Swallowing Training and Education Portal (STEP)
The Swallowing Training and Education Portal (STEP) Swallow Assessment learning module will provide clinicians with information about the clinical evaluation of swallowing; both, at bedside and using instrumental exams. It will discuss ways to implement a set of validated clinical tools to probe different aspects of the swallowing mechanism including: airway defense physiologic capacity, lingual physiologic capacity, swallow safety and aspiration screening, patient self-report and quality of life. The course will also provide clinicians with resources related to best practices in videofluoroscopic swallow studies (VFSS), modified barium swallow studies (MBSS), videos of fiberoptic endoscopic evaluation of swallowing (FEES) and MBSS evaluations, MBSS interpretation training, and swallowing assessments in specialized populations such as head and neck cancer and stroke.
Target Audience: Speech-Language Pathologists
At the conclusion of this course, the learner will be able to:
List and compare swallowing assessments based on their capacity to assess physiology, function, and or bolus flow characteristics
Identify when a swallowing physiological event is normal, functional, or disordered
Discuss the types of measures and judgements that can be made about swallowing physiology with Modified Barium Swallowing Studies
Detailed Course Agenda
Swallowing Neuro Anatomy and Physiology Shorts – Animated Video Tutorials (20 minutes)
Normal Swallowing Events
Critical Thinking in Dysphagia Management Webinars (79 minutes)
Supporting clinical decisions with physiologically guided metrics
Normal Swallow 101: Clinical Workshop Webinars (95 minutes)
Distinguishing normal, functional and disordered swallowing in instrumental evaluations
Foundations Webinars (55 minutes)
Clinical Bedside Swallow Exam
Penetration-Aspiration Scale mini tutorial
Dysphagia Grand Rounds Article and Webinar (114 minutes)
Effects of VFSS Pulse Rate on Judgements of Swallowing Impairment and Treatment Decisions
Down the Hatch Podcasts (151 minutes)
Everybody’s Doing It
Piecing Together the Clinical Swallowing Evaluation
Dysphagia Café Blog Posts (PDF Articles) (52 minutes)
Clinical Swallow Evaluation with a Focus on Stroke
Clinical Bedside Swallow Exam with Trach and Vent Patients
MBSS and the Aging Swallow
Best Practices in VFSS
STEP Snippets: Mini-Tutorial Videos (29 minutes)
Premature Spillage vs Swallow Delay
VFSS of Swallow Maneuvers
Cough Testing during CSE
Why did she aspirate?
What do you see in this Swallow?
Sensory Testing during CSE
Assessing Lingual Function during CSE
Assessing Laryngeal Movement during CSE
MBSS Interpretation Series Videos (203 minutes)
MBSS Interpretation Foundational Course
MBSS Interpretation Podcast Discussion
Learning all about Laryngeal Vestibule Closure
Differentiating Swallow Onset Delay and Premature Spillage
Penetration-Aspiration Scale Visual Tutorial
Total Time = 798 minutes
Total ASHA CEUs: 1.3
The entirety of this module must be completed in order to earn ASHA CEUs
A multiple choice, true/false learning assessment (at least 80% accuracy)
Fill out course evaluation
This course is available as a learning module of STEP, a subscription-based education and training library for swallowing and swallowing disorders.
STEP (Swallowing Training Education Portal) membership provides you with unlimited access to evidence-based courses and resources created by dysphagia experts; from normal to disordered swallowing across the lifespan. At $15/month, STEP provides you with the swallowing education and resources you need to succeed at any stage of your career; from basics to the most advanced. To register, please visit www.stepcommunity.com.
Fees paid for online courses grant participants monthly access to courses available.
Members can cancel their subscription anytime. Follow these steps to end your active subscriptions. Sign in to your account and select My Account (top right corner). Select the Billing tab. To end recurring payments, from My Account > Billing, hit Cancel to end your current subscription.
Special Needs: Indicate any special assistance required when you register.
Complaints and/or feedback for improvement can be emailed to firstname.lastname@example.org
Beginning date of offering: July 1, 2020
About the Instructors
Ianessa Humbert, Ph.D.CCC-SLP is an accomplished scientist, professor, and highly sought-after speaker with expertise in swallowing and swallowing disorders. Dr. Humbert’s innovative training style has been funded by ASHFoundation and extends to non-traditional learning formats. She is the co-creator of the popular Down the Hatch podcast, has co-founded online learning tools including STEP (Swallowing Training and Education Portal) and has developed high-quality, no-cost learning tools available on her YouTube Channel. Dr. Humbert has demonstrated her gift for creating images that depict the dynamism of swallowing via her Swallowing Pocket Guide and Swallowing Neuro Anatomy and Physiology Shorts or SNAPS (on STEP). Dr. Humbert has been on faculty at the Johns Hopkins School of Medicine, the University of Florida, and the University of Iowa. The content from Dr. Humbert’s courses are supported by scientific evidence from her laboratory and from the larger body of research literature.
Financial: Ianessa Humbert is a co-owner of Swallowology LLC and Elemint LLC.
Non-Financial: Ianessa Humbert is the co-creator of Down the Hatch and Hope is in the Science.
Financial In-Kind Disclosure: ASHFoundation provided funding to create components of this course.
Rinki Varindani Desai M.S.,CCC-SLP, CBIS, CDP is an ASHA-certified medical speech-language pathologist, certified brain injury specialist and certified dementia practitioner; specializing in the assessment and treatment of cognitive-linguistic and swallowing disorders in adults. Rinki is the co-founder of the Swallowing Training and Education Portal, founder of the Medical SLP Forum and co-creator of the Dysphagia Therapy mobile app. She currently serves as Associate Coordinator of ASHA’s Swallowing and Swallowing Disorders Special Interest Group (SIG 13) and as Co-Chair of the Dysphagia Research Society's COVID-19 Task Force. She is also a part of ASHA’s Alternative Payment Models Committee, DRS’ 2021 Annual Conference Committee, the MSHA Healthcare Committee and on the Board of Directors for Burgundy and White, a non-profit for the head neck cancer community. Originally an SLP from Mumbai, India; Rinki has practiced for nearly a decade in acute, sub-acute and long-term care medical settings. She is currently the adult outpatient lead of the Voice and Swallowing Center and a clinical instructor in the Department of Otolaryngology – Head and Neck Surgery at the University of Mississippi Medical Center in Jackson, Mississippi.
Financial: Rinki Varindani Desai receives a royalty for her contributions to the STEP website. Non-Financial: Rinki volunteers with the American Speech-Language Hearing Association (ASHA SIG 13) and Dysphagia Research Society. Rinki is the founder of the Medical SLP Forum and the co-creator of the Dysphagia Therapy mobile app.
This course is offered for 1.3 ASHA CEUs (Intermediate level, Professional area)