Wow--old thread. I was still a student when it started. Now I'm a speech language pathologist in a couple of skilled nursing/rehab facilities. I'd say more than half my caseload is swallowing disorders. I also work to improve cognition, speech, and language, often after a stroke..
Edited to add how I got here:
4 year BA in English
1 year postbacc for necessary background knowledge
2 year MS in Communication Disorders and Sciences (included 2 summer terms and was 17 credits/term--just short of double full time as 9 hours is considered full time in grad school--my program was more like 3 years crammed down into 2.)
Passed licensing test
1 year of clinical fellowship mentoring to get full certification
After working 2 years in the schools, I decided to switch to more medically focused therapy, so my company has given me a mentor for this first year
Maintaining license requires $$$ and earning CEUs
Pros:
(in general) Shortage field--there is about a 1% unemployment rate for SLPs, and that's just people changing jobs. Lots of variety (schools, early intervention, outpatient, acute medical, subacute, voice clinics, accent reduction, voice after gender changes etc). Flexibility--you can work as little or as much as you want. Pros for the SNF setting in particular are: being able to provide individual therapy, being somewhat autonomous when it comes to writing treatment plans, working with and getting to know and help elderly people, being able to take vacations with advance notice any time rather than just at the school holidays.
Cons:
(in general) Can be a higher stress, high responsibility job. Having to give bad news to people at times. Cons for the SNF setting in particular are--hours can vary from very few w/ a low census to overwhelming if it's high. Depending on your Director of Rehab, you may have to push back on therapy hour assignments--they sometimes assign more than is clinically justified to meet their goals. Having to pay so much attention to Medicare A, Medicare B, Medicaid, and HMO rules which were written by politicians w/ no regard for what is clinically correct (more government involvement is coming soon). Knowing a payer could go back 3 years, see a mistake in a note or even just something they misunderstand, and deny all claims on your patient. Biggest con, though, is required productivity levels (ratio of billable to non-billable hours).