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    MBS - The Clear Picture - Pediatric

    12.0 Hours



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    Appropriate Disciplines

    • Speech Language Pathologist
    • Occupational Therapist

Course Description

This course is designed to provide Speech and Language Pathologists and Occupational Therapists involved in treating pediatric dysphagia with the background necessary to accurately observe Modified Barium Swallow (MBS) studies for the assessment of swallowing disorders. This information, combined with the therapists knowledge and skills for management of feeding and swallowing disorders, will provide the course participant with a stronger basis for a comprehensive examination of the pediatric dysphagic patient. The information provided in the course should also facilitate professional communication between the swallowing professional and other health care professionals involved in the treatment of dysphagia.
MBS: The Clear Picture - Pediatric includes a series of actual MBSs taken from various facilities across the United States and represent what a therapist might come across in their actual work environment. Therefore, the quality and clarity of the videos vary depending on the equipment used at that particular facility. It is also important to note that pediatric Modified Barium Swallow Studies are often limited by sensory processing difficulties, motor/postural disorders and/or behavioral components that impact the ease of viewing the MBS.
MBS Course Instructions
NOTE: The course is delivered via the internet. Computer and internet access is therefore required. The participant will receive guidance and instruction from an experienced instructor, specializing in swallowing disorders and evaluation. Participants should allow up to 48 hours for instructor responses. The course takes approximately 12 hours to complete.

If you are taking the VitalStim Therapy Specialty Program do not register for this course, it is already included in the VitalStim registration.

AOTA Classification Codes
Domain of OT: Activity Demands

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Demonstrate understanding of the normal anatomy of the musculature, skeleton and neurological structures relevant to the premature through adult swallow
  • Demonstrate understanding of normal muscle physiology involved in the swallowing mechanism
  • Describe and identify normal anatomical features visible on an MBS
  • Describe and recognize common abnormal findings on an MBS
  • Describe the procedure/protocol to perform a standard MBS

Karin Mitchell


Karin Mitchell is a worldwide respected Speech Language Pathologist specializing in the care and treatment of pediatric feeding and swallowing, developmental care of the medically fragile infant and child, and pediatric traumatic brain injury. Her love of teaching and helping others drives her to create and deliver fun and empowering continuing education courses across the nation and internationally. Areas covered are Developmental Care in the NICU, Cue Based Feeding, pediatric feeding and swallowing analysis and treatment, including the use of VitalStim, swallow studies, enhancing decision making and clinical analysis, breast feeding the medically fragile infant and child, and developmental milestones supporting feeding skill acquisition. Beginning her practice in 1995, Karin sought out learning opportunities and creative ways to teach others. She now serves as a lead therapist for the NICU and Feeding Teams at CHOC Children’s Hospital in Orange, CA. With a clinical practice formed by a strong theory base in NDT and SI therapies, Karin is also NOMAS trained and VitalStim certified. She provides ongoing education in-services and hands-on labs for appropriate developmental care, positioning, handling, and feeding skills for clinical staff including medical residents, nurses, physical therapists, occupational therapists, and speech pathologists. Karin was a key player in the development of unit protocols and care plans for evidence-based developmental care in the highly specialized Small Baby Unit (ELBW) at CHOC which includes an ongoing education series required by all medical and support personnel. She is an active committee member for multiple qualities of care committees including Skin to Skin Care, Developmental Care, Infant Driven Feeds, Breast Feeding Coalition, Palliative Care, Neuro NICU Team, Trauma Team, and Family Centered Care. A dedicated leader, Karin devotes much of her time to the support and development of clinicians, serving as a mentor committed to building therapist's skills in clinical analysis and therapeutic effectiveness with medically fragile patients. She is a strong advocate for her patients and their families and speaks at local associations, community centers, local universities, and school districts to support medically fragile infants and children.

Financial Disclosure: Karin receives an honorarium from CIAO for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-financial Disclosure: Karin uses VitalStim in her clinical practice.

60 Minutes
Lesson 1: The Oral Stage
15 Minutes
60 Minutes
Lesson 2: The Pharyngeal Stage
15 Minutes
60 Minutes
Lesson 3: The Esophageal Stage
15 Minutes
30 Minutes
Anatomy & Physiology Exam
120 Minutes
Assignment, instruction, and communication with online instructor
60 Minutes
Lesson 4 Signs Observable during Oral Phase
30 Minutes
60 Minutes
Lesson 5 Signs Observable during Pharyngeal Phase
15 Minutes
60 Minutes
Lesson 6 Signs Observable during Esophageal Phase
15 Minutes
120 Minutes
Assignment, instruction, and communication with online instructor
12.3 Hours

Delivery VIA:

  • Online - This course is offered in an online on demand format.

Contact hours pre-approved for:

  • 12.0 Hours
  • CIAO is an ASHA Approved Provider #AAWA (1.2 ASHA CEUs) bubble sheet required
  • CIAO is an AOTA Approved Provider #4119 (1.2 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (12 PDUs)
  • As an IACET Authorized Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • CIAO is authorized by IACET to offer 1.2 CEUs for this program

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

This course is offered for 1.2 ASHA CEUs (Intermediate level, Professional area).

CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.

CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)


"Loved the course! I especially loved the MBS videos. Thank you! "

- Wesley Chapel, FL / Oct 2017

"Great course. I feel much more confident with MBSS after this CEU. Thanks!"

- Northport, AL / Sep 2017

"This course was extremely informative. The way it is broken down is beneficial to my learning style. I would highly recommend this course."

- Bixby, OK / Aug 2017

"Great course to learn more about oral, pharyngeal and esophageal phase of swallow studies. Would have liked more analysis of mbss, specifically what it would look like if there was a problem at all levels. Maybe some audio of what we were clearly seeing on the problem mbss studies would have been more beneficial. Thanks for a great course!"

- Tampa, FL / Jul 2017

"This was very helpful for reviewing anatomy/physiology basics!"

- New Orleans, LA / May 2017

"Overall, an excellent course in preparation for the Peds Vital Stim course. "

- Lititz, PA / Apr 2017

"I appreciate the constructive criticism provided. Very helpful!"

- St. Cloud, FL / Apr 2017

"I did not have questions for my online instructor during the course: however, she did grade the assignments within 48 hours. I thought that the course was very challenging. I did find that I had to do some extra research on the internet to help me understand the course material better. I specifically searched for radiology images of swallows that were anatomically labeled and a much clearer picture than provided in the course. I found that once I had this picture the pharyngeal phase of swallowing made much more sense to me. I think that adding a radiology image of a swallow and labeling the anatomical structures (i.e. epiglottis, UES, base of tongue, etc.) would be helpful in bringing the content together in a clinical sense. The quizzes were very challenging as well. I also had to do some extra research to answer the questions provided in that I found it difficult to find the answer in the course material. I consider myself a poor test taker so this may be a reflection of my learning style; however, I found my extra research helped me to understand the question and then answer it accordingly. Overall, I have added a great deal to my clinical knowledge with treating infants, feeding patients and performing swallow studies. I did like the online format and being able to complete it on my own time within the 2 week time frame. "

- Vestavia, AL / Feb 2017