The clinical fellowship year can be daunting for the unprepared. This survival guide is a compilation of detailed questions, answers, ideas, and stories from my first two years serving as a speech-language pathologist in the skilled nursing facility. Each chapter will take you through a topic that was, in some way, confusing or difficult for me to manage during my CFY. This book touches on the topics of workplace relationships, assessment and treatment, palliative care within and outside of the scope of the speech-language pathologist, and even financial outlooks and career-building strategies. I am no expert; just someone who's been on the road for a little bit, seen the sights, and has a passion for the field. Nothing in this book is a secret, but much of it I didn't know before I started on this journey. If the skilled nursing facility is your first stop on your journey, take a few tools with you. You'll need them to survive!