Question Overview: This question assesses your ability to conduct a thorough oral motor examination, a critical skill for SLPs working with patients who may have speech or swallowing disorders. The interviewer is looking for a step-by-step understanding and your ability to identify issues through the examination.
Sample Answer: When conducting an oral motor exam, I begin by assessing the patient's facial symmetry and muscle tone. Next, I evaluate the range of motion, strength, and coordination of the lips, tongue, and jaw by asking the patient to perform specific movements, such as smiling, sticking out their tongue, and opening and closing their mouth. I also assess the patient's ability to perform diadochokinetic tasks, such as rapidly repeating syllables like "pa-ta-ka." Additionally, I observe the patient's ability to manage secretions and assess their gag reflex. These observations help me determine the presence of any motor impairments that could affect speech and swallowing, guiding my treatment plan.
Question Overview: This question examines your approach to evaluating swallowing function in a clinical setting without instrumental assessments. The interviewer wants to see your ability to observe and infer potential issues through a bedside examination.
Sample Answer: During a bedside swallow evaluation, I start by reviewing the patient’s medical history, paying close attention to any conditions that may impact swallowing. I then assess their level of alertness, posture, and ability to follow directions. I observe the patient’s oral hygiene and look for signs of dysphagia, such as drooling or coughing. I then introduce different food and liquid consistencies, starting with water and gradually moving to more complex textures. I carefully observe the patient’s ability to manage the bolus, swallow initiation, and any signs of aspiration, such as coughing or a wet vocal quality. Based on my findings, I might recommend further instrumental assessments or immediate dietary modifications.
Question Overview: This question is an opportunity to highlight the key skills and attributes that make you a valuable addition to the team. The interviewer is looking for specific examples that demonstrate your strengths in practice.
Sample Answer: One of my key strengths is my ability to build strong rapport with patients, which I believe is essential in therapy. For example, I worked with a patient who initially resisted therapy, but through consistent communication and empathy, I was able to gain their trust, leading to significant improvements in their speech and swallowing. Additionally, I am highly organized, allowing me to manage a large caseload efficiently without compromising the quality of care. These strengths have consistently enabled me to achieve positive outcomes for my patients.
Question Overview: This question requires self-reflection and honesty. The interviewer wants to see that you are aware of your areas for improvement and are actively working on them. It’s essential to frame your weakness in a way that shows growth potential.
Sample Answer: One area I’m continually working on is delegating tasks when I have a heavy caseload. Early in my career, I would try to manage everything myself, which sometimes led to burnout. I've since learned the importance of teamwork and have started collaborating more closely with assistants and other team members to ensure that all patients receive the best care without overwhelming myself. This change has not only improved my work-life balance but also enhanced the quality of patient care.
Question Overview: This question allows you to express your motivation for choosing this specific setting. The interviewer wants to understand your passion for rehab hospitals and how it aligns with your career goals
Sample Answer: I’m drawn to working in a rehab hospital because I find the rehabilitation process incredibly rewarding. Seeing patients regain their independence and improve their quality of life is what motivates me. My experience with adult neurogenic populations has given me a solid foundation in managing complex cases, and I believe that the interdisciplinary approach in a rehab hospital will allow me to collaborate effectively with other professionals to provide comprehensive care. The dynamic and fast-paced environment also aligns with my desire for continuous learning and growth.
Question Overview: This question assesses your knowledge and ability to perform a Passy-Muir Valve (PMV) assessment, a critical component for patients with tracheostomies. The interviewer is looking for a step-by-step explanation and your understanding of its significance.
Sample Answer: During a PMV assessment, I first review the patient's medical history and ensure that the tracheostomy tube is properly positioned and that the patient can tolerate cuff deflation. After obtaining medical clearance, I deflate the cuff and attach the Passy-Muir Valve to the tracheostomy tube. I closely monitor the patient’s breathing, vocal quality, and ability to manage secretions. If the patient demonstrates good tolerance, I assess their speech and swallowing functions while the valve is in place. The information gathered from this assessment helps guide decisions about the patient’s readiness for speaking, eating, and potentially decannulation.
Question Overview: This question tests your knowledge of instrumental swallowing assessments and your ability to choose the appropriate evaluation based on patient needs. The interviewer wants to understand your clinical decision-making process.
Sample Answer: I would recommend a Modified Barium Swallow Study (MBSS) when I need a comprehensive view of the entire swallowing process, especially the oral and esophageal phases, and when I want to observe the impact of various food consistencies on swallowing. MBSS is particularly useful for patients who may have esophageal involvement or when assessing the effectiveness of compensatory strategies. On the other hand, I would recommend FEES when a detailed view of pharyngeal structures is needed, or if the patient cannot tolerate transport to radiology for an MBSS. Both have their place in clinical practice, but I choose the study based on the patient’s specific needs and the questions I need answered.
Question Overview: This question assesses your interpersonal and conflict resolution skills in a multidisciplinary team. The interviewer wants to see how you handle professional disagreements while maintaining patient-centered care.
Sample Answer: There was a situation where I recommended a specific diet modification for a patient with dysphagia, but the attending physician disagreed, believing the patient could handle a more advanced diet. I approached the disagreement by scheduling a meeting with the physician to discuss my concerns. I presented objective data from my assessment, including the patient’s risk of aspiration. Through open communication, we found a middle ground by agreeing to monitor the patient closely while trying a modified version of the recommended diet. Ultimately, the patient’s safety was prioritized, and our collaboration improved patient care.
Question Overview: This question examines your problem-solving skills and ability to reflect on past experiences. The interviewer is interested in how you handle difficult situations and what lessons you’ve learned.
Sample Answer: I once worked with a patient who was resistant to therapy due to frustration and fatigue following a stroke. Despite multiple attempts to engage them, progress was slow. I decided to modify my approach by incorporating their interests into therapy sessions, such as using music they enjoyed during speech exercises. This helped build rapport and eventually led to more active participation. However, in hindsight, I realize I could have involved the patient’s family earlier in the process to provide additional support and motivation. This experience taught me the importance of a holistic approach that includes family involvement from the beginning.
Question Overview: This question assesses your understanding of the relationship between post-traumatic amnesia (PTA) and traumatic brain injury (TBI). The interviewer is looking for knowledge of how PTA reflects the severity and recovery trajectory of a TBI and its implications for speech-language therapy.
Sample Answer: Post-Traumatic Amnesia (PTA) is a critical indicator in assessing the severity of a traumatic brain injury. It refers to the period of confusion, disorientation, and memory loss following the injury, where the patient cannot form new memories. The duration of PTA often correlates with the severity of the TBI—longer PTA suggests a more severe injury and can indicate a more extended recovery process. In terms of therapy, understanding the duration and nature of PTA helps guide my approach, as it informs the level of cognitive support needed and influences how I structure therapy to accommodate memory and orientation deficits. Monitoring PTA also helps in setting realistic goals and expectations for the patient's recovery.