this, a really interesting interview. I think it 766 00:26:40,904 --> 00:26:42,345 was, like, it was with Bill Gates or 767 00:26:42,345 --> 00:26:43,704 somebody like that. And the same thing, it 768 00:26:43,704 --> 00:26:45,545 was like, is AI gonna replace all of 769 00:26:45,545 --> 00:26:47,065 these jobs? And one of the things that 770 00:26:47,065 --> 00:26:49,384 he said was, you know, AI is never 771 00:26:49,384 --> 00:26:51,809 going to replace health care. But he said 772 00:26:51,809 --> 00:26:53,509 what's going to happen is 773 00:26:53,890 --> 00:26:56,529 the people that do not embrace healthcare are 774 00:26:56,529 --> 00:26:59,089 going to be replaced by the people who 775 00:26:59,089 --> 00:27:00,950 do embrace AI in healthcare. 776 00:27:01,490 --> 00:27:03,595 Because, you know, he said what's better, a 777 00:27:03,595 --> 00:27:05,875 really compassionate human with access to AI or 778 00:27:05,875 --> 00:27:08,795 a really compassionate human that's not utilizing it. 779 00:27:08,795 --> 00:27:10,235 And I think, you know, just in in 780 00:27:10,235 --> 00:27:12,555 running businesses and things, we just how can 781 00:27:12,555 --> 00:27:14,235 we use AI to make our back end 782 00:27:14,235 --> 00:27:15,055 and our systems, 783 00:27:15,529 --> 00:27:17,049 you know, more efficient? And I think as 784 00:27:17,049 --> 00:27:18,569 SLPs, you know, there's so much we can 785 00:27:18,569 --> 00:27:20,109 do with report writing now, 786 00:27:20,490 --> 00:27:22,809 and just managing our schedules and figuring out 787 00:27:22,809 --> 00:27:25,450 how to triage minutes and productivity like that 788 00:27:25,450 --> 00:27:27,609 stuff. Let AI do all that really high 789 00:27:27,609 --> 00:27:29,755 level thinking for you. But there's no way 790 00:27:29,755 --> 00:27:32,075 that AI is ever gonna replace having a 791 00:27:32,075 --> 00:27:35,115 compassionate human that can understand things in the 792 00:27:35,115 --> 00:27:37,115 context that they need to be relayed to 793 00:27:37,115 --> 00:27:38,875 a patient. You know, like we talked about, 794 00:27:38,875 --> 00:27:40,795 you know, you're gonna have flaming barrels that 795 00:27:40,795 --> 00:27:42,315 monkeys are gonna throw at you. You know, 796 00:27:42,315 --> 00:27:44,414 how do you have those conversations with 797 00:27:44,869 --> 00:27:46,869 patients that also have all of these other 798 00:27:46,869 --> 00:27:47,369 comorbidities 799 00:27:47,670 --> 00:27:49,430 going on? And and so the more you 800 00:27:49,430 --> 00:27:52,090 can embrace AI to help with your inefficiencies, 801 00:27:52,470 --> 00:27:54,570 the more you can spend time actually 802 00:27:55,029 --> 00:27:57,289 being a compassionate human to patients. 803 00:27:58,195 --> 00:28:00,195 Yeah. I think it's like that that demands 804 00:28:00,195 --> 00:28:02,595 capacity or, like, cognitive load, like or we 805 00:28:02,595 --> 00:28:04,355 even think about it, like, in the billing 806 00:28:04,355 --> 00:28:06,755 standpoint of, like, skilled. Like, what we do 807 00:28:06,755 --> 00:28:08,355 with the patient is skilled. So if I 808 00:28:08,355 --> 00:28:10,515 can offload the part that doesn't really require 809 00:28:10,515 --> 00:28:12,849 my SLP knowledge Yeah. And free up space 810 00:28:12,849 --> 00:28:15,009 for me to use that, you know, I 811 00:28:15,009 --> 00:28:17,109 think that's great. Or can I use it 812 00:28:17,329 --> 00:28:19,029 in a way that it helps me 813 00:28:19,569 --> 00:28:21,250 enhance I have time to focus on my 814 00:28:21,250 --> 00:28:23,009 learning or my training or my leveling up 815 00:28:23,009 --> 00:28:25,009 of my skills or something else? You know, 816 00:28:25,009 --> 00:28:26,710 I really view it as being 817 00:28:27,445 --> 00:28:28,744 a tool to help 818 00:28:29,285 --> 00:28:29,785 people 819 00:28:30,805 --> 00:28:33,465 offload the things that don't require our specialized 820 00:28:33,525 --> 00:28:34,005 training 821 00:28:34,484 --> 00:28:36,484 Yeah. To make up so we're just using 822 00:28:36,484 --> 00:28:38,965 all of our time, resources, and energy on 823 00:28:38,965 --> 00:28:41,065 what we're highly skilled and trained 824 00:28:41,500 --> 00:28:42,000 do. 825 00:28:42,859 --> 00:28:44,079 So I think that that's, 826 00:28:44,460 --> 00:28:46,059 you know, that's helpful. And, again, like, it 827 00:28:46,059 --> 00:28:47,819 links back to that, like, active learning. Like, 828 00:28:47,819 --> 00:28:50,799 you can't type into chat GPT, show me 829 00:28:51,019 --> 00:28:52,159 how to do this 830 00:28:52,539 --> 00:28:54,940 this skill or this therapy. If you anybody's 831 00:28:54,940 --> 00:28:56,964 ever done AI imaging, you're like, give me 832 00:28:56,964 --> 00:28:58,884 a picture of this, and then it's usually 833 00:28:59,204 --> 00:29:01,605 Yeah. Yeah. Especially for, like, anatomy and things. 834 00:29:01,605 --> 00:29:02,105 Right? 835 00:29:02,644 --> 00:29:04,404 So I just don't think that it's go 836 00:29:04,565 --> 00:29:06,484 it it's there to help us direct us 837 00:29:06,484 --> 00:29:08,744 to knowledge, but it's never gonna 838 00:29:09,125 --> 00:29:11,490 be able to teach us this skill. Right? 839 00:29:11,490 --> 00:29:13,670 Like, that piece, the doing of the doing, 840 00:29:14,130 --> 00:29:15,750 piece. So I think that's, like, 841 00:29:16,130 --> 00:29:17,730 just something that I always kinda keep in 842 00:29:17,730 --> 00:29:19,009 my back of my mind. Like and I 843 00:29:19,009 --> 00:29:21,009 and I say students a lot, like, you 844 00:29:21,009 --> 00:29:23,505 can use AI to help direct you towards 845 00:29:23,505 --> 00:29:25,904 information. You have to verify that it's actually 846 00:29:25,904 --> 00:29:26,965 accurate information. 847 00:29:27,345 --> 00:29:29,025 Yeah. But it's still not gonna tell you 848 00:29:29,025 --> 00:29:31,045 when you're at the bedside with the patient 849 00:29:31,265 --> 00:29:33,505 and they start desetting and coughing. You can't 850 00:29:33,505 --> 00:29:35,904 be like, please hold. Let me put this 851 00:29:35,904 --> 00:29:38,669 all into my AI engine to figure out 852 00:29:38,669 --> 00:29:40,909 what to do. Like, the blaming barrel, as 853 00:29:40,909 --> 00:29:42,429 you said, it's coming right at you, and 854 00:29:42,429 --> 00:29:43,490 you have to know 855 00:29:43,869 --> 00:29:46,130 in that moment. So, like, having that opportunity 856 00:29:46,190 --> 00:29:48,109 to have learned it, to have seen it, 857 00:29:48,109 --> 00:29:50,669 to, you know, have made the mistake before 858 00:29:50,669 --> 00:29:53,654 in an ARRIS learning platform, like, you'll leverage 859 00:29:53,654 --> 00:29:55,494 that in that moment, and I think that 860 00:29:55,494 --> 00:29:57,575 just makes it a little you know, makes 861 00:29:57,575 --> 00:29:59,575 that kind of I've developed that skill that 862 00:29:59,575 --> 00:30:02,294 it's just never gonna be replaced. Yep. Yep. 863 00:30:02,294 --> 00:30:03,974 I think too you know, I think one 864 00:30:03,974 --> 00:30:04,474 thing 865 00:30:05,119 --> 00:30:06,799 that's really when we think about, like, kinda 866 00:30:06,799 --> 00:30:10,340 best practices in adult learning is just 867 00:30:11,359 --> 00:30:12,900 there's this concept of 868 00:30:13,200 --> 00:30:15,600 in order to take in information as an 869 00:30:15,600 --> 00:30:17,619 adult learner, you kind of have to be 870 00:30:17,680 --> 00:30:18,180 ready 871 00:30:18,575 --> 00:30:20,255 to learn it. Right? And to be ready 872 00:30:20,255 --> 00:30:22,575 to learn it, it has to meet that, 873 00:30:22,575 --> 00:30:25,615 like, immediate need of you in your, like, 874 00:30:25,615 --> 00:30:27,055 day to day. And I always think about 875 00:30:27,055 --> 00:30:28,815 this as, like and you can probably relate 876 00:30:28,815 --> 00:30:31,150 relate, Teresa. Like, when I decided to go 877 00:30:31,150 --> 00:30:32,509 back to school, like, I thought about it 878 00:30:32,509 --> 00:30:33,950 for a billion times before I decided to 879 00:30:33,950 --> 00:30:35,230 go back and get my doctorate. And I'd 880 00:30:35,230 --> 00:30:37,150 be like, well, that goal I have for 881 00:30:37,150 --> 00:30:39,070 myself is, like, a future goal, not, like, 882 00:30:39,070 --> 00:30:41,070 an immediate one. So I'm not gonna dive 883 00:30:41,070 --> 00:30:42,910 in. I'm not ready to, like, do that 884 00:30:42,910 --> 00:30:44,849 learning right now in my life. 885 00:30:45,335 --> 00:30:46,855 And then when I was, I, like, dove 886 00:30:46,855 --> 00:30:48,615 in. And I think, like, one thing that 887 00:30:48,615 --> 00:30:50,375 we've been doing a lot in the collective 888 00:30:50,375 --> 00:30:51,355 too is, like, 889 00:30:51,734 --> 00:30:54,695 link linking our like, when we see trends 890 00:30:54,695 --> 00:30:56,454 come up, like, when people are saying, oh, 891 00:30:56,454 --> 00:30:59,069 we're having all of these questions about, like, 892 00:30:59,149 --> 00:30:59,649 billing 893 00:31:00,269 --> 00:31:02,509 or EMR stuff or head and neck cancer. 894 00:31:02,509 --> 00:31:04,190 Like, we're like, this is what we need. 895 00:31:04,190 --> 00:31:05,549 This is what the members need. This is, 896 00:31:05,549 --> 00:31:07,389 like, what they're ready to learn, what they're 897 00:31:07,389 --> 00:31:08,369 asking and seeking, 898 00:31:08,750 --> 00:31:11,549 and making sure we're, like, giving them what 899 00:31:11,549 --> 00:31:14,190 they're asking for in this moment, and really 900 00:31:14,190 --> 00:31:16,805 meeting that immediate learning needs. So then when 901 00:31:16,805 --> 00:31:18,565 people are showing up, they're able to take 902 00:31:18,565 --> 00:31:20,744 it take that information and apply it 903 00:31:21,125 --> 00:31:21,785 right away. 904 00:31:22,244 --> 00:31:24,005 It's not that, like, let me look and 905 00:31:24,005 --> 00:31:26,565 see and scroll and find something that maybe 906 00:31:26,565 --> 00:31:28,005 meets my need. But if it's not there, 907 00:31:28,005 --> 00:31:29,285 we we might have it. We probably do 908 00:31:29,285 --> 00:31:30,369 because there's a lot of stuff. But if 909 00:31:30,369 --> 00:31:31,970 we don't or it needs to be updated, 910 00:31:31,970 --> 00:31:34,130 we're like Yeah. Thank you. Let's take that. 911 00:31:34,130 --> 00:31:36,609 Let's bring that to you. Yeah. Yeah. And 912 00:31:36,609 --> 00:31:39,250 luckily, we have a lot of incredible type 913 00:31:39,250 --> 00:31:41,009 a people that work at the collective, and 914 00:31:41,009 --> 00:31:42,929 they like to work ahead, like, months and 915 00:31:42,929 --> 00:31:45,894 years ahead. And I'm always like, no. Because 916 00:31:46,054 --> 00:31:47,894 and it's only because I wanna make sure 917 00:31:47,894 --> 00:31:50,315 that we have time and space to 918 00:31:50,694 --> 00:31:52,714 meet immediate needs. You know, I 919 00:31:53,174 --> 00:31:54,934 I totally love having things planned out for 920 00:31:54,934 --> 00:31:57,389 months in advance, but if crap hits the 921 00:31:57,389 --> 00:31:58,990 fan and this is a topic that needs 922 00:31:58,990 --> 00:32:00,990 to be addressed this month, I wanna make 923 00:32:00,990 --> 00:32:02,190 sure that we're able to do that for 924 00:32:02,190 --> 00:32:03,089 our members. So 925 