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    VitalStim® Therapy and Beyond: DINES Specialty Certificate Program

    Learning the Options, Mastering the Modality - An ICE Accredited Certificate Program

  • RESOURCES & DISCIPLINES       Bring This Course to You!

    Appropriate Disciplines

    • Occupational Therapist
    • Speech Language Pathologist

Course Description

"FIRST FIVE" - The first 5 paid registrations at each course gets $100 off the early price of $795! Be sure to register today so you don't miss out!

This is an ADULT FOCUSED COURSE. Click HERE for Pediatric Focus.

Welcome to the UPDATED VitalStim Therapy course!
The VitalStim Certificate Program was introduced to the professional dysphagia community in 2003 as the competency course for the only FDA-cleared NMES device for dysphagia treatment. The program, then known as the VitalStim Certification Program, revolutionized dysphagia therapy! The popular course has gone through multiple revisions since its inception, incorporating the latest findings from the research and clinical communities. This new course update is the most significant to date. It is the result of several converging trends in the field of NMES for dysphagia treatment. In addition to VitalStim information, this course has been updated with new content that discusses significant growth of scientific research, an increase in available treatment protocols, and an expansion of available equipment options.

Course Description
VitalStim Therapy and Beyond: DINES (Dynamic Integration of NMES and Exercise for Swallowing) This accredited hands-on competency course will focus on the muscle physiology, kinesiology, and pathology of the normal and abnormal swallowing mechanisms. The principles of NMES will be taught in tandem with active dysphagia exercise therapy. NMES for Dysphagia protocols, using FDA cleared devices, will be covered against the backdrop of neurophysiology of the swallowing mechanism and available research. Adjustments to NMES parameters - frequency, phase duration, duty cycle, and more - will be incorporated in specific treatment protocols and extensively practiced in hands-on lab sessions. Cases will be evaluated using the impairment model (pathology; symptoms; signs; dysfunctions; and impairments) and treatment planning will be practiced.

Participants will receive one-on-one attention from two experienced instructors, a dysphagia expert and an electrical stimulation expert. Instructors will deliver relevant information on FDA clearance and clinical options relevant to different equipment options available today to better equip clinicians in the ever-changing world of NMES for dysphagia.

Participants who successfully complete this course will leave as a skilled VitalStim Provider and DINES Provider with the confidence and building blocks needed to implement a successful NMES for dysphagia therapy program.

"I learned more about dysphagia in this course than I did in all of grad school!"

Conflict of Interest
None. This is the only NMES for Dysphagia training course not affiliated with the sale of any equipment or electrode. The content and administration of this course is wholly independent of any manufacturer.

Provider Benefits
  • A Specialty Certificate from the only accredited NMES for Dysphagia course
  • VitalStim Provider designation
  • DINES Provider designation
  • Access to dedicated NMES Clinical Consultant
  • Access to the VitalStim/DINES Provider Facebook group - a private network of THOUSANDS of active Providers
  • Listing on the official VitalStim/DINES Registry
  • Access to the official VitalStim/DINES Provider Document Library
  • Access to continuing education specifically for VitalStim/DINES Providers
  • $50 discount voucher towards the NDC Examination application
This is an intermediate level course. Requirements for the course are as follows:
  • Successful completion of online anatomy and MBS review course (click link for more details) MBS Course Instructions
  • Prior knowledge and experience in dysphagia management
  • Dysphagia as a significant portion of active caseload
  • SLP or OTR with current licensure in state of practice
  • SLP or OTR in compliance with state and national practice acts
DINES Specialty recognition will be awarded to those who:
  • Online Course: pass written assignments. pass multiple choice quizzes with a minimum 80% accuracy
  • Live Course - pass written exam with 80% accuracy. Pass practical labs demonstrating safe and accurate application of NMES for dysphagia therapy as determined by both instructors.
NOTE: If these criteria are not met at the course, additional opportunities to successfully complete the process will be available.

Use of Certificate and Title
Participants who successfully complete this course will hold a Specialty Certificate in VitalStim/DINES Therapy and receive the title VitalStim/DINES Provider. This title may be used in signature lines. Certificate holders should not refer to themselves as being “certified” nor add acronyms to their name as a result of the Specialty Certificate. Providers who wish to receive the letters NDC (Neuromuscular Electrical Stimulation for Dysphagia Certified) behind their name must pass the national exam. Dysphagia University

Rescinding the Certificate:
CIAO maintains the right to rescind or nullify the Specialty Certificate and VitalStim Provider status in the event the Provider has violated program requirements, policies, or professional board ethics related to the VitalStim Specialty Program.

CIAO offers the VitalStim Specialty course for two populations (adult and pediatric). Either course may be taken to become a VitalStim Provider. VitalStim Providers may treat either or both populations.

VitalStim Therapy and Beyond is now a Specialty Certificate Program!
This program is the only accredited NMES for Dysphagia program. After successful completion of this program, participants receive their Specialty Certificate as a specialist in the use of NMES for the treatment of dysphagia. On April 3, 2015, the Institute for Credentialing Excellence (ICE) granted accreditation to CIAO Seminars' VitalStim Therapy Specialty Program for demonstrating compliance with ICE 1100 - Standard for Assessment-Based Certificate Programs. ICE 1100 was first published in January 2009 to ensure that assessment-based certificate programs adhere to modern standards of practice for the credentialing industry. More information about ICE is available online at www.credentialingexcellence.org.

Renewal Options (Maintain your Specialty Certificate by completing a renewal course once every 3 years)

Live Renewal
Attend the live 2 day VitalStim course again (no online MBS required for renewal)
16 hrs. of continuing education credit will be awarded for successful completion of course.
Entire live course is required for this option.
Register above by selecting the date/city and clicking register.
Choose the price option labeled "Renewal (no online MBS course required)"

Online Renewal
8.5 hrs. of continuing education credit will be awarded for successful completion of course.
Activate course within 6 months of purchase
30 days to complete once activated

The VitalStim® Therapy and Beyond: DINES Specialty Certificate Program includes the online course, MBS: The Clear Picture (12hrs) and the two day hands-on "VitalStim® Therapy and Beyond: DINES Specialty Certificate Program" (16hrs) for a total of 28 hours of continuing education credit.

Do you have access to the VitalStim Plus device? The renewal alone does not satisfy the requirements to use the full components of the advanced VitalStim Plus device.  There is separate VitalStim Plus course to cover the additional functions and features that needs to be completed to protect your license. The advanced course covers sEMG, biofeedback, the additional channels, how to use the Bluetooth capability, and more.

