Sunday, July 12, 2009

FAQ- TLTR for most people.

Occasionally I get questions regarding traveling. Often it's from a graduate student, but occasionally it's from someone who has a permanent job and feels curious about the differences between traveling and permanent status. My usual response is to write an email to them if they've left an address- but I guess I could just refer them to this link for the most common questions!

Honestly, I'm too lazy to dig up the emails I've had over the last 3 years, but I'll summarize the most frequently asked questions. I'll still answer any specific questions one may have about traveling, but here's the general gist.

1. I'm a graduate student- would you recommend a traveling position for my CF year?

Absolutely not. There are multiple reasons for that strong answer. First of all, contracts don't really want to train you. They expect you to come in the door knowing how to be a Speech Language Pathologist. They want to train you in how to do their paperwork system, where the bathrooms are, and anything else specific to that place of employment. You would do better receiving the experience of a CF from a permanent placement. I'd recommend completing your CF, then working at that same location for at least a year, 2 if possible, before heading out on the road. I strongly recommend teaching hospitals because of the general excitement towards learning that prevail there.

Afterall, you'll often be required to be THE swallowing and communciation expert at a contract. You are representing all SLPs everywhere at that contract. You'll be the first impression into our profession many times. You don't want to be a false expert or a crappy therapist. Inadequate training harms our professional integrity and I would never recommend pretending to know more that you actually do know. A strong foundation will allow you to be an excellent therapist to all your patients- no matter how long you are with them.

I'm embarrassed to share how many times I hear awful stories regarding the contract Speech Therapist my contracts dealt with before. Let's just say the bar isn't set real high for me in many of my contracts. I strive to be the best, most knowledgeable person at my place of work in the areas of Swallowing and Communication. I'm proud to be an SLP and I cringe to know how many bad contract SLPs are floating around out there. Rant over. Get trained, then get traveling, in that order please.

2. How long are contracts?

Usually 13 weeks, though I often will extend. Every contract I've had has asked me to extend my contract. I'm still in this for the traveling and varied experience, so I've never extended past 6 months. If you extend 12 months- there's some tax stuff that starts to occur so it's not recommended. Anyways, if you are extending 12 months, why not just settle in and make it a permanent relationship???

3. Is pay better?

I've found it to be about the same size pay check ( a little bigger?) but the perks are pretty lucrative. I don't pay for my housing (they tell me where to live and I arrive- everything is set up for me down to the shower curtains!) I don't usually pay for my utilities. I get tax credits for gas and phone. Sometimes I even get free cable! My disposable income is pretty high- I'm able to put sizable chunks into savings. If you are saving up for a house or paying off debt- traveling is a great way to do it relatively quickly.

Companies take about half of your money- but you don''t know what they actually charge the "client" so you don't miss it. They do make a good amount of money from you- but they get to do all the stress of finding interviews, writing contracts, and finding your housing.

4. Do you interview for each job?

My resume is sent by my company and a phone interview comes from anyone who's interested. Phone interviews are fun- they can be completed in your pajamas! I usually have my resume in front of me during the interview because it's embarrassing to be asked when you worked last with a certain population and in the stress of the moment you forget which contract you completed where and when! I also take a lot of notes during the interview. Usually I'll have 2-5 interviews in a week (usually a few weeks before the end of my current contract) and I'll decide by Friday which one I'll accept. On the client side, they talk with you and give your company an "offer" or they'll say "no thanks".

5. What companies have you worked for?

I'm currently with Core Medical Group and I like working with them. Contact me if you want me to "recommend you". We'll talk. And yes, I get a bonus for referring you. :-) But I do like working with Core. I worked with Medical Staffing Network for one contract and I didn't like how they dealt with my need to get CEUs (they made me cover costs for both my conference AND for housing costs on the days I had to take off!!!). I would not recommend them based on their poor tolerance for continuing education. I worked for Sunbelt Staffing for over a year. I loved these guys- small company with really great people. I spent quality time with them during the ASHA conference in Miami, FL and they were super. The only reason I'm not still working with them is that they started offering me too many school contracts and I'm a hospital and rehab therapist. I'll work in a school once in a while, but I really thrive off of rehabilitation. If you go with Sunbelt- Julie Cole was a superb rep.

