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The lack of CP\u00b1L courses has resulted in a global shortage of well\u2010trained SLPs to deliver high\u2010quality services to this population. Therefore, alternative training formats are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to assess the training needs of Flemish speech and language pathologists (SLPs) working with children with CP\u00b1L by examining: (1) their current employment situation, experience and perceived competence regarding CP\u00b1L; (2) their preferences for the content, sources and organisation of continuing education on CP\u00b1L and (3) potential incentives and barriers to attend continuing education on CP\u00b1L.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Procedures<\/jats:title>\n                    <jats:p>\n                      A self\u2010constructed online survey in Qualtrics\n                      <jats:sup>XM<\/jats:sup>\n                      , based on existing literature, was utilised. The study employed a descriptive, quantitative approach, supplemented with open\u2010ended questions to enrich and deepen the quantitative data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Results<\/jats:title>\n                    <jats:p>The 158 respondents had a mean work experience of 10 years, a median of 7 years and a mode (most frequently occurring value) of 5 years. Of these 158 respondents, 132 (83.5%) were young SLPs with professional experience ranging from 0 to 15 years. Of these, 53.8% (85\/158) had previously treated one or more children with CP\u00b1L, of whom 71 (83.5%) had a caseload of 0\u20133 children within the last 5 years. The mean caseload for the 85 SLPs with experience was 4.74 cases, with a median of one child and a mode of one. Of the 85 respondents with experience, 9.4% (8\/85) felt highly competent in treating feeding problems, while 58.8% (50\/85) felt highly capable in treating speech and language problems. However, 60% (95\/158) of the SLPs would refer children with CP\u00b1L, especially when having feeding problems or severe speech and language problems, such as compensatory articulation disorders (CADs) or submucosal cleft, as they feel a lack of competence. Two\u2010thirds (63.6%, 96\/151) of the respondents who answered this question expressed a desire for continuing education in the assessment and treatment of children with CP\u00b1L.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Implications<\/jats:title>\n                    <jats:p>Although many Flemish SLPs perceived themselves as highly competent in treating speech and language problems in children with CP\u00b1L, they reported a lack of competence in treating complex or severe cases. They expressed a strong demand for specific, highly practical continuing education on CP\u00b1L, taught by experts in the field and with personal guidance. Based on the existing literature, our experience with CP\u00b1L and the results of this survey, we developed a continuing education programme on CP\u00b1L as an alternative educational format, tailored to the needs of Flemish community SLPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on the subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Treating children with CP\u00b1L is complex and requires high\u2010quality care from specialised SLPs with sufficient clinical experience. However, there is a global trend to reduce dedicated coursework on CP\u00b1L in SLP training programmes. Instead, the subject is often briefly covered in general courses or offered as an elective. As a result, there is a shortage of well\u2010trained SLPs, creating an urgent need for alternative training formats.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this paper adds to the existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This study reveals that Flemish Community SLPs feel insufficiently trained to assess and treat children with CP\u00b1L who exhibit complex or severe problems, such as feeding problems, compensatory articulation disorders (CAD), velopharyngeal insufficiency or submucosal cleft palate. They have a strong need for theoretical knowledge and practical continuing education, preferably provided by experts in CP\u00b1L. They want a 1\u2010day or multi\u2010day training course that utilises extensive video footage, personal coaching, opportunities to observe experts and even an internship. Additionally, they want an online platform to collect and disseminate all knowledge and expertise.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the potential or actual clinical implications of this work?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Given the global decline in specific CP\u00b1L courses in SLP programmes, SLPs feel inadequately prepared to assess and treat these children correctly. This increases the risk that no results will be achieved or that undesirable results will occur. To prevent this, alternative training formats are needed. Based on this needs analysis, a training programme was developed for community SLPs, tailored to their needs to enable them to provide high\u2010quality speech therapy services.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70203","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T14:16:57Z","timestamp":1770646617000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Addressing Competence and Educational Gaps Among Speech and Language Pathologists in Cleft Palate Care: A Cross\u2010Sectional Study in Flanders"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0339-479X","authenticated-orcid":false,"given":"Mie","family":"Cocquyt","sequence":"first","affiliation":[{"name":"Department of Public Health, Mental Health &amp; 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