Perspectives On Dysphagia Service Delivery: All About Treatment

#e154

2.0 CEUs

$199.00


Compatibility
Course Type

Description

This treatment-focused course presents perspectives on the evolution of dysphagia practice. Twelve master clinicians in the field of dysphagia examine how speech-language pathologists were managing patients when dysphagia was added to ASHA's scope of practice, how challenges along the way developed into evidence-based interventions, and what best practice looks like today. Looking forward, the discussion includes new concepts in the management of dysphagia. Offered for 2.0 ASHA CEUs – 20 Contact Hours. Course includes 2 hours related to ethics and speech-language pathology practice.

Course Faculty:

  • Jennifer Brush, MA, CCC-SLP
  • James Coyle, PhD, CCC-SLP, BCS-S
  • Karen Dikeman, MA, CCC-SLP
  • Roxann Diez Gross, PhD, CCC-SLP
  • Jacqueline Hind, MS, CCC-SLP, BCS-S
  • Marta Kazandjian, MA, CCC-SLP, BCS-S
  • Cathy Lazarus, PhD, CCC-SLP, BCS-S
  • Jan Lewin, PhD, CCC-SLP, BCS-S
  • Christy Ludlow, PhD, CCC-SLP
  • Kathy Panther, MS, CCC-SLP
  • Jay Rosenbek, PhD, CCC-SLP, BC-NCD
  • Paula Sullivan, MS, CCC-SLP, BCS-S

Course Sessions:

  • Shifting Our Perspective: Dementia and Dysphagia (Jennifer Brush)
  • Aspiration Pneumonia: Where Do We Go From Here (James Coyle)
  • Esophageal Dysphagia, Including a Behavioral Intervention for Globus (Roxann Diez Gross)
  • Respiratory and Swallowing Relationships (Roxann Diez Gross)
  • Perspectives On Oropharyngeal Strengthening (Jacqueline Hind)
  • Incorporating Integrative Medicine Approaches into Dysphagia Practice (Marta Kazandjian)
  • Managing Trach / Vent Patients With Dysphagia (Karen Dikeman)
  • Compensatory Strategies and Maneuvers Revisited (Cathy Lazarus)
  • Functional Outcomes After Head and Neck Cancer (Jan Lewin)
  • New Devices To Manage Sensory Loss (Christy Ludlow)
  • Hydration Management: What The SLP Needs To Know (Kathy Panther)
  • Dysphagia In Neurodegenerative Diseases (Jay Rosenbek)
  • Modified Diets and Feeding Tubes: Realities, Challenges and Ethics (Paula Sullivan)

The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.

Course Format: 

Video PowerPoint presentation with author narration & downloadable handout. Participants retain access to course content even after course completion.