VitalStim is a registered trademark of VitalStim, LLC.
VitalStim Therapy and Beyond: DINES Specialty Certificate Program© CIAO Seminars

AOTA Classification Codes
Domain of OT: Client Factors, Context Environment
OT Process: Intervention
Vital Stim, VitalStim, Vital Stem, VitalStim Certification, Vitastim, NMES for Dysphagia, ESwallow, Guardian, Tim Carrigan

Course Objectives

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

  • Identify and describe the anatomical structures relevant to the swallowing function
  • Demonstrate accurate palpation of accessible structures in the head and neck region as relevant to the use of NMES
  • Describe relevant neurological and physiological aspects of normal and abnormal swallowing, including cranial nerve function and muscle fiber types
  • Describe the swallowing disorder based on the results of the evaluation in terms of impairments and dysfunctions
  • Formulate the theoretical rationale for using NMES in the treatment of dysphagia
  • Describe the characteristics of neuromuscular electrical stimulation (NMES) and the influence of electricity on muscle tissue
  • Describe the parameters of pulsed waveforms – pulse duration, phase duration, frequency, duty cycle – commonly used in NMES in dysphagia therapy
  • Describe and demonstrate common problem-solving approaches used in a typical NMES treatment session, including preparing the skin, (re)positioning the electrodes, and adjusting NMES parameters
  • Describe the physiological impact of modifying the various pulsed waveform parameters on muscle fiber recruitment, fatigue, patient tolerance and exercise intensity
  • Identify the pathological conditions for which NMES is indicated
  • List precautions and contraindications to the use of NMES in the head and neck region
  • Describe the role of regulatory bodies in clearing NMES devices to market and its impact on clinical use of NMES by dysphagia clinicians
  • Describe the characteristics of typical NMES units and self-adhesive electrodes commonly used in dysphagia therapy
  • Describe, differentiate and demonstrate the execution of common NMES treatment protocols described in the peer-reviewed literature
  • Identify appropriate outcome variables to track and measure patient progress
  • Discuss and demonstrate correct electrode positioning based on patient presentation and anatomical location of target tissues to treat, including the use of one or more stimulation channels and applying electrodes in the facial, suprahyoid and infra
  • Discuss and demonstrate the use of swallowing exercise during and after the application of NMES

Yorick Wijting


Yorick received his Physical Therapy degree in the Netherlands and his DPT at the University of St. Augustine, Florida. He has extensive training and practical experience in biophysical agents and teaches nationally and internationally to medical professionals on their therapeutic use. Yorick has been instrumental in developing the use of electrical stimulation by Speech Language Pathologists in the treatment of dysphagia. Yorick currently lives in California and runs his private practice in Gilroy, CA.

Financial Disclosure: Yorick receives honoraria from CIAO Seminars for the presentation of his live course(s) and royalties for the sale of his recorded course(s). Yorick is the author and an instructor for the VitalStim Therapy Specialty Program.
Non-Financial Disclosure: no relevant relationships exist

Jen Carter


Jen is a medically-based speech pathologist with 24 years of experience evaluating and treating dysphagia and is a board certified specialist in swallowing and swallowing disorders. She currently lives in Denver and has a private practice, the Carter Swallowing Center, solely focused on dysphagia. She frequently presents at the local, state, and national level on the topic of swallowing treatment. When she’s not working, Jen enjoys hiking and backpacking in Colorado.

Financial Disclosure: Jen receives honoraria from CIAO Seminars for the presentation of her live courses and royalties for the purchase of her recorded course(s).
Non-Financial Disclosure: Jen uses VitalStim Therapy in her practice.

Jodie Dacy


Jodie graduated from Nova Southeastern University in Fort Lauderdale, FL with a Master of Science degree in Communication Disorders. She has been a practicing speech language pathologist since 1995 with extensive experience in the private sector, school settings and clinical experience in hospital settings which include long term care and outpatient rehab. Jodie became a VitalStim® Provider in 2005. Since then she has utilized this modality in the treatment of dysphagia with both her pediatric and adult patients. Jodie is also a licensed NOMAS® practitioner and certified in NDC (NMES for Dysphagia), MDTP (McNeil Dysphagia Therapy Program) and Myofascial Release. She has presented locally and nationally on various topics such as Best Practices, The Benefits of Oral Motor/Feeding Therapy on Articulation/Speech Clarity amongst others. Currently, Jodie serves the Speech Language Pathology profession as a therapist at Val Verde Regional Hospital in TX and as a certified instructor of the VitalStim® Therapy and DINES Specialty Certificate Program for CIAO Seminars.

Financial Disclosure: Jodie receives honoraria from CIAO Seminars for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-Financial Disclosure: Jodie uses VitalStim Therapy in her practice.

Julie DeVahl


Julie DeVahl, PT, DPT, OCS was an Associate Professor and Director of Clinical Education in the Physical Therapy Department at the University of Texas Southwestern Medical Center in Dallas, TX from 2002 until she retired Dec 2022. A physical therapist since 1979, Julie brought her experience with electrical stimulation in clinical practice to the classroom. In addition to teaching, she maintained a clinical practice, working primarily with patients with temporomandibular dysfunction and facial paralysis. Julie is board-certified in orthopaedic physical therapy and an active member of the APTA and TPTA. She has been an instructor for CIAO since 2003 and adds an inviting style of teaching to the VitalStim Therapy Specialty Program. “I see my role as an instructor to enable the SLPs and OTs to feel as comfortable using electrical stimulation as they do giving verbal instructions for swallowing.”

Financial Disclosure: Julie receives honoraria from CIAO Seminars for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-Financial Disclosure: No relevant disclosures.

Denise Dougherty


Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.

Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.

Joe Gallo


Dr. Joe Gallo earned his BS in Physical Education and Athletic Training and his Master’s in Physical Therapy. He also holds a Doctor of Science degree in Physical Therapy. He currently serves as Director and Professor in the Salem State University Athletic Training Program. He also held faculty appointments in various physical therapy and physical therapist assistant programs in his over 20 year career as an educator. Dr. Gallo is currently a Certified Instructor for the VitalStim® Therapy Specialty Program teaching NMES for the treatment of dysphagia. He has taught over 300 continuing education workshops to rehabilitation specialists across the United States. Joe’s research on electrophysical agents has been published in the Journal of Orthopaedic and Sports Physical Therapy, and the Chinese journal of Sportsmedicine. In addition to his teaching and research, Joe has also maintained clinical practice in a variety of settings throughout his career.

Financial Disclosures: Dr. Gallo receives an honorarium for speaking/teaching live courses through CIAO Seminars. He also receives royalties for the purchase of his recorded courses and the purchase of his Ultrasound book.
Non-Financial Disclosures: Dr. Gallo uses modalities in his clinical practice.

Gina Gallo


Gina E. Gallo was educated at the University of Rhode Island where she received her B.S. in Communication Disorders and her M.S. in Speech-Language Pathology. Gina has worked as a medical Speech-Language Pathologist since 1998 across various levels of care, concentrating in swallowing and voice disorders. She is a Certified VitalStim Instructor and uses Neuromuscular Electrical Stimulation in her clinical practice at Spaulding Outpatient Center. Gina recently became one of the first SLPs to earn the NDC credential (NMES for Dysphagia Certified). She has worked extensively with patients diagnosed with head and neck cancer, and previously served on Head and Neck Tumor Board at Rhode Island Hospital. She has also served as a guest lecturer for the Southern New England Rehab Center annual conference, and as Adjunct Faculty at the University of Rhode Island in the area of Voice Disorders.

