{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:32:31Z","timestamp":1788478351777,"version":"build-2803163510"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Clinical competency guidelines promote optimal, safe standard of care. While nationally established clinical competencies exist for burn occupational therapists and physiotherapists, no equivalent frameworks exist for burn speech-language pathologists (SLPs). To address this gap, we developed a burn-specific SLP competency tool. Led by the American Burn Association (ABA) Rehabilitation Committee, an expert panel of burn SLPs, Burn Therapists-Certified (BT-C) clinicians, and a physiatrist implemented a staged process. Current national and international practice guidelines were synthesized through modified Delphi methodology, with expert consensus meetings to create and refine a burn SLP competency tool. The ABA Burn Rehabilitation Therapists Competency Tool served as the model framework. Eighteen multidisciplinary burn clinicians representing 14 burn centers, across 3 countries, refined the burn SLP competency tool. A steering group (5 SLPs, 1 burn physiatrist) identified 103 competency statements spanning 15 core clinical domains. These were presented across 2 rounds of Delphi survey and consensus meetings. The tool was refined with each survey resulting in a final tool comprising 81 knowledge and application competency statements covering 17 domains, tailored to the burn SLP across the continuum of care for adult and pediatric populations. The tool is structured into 2 tiered levels of expertise: level 1: minimum level of specialist skill required to manage a patient with burn injury; level 2: expert level of specialist skill and recognized resource to other SLPs. This initiative has produced the first internationally developed and consensus-based competency tool for burn SLPs. It establishes a standardized reference for SLPs to deliver specialized burn care throughout the acute and rehabilitative continuum.<\/jats:p>","DOI":"10.1093\/jbcr\/irag028","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T09:42:55Z","timestamp":1772098975000},"page":"929-936","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Competencies for the Burn Speech-Language Pathologist: A Multidisciplinary Development and Delphi Consensus Study"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9378-418X","authenticated-orcid":false,"given":"Nicola A","family":"Clayton","sequence":"first","affiliation":[{"name":"Speech Pathology and Burns Unit, Concord Repatriation General Hospital , Concord, New South Wales 2139 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health, University of Sydney , Camperdown, New South Wales 2050 ,","place":["Australia"]},{"name":"School of Health and Rehabilitation Sciences, University of Queensland , Brisbane, Queensland 4072 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0294-8258","authenticated-orcid":false,"given":"Hadley","family":"Regal","sequence":"additional","affiliation":[{"name":"University of Utah Health Burn Center , Salt Lake City, UT 84112 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5412-2244","authenticated-orcid":false,"given":"Tiffany","family":"Mohr","sequence":"additional","affiliation":[{"name":"Warden Burn Center, Orlando Health-Orlando Regional Medical Center , Orlando, FL 32806 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5474-6970","authenticated-orcid":false,"given":"Lori","family":"Arguello","sequence":"additional","affiliation":[{"name":"Center for Speech Pathology, Department of Otolaryngology, University of Texas Medical Branch , Galveston, TX 77555 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3300-3473","authenticated-orcid":false,"given":"Kathleen","family":"Kerr","sequence":"additional","affiliation":[{"name":"Center for Speech Pathology, Department of Otolaryngology, University of Texas Medical Branch , Galveston, TX 77555 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Busch","sequence":"additional","affiliation":[{"name":"Cooperman Barnabas Medical Center Burn Unit, Seton Hall University , Livingston, NJ 07039 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yekaterina","family":"Shemyakin","sequence":"additional","affiliation":[{"name":"University of California Davis Medical Center , Sacramento, CA 95817 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Cappel","sequence":"additional","affiliation":[{"name":"Warden Burn Center, Orlando Health-Orlando Regional Medical Center , Orlando, FL 32806 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Silverberg","sequence":"additional","affiliation":[{"name":"Spaulding Rehabilitation Hospital , Boston, MA 02129 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Webler","sequence":"additional","affiliation":[{"name":"Shirley Ryan Ability Lab , Chicago, IL 60611 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabil","family":"Jabbour","sequence":"additional","affiliation":[{"name":"Speech-Language Pathology, Sunnybrook Health Sciences Centre , Toronto, ON M4N 3M5 ,","place":["Canada"]},{"name":"Department of Speech-Language Pathology, Temerty Faculty of Medicine, University of Toronto , Toronto, ON M5S 1A8 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Ratner","sequence":"additional","affiliation":[{"name":"Speech-Language Pathology, Sunnybrook Health Sciences Centre , Toronto, ON M4N 3M5 ,","place":["Canada"]},{"name":"Department of Speech-Language Pathology, Temerty Faculty of Medicine, University of Toronto , Toronto, ON M5S 1A8 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani","family":"Carisse","sequence":"additional","affiliation":[{"name":"Speech-Language Pathology, Sunnybrook Health Sciences Centre , Toronto, ON M4N 3M5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Nedelec","sequence":"additional","affiliation":[{"name":"School of Physical and Occupational Therapy, McGill University, Villa Medica Rehabilitation Hospital , Montr\u00e9al, Qu\u00e9bec H2X 1C9 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle N","family":"Dwertman","sequence":"additional","affiliation":[{"name":"University of Cincinnati Medical Center Burn Center , Cincinnati, OH 45219 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Parry","sequence":"additional","affiliation":[{"name":"Shriners Children\u2019s Northern California , Sacramento, CA 95817 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Forbes","sequence":"additional","affiliation":[{"name":"Health Sciences Centre Winnipeg , Winnipeg, Manitoba R3A 1R9 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3592-679X","authenticated-orcid":false,"given":"Matthew","family":"Godleski","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Sunnybrook Health Sciences Centre, University of Toronto , Toronto, ON M4N 3M5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"2026050508224847400_ref1","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1097\/BCR.0b013e318220c15a","article-title":"Clinical competencies for burn rehabilitation therapists","volume":"32","author":"Parry","year":"2011","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref2","doi-asserted-by":"publisher","first-page":"e261","DOI":"10.1097\/BCR.0000000000000364","article-title":"Burn rehabilitation therapists competency tool\u2014version 2: an expansion to include long-term rehabilitation and outpatient care","volume":"38","author":"Parry","year":"2017","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref3","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1016\/j.burns.2016.01.011","article-title":"The speech-language pathologist\u2019s role in multidisciplinary burn care: an international perspective","volume":"42","author":"Rumbach","year":"2016","journal-title":"Burns"},{"key":"2026050508224847400_ref4","doi-asserted-by":"publisher","first-page":"1514","DOI":"10.1044\/2022_PERSP-21-00337","article-title":"Speech-language pathology\u2019s role in management of orofacial contractures after a facial burn","volume":"7","author":"Arguello","year":"2022","journal-title":"Perspect ASHA Spec Interest Gr"},{"key":"2026050508224847400_ref5","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.1093\/jbcr\/irae123","article-title":"Managing long-term orofacial contractures and microstomia through intraoral stretching","volume":"45","author":"Arguello","year":"2024","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref6","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1097\/00004630-199211000-00007","article-title":"Advances in burn care management: role of the speech-language pathologist","volume":"13","author":"Williams","year":"1992","journal-title":"J Burn Care Rehabil"},{"key":"2026050508224847400_ref7","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1097\/BCR.0b013e3181bfb907","article-title":"Rehabilitation of speech and swallowing after burns reconstructive surgery of the lips and nose","volume":"30","author":"Clayton","year":"2009","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref8","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1016\/j.burns.2009.12.006","article-title":"The severe burns patient with tracheostomy: implications for management of dysphagia, dysphonia and laryngotracheal pathology","volume":"36","author":"Clayton","year":"2010","journal-title":"Burns"},{"key":"2026050508224847400_ref9","doi-asserted-by":"publisher","first-page":"1599","DOI":"10.1016\/j.burns.2015.04.003","article-title":"Full thickness facial burns: outcomes following orofacial rehabilitation","volume":"41","author":"Clayton","year":"2015","journal-title":"Burns"},{"key":"2026050508224847400_ref10","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1016\/j.burns.2015.02.015","article-title":"Orofacial contracture management outcomes following partial thickness facial burns","volume":"41","author":"Clayton","year":"2015","journal-title":"Burns"},{"key":"2026050508224847400_ref11","doi-asserted-by":"publisher","first-page":"e204","DOI":"10.1097\/BCR.0000000000000351","article-title":"Orofacial contracture management: current patterns of clinical practice in Australian and New Zealand adult burn units","volume":"38","author":"Clayton","year":"2017","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref12","doi-asserted-by":"publisher","first-page":"1997","DOI":"10.1016\/j.burns.2018.07.010","article-title":"Dysphagia in older persons following severe burns: burn location is irrelevant to risk of dysphagia and its complications in patients over 75 years","volume":"44","author":"Clayton","year":"2018","journal-title":"Burns"},{"key":"2026050508224847400_ref13","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1007\/s00455-020-10098-y","article-title":"Influence of inhalation injury on incidence, clinical profile and recovery pattern of dysphagia following burn injury","volume":"35","author":"Clayton","year":"2020","journal-title":"Dysphagia"},{"key":"2026050508224847400_ref14","doi-asserted-by":"publisher","first-page":"2084","DOI":"10.1016\/j.burns.2024.07.032","article-title":"Swallowing impairment in older persons following burn injury: validation of incidence and predictive factors for dysphagia","volume":"50","author":"Clayton","year":"2024","journal-title":"Burns"},{"key":"2026050508224847400_ref15","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1016\/j.burns.2016.07.006","article-title":"Intensive swallowing and orofacial contracture rehabilitation after severe burn: a pilot study and literature review","volume":"43","author":"Clayton","year":"2017","journal-title":"Burns"},{"key":"2026050508224847400_ref16","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.aucc.2021.03.003","article-title":"The addition of respiratory muscle strength training to facilitate swallow and pulmonary rehabilitation following massive tissue loss and severe deconditioning: a case series","volume":"35","author":"Clayton","year":"2022","journal-title":"Aust Crit Care"},{"key":"2026050508224847400_ref17","doi-asserted-by":"publisher","first-page":"S20","DOI":"10.1016\/j.aucc.2024.07.060","article-title":"Early dysphagia