Course Objectives

  1. Discuss at least three principles of culture change and an ethical approach to person-centered care.
  2. Summarize an ethical procedure for honoring individual choice and mitigating risk rather than using diet waivers.
  3. Identify evidence-based interventions that increase intake during meals.
  4. Explain how our professional decision-making has evolved since dysphagia management was adopted by SLPs.
  5. Describe predictors of pneumonia in people with and without dysphagia.
  6. Deploy ethical decisions regarding recommendations for management of dysphagia in patients receiving palliative care.
  7. Ensure that patient values and expectations receive the highest priority in evidence-based clinical decision-making.
  8. Cite economic and human costs of dysphagia and aspiration.
  9. Understand the concept that pneumonia risk cannot be lowered to zero.
  10. Describe basic esophageal anatomy and physiology.
  11. Discuss the differences between structural disorders of the esophagus and motility disorders of the esophagus.
  12. State the steps of an ethical respiratory-based intervention for persons with non-pathologic esophageal dysphagia.
  13. Recognize high resolution manometry images.
  14. Discuss how respiratory physiology may impact swallowing function.
  15. Describe subglottic pressure receptors and discuss their possible role in swallowing motor output.
  16. State the most commonly measured breathing and swallowing patterns between healthy adults and those with respiratory or neurologic disease.
  17. Illustrate how the status of the cuff of the tracheostomy tube can affect subglottic air pressure.
  18. Describe the effects of aging on the oropharyngeal anatomy.
  19. List the findings of relevant research regarding the effects of oropharyngeal strengthening on swallowing safety in persons with dysphagia and clinical findings of clinical pilot in skilled nursing facilities.
  20. Weigh the objective and ethical benefits of devices to facilitate oropharyngeal strengthening.
  21. Discuss the concept of integrative health and self-care through the philosophical whole person approach to life in order to optimize the mind, body, spiritual and social aspects of health and well-being.
  22. Understand the impact of integrative health on dysphagia management.
  23. Identify potential team members to collaborate with and support dysphagia management.
  24. Learn to ask open-ended questions that use a motivational interviewing approach.
  25. Appreciate the evolution of medical speech pathology and the role of the dysphagia clinician on the interdisciplinary team.
  26. Understand the essential competencies for clinicians working with tracheostomized and ventilator dependent patients.
  27. Understand the role of upper airway flow in dysphagia management.
  28. Review the current literature and the focus of future studies.
  29. Describe the rationale for use of compensatory postures and maneuvers to improve swallowing.
  30. Describe newer instrumentation and technologies used to assess efficacy of these compensatory postures and maneuvers.
  31. Define new ways to quantify swallow impairment, based on instrumental assessment.
  32. Describe new concepts related to swallow rehabilitation.
  33. Describe important considerations in the management of patients with head and neck cancer.
  34. Describe critical medical and surgical information regarding the pretreatment risk factors associated with functional rehabilitation after treatment for head and neck cancer.
  35. Identify key factors that predispose individuals to dysphagia after organ preservation and techniques for prevention of swallowing dysfunction.
  36. Discuss anecdotal and published data that demonstrate key advancements for successful functional outcomes after head and neck cancer.
  37. Describe recent device developments that can be used to enhance dysphagia therapy.
  38. Understand the rationale for providing sensory stimulation devices that patients can use for retraining swallowing.
  39. Understand how patient-driven, home-based therapy can augment the intensity of neurorehabilitation.
  40. Understand how transcranial magnetic stimulation and transcranial direct current stimulation can be used during dysphagia therapy in the clinic to augment the outcomes of neurorehabilitation.
  41. Explain the physiologic mechanisms of hydration and dehydration.
  42. Describe negative health consequences of dehydration.
  43. Discuss evidence-based hydration interventions incorporating ethics principles.
  44. Outline the components of a successful treatment plan for managing dysphagia in a range of neurodegenerative diseases.
  45. Apply that plan to the treatment of patients presented on video.
  46. List steps in guiding patients, care providers and teams in incorporating ethical decision-making principles related to modified diets and feeding tubes.
  47. Write an individualized care plan for a patient requiring a modified diet or feeding tube incorporating ethics principles.
  48. List strategies to enhance patient and caregiver compliance with modified diet and/or feeding tubes incorporating ethics principles.

A score of 80% or better must be received on the post test in order to receive a certificate of completion.

Presenter & Disclosures

Jennifer A. Brush, MA, CCC-SLP, is an award-winning Dementia Educator, author and consultant. Passionate about enriching the lives of people with dementia, Jennifer is on a mission to put the focus of care on the person’s preferences, interests and abilities. With her 25 years of industry experience, including leading countless live national and international trainings, facilitating ground-breaking research, and managing innovative person-centered care projects for The Mayer-Rothschild Foundation, Jennifer flawlessly bridges the gap between care communities and the individuals they serve. Jennifer serves on the Association Montessori International Advisory Board for Montessori for Aging and Dementia and is the only person in the US teaching this international program.

Jennifer is the author of 5 nationally recognized books on dementia including the silver-medal winning Creative Connections in Dementia Care and I Care, the gold-medal winning work that also received a 5-star rating as a Reader Favorite. Jennifer is widely known for her revolutionary work in the Spaced Retrieval memory intervention, pioneering this area of study and publishing 2 books on the subject.

Speaker Disclosures:

Financial — Jennifer Brush is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Jennifer Brush is presenter of CE seminars sponsored by Northern Speech Services; receives speaking fees.

Financial — Jennifer Brush is author of "Meal Time Matters" and "Meal Time Matters at Home"; receives royalties.

Financial — Jennifer Brush is author of "A Therapy Technique for Improving Memory: Spaced Retrieval" and "Environment and Communication Assessment Toolkit"; receives royalties.

Financial — Jennifer Brush is an editor and author for IDEAS Institute; receives consulting fees.