Financial Disclosure: Gina receives honoraria from CIAO Seminars for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-Financial Disclosure: Gina uses VitalStim Therapy in her practice.

Penny Head


Penny Head is an ABPTS Board Certified Specialist in sports physical therapy and an NATABOC Certified Athletic Trainer. With over 17 years’ experience Penny is currently the Clinical Director of Sports Medicine at Baptist Rehab Hospital in Tennessee. She has also worked as a Sports Medicine Coordinator and Director of Physical Therapy in a clinical setting. Penny is currently a guest lecturer and lab instructor at the University of Tennessee, her alma mater. Penny is also currently a Certified Instructor for the VitalStim® Certification Course teaching NMES for the treatment of dysphagia. She has served as Certified Athletic Trainer, Team Physical Therapist and Rehab Consultant to several athletic programs including the Memphis Redbirds. Penny is a member of APTA, Tennessee PT Association, and Tennessee Athletic Trainers Association.

Financial Disclosure: Penny receives honoraria from CIAO Seminars for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-Financial Disclosure: No relevant relationships

Tom Holland


Dr. Tom Holland received his physical therapy education and his PhD degree from the Physical Therapy Program of NYU. He is an Assistant Professor at the City University of New York - Hunter College/Program in Physical Therapy. In addition, he is an Adjunct Instructor at New York University, Columbia University, and Dominican College. His practice includes per diem work at Kessler Institute (Saddle Brook NJ). Tom's physical therapist practice and specialty areas include physical modalities and kinesiology. Tom has been a Certified VitalStim Instructor since 2002 and has co-taught dozens of VitalStim Certification Courses across the country.

Financial Disclosure: Tom receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s)
Non-Financial Disclosure: no relevant relationships

John Kelly


A graduate of the University of St. Augustine’s graduate Physical Therapy Program. John has over 17 years’ experience with acute inpatient and hospital-based outpatient rehabilitation and currently an outpatient clinical director for Siskin Rehabilitation Hospital in Chattanooga, Tennessee. John continues to balance full time patient care with administrative responsibilities. John is NDT certified and an experienced manual orthopedic therapist working toward his clinical doctorate and manual therapy certification. John is a certified VitalStim® Instructor and has taught orthopaedic and electrotherapy courses across the country. John is an accomplished clinical instructor and consistently is recognized for his exceptional patient rapport and strong evaluations from course participants.

Financial Disclosure: John is a salaried employee for his position at Siskin Rehabilitation Hospital. John Kelly receives honoraria from CIAO Seminars for the presentation of his live courses. He also receives royalties for the purchase of his recorded course(s)
Non-financial Disclosure: No relevant non-financial relationship exists.

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.

Jon Rose


Jon received his Master of Science from Eastern Illinois University in 1992 and his Certificate of Physical Therapy from Ohio State in 1997. Jon currently holds an academic appointment as an Assistant Professor at the University of Tennessee Health Science Center in Memphis, TN. He teaches courses in anatomy, pathology, orthopedics, and sports medicine. He continues to treat patients and conduct research at Campbell Clinic. He is pursuing a Ph.D. in educational research at the University of Memphis. Formerly the director of rehabilitation for Samaritan Regional Health System in Ashland, Ohio, Jon has also worked as the Director of Physical Therapy and Sports Medicine Coordinator for Campbell Clinic in Memphis, TN. Jon is currently a Certified Instructor for the VitalStim® Certification Course teaching NMES for the treatment of dysphagia. Jon’s professional appointments include Team Physical Therapist and Rehab Consultant for several semi-professional and professional sports teams. He is an NATABOC certified Athletic Trainer and a member of the APTA, Ohio PT Association, and Tennessee Athletic Trainers Association.

Financial Disclosure: Jon receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s).
Non-financial Disclosure: There are no financial relationships to disclose.

Kelly Salmon


Kelly is a speech-language pathologist (SLP) specializing in the treatment of adults with communication and swallowing disorders across the continuum of care. She has been a Board Certified Specialist in Swallowing and Swallowing Disorders (BCS-S) since 2011 and is one of the only SLPs in the U.S. to earn designation in 2014 as a Lymphology Association of North America Certified Lymphedema Therapist (CLT-LANA) specializing in the treatment of head and neck lymphedema. Over the past several years of her career, Kelly has focused on becoming an expert in the treatment of swallowing disorders resulting from many medical conditions including head and neck cancer, stroke, and progressive disease and recently became one of the first SLPs to earn the NDC credential (NMES for dysphagia certified). She also works with individuals following total laryngectomy to rehabilitate and restore communication and swallowing function. Kelly was awarded her bachelors degree in speech pathology and audiology at Stockton University in New Jersey, her masters degree in speech pathology at New York University, and is currently completing her clinical doctorate in speech pathology at Nova Southeastern University. Kelly takes pride in contributing to the field of speech-language pathology through teaching a graduate-level dysphagia course at Temple University in Philadelphia, supervising speech-pathology students, presenting posters and lectures at national conferences, publishing articles on various topics related to swallowing and communication disorders, and engaging in multidisciplinary research initiatives. She is currently in the process of completing a clinical research study examining swallowing-related outcomes for individuals undergoing specialized robotic surgery for head and neck cancer. Kelly works in an otolaryngology practice at a large academic medical center in Philadelphia, PA and is dedicated to providing the highest level of evidence-based care for all of her patients.

Financial Disclosure: Kelly receives honoraria from CIAO Seminars for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-Financial Disclosure: Kelly uses VitalStim Therapy in her practice.

Day 1

07:30 - 08:00
Registration (snack/refreshments provided)
08:00 - 08:15
Introduction, program overview, objectives
08:15 - 08:45
Physiology, anatomy, neurology review
08:45 - 10:00
Palpation of head and neck structures (lab)
10:00 - 10:15
10:15 - 12:00
Exercise and Dysphagia
12:00 - 01:00
Lunch (on your own)
01:00 - 02:30
Electrical stimulation: theory & lab demonstration
02:30 - 02:45
02:45 - 05:30
Electrical stimulation: theory & lab demonstration continued
05:30 - 06:30
Written Exam

Day 2

07:00 - 07:30
(snack/refreshments provided)
07:30 - 08:00
Review of material day 1, Q&A
08:00 - 08:30
Exam review and scoring
08:30 - 10:00
NMES protocols (lab)
10:00 - 10:15
10:15 - 11:30
NMES protocols (lab) continued
11:30 - 12:30
Lunch (on your own)
12:30 - 03:15
Integration: case studies, problem solving
03:15 - 03:30
Resource Network for Registered Providers
03:30 - 03:45
Q & A

Delivery VIA:

  • Live On Tour - This course is now being offered live on locations throughout the United States.
  • Live By Request - This course is available to come to you! Contact us to see how easy that can be. mail@ciaoseminars.com

Contact hours pre-approved for:

  • 16 Hours
  • CIAO is an Approved Provider for ASHA #AAWA (1.6 ASHA CEUs)
  • CIAO is an Approved Provider for AOTA #4119 (1.6 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (20 PDUs Clinical Lab Assessment)
  • ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
  • CIAO is authorized by IACET to offer 1.6 CEUs for this program
  • As an IACET Accredited Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • This course is approved by the CA Board of OT for Advanced Practice
  • - 11.25 hrs Physical Agent Modalities CABOT#25-P4
  • - 7.0 hrs Swallowing CABOT#25-S1
  • 16 hrs. OTs in FL (CE Broker #20-515988)

Course meets requirements for:

  • OT/COTAs in AL, AZ, AK, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, LA, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT,
  • OT/COTAs in NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

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

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

    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 Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.

