What is it about?

This study looks at how future speech-language pathologists and audiologists are taught to work with people from different backgrounds. The authors searched thousands of research papers from around the world and identified 28 studies that contained original data about how students learn to provide inclusive care. They followed PRISMA guidelines in doing this which is, an international standard for conducting systematic reviews. They found that most programs still rely on a “cultural competence” approach, which teaches students facts about the diverse populations they may serve. While helpful for awareness, this approach often stops short of exploring how power, privilege, or social inequality affect communication and access to care. Few programs used approaches that focus on cultural humility and responsiveness. These approaches encourage students to think about their own experiences and how their backgrounds and beliefs can shape the way they view and work with others. These approaches also help students understand the broader social issues that affect the people and communities they serve, and to take action to make sure everyone has fair access to care that respects their differences.

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Why is it important?

As the U.S. population becomes more linguistically and culturally diverse, speech-language therapists must be prepared to provide care that meets the needs of all clients. The study suggests that how diversity is discussed and taught influences the kind of professional students become. It calls for rethinking how we educate future clinicians—so they grow into professionals who are not only knowledgeable, but also thoughtful, open-minded, and committed to fairness and inclusion in their work.

Perspectives

Writing this article was a deeply rewarding experience. It involved close collaboration with a librarian who guided us through every step of the systematic review process, a skill that requires care, precision, and patience. Systematic reviews are becoming increasingly important in our field because they bring together all available studies to reveal patterns and guide best practices. With so much information now available, especially in the age of AI, learning how to interpret evidence thoughtfully, understanding not just what we do, but why, is what separates a master clinician from someone who simply applies knowledge at the surface level. This work also matters to me because it looks at diversity in its broadest sense, not only from the lens of culture or language, but also ability, gender, and the social expectations that shape how people communicate and participate in society. Everyone with whom speech-language therapists work brings a unique perspective and deserves care that recognizes their individuality and dignity. Finally, conducting this review was an incredible learning journey. It reminded us that good research is about collaboration, humility, and curiosity. We hope this paper encourages others in our field to see systematic reviews as powerful tools for evaluating the foundations of our teaching ideas and exploring new perspectives and rationales for educating in health professions.

Reem Khamis
Long Island University

Read the Original

This page is a summary of: The Underlying Ideologies, Theories, and Designs of Culturally Responsive Speech-Language-Hearing Sciences Education Programs: A Systematic Review, American Journal of Speech-Language Pathology, October 2025, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2025_ajslp-25-00072.
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