The Wave - CASLPO's Monthly Newsletter

The Wave | November 2025 Issue

 

Welcome to The Wave!

Welcome to The Wave, CASLPO’s monthly update for registrants! The Wave replaces our semi-annual ex.press newsletter and brings together all of our other key updates into one easy-to-read format.

In This Issue:

 


 

Man at computer

Evidence Reviews: A Simpler, Faster Way to Engage with Quality Assurance

Starting in 2025, Evidence Reviews are a permanent part of the annual Quality Assurance Program. This new approach gives audiologists and speech-language pathologists another way to demonstrate that they meet professional standards through a process that is lighter and more focused than a full peer assessment.

How it Works

Each year, a random selection of registrants will be asked to upload evidence through the Self-Assessment Tool (SAT) for specific “high-risk” indicators. Trained peer assessors will then review a subset of these pre-determined submissions to confirm that standards are met and identify areas for improvement. Unlike a full peer assessment, there is no direct conversation with the assessor.

What Evidence Reviews Mean for Registrants
  • Less work: Focus only on selected high-risk indicators rather than all standards.
  • More flexibility: The College can adjust which indicators are reviewed each year.
  • Faster process: Upload evidence without needing to schedule meetings or conversations.
  • Targeted feedback: Receive guidance where it matters most, helping you improve your practice.
  • Broader impact: More registrants participate in quality assurance, strengthening the profession and protecting patients.

Evidence Reviews make it easier to participate in the Quality Assurance Program while maintaining public safety and high-quality care. By identifying potential issues early, the process helps reduce the likelihood of complaints or reports and supports continuous improvement in professional practice.

 


 

Reminder: Attend our E-Forum on the New and Revised Practice Standards 

As we communicated on October 22, 2025, CASLPO has released three Practice Standards (two revised and one new) on our website. These standards outline the minimum expectations for audiologists and speech-language pathologists practicing in Ontario.

Key Highlights:
  • The SLP Intervention Standards replace five previous standards, provide high-level principles across all SLP practice areas and include a dysphagia-specific appendix.
  • The Consent & Capacity Standards and Documentation Standards remain aligned with Ontario’s Health Care Consent Act, Personal Health Information Protection Act, and CASLPO’s Records Regulation.

These updates reflect valuable feedback from registrants and advisory groups, ensuring the standards are practical, clear, and supportive of safe, high-quality care.

Learn more during an upcoming E-Forum:

Contact the Practice Advice Team with any questions.

 


Learning From Recent Tribunal Decisions

Staying inforDisciplinemed helps strengthen professional practice and accountability

Whether you’re an audiologist or speech-language pathologist, understanding recent regulatory decisions helps reinforce best practices and professional accountability. The following two cases highlight the importance of documentation, responsiveness, and cooperation with the College. These are not just disciplinary outcomes; they offer learning opportunities for all registrants.

CASLPO v. Berge, 2025 ONASLPDT 6
Decision released July 10, 2025

Summary

Brenda Berge, a registered audiologist, was found to have engaged in disgraceful, dishonourable, or unprofessional conduct after failing to attend a caution ordered by a panel of the Inquiries, Complaints and Reports Committee (ICRC). She also ignored multiple communications from the College.

The Tribunal proceeded with the hearing in her absence and subsequently revoked her certificate of registration, citing her as ungovernable due to repeated noncompliance and prior disciplinary history.

Key takeaways

CASLPO v. Bozzo, 2025 ONASLPDT 2
Decisions released January 23 and April 4, 2025

Summary

Emilia Bozzo, a registered speech-language pathologist, was referred to the Discipline Tribunal following concerns about her use of telephone-based swallowing assessments during the early COVID-19 pandemic. The panel found that her choice of assessment method did not constitute misconduct within the context of the COVID-19 pandemic. However, she was found guilty of professional misconduct for failing to maintain proper records, failing to collaborate appropriately, and respond to inquiries from both the College and her employer.

