Questions to Ask Before My Clinical Fellowship Year

Photo of student getting ready for their Clinical Fellowship Year

Starting your Clinical Fellowship year is exciting—but it can also feel overwhelming. Before you jump in, take a little time to reflect. Asking yourself the right questions now can help you find the best fit and start your career with confidence.

1. Who will my clients be?

Do you see yourself in pediatrics (schools, outpatient, hospital?) or working with adult patients (in the hospital, SNF, outpatient, or specializing?),? What areas draw you in? Articulation, AAC, literacy, language, or feeding? You don’t have to have it all figured out—but having a general direction helps.

2. What work environment fits me best?

Think about where you thrive! Do you prefer a fast-paced clinic , scheduling yourself in a school environment, or in home with your patients? Do you want to work closely with other professionals everyday or have more independence?

3. What kind of support do I need?

Your CF supervisor plays a huge role in your experience. Ask yourself: Do I want hands-on guidance? Frequent feedback? A team I can easily turn to with questions? An experienced mentor?

4. What do I want to learn this year?

Your CF isn’t just about completing hours—it’s about growing your skills. What do you want to feel confident in by the end of the year?

5. What are my non-negotiables?

Consider what matters most to you. Ask about caseload size (both appointments and number of patients/students whose cases you must manage), work-life balance, mentorship, or pay structure (W2 vs 1099). Knowing your priorities will help you make the right decision.

You can also ask about benefits! Some benefits make a big difference today like PTO, paid holidays (are they taken out of your PTO?), medical coverage, and more. Other will shape your future in a big way, like the retirement plan options.

6. How will I take care of myself?

This year can be demanding. Think about how you’ll manage stress, stay organized, and maintain balance so you can show up as your best self.

Your CF year is just the beginning. Taking time to reflect now can set you up for a more meaningful, supported, and successful start in the field. And if you can, find a mentor who will guide you through these sometimes-challenging questions.

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May 16, 2023

What Is Intensive Feeding Therapy at MetroEHS and How Does It Work?

What is the Intensive Feeding Therapy Program Like at MetroEHS?

As we dive into the details of the Intensive Feeding Therapy Program at MetroEHS, hear from the experts at MetroEHS and how they collaborate on the most wholistic approach to Intensive Feeding Therapy.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
When it comes to treating children who have complex feeding difficulties and pediatric feeding issues, there's a multitude of things that are typically at the root of the problem. So what's very unique about the program that we have here is that we have involvement from both occupational therapy, speech and language therapy, physical therapy, a dietician, as well as psychology.

Rose Britt (Registered Dietitian):
So it's all five disciplines. Spending time together with the family, with the patient, with each other, all talking at one cohesive time, making a plan instead of grabbing pieces from all over the place and putting them together. I think it makes it a lot smoother for us and the families as well.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
Each of our disciplines really does have something to offer to this process, but when we work all together, we have the ability to help our kiddos make more progress more quickly.

Kayla Daniels (Physical Therapist):
At Metro, we really take a whole body approach. We don't just look at one aspect of the child. And a lot of people don't think of physical therapy as part of the feeding team, but in order to eat, you have to use all of these posture and muscles, you have to hold yourself up. You have to hold your head up to be able to swallow. So really focusing on all of those aspects of your body is really important to be able to make the progress.

Azari Haygood (Psychologist):
As a psychologist on staff for the Intensive Feeding Program, I offer mental health services to the families and to some of the clients. It's very stressful for a lot of these families. It's stressful for the clients that we see. And so, I offer just another support for them, where I'm helping them kind of overcome some of the stressors that they're experiencing around feeding.

Rose Britt (Registered Dietitian):
It's not just me telling you what to do. There's so much more going into that, and you get to really listen to the families and hear why it's not working and problem solve together.

Kayla Daniels (Physical Therapist):
The impact you can make, not only on the child's life, but on the family's life as a whole is huge.

Azari Haygood (Psychologist):
Seeing that improvement in their family's lives feels really great all around.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
One in 23 children have a pediatric feeding issue. And so, to truly be able to address all of the aspects of that in one place, that's where we get to make a difference every single day.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
It's like when you have a jigsaw puzzle and you're missing one piece, you can still tell what the picture of the jigsaw puzzle is going to be, but when you have all of the pieces together, integrated into this treatment, the result is just something so much more beautiful.

April 22, 2024

Helping Picky Eaters: A Look into Pediatric Feeding Therapy with MetroEHS

In today’s hectic world of parenting, where every child seems to come with their unique set of challenges, one common struggle that many families face is dealing with picky eaters. It’s a scenario familiar to almost every parent or guardian out there. But fear not, because MetroEHS Pediatric Therapy is stepping in to offer a solution that not only addresses the needs of the child but also brings relief to the entire family.

During a recent segment on Live in the D, Tati Amare dove into the topic of feeding therapy with two experts from MetroEHS: Dawn Sterling, a Board Certified Behavioral Analyst, and Sam Fitzsimmons, the Director of Occupational Therapy. Their insights shed light on the signs indicating a child could benefit from feeding therapy, how MetroEHS approaches this issue, and invaluable advice for parents navigating feeding challenges.

