Welcome to Systems Literacy 101. In this episode, we step out of the social media noise and into the architecture of speech-language pathology, tracing how authority moves from accreditation to certification to licensure, and where responsibility begins and ends.

We explore:

• Why accreditation (CAA) and certification (CFCC) were legally required to separate (and what that changed).
• How ASHA’s leadership structure evolved, including why academic representation dominates and why executive stability is often cited as exceptional.
• Why state licensing boards (not national associations) hold the only enforceable regulatory power.
• How the interstate compact is stress-testing existing structures and quietly embedding national standards into state law.

Sources:

• ASLP-IC
• Malone, R. (1999). The first 75 years: An oral history of the American Speech-Language-Hearing Association. American Speech-Language-Hearing Association.
• Council for Clinical Certification in Audiology and Speech-Language Pathology
• Council on Academic Accreditation

Connect:

• Contact Megan: therapyinsights.com/insideslp
• PACT Survey: pactsurvey.com