title: Reflections on clinical expertise and silent know-how in voice therapy.
abstract: The concept of 'clinical expertise' is described as a part of evidence-based practice (EBP) together with 'external scientific evidence' and 'patient values and perspectives'. However, clinical expertise in the management of voice disorders has not been described or discussed in much detail. The expertise seems to consist partly of silent know-how that, from the outside, may seem improperly related to the personality of the speech-language pathologist or exclusively dependent on the number of years in the field. In this paper, it is suggested that clinical expertise in voice therapy consists of specific skills that can be explicitly described and trained. These skills are discussed together with educational aspects that contribute to the development of clinical expertise. The skills are also discussed from the perspectives of the past, present, and future.
authors.affiliation: Audiologopedics, Department of Scandinavian studies and Linguistics, University of Copenhagen , Denmark.
authors.forename: Jenny
authors.initials: J
authors.lastname: Iwarsson
mesh_terms: D002983:Clinical Competence; D003142:Communication; D055317:Evidence-Based Practice; D006040:Goals; D006801:Humans; D018579:Patient Selection; D010699:Phonation; D010700:Phonetics; D011369:Professional-Patient Relations; D020127:Recovery of Function; D013061:Speech Acoustics; D013066:Speech-Language Pathology / Q000379:methods*; D016896:Treatment Outcome; D014832:Voice Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D014833:Voice Quality; D014834:Voice Training
keywords: Clinical expertise; clinical training; education in speech-language pathology; evidence based practice; speech-language pathologist education; voice therapy