Financial — Jennifer Brush is owner of Brush Development; ownership interests.

Nonfinancial — Jennifer Brush has no relevant nonfinancial relationships to disclose.

James L. Coyle, PhD, CCC-SLP, BCS-S, is an Associate Professor of Communication Science and Disorders at the University of Pittsburgh where he co-developed the department's clinical doctorate program in Medical Speech Language Pathology. He teaches undergraduate, Master's and doctoral SLP students both in the classrooms and clinics through his active caseload at the University of Pittsburgh Medical Center, where he also conducts dysphagia research. He lectures nationally and internationally about the medical aspects of the speech-language pathology profession. He is a Board Certified Specialist in Swallowing Disorders and an ASHA Fellow.

Speaker Disclosures:

Financial — James Coyle is presenter of CE seminars and online CE courses sponsored by Northern Speech Services; receives speaking fees and royalties.

Nonfinancial — James Coyle has no relevant nonfinancial relationships to disclose.

Karen Dikeman, MA, CCC-SLP, is a specialist in swallowing and swallowing disorders and is currently AVP of Rehabilitation Services at the Silvercrest Center for Rehabilitation and Nursing in Briarwood, NY. She is coauthor of "Communication and Swallowing Management of the Tracheostomized and Ventilator Dependent Adult" as well as peer reviewed articles and book chapters. She has led both national and international seminars, and participated in several national clinical trials, including Protocol 201, the use of the Blom speaking tracheotomy tube, and currently, the MOLST protocol.

Presenter Disclosures:

Financial Disclosure — Karen Dikeman is presenter of CE courses sponsored by Northern Speech Services; receives royalties.

Financial Disclosure — Karen Dikeman is author of "Communication and Swallowing Management of Tracheostomized and Ventilator-Dependent Adults, 2nd edition"; receives royalties.

Nonfinancial Disclosure — Karen Dikeman has no relevant nonfinancial relationships to disclose.

Roxann Diez Gross, PhD, CCC-SLP, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.

Currently, Roxann is Director of Research at The Children's Institute in Pittsburgh, PA. Prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh.

Roxann has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 7 years, Roxann has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.

Speaker Disclosures:

Financial — Roxann Diez Gross is presenter of online CEU courses by Northern Speech Services; receives royalties.

Financial — Roxann Diez Gross is the author of "Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves" published by Northern Speech Services; receives royalties.

Nonfinancial — Roxann Diez Gross has no relevant nonfinancial relationships to disclose.

Jacqueline A. Hind, MS, CCC-SLP, BCS-S, is an accomplished clinician, researcher and inventor. Her work in adult dysphagia has been published in numerous peer-reviewed journals and she was a regional principal investigator for the largest NIH-funded, randomized clinical trial in swallowing. Ms. Hind is an Outreach Program Manager and Coordinator of the Swallowing Speech And Dining Enhancement Program (SSWAL-ADE) at the University of Wisconsin and at the Geriatric Research Education and Clinical Center within the William S. Middleton Memorial Veterans Hospital in Madison, WI.

Speaker Disclosures:

Financial — Jacqueline Hind is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Jacqueline Hind has no relevant nonfinancial relationships to disclose.

Marta Kazandjian, MA, CCC-SLP, BCS-S, is Director of Speech Pathology and Swallowing at both the Silvercrest Center for Nursing and Rehabilitation and the multidisciplinary Center for Digestive Diseases and Swallowing Disorders at New York Presbyterian/Queens. As a certified integrative health coach, Marta is also Senior Director in her post-acute affiliation in charge of patient experience and clinical initiatives. She is the co-author of “Communication and Swallowing Management of Tracheostomized and Ventilator Dependent Adults” as well as many peer reviewed articles and book chapters. She is an invited national and international speaker and has extensive experience working with complex medically fragile populations in acute, sub-acute and long term care settings. Marta specializes in swallowing and severe communication impairment in these patient populations and has participated in funded clinical research trials. Marta has a particular interest in palliative and end of life care and has shared her expertise in communication to facilitate patient centered care with this population.

Presenter Disclosures:

Financial Disclosure — Marta Kazandjian is presenter of CE courses sponsored by Northern Speech Services; receives royalties. 

Financial Disclosure — Marta Kazandjian is author of "Communication and Swallowing Management of Tracheostomized and Ventilator-Dependent Adults, 2nd edition"; receives royalties.