    This course is offered for 1.6 ASHA CEUs (Intermediate level, Professional area)..


    "Thank you for the beautiful illustrations! Thank you for "hands on" practice! The material is extremely complicated and intense. With your presentation and effective hands-on help, you taught me a great deal! "

    - Orlando, FL / Apr 2024

    "Great course! A lot of functional applications. I appreciated the anatomy review. "

    - Orlando, FL / Apr 2024

    "I loved this course. I went in with minimal knowledge of NMES, and now feel able to correctly place electrodes and determine appropriate placement. Thank you Jodie and Julie!"

    - Dallas, TX / Apr 2024

    "This was very informal & answered many questions. Eager to apply this new knowledge to patients and continue learning more about NMES!!"

    - Dallas, TX / Apr 2024

    "Presenters did a wonderful job at presenting information & assisting with hands on experience and labs. Visuals assisted throughout course."

    - Dallas, TX / Apr 2024

    "Great course, excellent presenters. Very knowledgeable and personable."

    - Saint Louis, MO / Apr 2024

    "Very thorough and informative content with applications for practice. Speakers, knowledgeable and simplifies complex info."

    - Saint Louis, MO / Apr 2024

    "Thanks for having this course live. Please keep live courses available"

    - New Orleans, LA / Mar 2024

    "This course was a great refresher of cranial nerves and their functions. The use of real life examples was very helpful in addition to the hands-on labs."

    - Knoxville, TN / Mar 2024

    "Learned a lot more than I thought I would! We learned about other tips outside of/beside, vitalstim/NMES."

    - Knoxville, TN / Mar 2024

    "Very informative course for background on anatomy and for hands-on learning with the device! I feel confident and excited to provide a new level of care to my patients!"

    - Knoxville, TN / Mar 2024

    "I leave a lot of courses, not feeling like I learned anything. That wasn't the case here. I feel like a new and better therapist."

    - Knoxville, TN / Mar 2024

    "This course was very educational and designed very well to facilitate learning and understanding. "

    - Baltimore, MD / Jan 2024

    "I appreciated the time + experience from our instructors today. I felt they provided the opportunity for questions + real life application from examples/experiences from their clinical practices. "

    - Baltimore, MD / Jan 2024

    "I learned more about dypshagia in this course than i did in grad school and through experience. Jodie is phenomenal! "

    - Phoenix, AZ / Dec 2023

    "The course was engaging and interactive- instructors were super helpful and helped me feel comfortable- they were supportive and very kind which eased my anxiety/nervousness about the lab component. "

    - Miami, FL / Dec 2023

    "Presenters were well-versed and knowledgeable about the material. Great hands-on practice!"

    - Chattanooga, TN / Nov 2023

    "I always enjoy CIAO live classes. I learn something new each time I recertify."

    - Houston, TX / Nov 2023

    "FANTASTIC speakers! I loved the anatomy/physiology review as well as the case studies. one thing I might change would be for the exam to more closely align with the course content."

    - Houston, TX / Nov 2023

    "Greatly improved my knowledge and confidence in using vitalstim. I'fd love to purchase the new device"

    - Houston, TX / Nov 2023

    "One of the best courses I've taken! Definitely worth the cost. I learned so much! The manual binder is clear and so helpful."

    - Tampa, FL / Oct 2023

    "This course kept my attention and interest. Perfect amount of time to feel adequately prepared. "

    - Tampa, FL / Oct 2023

    "A fantastic course! Presenters were very knowledgeable about the subject and expert in their field. I would highly recommend!"

    - Seattle, WA / Sep 2023

    "Presenters both very knowledgabe - able to re-phrase / explain and frequent check-ins to make sure we understood info and offered opportunities for questions. Both did excellent."

    - Boston/Waltham, MA / Sep 2023

    "Excited to cross-over to the peds bundle!"

    - Atlanta, GA / Aug 2023

    "Nice handouts and case studies at end. Demo/hands on lab very helpful"

    - Santa Ana, CA / Aug 2023

    "Presenters were excellent and well-knowledged "

    - Charlotte, NC / Jul 2023

    "Jodie did an amazing job of bridging the gap between text book knowledge and applicatioin into tx sessions. John provided an overall picture of the entire body's involvement in swallowing."

    - Jackson/Flowood, MS / Jul 2023

    "So much more information than Ampcare. I feel as though I have a real understanding now. Thank you SO much!"

    - Jackson/Flowood, MS / Jul 2023

    "I would benefit from more practice with adjusting settings based on case scenarios, but this will come with practice :)"

    - Pittsburgh, PA / Jun 2023

    "Please consider having speakers use microphone lecture as it was difficult to hear information at times in a large room. "

    - Glen Cove/Long Island, NY / Jun 2023

    "Well put together course with exceptional information. Jodie and Joe are wonderful and highly capable in their ability to communicate the material. The physics/Estim section at the end of the day one is difficult, due to being at the end of the day."

    - St Louis, MO / Jun 2023

    "The instructors werevery knowledgable and friendly. Loved Lesley's personality and energy! The course ran on time, was very informative and prepared me for actual treatment,"

    - Jacksonville, FL / May 2023

    "The presenters were knowledgable and answered all questions with details. The labs were helpful in identifying the proper placement for electrodes. Don't change anything. It's perfect as it is!"

    - Jacksonville, FL / May 2023

    "This course had the most in-depth anatomy overview of any course I've ever taken, but was explained so thoroughly that it was easier to understand. Y'all know your stuff! Thank you! :)"

    - Jacksonville, FL / May 2023

    "Great course! 5 stars!"

    - Jacksonville, FL / May 2023

    "More capability and confidence using NMES. A fantastic course! Jon and Jen are fantastic instructors who crammed valuable (a ton of) info into 2 days and made it very enjoyable. Time flew by!"

    - Denver/Englewood, CO / May 2023

    "This course was very helpful - this info could easily be a week long training."

    - Denver/Englewood, CO / May 2023

    "I will be able to utilize NMES in conjunction with my current treatment tools to improve patient outcomes. Overall very impressed -- I appreciated the balance of information and hands on practice. "

    - Denver/Englewood, CO / May 2023

    "I will be able to offer more resources to my swallow patients and have a better understanding of impairment vs pathology, etc. Jon & Jen were such amazing instructors! There was a perfect combo of lecture & hands-on practice. I appreciated the in-depth A&P review& how they spent a good amount of time answering questions. Thank you!"

