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Course Description & Learning Outcomes

The majority of this course content is focused on issues related to ethics as defined by ASHA (see Approved Course Content).  The focus of this course is the navigation of ethical relationships, professionalism, and related ethical considerations.  This course may count towards ethics certification maintenance requirements.

In this episode we had the pleasure of welcoming AC Goldberg, Ph. D. CCC-SLP and Barb Worth, MS, CCC-SLP to walk us through the critical work that is cultural responsiveness training for transgender and gender non-conforming (GNC) individuals.   While gender aligning voice modification is something that is within the scope of practice of a speech and language pathologist, it is imperative to do the work of cultural responsiveness first before engaging in the clinical work.   Cultural competency is a piece of our clinical practice that should be continually changing and evolving, and without it we cannot effectively create safe spaces or provide effective clinical services.  Through engaging in active allyship, changing your language and your perspective, you can create a true safe space and transform your encounters with transgender/gender nonconforming students, campers, patients and clients. 

AC is a speech and language pathologist and person of transgender experience and Barb has a decade of experience working with the T/GNC population.   You can learn more about AC and Barb here.  

This course is offered for .15 ASHA CEU: Introductory Level, Related Area, Subject Code: 7070 Ethics and Ethical Decision Making

Learning Outcomes

1. Identify ASHA policy and resources, as well as federal legislation guiding inclusion and service provision to gender diverse populations.

2. Describe appropriate workplace/educational practice policies and processes for inclusivity of gender diverse populations

3. Provide two clinical recommendations for successful and ethical service delivery for patients, clients and students regardless of gender presentation.

Course Presenters

SLP/BCBA; SLP Kate Grandbois (she/her) & Amy Wonkka (she/her

Kate and Amy are co-founders of SLP Nerdcast. Kate is a dually certified SLP / BCBA who works primarily as an "AAC Specialist." She owns a private practice with a focus on interdisciplinary collaboration, augmentative alternative communication intervention and assessment, and consultation. Amy is an SLP who also works as an "AAC Specialist" in a public school setting. Amy's primary interests are AAC, typical language development, motor speech, phonology, data collection, collaboration, coaching, and communication partner training and support.

Barbara F. Worth MS, CCC-SLP (she, her, hers)

Barb is a faculty member at Emerson College in Boston, MA. For over 25 years she has been a medical speech-language pathologist and voice specialist and over the past ten years has focused her work in the area of gender-affirming voice modification. Barb is passionate about teaching and training graduate students and the next generation of SLPs. When not in the clinic or classroom, Barb can be found dreaming about her first post-COVID trip to some amazing beach destination!

AC Goldberg, Ph. D., CCC-SLP (he, his,him)

AC began his career in hospitals where he faced various forms of workplace discrimination due to his transgender status. For the past 16 years, he has been a school clinician, specializing in pragmatics and working with adolescents with complex neurological profiles. AC is dedicated to ending the mistreatment and discrimination transgender/gender nonconforming people face in educational, medical and clinical settings. He offers cultural responsiveness, safe space and active allyship trainings for all healthcare professionals and educators.

Speaker Disclosures

Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast.  Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. 

Amy Wonkka financial disclosures: Amy is an employee of a public school system and co-founder of SLP Nerdcast.  Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children.  

AC Goldberg financial disclosures: AC works for a K-12 school district and runs a cultural responsiveness learning platform called transplaining. AC Goldberg non-financial disclosures: AC is a person of transgender experience, which gives me (him) personal perspective. 

Barb Worth financial disclosures: Barb is a Clinical and Academic Instructor in Communication Sciences and Disorders at Emerson College. She instructs students in the delivery of voice services to all populations. Barb Worth non-financial disclosures: Barb has a decade of experience working with the TGNC population.

Time Ordered Agenda

10 minutes: Introduction, Disclaimers and Disclosures

30 minutes:  Review of defining terms and use of appropriate pronouns

25 minutes:   Review of federal legislation guiding inclusion and service provision to gender diverse populations

20 minutes:   Review of applicable clinical practices, such appropriate client interactions and creating safe spaces

5 minutes:  Summary and Closing

Online Resources

Pew Research Center: About one-in-five U.S. adults know someone who goes by a gender-neutral pronoun

The Trevor Project


ASHA Practice Portal: Voice and Communication services for transgender/gender diverse populations

Good Practices: Names and Pronouns:

My Resources on Personal Pronouns:

Practice with Pronouns:

 Providing Quality Care to LGBT Patients: An Intro for Staff Training:

 Affirming LGBT People Through Effective Communication (specifically the Learning through Case Study section):

Transgender Training Institute (for a cost):


The contents of this episode are not meant to replace clinical advice.  SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated.  We are NOT PhDs, but we do research our material.  We do our best to provide a thorough review and fair representation of each topic that we tackle.  That being said, it is always likely that there is an article we’ve missed, or another perspective that isn’t shared.  If you have something to add to the conversation, please email us! Wed love to hear from you!


5 star rating

More of this!

Jordan Marshall

I was so excited that I stumbled upon this course and love that you all are including this population within your space. As a clinician who is working with t...

Read More

I was so excited that I stumbled upon this course and love that you all are including this population within your space. As a clinician who is working with this population, I am eager to hear and see more conversations similar to this take up space in the Speech Language Pathology world. I am also so eager to see research in the future relating to this population in the area of Pragmatics and Autism. Thank you!

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