Nonfinancial Disclosure — Marta Kazandjian has no relevant nonfinancial relationships to disclose.

Cathy L. Lazarus, PhD, CCC-SLP, BCS-S is one of the premier researchers in the field of Speech-Language Pathology. She has conducted research and lectured internationally for over 30 years on swallowing disorders and quality of life in the in the head & neck cancer population. Dr. Lazarus is the Director of Research for the Thyroid Head & Neck Research Center, THANC Foundation, at Mount Sinai Beth Israel. She is also Associate Professor in the Department of Otolaryngology Head & Neck Surgery, Icahn School of Medicine at Mount Sinai. She is an ASHA Fellow.

Speaker Disclosures:

Financial — Cathy Lazarus is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Cathy Lazarus is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium.

Nonfinancial — Cathy Lazarus has no relevant nonfinancial relationships to disclose.

Jan S. Lewin, PhD, CCC-SLP, BCS-S, is a Professor in the Head and Neck Surgery Department, and Section Chief of Speech Pathology and Audiology at The University of Texas M.D. Anderson Cancer Center.  Dr. Lewin received her undergraduate and graduate degrees from the University of Michigan and her Ph.D. from Michigan State University.  She is a recognized authority on speech and swallowing outcomes in oncology patients.  Dr. Lewin is a regularly invited faculty participant to national and international cancer survivorship programs and public education networks.  She has authored over 100 journal articles, 20 book chapters, among other publications, on the topic of functional restoration of speech and swallowing.  Under her direction, the Speech Pathology and Audiology program at M.D. Anderson is recognized as the premier program for functional rehabilitation of oncology patients.

Speaker Disclosures:

Financial — Jan Lewin is presenter of online CE courses sponsored by Northern Speech Services; receives royalty payments.

Nonfinancial — Jan Lewin has no relevant nonfinancial relationships to disclose.

Christy Ludlow, PhD, CCC-SLP, (Retired) is one of the premiere researchers in the field of Speech-Language Pathology. Dr. Ludlow specializes in voice and swallowing neurophysiology and disorders and is a frequently invited international lecturer on the diagnosis and management of voice and swallowing disorders. Dr. Ludlow's research has been published in numerous leading peer-reviewed journals covering neuroimaging, neurophysiology, dysphagia and Speech Pathology, among others.

Dr. Ludlow recently retired as Professor in the Department of Communication Sciences and Disorders at James Madison University in Virginia where she taught courses on voice, neuroanatomy, neurophysiology and clinical trials. She also developed the Laboratory on Neural Bases of Communication and Swallowing and currently is active in research focusing on the role of sensory feedback in neural control for voice, speech and swallowing; the use of sensory enhancement during motor training for recovery from dysphagia; and the diagnosis and assessment of spasmodic dysphonia.

Speaker Disclosures:

Financial — Christy Ludlow is presenter of online CE courses sponsored Northern Speech Services; receives royalty.

Financial — Christy Ludlow serves as a research consultant for StimSwal; receives payment.

Financial — Christy Ludlow authors books on building a research career and measuring voice, speech and swallowing for Plural Publishing, Inc.; receives royalty.

Nonfinancial — Christy Ludlow has no relevant nonfinancial relationships to disclose.

Kathy Panther, MS, CCC-SLP, CBIST, is the Inpatient Rehab Director at Frazier Rehab Institute in Louisville, KY. She is also Director of Frazier's Acquired Brain Injury Program. She has 35 years of experience working in medical rehab. Kathy was one of the first SLPs in the United States to develop and implement a Free Water Protocol. Since 1984, Kathy and her team have successfully managed thousands of dysphagia patients on free water. For the past 25 years, Kathy has educated healthcare professionals on implementing free water protocols, oral care, and hydration management.

Speaker Disclosures:

Financial — Kathy Panther is author of online CE courses sponsored by Northern Speech Services; receives royalties.

Financial — Kathy Panther is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium.

Nonfinancial — Kathy Panther has no relevant nonfinancial relationships to disclose.