Benefits vary from company to company. Core offers an incentive trip (go read about my Mexico posts from March 2009). Sunbelt offered CEU money and paid vacation time. MSN- who knows- I didn't work with them long enough to accrue anything.

Whichever contract company you work with- talk to several and get a feel for them. Pick a rep who has a similar organizational style to you. Be organized, write things down and for goodness sake--- READ YOUR CONTRACTS CLOSELY EVERY TIME. Don't sign until you are happy with it. I've only ever had to recommend a few changes over the years. Usually it's to add some parking money for city assignments or guarantee 40 hours (necessary to work at least 35 to keep most benefits).

6. Why do traveling therapy?

Everyone has reasons. You can save up money. You get to see different areas of the USA. You get to see various styles of leadership and organization by moving employment locations every 13 weeks. You get exposed to many therapy styles. You learn there are multiple right ways of doing things. You meet lots of people (I overcame a lifelong shyness on my journeys!) You can take lots of pretty pictures. You can taste the food from many ethnicities, live in many different styles of apartments, and try out lots of churches and gyms. I've met travelers who are running from exes, or seeing the world, or just making money. There's no wrong or right reason to travel. Just be the best therapist you can in each location and take full advantage of every hour of every day exploring your new digs.

7. Any further recommendations?

Become organized. Put your stuff in storage. Get the experience you need to be a good therapist and then travel. Keep doing your CEUs to keep yourself updated in the profession.

Pick a location that you will call "home base". Mine is my parents' home. I visit them between assignments if possible. At home base, I have a dentist, a hair stylist, and my storage facility. My boxes that I get into are labeled: "Therapy material for adults", "Therapy material for kids", "Winter clothes", "Summer clothes", "camping equipment", "resource books". That way I can just grab the entire box before heading out to my assignment based on the season and patient population.

If I get sick on an assignment I asked coworkers who their doctor is and then I look it up to see if they are a provider for my PPO- most are. I'm rarely sick- but it has happened. You'll need to see a doctor for an annual checkup anyway (required for most companies). Urine tests are also required by most assignments- they pay for it. Don't do drugs, man. :-) And don't be insulted- they don't know you from the man in the moon so just let them be careful.

Let go of the stress. You will have to complete paperwork last minute ("Gee, the client needs you to fill this out immediately and fax it back!"). You will not know where your next contract will be more than a month in advance. You will not know your new address sometimes until the day you move in (with two of my contracts, and two different companies, I've driven into town not knowing exactly what address I'm heading to- it always works out!) If this scares the crap out of you, then maybe you NEED to travel so you can get over it! :-) There's a certain adrenaline high one gets each time they start a new contract. There's a sense of excitement to walking into a contract or town without knowing exactly what you will have to deal with. You learn to go with the flow and develop a sense of blowing in the wind. I don't stress about that stuff. Housing is not my responsibility. Nothing in employment is so horrible you can't deal with it for 13 weeks. Do what you can do- then walk away from the bad ones. If you get into a situation where they ask you be be unethical- walk away sooner. No GOOD company will prevent you from ending a contract for ethical issues.

In closing: I love traveling. I won't do it forever. I miss building relationships between myself and the doctors. I miss seeing how my patients are doing months and years after I've worked with them. I miss planting professional and personal roots. I miss being in the church choir! I'll be done in the next year or so and I'll have loads of pictures and relationships from across the nation. I'll have done something cool in my life. I have the pictures to prove it.

If there are further questions- post them here. I'll answer in the comment section!

24 Comments:

Blogger Lucky Bob said...

Awesome post. I have seen you grow a lot over the past few years. Looks good on you.