Ms. Bozzo received a three-month suspension and a formal reprimand. She was ordered to complete ethics and record-keeping courses, along with a mentorship program. She was also ordered to pay $25,000 in costs over five years.

Key takeaways

These cases serve as an important reminder that accountability, transparency, and cooperation are the foundation of self-regulation. Maintaining clear records, responding promptly, and following College direction are essential to upholding the integrity of the professions and protecting the public.
 


 

Ableism in Healthcare e-forumReminder: Join our December 3rd E-Forum on Addressing Ableism in Healthcare

There’s still time to register for CASLPO’s upcoming E-Forum on Addressing Ableism in Healthcare, presented in collaboration with the College of Midwives of Ontario (CMO).

Wednesday, December 3, 2025 | 12:00–1:00 p.m. EST

As part of CASLPO’s ongoing DEI webinar series, this session will explore:

  • What ableism is and how it can impact patient care
  • Strategies for providers to challenge and dismantle ableism in practice

Featuring: Dr. Hilary Brown, Associate Professor, University of Toronto; Tier 2 Canada Research Chair in Disability & Reproductive Health
Don’t miss this opportunity to deepen your understanding of health equity and inclusive care.

Register now

 


 

Communicating Additional Training: Considerations for Use of Title and Advertising

Continuing to learn and grow is an important part of every health care professional’s practice. Whether it’s for the purposes of meeting regulatory requirements, like the annual SAT, developing new skills, or expanding the services your clinic offers, ongoing education helps support quality care and professional growth.

Sharing information about your additional training or certifications with colleagues, patients, and prospective patients, can help build trust in your professional knowledge and clinical skills. Employers may want to highlight this training to help patients understand your role. In all cases, it’s important that communications about additional training or certifications are compliant with CASLPO’s Practice Standards.

Some Ontario health regulators, such as those for physicians or dentists, offer what are called specialty certificates. These certificates show that a professional has completed additional coursework, practica, certifying programs/certifying exam, and/or a mentorship program. Specialty certificates communicate to members of the public that a registrant is recognized as having the knowledge, skill, and training to provide services that meet practice standards in a focused area of practice (e.g., family medicine).  

CASLPO does not designate specialty certificates. This means audiologists and speech-language pathologists cannot use terms that could make it seem like they are “experts” or “specialists” in a focused area of practice as part of their professional title or advertising. Examples include phrases like pediatric specialist, tinnitus expert, or dysphagia specialist.

Many of CASLPO’s registrants complete advanced training throughout their careers. Audiologists may have had additional training in dizziness intervention, tinnitus management, cochlear implant fitting, cerumen management, or the assessment and treatment of children. Speech-language pathologists may have had additional training in augmentative and alternative communication (AAC), early language development, motor speech, stuttering, swallowing or voice.

You can share this learning with your patients and community; however, it needs to be communicated clearly and with care. It’s appropriate to display certificates in your clinic, talk with patients about your additional training, or include a description of your education and training on your clinic’s website. You can also indicate a practice focus in a specific area, such as “focus on tinnitus management services” or “focus on swallowing disorders”, in your signature line or other identifiers used in the office.

When describing your training in advertising or online, choose your words thoughtfully. Do not use terms like “expert” or “specialist” in relation to an area of practice (e.g., tinnitus expert, swallowing specialist, authority on bone-conduction implants). These terms may suggest superiority to your peers or a specialty certificate (see Standard 4 of the  Advertising Practice Standards).

Sharing your professional learning is a great way to help patients understand your knowledge and focus areas. Just remember to communicate it in a way that’s accurate, transparent, and consistent with CASLPO’s standards.

 


 

Canadian Speech-Language Pathology and Audiology Programs Collaborate on Clinical Placements

Canadian graduate programs in speech-language pathology and audiology have recently finalized a refreshed agreement intended to strengthen support for students completing their clinical placements. This collaboration builds on ongoing efforts to prepare the next generation of professionals in our fields. Five of the 12 universities participating in this national initiative are based in Ontario.

