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- The Wave | November 2025
The Wave | November 2025 Issue
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:

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.
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.
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.

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.
These updates reflect valuable feedback from registrants and advisory groups, ensuring the standards are practical, clear, and supportive of safe, high-quality care.
Contact the Practice Advice Team with any questions.
med helps strengthen professional practice and accountabilityWhether 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
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.
CASLPO v. Bozzo, 2025 ONASLPDT 2
Decisions released January 23 and April 4, 2025
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.
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.
Reminder: Join our December 3rd E-Forum on Addressing Ableism in HealthcareThere’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:
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.
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 PlacementsCanadian 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.
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.
Accent bias may show up in clinical settings in several different ways:
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.