    - Denver/Englewood, CO / May 2023

    "I will use NMES where I had not before. This will facilitate a better rate of progress for my patients. Great class - both presenters were wonderful, best class I've taken in a long time. "

    - Denver/Englewood, CO / May 2023

    "Modalities presentation not specific to SLPs. Did not understand the PT examples or relevance."

    - Chicago, IL / May 2023

    "Most useful continuing education course I've completed. "

    - Orlando, FL / Apr 2023

    "Presenters were friendly and knowledgeable. Both were great with education and with explanations. I feel confident in using NMES with this course."

    - Omaha, NE / Apr 2023

    "Amazing course! 10x better than I expected. They explained concepts in a way that they finally "clicked" for me. I would recommend this course to any clinician that treats patients with dysphagia."

    - Philadelphia, PA / Apr 2023

    "The presenters/specialist were highly educated and presented the information in a clear and concise manner. Ciao Chique was positive, helpful and so uplifting!"

    - Philadelphia, PA / Apr 2023

    "answered all questions. Attentive"

    - Philadelphia, PA / Apr 2023

    "Excellent course. Kelly and Tom were great presenters. Christie is a treasure."

    - Philadelphia, PA / Apr 2023

    "Loved this course! Thank you!"

    - Philadelphia, PA / Apr 2023

    "Both speakers were exceptional. Both were very knowledgable. They were animated speakers that kept my attention the entire time. Highly recommend. "

    - Dallas, TX / Mar 2023

    "Both instructors were fantastic! I've learned more in this CEU than any other CEU course I have taken. Thank you!"

    - Dallas, TX / Mar 2023

    "I am wondering if you could spread the content of the course in 3 days. "

    - San Antonio, TX / Feb 2023

    "Very Kind, help with any anxiety and were patient"

    - San Antonio, TX / Feb 2023

    "Great course/ Wonderful Instructor. No questions left unanswered. Leaving this course felling confident."

    - San Antonio, TX / Feb 2023

    "The instructors were very engaged and enthusiastic about the content which helped with learning!"

    - Nashville, TN / Jan 2023

    "Awesome course! Very helpful in gaining a better understanding of dysphagia. Can't wait to implement these practices "

    - Nashville, TN / Jan 2023

    "It was a great course! thanks for John and Karin"

    - Istandbul, NSW / Jan 2023

    "thank you! it was very informative and fun!"

    - Istandbul, NSW / Jan 2023

    "Thank you =)"

    - Istandbul, NSW / Jan 2023

    "Awesome course. Loved the hands on labs, feedback and case studies discussed."

    - Houston, TX / Nov 2022

    "Loved the course! I am confident to use VitalStim in my everyday practice! The hands on labs made a huge difference."

    - Houston, TX / Nov 2022

    "This course was truly though provoking and engaging for continued growth in this field. I have truly learned more than just VitalStim and look forward to using this to change lives of future patients."

    - Houston, TX / Nov 2022

    "A lot of information to take in...but presented extremely well! Course handouts and resources were excellent augmentations to lecture. Adequate hands on practice let me pretty confident to implement in practice. "

    - Chicago, IL / Nov 2022

    "Requires practice to achieve high capability. Please consider providing a DINES "fact" or "cheat" sheet for quick reference out in the field and easy to find contacts. "

    - Mt Laurel, NJ / Oct 2022

    "Kelly and Tom were awesome instructors! The pace of the course is perfect and information projected in good easy to understand manner!"

    - Mt Laurel, NJ / Oct 2022

    "Excellent course. Instructors were personable, approachable, and very knowledgeable. "

    - Mt Laurel, NJ / Oct 2022

    "The binder is an excellent resource. Gina and John were excellent instructors. They were extremely thorough and well spoken. I truly enjoyed this course."

    - Boston, MA / Sep 2022

    "Fantastic course! I learned more about dysphagia in this course than in my grad school classes! "

    - Boston, MA / Sep 2022

    "The speakers were fantastic! Karin and Julie were patient, helpful, and provided excellent tips and advice."

    - Santa Ana, CA / Aug 2022

    "100% would recommend to all my co-workers and fellow SLPs. So detailed with practical application and use. Really appreciated the hands on lab time!"

    - Santa Ana, CA / Aug 2022

    "Effective, calm, and supportive instructors. Easy to understand examples of targeted concepts. Good that other NMES estim units discussed."

    - Santa Ana, CA / Aug 2022

    "Highly informative course! Very interactive/hands on, with excellent real life experience and practice. Providers were very knowledgeable and helpful. Will definitely reference the excellent manual!"

    - Charlotte, NC / Jul 2022

    "Much appreciated the consideration for nursing moms!"

    - Birmingham, AL / Jun 2022

    "Great course! Both presenters were wonderful"

    - Birmingham, AL / Jun 2022

    "This course not only helped me to use VitalStim, but also helped me with effective dysphagia tx in general."

    - Kansas City , MO / Jun 2022

    "Thank you for a great weekend of learning - it was challenging and applicable. So nice to be IN PERSON!"

    - Kansas City , MO / Jun 2022

    "Denise and Jon were great educators and really helped us understand the concepts in a very functional way. Was a great course!"

    - Kansas City , MO / Jun 2022

    "For re-certification, this course entails more information than necessary. CIAO should develop a course that is more of an express course for re-certificaiton. "

    - Detroit, MI / May 2022

    "Thank you! Very informative, lots of hands on practice. great functional examples!"

    - Minneapolis, MN / May 2022

    "This course was set up in a very functional way to allow for learning and understanding the material. There are so many wonderful things I can take away from this course to use in my clinical practice!"

    - Minneapolis, MN / May 2022

    "Really enjoyed the labs and practical applications. Lots of helpful treatment recommendations."

    - Minneapolis, MN / May 2022

    "Explanation of anatomy, use of device, patient characteristics, etc. was great-easy to understand and apply!"

    - Denver, CO / Apr 2022

    "Loved this course and cant wait to use it in my practice."

    - Denver, CO / Apr 2022

    "Loved the course! So informative and presented in a great way."

    - Fort Lauderdale (Th/FR), FL / Apr 2022

    "Excellent! Presenters were extremely knowledgeable and experts in the field. So glad I did this course. Thank you!"

    - Dallas, TX / Apr 2022

    "Very informative & helpful presenters. Highly recommend! "

    - Philadelphia, PA / Mar 2022

    "Thank you all! Maddie provided wonderful, bright energy. John is highly intelligent and skilled- challenging my skills just like his pts :) Loved Denise's presentation skills, practical and relatable. I'll consider more CEU's with updated website platform for multi-media. CASE STUDIES VERY HELPFUL (even with more details!). "

    - Baltimore, MD / Feb 2022

    "The therapy manual REALLY helped my learning "

    - Baltimore, MD / Feb 2022

    "Very informative seminars"

    - Baltimore, MD / Feb 2022

    "I loved the course"

    - New Orleans, LA / Feb 2022

    "I really enjoyed this course. I feel that it has increased my abilities as a therapist and opened a new world for me for dysphasia therapy. I appreciated that both speakers were not SLP's. I feel that it helped build that relationship between Physical Therapy and Speech Therapy related to modalities. "

    - Louisville, KY / Jan 2022

    "Exceeded my expectations!"

