In this episode of On Record, hosts Carmen Haak and Kyle Shelstad speak with Annie Holland, a faculty member in the Communication Sciences and Disorders department at the MGH Institute of Health Professions, part of the Mass General Brigham Health System and one of the top-rated Speech-Language Pathology programs in the country. Annie is also the inaugural recipient of the CAPCSD-IVS Clinical Education Seed Grant.

Annie shares how her path from pediatric clinical practice, including work in neonatal intensive care and school systems, led her to graduate education, where she now teaches master's-level SLP students with a strong emphasis on clinical writing. She discusses her published research on biased language in clinical documentation, which had students identify and rewrite problematic language in sample reports before and after a targeted training module. The conversation covers specific examples of where bias tends to appear in SLP writing, including assumptions around gender and cultural identity, and why getting that language right matters for families, patients, and the broader care team.

From there, Annie talks through her current IVS-funded research project, which uses a multi-institution team of experts to analyze AI-generated speech-language evaluation reports for biased and subjective language. The goal is to understand what these platforms are actually producing, across multiple tools, and in conditions that reflect how students and practicing clinicians are using them right now. She offers practical guidance for programs considering AI documentation tools, including the importance of prompt quality, the environmental cost of excessive trial-and-error prompting, and the need to go in with a clear plan rather than hoping for good output.

One of the more unexpected findings she shares: the strongest resistance to AI in her department has not come from faculty. It has come from students, many of whom have well-considered concerns about how these tools are being used in clinical practice. Annie and her colleagues have had to rethink how they introduce AI into the curriculum as a result.

The episode closes with how video recording connects all of this work at MGH IHP's on-campus clinic, where live-streamed sessions give students room to practice independently, recorded sessions anchor clinical writing exercises and AI output review, and end-of-semester video shares let the entire cohort learn from one another's patient work.

Annie can be reached on LinkedIn or via email at AK.Holland@mghihp.edu. Her published research on biased language in clinical writing is available open access in Teaching and Learning in Communication Sciences and Disorders. More information on the CAPCSD-IVS Clinical Education Seed Grant is available at capcsd.org/scholarships.

In this episode of On Record, hosts Mike Anzalone and Carmen Haak speak with Caren McDonough, Clinical Director for the Speech, Language and Hearing Clinic at Northeastern University.

Caren brings more than 30 years of experience as a speech-language pathologist, having worked across acute care, inpatient and outpatient rehab, schools, and private practice before moving into clinical education. She walks through how video is woven into both sides of her work at Northeastern: in the classroom, where recorded sessions support the 25 guided observation hours students need before working with clients, and in the clinic, where all seven treatment rooms are recorded and available for live viewing by supervisors and family members alike.

The conversation gets into specifics around how video functions as a feedback tool for new clinicians, who often leave a session feeling uncertain about what happened only to watch the recording and find they did far better than they remembered. Caren explains how she uses older recordings in the classroom while protecting current students from having their sessions played for peers, and how family observation, whether through a two-way mirror or a laptop in the waiting area, gives supervisors a way to coach caregivers on what they can carry home.

Camera capability matters a lot in a pediatric setting, and Caren is candid about both the value of PTZ tracking for active children and the ongoing challenge of ceiling-mounted microphones missing quiet voices. She covers how Northeastern's clinic serves the broader community, including veterans and referrals from nearby schools and hospitals, and what written consent looks like in practice, including how the clinic handles clients who decline to be recorded.

The episode also covers the program's growing interprofessional simulation work, including recent scenarios run with pharmacy and physical therapy students, and how Caren thinks about AI in a clinical education context. She sees strong potential in AI for generating treatment materials and saving preparation time, but flags real concerns around false references, HIPAA compliance, and the need for students to understand where the guardrails are.

Caren closes with practical advice for anyone setting up a video system in a clinical environment: keep tech support accessible, work through HIPAA compliance before you go live, and make sure your IT department is part of the conversation from the start.

Caren can be reached by email at caamc@northeastern.edu or by phone at (617) 373-7831.

How Children’s of Alabama Expanded Video Across Clinical Care with Justin Fincher

Systems Engineer, Children’s of Alabama

Justin Fincher is a Systems Engineer at Children’s of Alabama with nearly two decades of experience supporting video, telehealth, and clinical technology initiatives across the hospital. In this episode of On Record, he shares how that work has evolved from early telehealth and live operating room observation to broader use of secure video for surgical review, simulation, behavioral health monitoring, autism screening, patient observation, and interdisciplinary training. Justin discusses how the COVID-19 pandemic accelerated adoption of video-based tools for clinical communication and remote monitoring, and he reflects on the operational and cultural factors involved in scaling these systems across a healthcare environment. The conversation also looks at how secure platforms such as VALT help hospitals expand access while protecting privacy, and where video workflows may continue to grow in areas such as virtual nursing, patient communication, and specialty clinical care.