Under this arrangement, the programs collaborate to identify clinical placement opportunities across defined regions. Each university recruits, develops, and coordinates placements within their designated region. When a student requests a placement outside of their school’s catchment, the coordinator for their school follows a process to request support from the corresponding program. This collaborative approach helps ensure that all students have access to practical experiences that enable them to achieve the clinical competence as required by the curriculum. In alignment with this approach, the programs have collaboratively agreed to the implementation of the Canadian Assessment of Clinical Competence (ACC) tool, which focuses on assessing students’ ability to demonstrate integrated, practice-ready competencies.

Currently, nearly one in five CASLPO registrants actively contribute to clinical education in speech-language pathology or audiology programs. As programs expand and the demand for student placements continues to rise, there remains a critical need for clinicians who are committed to shaping the next generation of professionals. Serving as a clinical educator offers an opportunity to share expertise, remain engaged with emerging practices, and make a significant impact on the advancement of the professions.

If you are interested in becoming a clinical educator, we encourage you to connect with an Academic Coordinator of Clinical Education listed below, nearest you. For more information about the placement regions of each university, please contact the university programs.

Contact Information 

 


 

Does Accent Bias Impact Speech and Hearing Care? 

Language development starts in infancy and is shaped by the people in the child’s environment. Because language is closely connected to our ancestry, culture, and place of origin1, the way someone speaks can lead others to make assumptions about them. Accent bias occurs when someone is judged because their speech sounds “different” from what the listener expects2.

Research in Canada shows that accented speakers are often judged as less intelligible, even when objective measures show no difference (Derwing & Munro, 2021; Munro, 2018). Studies also show that accent bias can lead to lower patient satisfaction and trust in health care providers (Canadian Centre for Ethnoracial Equity in Health, 2023). This makes it important for audiologists (AUDs) and speech-language pathologists (SLPs) to recognize how accent bias or accent discrimination can affect clinical decisions and patient care.

How accent bias can affect clinical practice

Accent bias may show up in clinical settings in several different ways:

  • Assumptions about “proper” pronunciation: Clinicians may set goals or interpret results in ways that do not reflect the patient’s actual speech or language abilities. 
  • Challenges for patients using technology: Some devices, such as hearing aids or cochlear implants, may make it harder for some people to understand accented speech. 
  • Impact in confidence: Patients who feel judged or misunderstood because of a perceived accent may lose trust in their provider and feel less satisfied with their care.
Strategies for clinicians:
  • Learn about the linguistic characteristics of your patient or patient populations. For example, “zh” is not a common sound in the English language but is an important sound in Anishinaabemowin (Ojibwe)3.
  • Adapting testing tools and protocols. Standardised tests and treatment protocols may be based on norms that are not reflective of the patient. Consider supplementing them with dynamic assessments. Be aware of the limitations of standardized testing and consider whether the other options, like patient self-reporting, are more appropriate.
  • Support understanding of accent diversity. Reinforce that accents are a normal part of language and can reflect various aspects of a patient's identity.

Communication is a key part of health care. When accent bias or accent discrimination is present, patients may not feel understood or supported by their providers when trying to convey their wishes or reservations4.

Accents are a natural part of communication. By respecting language differences and supporting inclusive practices, clinicians ensure every patient feels understood, respected, and valued. Addressing accent bias is not only good clinical practice, but is also aligned with CASLPO’s commitment to diversity, equity, and inclusion.

CASLPO Resources for Registrants

 


© 2026 CASLPO

© 2026 CASLPO

This website is intended to provide information to the public and registrants. Should there be difference in documentation previously distributed to CASLPO registrants, it is up to the registrant to source the latest version posted on the CASLPO website. Note: the term "member" and "registrant" are used interchangeably throughout CASLPO's website and documents. Both terms are synonymous with "member" as defined in the Regulated Health Professions Act, 1991, the Audiology and Speech-Language Pathology Act, 1991, and the Regulations under those Acts.