    - Irvine, CA / Aug 2021

    "Very informative and useful to assist in facilitating and improving swallow function."

    - Irvine, CA / Aug 2021

    "This course was engaging, educational, and fun! I feel more equipped to tackle dysphagia therapy as a new clinician."

    - Irvine, CA / Aug 2021

    "Karen and Julie were phenomenal speakers and educators, course was very informative and had many components (visual and practice) that allowed for wonderful carryover. "

    - Irvine, CA / Aug 2021

    "I loved the course! It has made me significantly more confident in my abilities all around for dysphagia! "

    - Charlotte, NC / Jul 2021

    "Wonderful course. Detailed, straight to the point, took time to help and explain, friendly. Highly recommend this course. "

    - Charlotte, NC / Jul 2021

    "The anatomy portion was definitely a refresher. I gain new information that will aid in more effective tx. "

    - Houston, TX / Jul 2021

    "Coming into the course I was nervous over my lack of knowledge. The presenters were so positive and helpful! Thank you so much for the confidence I have gained! :)"

    - Jackson, MS / Jul 2021

    "Recertification really helpful to renew skills!"

    - Pittsburgh, PA / Jun 2021

    "Awesome course!! I wish I would have taken this course sooner. This course will make me a better clinician to treat dysphagia, whether or not NMES is utilized. I feel like I will be able to come up with better treatment plans."

    - Pittsburgh, PA / Jun 2021

    "Information was detailed and well presented."

    - Kansas City , MO / May 2021

    "Great class! This was better than my dysphagia class in graduate school!"

    - Kansas City , MO / May 2021

    "I have found it very helpful to come in person for recertification. I was able to hone my skills especially with regard to dysfunction and impairment for determination of muscle groups to benefit and electrode placement. "

    - Philadelphia, PA / Apr 2021

    "Excellent presenters, materials, information, and clinical lab info."

    - Orlando, FL / Apr 2021

    "Most I've learned about dysphagia treatment in a very long time. "

    - New Orleans, LA / Mar 2021

    "The presenters were very informative. Answered all questions. Overall a great experience!"

    - Boston , MA / Mar 2021

    "Excellent course! I really enjoyed the hands-on experience and practical application."

    - Boston , MA / Mar 2021

    "Easy to follow, such good base information to work up from. Loved the hands on experience. So willing to answer all questions!"

    - Las Vegas, NV / Feb 2021

    "Friendly and helpful instructors. Enjoyed collaborating with fellow peers and peds/adult case studies."

    - Las Vegas, NV / Feb 2021

    "This was for recertification. I'm so glad I came in person vs. online. I learned additional techniques using VitalStim Plus."

    - Las Vegas, NV / Feb 2021

    "Presentation was thorough and presenters were excellent! I will definitely consider CIAO in the future!"

    - Nashville, TN / Jan 2021

    "Awesome presenters and course structure. Thank you. Excited to implement into sessions."

    - Houston , TX / Jan 2021

    "great course, excellent review of neuro/anatomy for tx rationale."

    - Tampa, FL / Dec 2020

    "Excellent course, tremendous, highly knowledgeable instructors! I enjoy continuing education, but certainly appreciate walking away with FUNCTIONAL application. This course exceeded my expectations. This might be "my" point in my SLP career where it will change the way I approach my therapy."

    - Phoenix , AZ / Dec 2020

    "Loved that this course targeted critical thinking, options for treatment modalities and addressed concerns associated with the current and older research."

    - Denver , CO / Sep 2020

    "Speakers' expertisewas above & beyond expectations - just a wealth of information and able to address every single question. Live course was invaluable (I took the day 1 covid livestream) I learned so much from the interaction, Q&A, live dynamic. * I especially appreciated case studies/exercise applications (Sunday post lunch! the best)"

    - Denver , CO / Sep 2020

    "I am so thrilled that I am now CERTIFIED and no longer have to refer my patietns who would benefit from NMES to other clinicials. YAY!!! Thank you!"

    - Orlando , FL / Sep 2020

    "Loved the depth of information taught in this course. I learned an immense amount about swallowing and am excited about implementing this in my practice."

    - Dallas, TX / Sep 2020

    "Great refresher for recertification on new utal stim plus. I feel confident to to treat w/ nmes after course after being away from dyphagia tx for 3 years."

    - Biloxi, MS / Aug 2020

    "I recommend your ability to make changes to accommodate "Social Distancing" to allow is to still become certified in the midst of the Pandemic!"

    - Philadelphia, PA / Aug 2020

    "This was an amazing course! I learned so much about not only NMES but MBS interpretations and muscles of swallowing. Thank you."

    - Nashville, TN / Feb 2020

    "I feel like I understand dysphagia and the physiology component so well now. This course was wonderful!!"

    - Nashville, TN / Feb 2020

    "This course was AWESOME! I was really nervous prior to taking the course and the instructors really put me at ease and truly prepared me to use NMES on my patients. "

    - Houston, TX / Jan 2020

    "I appreciate the additional test taking time; I really needed to have some decompress and quite time to absorv info, reread, and check my answers - very fair for the amount and intensity of this course! Some questions on test were not discussed or found. ____ to last course no ___/manual. Added bonus, electrode placement with presenter spot-check & feedback/correction appreciated."

    - Tampa, FL / Dec 2019

    "Kelly & Joe were outstanding presenters. They made the course fun & interactive."

    - Tampa, FL / Dec 2019

    "Lesley is like a NMES MOM! She's fantastic. Gina and Julie were amazing. And the binder of knowledge and continued online resources are great! Thank ya'll"

    - Birmingham, AL / Nov 2019

    "Great course. I have been doing swallowing for 2+ years and learned so much about dysphagia and NSMES. THANK YOU!"

    - Birmingham, AL / Nov 2019

    "Maddie- excellent demeanor, very warm and friendly. Kelly- I want to be like her when I grow up, so knowledgable and well spoken. Joe- excellent teacher, unassuming, takes nothing for granted, explains/demonstrates well with his examples."

    - Columbus, OH / Nov 2019

    "I enjoyed the time for hand on portion where the educators checked on everyone and gave feedback on placement."

    - Newark, NJ / Nov 2019

    "This course went above and beyond my expectations! I absolutely feel prepared to implement this treatment in my practice. "

    - Oklahoma City, OK / Oct 2019

    "Amazing course! A must-take course for all SLP's seeking to expand their knowledgable in the area of dysphagia and NMES with incredible professors. I LOVED this educational experience. "

    - Houston, TX / Jul 2019

    "Awesome! This course is marvelous. The presenters did a wonderful job in delivering the subject matter. Lesley and Maddie are very assistive and heart-warming. More power to CIAO. Thank you Dayna."

