Course Description

The Swallowing Assessment learning module includes in-depth training related to the clinical evaluation of swallowing; both, at bedside and using instrumental exams. It teaches ways to implement validated clinical tools to probe different aspects of the swallow mechanism including: airway defense physiologic capacity, lingual physiologic capacity, swallow safety and aspiration screening, patient self-report and quality of life. The module also includes videos of FEES and VFSS evaluations, MBSS interpretation training resources, and assessments in specialized populations such as individuals with stroke and trach/vent dependence.

Swallowing Assessment Curriculum

  • 1

    Welcome

    • Welcome

  • 2

    SNAPS: Swallowing Neuro Anatomy and Physiology Shorts

    • Normal Swallowing Events

  • 3

    FOUNDATIONS

    • Clinical Bedside Swallowing Exam

    • Penetration-Aspiration Scale Mini-Tutorial

    • MBSS Interpretation

    • Foundations Learning Assessment

  • 4

    CTDM: Critical Thinking in Dysphagia Management

    • Supporting Clinical Decisions with Physiologically Guided Metrics

    • CTDM Learning Assessment

  • 5

    Normal Swallow 101: Clinical Workshop Courses

    • Distinguishing Normal, Functional and Dysfunctional Swallowing in Instrumental Evaluations

  • 6

    MBSS Interpretation Series

    • MBSS Interpretation Foundation

    • MBSS Interpretation: Down the Hatch

    • All about Laryngeal Vestibule Closure

    • Differentiating Swallow Onset Delay and Premature Spillage

    • Penetration-Aspiration Scale (PAS) Visual Tutorial

  • 7

    DGR: Dysphagia Grand Rounds

    • DGR 8 Article: Bonilha et al. (2013)

    • DGR 8 Webinar: Effects of VFSS Pulse Rate on Judgments of Swallowing Impairment and Treatment Recommendations

    • DGR Learning Assessment

  • 8

    DtH: Down the Hatch Podcast

    • Everybody's Doing It

    • Piecing Together the Clinical Swallowing Evaluation (CSE)

    • MBSS Interpretation

  • 9

    DC: Dysphagia Cafe Blog Posts

    • Clinical Swallow Evaluation with a Focus on Stroke

    • Clinical Bedside Swallow Exam with Tracheostomy and Ventilator Dependent Patients

    • Modified Barium Swallow Study and the Aging Swallow

    • Best Practices in Videofluoroscopy

  • 10

    STEP Snippets: Mini-Tutorials

    • Premature Spillage v/s Swallow Delay

    • VFSS of Swallow Maneuvers

    • Cough during CSE: Part 1

    • Cough Testing during CSE: Part 2

    • Why did she Aspirate? Part 1

    • Why did she Aspirate? Part 2

    • SLP-induced Aspiration

    • What Do You See in this Swallow?

    • Sensory Testing during CSE

    • Assessing Lingual Function During CSE

    • Assessing Laryngeal Movement during CSE

  • 11

    Final Steps

    • ASHA CEU Information

    • Post-Course Evaluation

Course Overview

1.3 ASHA CEUs

About: The Swallowing Training and Education Portal (STEP) Swallowing Assessment learning module offers 1.3 ASHA CEUs to all those enrolled in the STEP CEU Membership Plan. It provides 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 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 pathology students and clinicians 

Learning Objectives: As a result of this course, participants 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

Completion Requirements: The entirety of this course must be completed in order to earn 1.3 ASHA CEUs. Partial credit is NOT available for this course. Please Note: ASHA CEUs are only offered to all those who are enrolled in our CEU Membership Plan. ASHA CEU credit is not being offered for this course for those enrolled in our monthly Starter and Plus plans. 

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 and website www.ianessahumbert.com. 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 disclosures: Ianessa Humbert is a co-owner of Swallowology LLC and Elemint LLC. Non-Financial disclosures: Ianessa Humbert is the co-creator of Down the Hatch and STEP. 


Rinki Varindani Desai M.S.,CCC-SLP  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 Scientific Professional Education Board 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 disclosures: Rinki Varindani Desai receives a royalty for her contributions to the STEP website. Non-Financial disclosures: 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)

Course Reviews

5 star rating

Really accessible

Nicholas de Mora-Mieszkowski

What a wonderful job of explaining clearly and with lovely visuals. I took this course as someone who supervises therapists developing their competencies and I will be recommending it highly to colleagues and students.

What a wonderful job of explaining clearly and with lovely visuals. I took this course as someone who supervises therapists developing their competencies and I will be recommending it highly to colleagues and students.

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5 star rating

LOVED IT!!

Cristina Vargas

Great overview and great critical thinking for swallowing assessments. I'm excited to continue to the next segment!

Great overview and great critical thinking for swallowing assessments. I'm excited to continue to the next segment!

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5 star rating

down the hatch

Christina Cardenas

Very informative. Is a great compliment to the material in my dysphagia course

Very informative. Is a great compliment to the material in my dysphagia course

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5 star rating

Tremendous course!

S Stern

Can't thank you enough for this tremendous course! You made the research thoroughly accessible. In addition, you sparked some very useful information for another problem I have when you brought in the nature of SLPs to vary a lot when looking at t...

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Can't thank you enough for this tremendous course! You made the research thoroughly accessible. In addition, you sparked some very useful information for another problem I have when you brought in the nature of SLPs to vary a lot when looking at the same information. I'm a new clinician, so can't provide more useful feedback as you requested, however, I can say thank you again.

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5 star rating

Comprehensive but easy to understand

Stephanie Clunne

5 star rating

Excellent Information!

Sherri Coker

5 star rating

Great step by step reveiw. Appreciated all the MBS exposure.

Trina Wilson

5 star rating

Such a comprehensive and easy to access review of swallowing fundamentals.

laura murph

5 star rating

This was so GOOD!

Linda Nash

Very clear. Easy follow most times

Very clear. Easy follow most times

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