The report summarizes findings from a 3-year national self-study of the profession of speech-language pathology and audiology. The study followed a four-phase timeline; (1) identification of clinical-educational needs of the communicatively handicapped (traditionally served speech and language impaired individuals as well as those with other handicaps); (2) analysis of competencies needed by speech pathologists and audiologists; (3) analysis of discrepancies in competencies of existing speech, language, and hearing personnel; and (4) development of recommendations for preservice and inservice training. Project objectives for each of the four phases are enumerated and progress or accomplishment in meeting each objective is described. A summary of recommendations from the self-study touches on 10 issues: undergraduate education, graduate education, professional doctorate, interface of students with those in other disciplines, preparation of students to serve in a variety of settings, preparation of speech-language pathologists and audiologists for a changing society, specialty certification, continuing education, research, and advanced technology. The bulk of the report is composed of nine appendixes, including a report of findings from the competency survey; and papers from a national conference on undergraduate, graduate, and continuing education. (CL)