    - Jackson, MS / Jul 2019

    "I was on the edge of my seat to hear the information. Please come back to Jackson, MS and do a PED's course! Y'all rock!! MS <3's y'all!"

    - Jackson, MS / Jul 2019

    "Great course! The instructors were very knowledgable and I feel comfortable implementing course information in my clinical practice. "

    - Pittsburgh, PA / Jun 2019

    "I retained even more information this time as a renewal course. I was able to focus on the theory and reasoning behind placement overall use because I had prior experience with the unit."

    - Detroit, MI / Jun 2019

    "Great course! Appreciate the realism and honesty. Also, love all of the visual descriptions. "

    - Dallas, TX / May 2019

    "The BEST course I have ever taken. The presentation of material was fantastic. I really enjoyed the practical application."

    - Chicago, IL / May 2019

    "This course was EXCELLENT! I really feel confident to use Vitalstim and this has greatly increased my knowledge."

    - Orlando, FL / Apr 2019

    "Presenters were engaging and knowledgeable. They were able to answer all questions and very approachable."

    - Orlando, FL / Apr 2019

    "Thank you for the great book/manual, references an article summary of articles."

    - Orlando, FL / Apr 2019

    "Both presenters were great! Very knowledgeable & helpful. I especially was inspired by Jon's ability to teach this class & relate to SLPs given his background was PT. It's not always easy to code switch between PT/SLP!"

    - Columbus, OH / Mar 2019

    "The explanations of anatomy and physiology were explained very well. I very much enjoyed every single one of the analogies explained, the information just made sense after the explanation of analogy. The test questions could be revamped. Course binder and hands on labs were great!"

    - Columbus, OH / Mar 2019

    "This is going to dramatically impact the quality of care I give my dysphagia patients!!!"

    - San Diego, CA / Feb 2019

    "Absolutely awesome instructors! I learned so much and was so impressed with the knowledge this course provided! Thank you CIAO!"

    - Houston, TX / Jan 2019

    "Utilize previous vitalstim unit for facilities w/old unit. Amazing course! Best dysphagia course since grad school."

    - Houston, TX / Jan 2019

    "Excellent review and I really enjoyed the hands on and new outlined agenda. A great review and I loved the new VitalStim machine. Course was very organized. Thank you so much!!"

    - Houston, TX / Jan 2019

    "Very comprehensive. I am also trained in Ampcare - I like this protocol much more and am excited to apply to my caseload."

    - Houston, TX / Jan 2019

    "Awesome course! I could not be more satisfied with the knowledge that I gained! "

    - Tampa, FL / Dec 2018

    "Instructors had great collaboration to the presentation, knowledgeable on their presented information and good experience. Instructors provided adequate hands-on training to enhance learning."

    - Columbus, OH / Nov 2018

    "Wonderful, much needed refresher for swallow anatomy that made it functional and beyond the classroom "origin and intention" that isn't very functional. I feel I look at swallow in a new and improved way that will better serve my patients. "

    - Dallas, TX / Oct 2018

    "AWESOME COURSE! I feel like I learned more than my grad school course (smiley face) Thank you!"

    - Atlanta, GA / Oct 2018

    "I've been an SLP for 13 years. By far, this is the best continuing ed/certification course I have ever participated in. Outstanding job!"

    - Atlanta, GA / Oct 2018

    "Loved Tammy!!! CIAO presented the information with a cohesive learning experience.Loved the hands on component."

    - Newark, NJ / Aug 2018

    "The presenters did a fantastic job with teaching complicated course content in an understandable manner! Wonderful teachers!"

    - St Louis, MO / Aug 2018

    "Excited to take what I learned back to my facility and patients! Feel as if I have doubled my knowledge of dysphagia in one weekend!"

    - St Louis, MO / Aug 2018

    "Appreciated the increased palpation techniques, review of placement strategies impacting specific muscles."

    - Houston, TX / Jul 2018

    "Instructors were able to present information in a practical and fun way. It only took two days to learn and review what would have taken a full semester of school with this awesome team. Will be coming back for more CIAO corses. Oh, Maddie is GREAT! Keep her forever!"

    - Houston, TX / Jul 2018

    "Maybe another break or two. The days are so long!"

    - Houston, TX / Jul 2018

    "Wish I had completed this this LONG ago! Clarifies swallowing function so well! Love the motivation to heal patients!"

    - Kansas City, MO / Jun 2018

    "Amazing course! I feel completely capable to begin using this Monday! Far exceeded my expectations!"

    - Kansas City, MO / Jun 2018

    "Awesome! Best swallowing conference I’ve attended in a long time! Thank you!!"

    - Kansas City, MO / Jun 2018

    "I would recommend this course to my co-workers. My knowledge base regarding VS has improved as well as my confidence in implementing VS during therapy sessions. The instructors were phenomenal. "

    - Dallas, TX / May 2018

    "Wow! Talk about passionate presenters. I loved this course and I feel I got prepared to take on dysphagia therapy with the use of vitalstim "

    - Dallas, TX / May 2018

    "Course was very thorough and provided great materials with information applicable for all dysphagia tx. This course exceeded my expectations."

    - Baltimore, MD / Apr 2018

    "The muscle training and electrical stim portion was highly informative and drove home the importance of NMES."

    - Baltimore, MD / Apr 2018

    "Presenters were highly educated and clearly conveyed information in an interesting manner!"

    - Philadelphia, PA / Mar 2018

    "Wonderful course that not only helped me understand NMES but increased my knowledge of the swallow and dysphagia in general."

    - Philadelphia, PA / Mar 2018

    "Excellent class! Thank you for your patience and willingness to answer all our questions! Great review of anatomy/physiology also!"

    - Irvine, CA / Feb 2018

    "Very thoughtfully covered material. Good exchange of questions and answers throughout presentation; excellent examples with videos. Adequate supplies, excellent feedback to students. Would be less confusion if lecture handouts matched sequences of slides presented. (I think some new slides added.) Would love to take additional courses from him. Yes, would recommend to others without hesitation."

    - Irvine, CA / Feb 2018

    "Although my head feels like it is going to explode, I'm super excited to utilize this new knowledge. I've enjoyed all the speakers (including Ann Marie). What a great class!"

    - Nashville, TN / Feb 2018

    "Kelly, Ann Marie and Penny were all very approachable, knowledgeable and helpful. They provided the information, tools and resources to help me feel competent as a clinician using this program."

