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 21, 2024

Potty Training Tips from MetroEHS Pediatric Therapy: Expert Advice for Parents

As April and Autism Awareness Month have come to a close, we’re highlighting the incredible work of MetroEHS Pediatric Therapy in Metro Detroit. With multiple locations and more on the way, MetroEHS is dedicated to helping families with children on the autism spectrum and those needing specialized therapy. Today, we’re focusing on a universal challenge for parents: potty training.

Joining us are Deanna Coker, a board-certified behavioral therapist analyst, and Kelly Johns, the director of physical therapy at MetroEHS. They share valuable insights on potty training, addressing common issues and providing practical solutions.

Recognizing Readiness for Potty Training

Kelly Johns emphasizes that recognizing when your child is ready for potty training is crucial. Key signs include:

- Extended Bladder Control: Holding their bladder overnight or for several consecutive hours.

- Interest in the Potty: Playing with their diaper, showing curiosity about the toilet, or performing a "potty dance."

- Communication: Telling you they need to go or showing signs they’re aware of their bodily functions.

Addressing Potty Training Challenges

Sometimes, despite a parent’s best efforts, potty training can hit a snag. Deanna Coker points out that issues such as regression, frequent nighttime accidents, or persistent constipation might indicate underlying problems like pelvic floor complications.

Assisting with Physiological Challenges

To support children struggling with potty training, Kelly recommends several strategies:

- Blowing Bubbles: This helps relax the pelvic floor. Encourage your child to blow bubbles while sitting on the toilet or during playtime.

- Using a Squatty Potty: This stool ensures a proper 90-degree angle, aiding in effective bowel movements.

- Belly Breathing: Teach your child to focus on their belly rising and falling, which can help with relaxation and control.

Effective Potty Training Methods

Deanna shares essential potty training tips:

  1. Ditch the Diapers: Transition your child to underwear to help them feel the wetness of accidents.
  2. Stay Hydrated: Encourage your child to drink plenty of fluids to ensure they need to use the bathroom regularly.
  3. Set a Schedule: Take your child to the potty every 20 minutes initially, allowing them to sit for a few minutes each time.
  4. Positive Reinforcement: Use rewards like a sticker chart to celebrate successes. This visual progress tracker can be highly motivating for children.

Deanna shares a personal anecdote about using a princess-themed sticker chart for her daughter, highlighting how such simple tools can make the process enjoyable and rewarding for children.

MetroEHS Pediatric Therapy provides comprehensive support for various therapy needs, including ABA, speech, occupational, feeding, and physical therapies. With their expanding network of locations, they are readily accessible to families across Metro Detroit.

For more information or to find the nearest MetroEHS location, visit http://metroehs.com

**Thank you, Deanna and Kelly, for sharing your expertise and practical advice.** Potty training can be a daunting task, but with these tips, parents can navigate this essential milestone more effectively.

April 24, 2024

Summer Planning Guide for Parents of Special Needs Children

As the days grow longer and the temperatures rise, parents everywhere are gearing up for summer break. For parents of special needs children, however, summer planning can come with its own set of challenges. From scheduling doctor appointments to finding engaging activities, it’s essential to plan to ensure a smooth and enjoyable summer for the whole family. If you’re in our beautiful state of Michigan, chances are you are planning on a trip up north or to the beach. There are plenty of options available to make this summer one to remember. Let’s dive into some tips and resources to help you efficiently prepare and plan for the upcoming season.

  • Start Early: The key to successful summer planning is to start early. Begin by making a list of all the activities and appointments you want to schedule for your child. This might include medical check-ups, therapy sessions, and recreational activities. By getting organized ahead of time, you’ll avoid last-minute stress and ensure that you secure the dates and times that work best for your family and your vacation plans.
  • Schedule Doctor Appointments Now: Take the time to schedule any necessary doctor appointments for your child before the summer rush hits. This might include routine check-ups, consultations with specialists, or adjusting therapy sessions if you plan to be out of town. Many healthcare providers experience increased demand during the summer months, so booking appointments in advance is essential. Be sure to communicate any specific needs or concerns with your healthcare provider to ensure that they can accommodate your child effectively.
  • Explore Kid-Friendly Activities: Southeastern Michigan offers a wealth of kid-friendly activities that cater to children of all abilities. From sensory-friendly museums to inclusive parks, there’s something for everyone to enjoy. Take the time to research local attractions and events that are accessible and accommodating to children with special needs. Consider reaching out to community organizations or support groups for recommendations and tips on inclusive activities in your area. Maybe you can even suggest that more venues offer sensory-friendly options!
  • Consider Summer Camps and Programs and register soon: Summer camps and programs can provide valuable opportunities for children to socialize, learn new skills, and have fun but spots fill up fast this time of year. Look for camps that offer specialized programming for children with special needs, especially those that include sensory-friendly activities and trained staff. Many camps in Southeastern Michigan offer scholarships or financial assistance for families in need, so don’t hesitate to inquire about available resources. Be aware that some of the scholarship programs for camps and summer programs are first come first serve.
  • Create a Visual Schedule for your Kids: Visual schedules can be incredibly helpful for children with special needs, providing them with a clear understanding of their daily activities and routines. Take the time to create a visual schedule for your child’s summer break, incorporating doctor appointments, outings, and leisure time. Use pictures, symbols, or written words to represent each activity, and involve your child in the planning process to foster independence and self-awareness.
  • Get a jump on Fall: An IEP is a personalized education plan designed to support a child with a disability. It can be a lengthy process to get an IEP in place for your child. To start the process, request an evaluation from your child’s school or school district, then work with the IEP team to develop a plan tailored to your child’s unique needs. If you need additional guidance, consider reaching out to local parent advocacy groups or special education organizations for support and resources.

Early summer planning may require some extra time and effort, but the rewards are well worth it. By starting early, scheduling doctor appointments, exploring kid-friendly activities, considering summer camps, and creating visual schedules, you can ensure that your child has a memorable and enjoyable summer break and save yourself some panic later. Remember to prioritize self-care and relaxation for yourself as well, and don’t hesitate to reach out to local resources and support networks for assistance along the way. Here’s to a summer filled with fun, adventure, and plenty of cherished memories!

May 5, 2023

A Mother and Daughter’s Journey

A Mother and Daughter's Journey

Kris Krajewski: Hi, I am Kris Krajewski. I am the director of PT, OT and Speech Therapy Services at MetroEHS. I am a clinical fellow mentor, a speech language pathologist, and a mom. And this is my daughter McKenna. McKenna is a therapy assistant at our Rochester Hills location.

Mckenna Krajewski: So as therapy assistant, they clean, do desk work and sanitize, take temperatures, taking care of clients, make sure they're safe and healthy, help them with their work and special needs. It makes me feel amazing and happy to be there for them. I am very, very proud.

Kris Krajewski: I got teary listening to McKenna talk about it because what, what is most important to me for children or anybody of any age, but in particular my child, is that they are happy. A large part of that happiness comes from feeling connected and having a purpose, um, and knowing that you have somewhere to go where you're valued and you're important. And so I see that happening at Metro with McKenna, with her job as a professional. I'm really proud of MetroEHS for thinking about people at, you know, both ends of that age spectrum, right? We have our little littles coming in at a very young age, and we are still interested in what happens to our kiddos when they get out into the world of work. Um, and to me that's a really important message.

A Family's Journey with a Special Need Diagnosis is a beautiful journey! Listen from some more of our MetroEHS Family's stories > HERE