Speech Pathologist Job Duties: Evaluate and diagnose speech, language, communication, or swallowing difficulties. Develop and implement effective treatment programs. Provide counseling to patients and patients' families about results of testing and recommended treatment options. Establish patient understanding, expectations, and goals for treatment. Create accurate documentation and reporting for all patient visits. Delegate duties to support personnel as appropriate. Maintain communication with staff and outside agencies per state guidelines. Refer patients to medical specialists in dentistry, psychology, or other related fields