    - Nashville, TN / Feb 2018

    "It was an intensive program but the instructors did a great job of reviewing the material every so often and checking to make sure we understood everything. Loved the labs. "

    - Nashville, TN / Feb 2018

    "I feel like many clinicians still have reservations about using carbonated beverages because of the controversy so maybe providing alternative options besides carbonation. "

    - Houston, TX / Jan 2018

    "1) Would love to see a video (case study) of a patient actually receiving treatment t see it all come together, from case HX-> Targeting Decision Making-> TX Video -> Results 2) give us time to independently (or small group) process a case study from start to finish, then review the case with the whole group"

    - Houston, TX / Jan 2018

    "Instructors were great. Provided very knowledgable information w/ personal experiences tied in! Also thought the course did a good job alternating hands on/book learning"

    - Houston, TX / Jan 2018

    "Great course! I enjoyed the in-depth discussion of dysphagia/review of anatomy of the swallowing muscles. "

    - Houston, TX / Jan 2018

    "Excellent conference with practical application. Presenters were highly knowledgable and info was well organized."

    - Houston, TX / Jan 2018

    "Loved this course! I can't wait to get back to work and apply what I've learned."

    - Houston, TX / Jan 2018

    "Maddie did a great job of making us feel welcomed; gave clear instructions. I appreciate the hands-on aspect of training and feel much more confident in my ability"

    - Houston, TX / Jan 2018

    "Great Course! Very informative, easy to follow along and presenters did a great job in teaching how to apply all the knowledge/info. "

    - Houston, TX / Jan 2018

    "Both presenters were available for all questions, provide very good examples, atmosphere in hotel very good, Thank you!"

    - Charlotte, NC / Dec 2017

    "So glad that I took my first renewal course live. This would be recommended for all first time renewal. There should be a no cell phone usage policy during this course. It was so much great information. I feel sorry for SLP who used her cell phone throughout this course. "

    - Charlotte, NC / Dec 2017

    "Great course/Awesome Instructors!"

    - Charlotte, NC / Dec 2017

    "Very knowledgable and experienced instructors, personalized instruction, well organized and good pacing/use of time. Attentive and answered all questions."

    - Tampa, FL / Nov 2017

    "Great course! I felt that I gained so much knowledge regarding dysphagia tx as well as NMES. "

    - Tampa, FL / Nov 2017

    "Excellent course! Jen and Tom did a great covering a lot of complex information in a short period of time. Materials were well organized and helpful"

    - Tampa, FL / Nov 2017

    "Thorough explanation and hands-on training was wonderful."

    - Tampa, FL / Nov 2017

    "The best course I've ever taken. Highly interesting & informative! Wonderful presenters!!"

    - Louisville, KY / Aug 2017

    "This is a spectacular program. I've been doing this a long time (6 years), but my practice will greatly improve after this renewal!"

    - Louisville, KY / Aug 2017

    "Very engaging & educational. Was very beneficial."

    - Louisville, KY / Aug 2017

    "The overall lectures were delivered very well (each and every word was understood) The best part was the hand-on clinical practice which boost up the confidence to apply NMES directly to pts after this course. I would like to request CIAO Seminars to visit my country (Pakistan) for their courses. Looking forward! (R. B. S.)"

    - Houston, TX / Jul 2017

    "Both presenters were fantastic- highly knowledgeable and equally as approachable with questions/ guidance. Truly enjoyed this course! "

    - Boston, MA / Jun 2017

    "Teaching of both instructors throughout the course had a synergistic effect on your learning the material. "

    - Boston, MA / Jun 2017

    "I feel guilty that I have not been trained for NMES before now to have helped the many dysphagia pts I've had in the past! Amazing teaching speakers! Incredible simplified explanations - THANK YOU!!! You're both gifts to our field!!!!"

    - Kansas City, MO / Jun 2017

    "Excellent course. All of the analogies used will be helpful in explaining medical concepts to my patients/families."

    - Pittsburgh, PA / May 2017

    "Best CEU I've taken so far, hands on was so helpful to the learning! Presenters were highly knowledgable and engaging. Thank you."

    - Irving, TX / Apr 2017

    "Very informative-great presenters-can't wait to start providing the service to my population!!"

    - Houston, TX / Jan 2017

    "This course was wonderful and very informative/entertaining. Will be recommending. I feel as though I can begin using these skills immediately."

    - Houston, TX / Jan 2017

    "The hands-on labs for VitalStim were really helpful. I gained a better sense of how it feels and I think it helps me to understand my patient's perspectives."

    - Columbus, OH / Dec 2016

    "Very good information! Made me think about dysphagia treatment "upside down". I wonder why this wasn't taught in graduate school."

    - Charlotte, NC / Dec 2016

    "Amazing course not just for vitalstim but for dysphagia in general! Wonderful instructors, organized & in-depth presentation!"

    - Newark, NJ / Nov 2016

    "This was a wonderful seminar that not only educated us on VitalStim but also provided so much additional education on evaluation; treatment for patients with dysphagia."

    - Romulus, MI / May 2015

    "The course was fantastic! I can not wait to benefit my pts at a greater level with this new information."

    - Metairie, LA / Feb 2015

    "Amazing! I gained not only more infor/knowledge about NMES but greater understanding of Dysphagia."

    - Metairie, LA / Feb 2015

    "Phenomenal course! I learned so much!! Can't wait to apply what I have learned!!"

    - San Antonio, TX / Feb 2015

    "Amazing course! I would recommend the course to anyone even those who remain skeptical of NMES in treating dysphagia. There was a wealth of info!!"

    - Atlanta, GA / Feb 2015

    "This course was excellent! I learned so much and will use this knowledge everyday in my practice to better my patients lives."

    - Nashville, TN / Jan 2015

    "I came to this seminar quite apprehensive and a bit stressed. Upon completion, I am now equipped with new knowledge and confidence - ready and eager to apply these skills! Loved this course! Excellent presenters."

    - Tampa, FL / Nov 2014

    "Especially liked cranial nerve review. Great info. Switching of speakers was helpful. Presenters answered all questions. Nice hotel/location."

    - Nashville, TN / Feb 2014

    "Jodie rocked! Jodie for President! :) Love & appreciated how Jodie used her arms & hands as visual aids to help us learn structurs concepts for anatomy. Was blown away by both Jodie's & John's vast applied knowledge & how well they taught us. Liked having PT perspective. Lynus has the best contagious smile & energy! Thank you!!!"

    - Houston, TX / Jan 2014

    "I can apply what I've learned immediately in therapy."

    - Tampa, FL / Dec 2013

    "Great class! Fun, interesting, thorough and functionally applicable. Thank you!"

    - Tampa, FL / Dec 2013

    "A Lot of material in a very short amount time."

    - St Louis, MO / Oct 2013

    "Fantastic diagrams that helped facilitate a greater knowledge of muscles and placements!"

    - Richmond, VA / Sep 2013

    "Course was very informative. I liked that case studies were presented as well as hypothetical patient cases - to help w/ application"

    - Minneapolis, MN / Apr 2013

    "Enjoyed the course. Presenters with excellent knowledge and teaching methods. Ready to put the VitalStim to use with patients."

    - Little Rock, AR / Mar 2013

    "Excellent course- the best CEU course I have taken. I can’t wait to start using VitalStim in my practice."

    - Columbus, OH / Mar 2013