rehabilitation in critical care: a pilot study of feasibility, safety and effectiveness of a strength-based dysphagia treatment protocol for patients with ICU acquired weakness","volume":"37","author":"Clayton","year":"2024","journal-title":"Aust Crit Care"},{"key":"2026050508224847400_ref18","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1097\/BCR.0b013e3181b487e0","article-title":"The challenges of dysphagia management and rehabilitation after extensive thermal burn injury: a complex case","volume":"30","author":"Rumbach","year":"2009","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref19","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1097\/BCR.0b013e318231c126","article-title":"Incidence and predictive factors for dysphagia after thermal burn injury: a prospective cohort study","volume":"32","author":"Rumbach","year":"2011","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref20","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1016\/j.burns.2013.09.020","article-title":"Validation of predictive factors of dysphagia risk following thermal burns: a prospective cohort study","volume":"40","author":"Rumbach","year":"2014","journal-title":"Burns"},{"key":"2026050508224847400_ref21","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1179\/2050572814Y.0000000057","article-title":"Speech-language pathology services in Australian and New Zealand paediatric burn and chemical ingestion injuries","volume":"18","author":"Follent","year":"2015","journal-title":"Speech Lang Hear"},{"key":"2026050508224847400_ref22","doi-asserted-by":"publisher","first-page":"e0304651","DOI":"10.1371\/journal.pone.0304651","article-title":"Delphi studies in social and health sciences\u2014recommendations for an interdisciplinary standardized reporting (DELPHISTAR). Results of a Delphi study","volume":"19","author":"Niederberger","year":"2024","journal-title":"PLoS One"},{"key":"2026050508224847400_ref23","doi-asserted-by":"publisher","first-page":"120484","DOI":"10.1016\/j.techfore.2020.120484","article-title":"Consensus in the Delphi method: what makes a decision change?","volume":"163","author":"Barrios","year":"2021","journal-title":"Technol Forecast Soc Change"},{"key":"2026050508224847400_ref24","doi-asserted-by":"publisher","first-page":"2230","DOI":"10.1016\/j.sapharm.2021.06.027","article-title":"\u201cMore of an art than a science\u201d? The development, design and mechanics of the Delphi technique","volume":"18","author":"Drumm","year":"2022","journal-title":"Res Soc Adm Pharm"},{"key":"2026050508224847400_ref25","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1016\/j.jclinepi.2018.10.011","article-title":"The Delphi method\u2014more research please","volume":"106","author":"Humphrey-Murto","year":"2019","journal-title":"J Clin Epidemiol"},{"key":"2026050508224847400_ref26","volume-title":"Strategic Plan","author":"American Burn Association"},{"key":"2026050508224847400_ref27","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1093\/jbcr\/irac124","article-title":"The current state of burn therapy certification","volume":"43","author":"O'Neil","year":"2022","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref28","volume-title":"Burn Therapist Certified","author":"American Burn Association"},{"key":"2026050508224847400_ref29","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1093\/jbcr\/irz150","article-title":"Systematic review and expert consensus on the use of orthoses (splints and casts) with adults and children after burn injury to determine practice guidelines","volume":"41","author":"Parry","year":"2020","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref30","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.burns.2015.10.007","article-title":"Clinical practice recommendations for positioning of the burn patient","volume":"42","author":"Serghiou","year":"2016","journal-title":"Burns"},{"key":"2026050508224847400_ref31","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1007\/s00455-006-9071-2","article-title":"Management of dysphagia in toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS)","volume":"22","author":"Clayton","year":"2007","journal-title":"Dysphagia"},{"key":"2026050508224847400_ref32","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1093\/jbcr\/irz030","article-title":"Ablative fractional resurfacing in acute care management of facial burns: a new approach to minimize the need for acute surgical reconstruction","volume":"40","author":"Clayton","year":"2019","journal-title":"J Burn Care Res"},{"key":"2026050508224847400_ref33","volume-title":"A Taxonomy for Learning, Teaching and Assessing: A Revision of Bloom\u2019s Taxonomy of Educational Objectives","author":"Anderson","year":"2001","edition":"Complete"},{"key":"2026050508224847400_ref34","doi-asserted-by":"publisher","first-page":"e32829","DOI":"10.1097\/MD.0000000000032829","article-title":"Use of Delphi in health sciences research: a narrative review","volume":"102","author":"Shang","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"2026050508224847400_ref35","first-page":"1","volume-title":"Utilizing and adapting the Delphi method for use in qualitative research","author":"Brady","year":"2015"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irag028\/67127692\/irag028.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/47\/3\/929\/67127692\/irag028.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/47\/3\/929\/67127692\/irag028.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:22:55Z","timestamp":1777983775000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/47\/3\/929\/8499321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,26]]},"references-count":35,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,2,26]]},"published-print":{"date-parts":[[2026,5,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irag028","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"value":"1559-047X","type":"print"},{"value":"1559-0488","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,2,26]]}}}