During the Clinical Fellowship (CF) year, Speech Language Pathologist CFs work under the direct supervision of a licensed and certified SLP, who provides regular feedback, mentorship, and performance evaluations. Supervisors observe therapy sessions, review documentation, and offer guidance to help CFs develop their clinical skills and meet required competencies. This supportive structure ensures new practitioners gain confidence, enhance their abilities, and fulfill the requirements needed to obtain full certification, such as the ASHA Certificate of Clinical Competence. Most settings encourage regular meetings and open communication between CFs and supervisors to foster professional growth. Team collaboration and ongoing learning are emphasized, setting a strong foundation for career advancement in the field.