Right stg & Kat53, the grad program is exactly the same no matter what setting one plans to work in when they graduate. But as I've mentioned on this board before, being a school SLP & a hospital SLP is so incredibly much like night & day, it's not even funny because you have to know what you're doing in the hospitals. There's no messing around there! People's lives are in your hands. If an 80-yr old man can't swallow well because he had a stroke due to his lack of paralyzed throat muscles, you better know how to help him because if he chokes & dies, well, they'll be looking at what plan the SLP set up. Or if someone's had throat cancer, you have to knwhow to help the patient speak, eat, & swallow in as much of a normal way as possible. You have to know how to read numerous x-rays, such as endoscopic readings & much more. Yes, that's a whole lot more involved than having a kid practice his /r/ and /s/ sounds in the initial positions of single words, then phrases, then sentences. A past SLP colleague of mine who's been a school SLP for 20 something year's said she'd have to go back to school if she ever wanted to work in a hospital setting. Again, schools & hospitals are just 2 different animals. They should really almost have 2 different curriculum programs depending on where you plan to work, but they don't.