The art and skill of interpreting Modified Barium Swallows seemed out of reach for some SLPs who may have graduated before the opportunity to learn was available, or simply because of the limitations of their work environments. This introductory online interactive course is a great opportunity for SLPs, OTs, Radiologists and other professionals involved in treating dysphagia. This is not your typical online course, it is a colorful, 3-D, interactive experience! Participants will gain better insight and understanding of the normal anatomy of the swallow and the background necessary to accurately observe the Modified Barium Swallow (MBS) study for the assessment of swallowing. In Unit 1, consisting of 3 Lessons, the participant will learn the anatomy involved in the normal swallow. In Unit 2, consisting of 3 Lessons, the participants will review several MBS studies to learn how to identify and recognize common abnormal findings.
NOTE: The course is delivered via the internet. Computer and internet access is therefore required. The course takes approximately 12 hours to complete and may be taken at any time over a two week period with new classes starting every Friday. 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 OT Process: Intervention, Outcomes Domain of OT: Client Factors
Upon successful completion of this course, participants will be able to:
Identify normal anatomy of the musculature, skeleton and neurological structures relevant to the swallow
Identify 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
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.
M.A. CCC-SLP, NDC
Susan Mayfield Cole, MA CCC-SLP, NDC has been a VitalStim user as well as a CIAO instructor team member since 2003. She brings to our team an extensive teaching and clinical resume. Susan continues to serve as a a VitalStim Therapy Specialty Program instructor, an online instructor for the MBS: The Clear Picture course and is also a webcast designer/presenter. She holds the NDC certification for NMES. Susan previously held clinical and administrative positions at Frye Regional Medical Center, Graystone Ear, Nose and Throat Associates and Carolina ENT Head and Neck Surgery Center. She is currently the owner of Specialized Therapy Consulting and contracts with a variety of educational and clinical settings, including Twin City Medical Mobile Diagnostics, PLLC. Susan has held faculty positions at Appalachian State University and Caldwell Community College and Technical Institute where she taught courses in Ethics for the SLP-A program. She and her husband share a large family and when not working they enjoy fly fishing around the country.
Financial Disclosure: Susan 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: Susan uses VitalStim Therapy in her practice.
OTR/L, SWC, PAM
Kathy Ramirez, OTR/L, is a highly regarded clinician who is nationally sought out for her expertise in sensory based, neuro-developmental approach for the medically fragile infant and child. Kathy has dedicated her career to building therapists’ skills in clinical analysis and therapeutic effectiveness with a teaching style that is supportive, empowering, paired with a love of fun and laughter. With a strong theory base in NDT, SI, and CranioSacral therapies, Kathy has taken her passion and expertise in the care of the medically fragile infant to a national level by speaking and offering education opportunities across the country on topics including: Developmental Care in the NICU, Cue Based Feeding, pediatric feeding and swallowing analysis and treatment, including the use of VitalStim, swallow studies, sensory processing analysis and treatment interventions to enhance outcomes, advanced treatment concepts and clinical analysis, breast feeding the medically fragile infant and child, and developmental milestones supporting feeding skill acquisition.
Kathy began building her occupational therapy practice in 1992 and she continues to serve as a lead therapist for the NICU and Feeding Teams at Children’s Hospital of Orange County (CHOC) in Orange, CA. A leader in her field, Kathy is active in multiple hospital-based committees including Skin to Skin Care, Nutrition and Breast Feeding Coalitions, ECMO, Neurology, Palliative Care, and Family Centered Care. When tasked with the development of a specialized Small Baby Unit for the ELBW preemie, Kathy became an instrumental clinician in the development of unit protocols and care plans including an ongoing comprehensive evidence-based education series on environmental controls, developmental care, and cue-based feeding. In support of maintaining standards of clinical excellence, she continues to provide ongoing in-services and hands-on labs for clinicians of multiple service areas including medical residents, nurses, respiratory therapists, physical therapists, speech therapists, and occupational therapists.
Kathy’s dedication and compassion for her patients and their families has also fueled her community advocacy through speaking engagements at local associations, community settings, and local universities. She has advanced practice certifications in Physical Agent Modalities and Swallowing Assessment, Evaluation and Intervention to practice in the State of California.
Financial Disclosure: Karin Mitchell and Kathy Ramirez receive an honorarium from CIAO for the presentation of this course. Non-financial Disclosure: There are no financial relationships to disclose.
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
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.
Lesson 1: The Oral Stage
Lesson 2: The Pharyngeal Stage
Lesson 3: The Esophageal Stage
Anatomy & Physiology Exam
Assignment, instruction, and communication with online instructor
Lesson 4 Signs Observable during Oral Phase
Lesson 5 Signs Observable during Pharyngeal Phase
Lesson 6 Signs Observable during Esophageal Phase
Assignment, instruction, and communication with online instructor
Online - This course is offered in an online, on demand format.
Contact hours pre-approved for:
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
12.0 Hours OTs in CA - Advanced Swallowing #25-S2
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)
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.
This course is offered for 1.2 ASHA CEUs (Introductory level, Professional area).
"This was an excellent review of the cranial nerves and the muscles associated with the swallow. I look forward to the course."
- Nashville , TN / Feb 2017
"Very informative and a great refresher for the upcoming Vital Stim Program."
- Vail, AZ / Dec 2016
"Overall a wonderful course. The instructor responded quickly and provided good feedback for the assignments. It was a good review of all anatomy! "
- Scottsdale, AZ / Nov 2016
"Very helpful review given prior to in-person course"
- Brookfield, CT / Nov 2016
"I enjoyed having an online instructor. I feel that it challenged me to look into and analyze/question the information and my prior knowledge to complete the assignments. "
- New Providence , NJ / Oct 2016
"I truly appreciate this course as it was a GREAT refresher after not being involved in this area over the past few years. Great presentation of information that was easy to understand! Thank you Denise!"