My D will be studying Speech Pathology at Duquesne University in PA. They have a 5 year BS/MS program. The problem with Speech pathology is getting into the Grad program. Not enough spots. You should research how difficult is is to get into the Grad programs. There are (7) 5 year accelerated programs in the country. No need to apply to grad school. Your 4th year is also your first year of Grad school. My daughter applied to all four programs in PA and was accepted to all of them. Two are very small schools, Marywood and Misericordia. La Salle in Philadelphia and Duquesne. Duquesne was her first choice, they have a campus in Rome and the program allows students to study abroad the spring session of their Soph. year. No other 5 year program lets the students do that. They only allow 25-30 students in and many of the spots have already been taken, but it is worth a chance. Good luck and if you do a 4+2 program, make sure you have a very high undergrad GPA.