13 July, 2009  
Blogger Rambling Speech said...

Awwww. Shucks. Thanks Lucky.

13 July, 2009  
Anonymous Adam said...

As a starting grad student, i am really excited about the field. this was very fascinating, thanks for all the advice you posted.

I have one question though: you said that the pay is about the same, so you can travel and save up to buy a home, etc... THen you mentioned that the company you work for keeps half the money. Please clarify this seeming contradiction . For example, if a person not traveling can work in a hospital as an SLP and they would pay lets say $70K/year, then as a traveling therapist it would also be $70k a year? or would it be half ($35k)? thanks so much!

16 July, 2009  
Anonymous Adam said...

Thanks so much!! I didnt mean to pry on your personal situation, I just wanted a general understanding of how it works.

So thanks for the info!!

20 July, 2009  
Anonymous Anonymous said...

Hey just read some of your posts. Very interesting and informative. I am currently pursuing a post bacc degree thru Utah State in Comm Disorders. My intent is to get this work as SLPA for a year or so and then go for Masters. Do you think is a good idea? What are your experiences with SLPAs in the field? Any info appreciated. I am in my late 40s and feel I need to work and don't think can afford to take couple of years to go to grad school that's why thought of another degree and working as SLPA might work for me. Thank you and Happy Trails...

04 August, 2009  
Blogger Rambling Speech said...

Hey Fulwood- read your live journal article as well but I don't have a live journal so hope you check back!

I haven't worked with a lot of SLPAs. Check the job market and make sure there are jobs out there-- I was under the impression that this degree was being phased out. I may be wrong. They may use them in schools still- but not either of the schools I've worked in.

Check into grad programs that accept non-SLP undergrads. I was not a SLP undergrad- I had a Psychology degree. I had to take 3 "pre" courses in the summer from my grad program and then joined the main class in the fall. 3 years later I was in the field.

Some grad programs are only 2 years-- some longer. Contact the graduate program and ask about working/studying- some programs have jobs within the department that they fill with grad students and you may be perfect for that combination- work AND get your degree.

Check back and keep me informed. I'm doing a bit of the same research- except looking towards Ph.D.- not sure about that path, but I'm trying to figure out what I want to do after the adventures. I'm hoping to head to the national conference in November and collect info- that's the general plan.

Good luck!

04 August, 2009  
Anonymous Anonymous said...

Hey Rambling speech, thanks for your input - it is really appreciated. I am still somewhat torn but going to take classes the Fall thru Utah State. I have taken a Phonetics class and Language Speech and Hearing class. In Fall taking a classes in Disorders of Articulation and Phonology, Anatomy Fundamentals for Speech and Language and also Language Science. May only take 2 classes so I can study and take GRE.I list all the classes as I figure even if I do go to grad school they are classes that can only be of benefit to me.One questions I would have is do you know or can you recommend any grad programs on East coast as that is where I wish to relocate to. Thank you so much..

13 August, 2009  
Blogger Rambling Speech said...

I'd have recommended Medical University of South Carolina, but I understand funding has forced closure of that program.

University of South Carolina has a solid program.

Miami of Ohio had a good program- not sure the status of it nowadays- but that's where my aunt graduated from.

I've heard good things about the University of Florida program as well.

Google SLP programs and keep asking around. I'll keep an eye out at ASHA and will post end of November if I find any more info out for you!

14 August, 2009  
Anonymous Anonymous said...

Rambling speech, thanks ever so much for writing to me. it's great and so beneficial to get advice from someone actually working in the field. As I still make my choice whether to pursue my post bacc thru USU or just apply for grad school - have a couple more questions..1) is it beneficial for me to join my local AZ chapter of ASHA (think it's the student body of that organization), 2) how do I gain experience in the field, I am seriously thinking of only taking 2 classes this semester, studying for GRE. I am concerned as not sure whom would use for references as graduated from ASU in 2005. I am 47 so think bring certain things to table that maybe educationally lacking. Undergrad GPA is 3.58 which is so so, worked with autistic children before, worked semester as paraeducator w/2nd graders. how do I make myself stand out in light of no volunteer or work experience in speech patholog? thanks and sorry for "rambling" on so muchy..