00:32:03,470 --> 00:32:04,829 we try to have a a little bit 926 00:32:04,829 --> 00:32:07,230 of both, you know, something things really broad 927 00:32:07,230 --> 00:32:09,409 topics, but then also have space for, 928 00:32:10,075 --> 00:32:12,475 some really, really hyper specific things that just 929 00:32:12,475 --> 00:32:13,835 happen to come up, and we know that 930 00:32:13,835 --> 00:32:15,515 they're always gonna come up in health care. 931 00:32:15,515 --> 00:32:15,914 So 932 00:32:16,715 --> 00:32:18,715 It's I mean, if we didn't learn anything 933 00:32:18,715 --> 00:32:19,855 from this past 934 00:32:20,315 --> 00:32:21,615 year and all the 935 00:32:21,929 --> 00:32:24,750 billing and medic Yeah. And all of that. 936 00:32:24,809 --> 00:32:26,569 We know things could change on a dime 937 00:32:26,569 --> 00:32:27,950 for sure. Right. 938 00:32:28,250 --> 00:32:29,849 Awesome. Well, thank you so much, Kristen. I 939 00:32:29,849 --> 00:32:32,089 appreciate your insight and your help and your 940 00:32:32,089 --> 00:32:33,769 brain all the time. And, 941 00:32:34,795 --> 00:32:36,234 if people wanna reach out to you, if 942 00:32:36,234 --> 00:32:37,835 they have any questions about any of this 943 00:32:37,835 --> 00:32:39,455 stuff, where can they reach you? 944 00:32:40,394 --> 00:32:43,035 If you have any any questions about anything 945 00:32:43,035 --> 00:32:43,535 related 946 00:32:44,075 --> 00:32:44,974 to the collective, 947 00:32:45,434 --> 00:32:46,875 you can reach out to me at my 948 00:32:46,875 --> 00:32:49,940 collective email, which, is mine, the university 949 00:32:50,319 --> 00:32:51,919 email is technically. So if you have an 950 00:32:51,919 --> 00:32:53,519 info like, anything that you wanna ask me 951 00:32:53,519 --> 00:32:54,019 about 952 00:32:54,480 --> 00:32:57,919 university stuff, you know, using it for your 953 00:32:57,919 --> 00:32:58,419 universities, 954 00:32:59,599 --> 00:33:01,839 or just anything that you want to know, 955 00:33:01,839 --> 00:33:03,380 I am the university 956 00:33:04,035 --> 00:33:06,515 at Metasilp Collective. So you can reach out 957 00:33:06,515 --> 00:33:07,494 to me there, 958 00:33:07,795 --> 00:33:08,615 in that role. 959 00:33:08,914 --> 00:33:11,875 Perfect. Yep. So she's university@metasilpcollective.com, 960 00:33:11,875 --> 00:33:13,795 and you can reach Kristen. So awesome. Thank 961 00:33:13,795 --> 00:33:15,475 you so much, my friend. Really, super appreciate 962 00:33:15,475 --> 00:33:18,215 you. No problem. Anytime. Happy to be here. 963 00:33:18,759 --> 00:33:21,319 And that's a wrap for this episode. As 964 00:33:21,319 --> 00:33:23,339 always, thank you so much for listening. 965 00:33:23,720 --> 00:33:25,240 If you'd like to download the show notes 966 00:33:25,240 --> 00:33:29,099 from this episode, please visit swallowyourpridepodcast.com. 967 00:33:29,319 --> 00:33:30,920 There, you can also sign up for our 968 00:33:30,920 --> 00:33:32,839 email list so that you'll never miss another 969 00:33:32,839 --> 00:33:33,339 episode. 970 00:33:33,815 --> 00:33:35,575 If you do like what you hear, then 971 00:33:35,575 --> 00:33:38,154 please subscribe and leave a review on iTunes 972 00:33:38,694 --> 00:33:40,454 or share it on social media with your 973 00:33:40,454 --> 00:33:42,615 friends and colleagues because that is what keeps 974 00:33:42,615 --> 00:33:43,994 these episodes coming. 975 00:33:44,535 --> 00:33:46,330 If you'd like to be a guest, share 976 00:33:46,330 --> 00:33:48,970 feedback, or request a topic to be discussed 977 00:33:48,970 --> 00:33:53,450 on the show, please email podcast@TeresaRichard.com. 978 00:33:53,450 --> 00:33:55,450 Thank you so much for listening, and we'll 979 00:33:55,450 --> 00:33:56,670 catch you next week.