According to Sam Fitzsimmons, pediatric feeding disorders are more common than we might think, with one in 23 children under the age of five affected. These disorders often accompany developmental disabilities like ADHD and autism, making them even more prevalent. Signs to watch out for include mealtime behaviors that disrupt daily routines, extreme food selectivity, and a reduction in the variety of foods consumed.

MetroEHS takes a holistic approach to feeding therapy, utilizing an interdisciplinary model that incorporates occupational therapy, speech therapy, applied behavior analysis (ABA), and physical therapy. Their goal is to make feeding a positive and enjoyable experience for children, starting with non-food items and gradually progressing to food-based activities through play and sensory exploration.

One of the most significant takeaways from the discussion is that it’s never too early to seek help. Whether it’s addressing difficulties with latching during breastfeeding in newborns or tackling food aversions in older children, MetroEHS is there to support families every step of the way.

When it comes to feeding strategies, Dawn Sterling emphasizes the importance of keeping things light and pressure-free. Rather than engaging in power struggles over food, she advocates for creating a nurturing environment where children feel comfortable exploring new foods at their own pace. The key is to focus on engagement and enjoyment, both for the child and the family.

In their own words, both Dawn and Sam emphasize MetroEHS’s commitment to holistic care, not just for the child but for the entire family. By adopting a whole-child approach and empowering families, MetroEHS aims to foster growth and success in every aspect of a child’s development.

As the conversation drew to a close, Tati Amare reiterated the accessibility of MetroEHS’s services, with 14 locations already established in Metro Detroit and three more on the horizon. Whether it’s ABA, speech, occupational, feeding, or physical therapies, MetroEHS stands ready to lend a helping hand to families in need.

In conclusion, dealing with picky eaters can be a daunting challenge, but with the right support and guidance from experts like those at MetroEHS Pediatric Therapy, families can overcome these obstacles and ensure that every child thrives. If you’re facing feeding difficulties with your child, don’t hesitate to reach out and discover the transformative power of pediatric feeding therapy.

March 26, 2025

Why Is Early Intervention Feeding Therapy So Important for Children?

In the grand battle of dinnertime, where broccoli becomes a villain and picky eaters stage epic showdowns, there exists a team of superheroes ready to save the day—Pediatric Feeding Therapists! These mighty champions use their super skills to help babies, toddlers, and children with feeding challenges, ensuring every little hero gets the nutrition they need to grow strong.

The Origin Story: What is Pediatric Feeding Therapy?

Pediatric feeding therapy unites speech therapists, occupational therapists, and sometimes behavior analysts (yes, ABA superheroes!) to help children overcome feeding struggles. Whether it’s a sensory issue, difficulty with chewing, swallowing, or just a deep-seated dislike for anything green, these experts use science, patience, and fun strategies to turn mealtime mayhem into moments of mastery.

Many young heroes-in-training face powerful foes:

The Texture Titan – That sneaky foe who makes certain foods feel ‘icky’ or unbearable.

The Gag Goblin – The reason some kids struggle with new foods and textures.

The Avoidance Avenger – The mastermind behind food refusals and dinnertime battles.

The Autism Anomaly – Children with autism often experience heightened sensory challenges that impact eating habits.

Fear not! Early intervention in feeding therapy provides the best chance to defeat these villains before they gain strength. The sooner a child receives support, the more likely they are to develop healthy eating habits that last a lifetime.

In all seriousness, some pediatric feeding disorders are complex and often require a comprehensive approach individualized for each child and family. MetroEHS provides scheduling options dependent upon the family schedule and the severity of the diagnosis. All evaluations are performed by a Team of Feeding/Swallowing Specialists. MetroEHS Speech-Language Pathologists, Occupational Therapists, and Physical Therapists work in tandem with Parents to improve feeding and swallowing disorders.

The Power of Breastfeeding Support

For the tiniest superheroes just starting their feeding journey, breastfeeding support and lactation therapy can make a world of difference. Some babies face challenges with latching, tongue ties, or milk transfer, which can make feeding difficult and stressful for both baby and parent. Lactation consultants and feeding therapists work together to provide guidance on positioning, improving latch techniques, and addressing any underlying oral-motor issues. Early support ensures that even the youngest heroes get the nourishment they need to thrive from day one!

The Superpower of Early Intervention in Feeding Therapy

Early intervention is like unlocking a hidden superhero ability—striking before the villains take full control! The benefits of starting pediatric feeding therapy as soon as you suspect an impending battle or villainous origin story:

Building Healthy Eating Habits: Introducing a variety of foods early makes for a well-rounded diet.

Improving Oral-Motor Skills: Strengthening those tiny mouth muscles for better latch or better chewing and swallowing.

Reducing Mealtime Stress: No more dinnertime showdowns! Parents and children both enjoy a more relaxed experience.

Enhancing Independence: Teaching kids to confidently try new foods and textures on their own.

Assembling Your Feeding League

If your baby, toddler, or child struggles with eating, picky eating, or sensory issues, it’s time to call in the feeding therapy superheroes. ABA techniques, occupational therapy, and speech therapy can all work together to build confidence at mealtime.

Remember, every great hero starts somewhere and learns new skills best when they are small. With early intervention and the right team behind them, your little one can transform from a mealtime sidekick into a fearless food explorer!

Is your child ready to join the Feeding League? The adventure begins now!