23 August, 2009  
Blogger Rambling Speech said...

Fulwood: I was pondering what I did back when I was choosing a grad school. There were two in-state and I remember contacting them. They both had different entrance requirements and intern opportunities. I would call the grad school you are thinking about and see if they can give you some advice and information.

I also volunteered for a summer with a local nursing home and asked if I could help the speech therapist. That was one of my references. If you have a local nursing home, and the therapist is fine with you coming to "observe" or "volunteer" that would probably be nice. It could even be once a week. I did a lot of copying and digging through therapy material for my SLP- and got to be a third wheel during sessions. It was great experience and a good time too just getting to know the residents. If you like kids- maybe ask one of the local schools if you can volunteer? With your past experience you could be useful in a special education classroom and that could offer you a reference. Any of your professors now might be a possible reference. VA hospitals usually love volunteers as well. It's sometimes a headache to get all the clearances to volunteer- but it really is rewarding and gives you an opportunity to see an SLP in action.

As for joining the AZ chapter of ASHA- depends on the student organization and how active they are. I never joined mine, sadly enough, but it was because they never DID anything. I could have gotten some discounts to conferences, but that was the only benefit and I paid my way through grad school- pinched pennies whenever possible. I attended a local chapters of laryngectomy support group instead and helped out at a few of their events. Contact the AZ organization and see what they offer.

Good luck! I'm sorry I'm not more helpful- things change (I entered grad school in 1999) and are different depending on the area. Hope I gave you some ideas on where to start!

23 August, 2009  
Anonymous Anonymous said...

Yet again you were very helpful. please dont apologize. I do get really torn between finishing this second bach degree and just going to grad school. Your idea of the laryngectomy (sp?) was a super idea. I really do think even though I do not really want to I should just take 2 classes this semester, study and take GRE and volunteer. I do have another question though. which of following 2 classes are more beneficial. I am taking a) Language science (study of syntax and morphological properties of speech), b) Anatomy of the Speech mechanism, c) Disorders of Articulation. I think ALL are beneficial but if had to drop one the Language Science? just wondered what your advice would be. until I find grad program might as well take some classes.. Thank you and so sorry to bother you..Regards,

24 August, 2009  
Anonymous Leah said...

Just discovered your blog today. I'm a grad student interested in eventually doing home health. How is your caseload in regards to the variety of disorders you see with this population? Also, what recommendations would you have for me as far as preparing to work in HH? Thanks!!

11 September, 2009  
Blogger Rambling Speech said...

Good questions Leah.

On my caseload right now: CVA, brain tumor, normal pressure hydrocephalus status post shunt, agraphia unknown etiology, deconditioning, damage from prolonged oral intubation, MS, Myasthenia Gravis, Parkinson's disease, Alzheimer's dementia. Weirdest stuff I ever saw in home health: paralyzed vocal cord in a 3 week old infant after heart surgery, angelman syndrome, head injury from a tire blow out (guy changing the tire- the rim blew and took out both his eyes and his frontal lobe). Pretty much- anything that allows a person to go home with it. Some Home health agencies only work with the very young or very old and others offer services from womb to grave.

My best tools in home health: sadly, my iphone (google, calculator, timer, decibel meter, stopwatch, and word twist), my dashboard GPS (Garmin - there's only been 3 times I haven't been able to find a home with it), and a folder of basic patient information regarding swallowing (overview, strategies, exercises, diet suggestions), voice (strategies, exercises), how to talk to a patient with aphasia, and a pad of blank duplicate papers where I can freehand anything else but keep a copy for myself to keep track of what I've handed to them already. I use a small notebook to keep track of my addresses (in the back) and milage/schedule (in the front). I have a few basic workbooks- but I try to look around the house and use magazines, ads, newspapers, mail, whatever is there in the house and work towards the goals with it. Good results- good generalization of skills because I'm using things from the patient's immediate environment.

