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The identification and management of concussion is a growing public health issue. The science of concussion research and the clinical management of children and adolescents who have experienced concussion are rapidly evolving, presenting many challenges and opportunities for those serving this population. A concussion can impact cognitive, communicative, academic, and social success; students affected by concussion may be eligible for special education services. The current study is a national survey of speech language pathologists (SLPs) aimed at characterizing concussion knowledge and management in the schools. One thousand surveys were sent to school-based SLPs from 10 states. Twenty-eight percent of surveys were returned and the results offer a snapshot of current SLP practices and support improved identification and management of concussed children. Findings indicate school-based SLPs' uncertainty in some aspects of concussion knowledge and their role in concussion management. Increased training in pediatric TBI and concussion is needed, and research directed at identifying and developing sensitive assessments and effective treatments for pediatric concussion is required to ensure quality service delivery.