Good luck!

12 September, 2009  
Anonymous Anonymous said...

Hey!! Love your blog. Question. As a traveling therapist you are required to have a "homestead" aka perma address for tax purposes. Do you need to be a contributing member to this household (rent?). I was told I need to be paying at least 250 per month to prove I am a contributing member to my household...which would be my parents address. The person who told me is a traveling PTA. Is she giving me wrong info? Or should I just set up an appointment with a specialty tax person for definite answer?

29 December, 2010  
Blogger Jamela said...

Hi Rambling Speech,
I have the same question Adam had, basically, but I don't see your answer to him - so I'm assuming you emailed him privately. I am thinking of taking a travel position. I'd like to pay off debt. So, the main reason I'd do this would be for the money, and secondly for the adventure. I'm married but my hubby is all for me taking a contract job if it would help us get rid of our debt. He would have to stay home, though, so it would be a challenge to be apart. I really need to know if the money would be worth it. If you would earn say, $1500 a week after taxes, does that mean the company would take half?

I'm really enjoying reading about your travels! Thanks!

15 March, 2011  
Blogger Rambling Speech said...

Jamela- I probably did write Adam back on email. Basically, you get paid per hour. If you are maintaining a house, or paying fair rent (I'm guessing you are since your husband will maintain a house of some sort) then a great chunk of your pay is tax-free. That's where you get good money. I made on average between $1000-1800 per week. When I say they take "half", I mean it-- but that's my total AFTER they take half (and after taxes). I saw my rate one time- it was $65/hour at this particular place-- but I was only taking home $35/hour. The company took the difference. You don't ask what your rate is- you just take the pay check. The difference is being paid for housing, job searches, salaries of the people at the company who do all your paperwork/searching/etc. That's why you let them stress as much as possible and you let yourself relax. Your job is to do a good job- and interview well over the phone. Their job is to keep you employed so they make money off of you! It's a fair trade most of the time. Good luck! It was a lot of fun traveling! There are couples who do it- you have to travel over 50 miles from your own dwelling to get tax-free money so keep that in mind when choosing a job. Go 55 miles away instead and come home on the weekends to hubby! :-)

15 March, 2011  
Anonymous Anonymous said...

What is the pay difference between school assignments and say senior nursing facilities?

01 August, 2011  
Blogger Amanda said...

I am so excited I found this blog. It appears that this chapter has closed but I appreciate you taking the time to chronicle it while you were in it! I am a graduate student finishing up in 2012 and this is such a great resource!Thanks!

18 September, 2011  
Blogger Unknown said...

This comment has been removed by a blog administrator.

08 July, 2014  
Blogger Unknown said...

Thank you so much for that great information!

Quick question. Is it unadvisable to go through a contracting agency if you do not plan on traveling, but plan on staying in one place for 1 1/2 to 2 years? I am going to be done with my graduate program in May, and am hoping to find a placement in a specific city. I saw a job posting with sunbelt staffing (Julie Cole as the rep)..

29 November, 2014  
Blogger Rambling Speech said...

Call Julie cole and ask. She's wonderful- she was my rep. I stopped in 2010- I hear all the rules have changed. Julie would give you a straight answer.

29 November, 2014  
Anonymous Anonymous said...

I know this was written a long time ago but I just found it and I feel like this is the only helpful thing I found on traveling speech-language pathologists. I was wondering where do you travel? Is it only inside of the US or is it international because I also speak Spanish so I don't know it that would affect my locations in the future

21 March, 2016  
Blogger Unknown said...

I'm starting travel therapy in April/May and this helped a lot! Now I have more questions I can ask and tips to prepare, thanks!

03 February, 2017  
Blogger Kara said...

Did you always have the company choose your housing and pay for your housing or did you choose the stipend option? Thank u!

17 February, 2017  

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