John (Jay) Rosenbek, PhD, CCC-SLP, BC-NCD, is a Professor in the Department of Speech, Language, and Hearing Sciences at the University of Florida at Gainesville. His clinical specialties include neurologic abnormalities of language, speech and swallowing. He is board certified in the area of neurogenic communication disorders. His research has concentrated on developing behavioral treatments and measures for determining their effectiveness. He is presently investigating treatments for deficits in emotional communication and for swallowing disorders following neurologic disease. Dr. Rosenbek is an ASHA Fellow and received both the Honors of ASHA and the Kleffner Career Clinical Award for 25 years of outstanding clinical service.

Presenter Disclosures:

Financial — Jay Rosenbek is presenter of CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Jay Rosenbek has no relevant nonfinancial relationships to disclose.

Paula A. Sullivan, MS, CCC-SLP, BCS-S, currently is a Senior Speech-Language Pathologist in the Department of Neurology/Speech Section, North Florida/South Georgia Veterans Health System in Gainesville, FL. Paula's clinical expertise and research is focused on swallowing disorders in head and neck cancer and at end-of-life. She has been affiliated with numerous comprehensive cancer centers, including: H. Lee Moffitt Cancer Center, Tampa, FL; Sylvester Cancer Center, Miami, FL; and the University of Wisconsin, Madison, WI. Paula also has participated as part of numerous clinical research trials in swallowing.

Paula served as a co-regional primary investigator for the largest controlled, randomized research trial in oropharyngeal dysphagia funded by the National Institutes of Health (Protocol 201). Protocol 201 examined the effectiveness of chin down and thickened liquids in individuals with dementia and Parkinson's disease both with and without dementia. Other research activities include collaborating with Dr. Jeri Logemann on numerous National Cancer Institute clinical swallowing protocols in head and neck cancer. Additionally, Paula has published numerous articles, book chapters, and co-authored books, including: Swallowing Intervention in Oncology and the Easy-To-Swallow, Easy-To-Chew Cookbook. She also has co-authored multiple national guidelines, directives, and policies relating to oropharyngeal swallowing disorders for both the Veterans Health Administration and the American Speech-Language-Hearing Association (ASHA). She is a board recognized specialist in swallowing and swallowing disorders. Paula is an ASHA Fellow and former coordinator of ASHA's Division 13, Swallowing and Swallowing Disorders. She was named "2013 Clinician of the Year" by the Association of Veterans Affairs Speech-Language Pathologists. 

Speaker Disclosures:

Financial — Paula Sullivan is coauthor of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.

Financial — Paula Sullivan is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Paula Sullivan has no relevant nonfinancial relationships to disclose.

Intended Audience/Accreditation

This program is offered for 2.0 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.

ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.

Frequently Asked Questions

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.

Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.

More FAQ: Please click here.

What is an Online Course? Our Online Courses include text, audio, or video formats and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any computer, via your Northern Speech account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%) a printable certificate of completion is presented to you.

Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to online CEUs.

Registering for an online course: You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.

Accessing your purchased course or returning to a purchased course: You will be able to access your online course by logging into your Northern Speech account and then clicking the Online Courses tab on your profile screen. Click View next to the course you’d like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.

Course completion timeframes: Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.

Course content expiration: Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.

Testing requirements: Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.

Certificate of completion: A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.

ASHA CE Registry: Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.

Number of CEUs offered: We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.

State licensing boards and online CEUs: NSS is an ASHA CE Provider and most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.

Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.

Course handouts: Most of our non-text online courses provide a link to download the accompanying handout.

Purchase orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.

Group discounts: Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.

Computer requirements: For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Internet Explorer, etc) and newest version of Flash Player. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.

Course Cancellation Policy: A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded. 

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Reviews

"There were so many things that were presented that have shed a whole new light on how I view the field of Dysphagia, and I have been practicing for over 30 years. I liked the amount of the new information that was presented and how very knowledgeable and inspiring the presenters were." – S.C. (Oct. 2017)

"As an acute care therapist, I found the components re: esophageal dysphagia as well as the trach/vent most relevant as we frequently get referrals for particularly complex GI patients. I love the variety of speakers and the quality of the speakers." – D.W. (Oct. 2017)

"I like the aspiration pna topic, learning the facts and myths associated with aspiration and asp pna.  I like how each topic was presented by a different professional regarding their specialty. It made the course more interesting and easier to attend to." – C.C. (Sept. 2017)

"I loved all of it, and it is definitely worth re-listening to! Relevant and varied information - especially for a therapist who works mainly in acute care." – L.P. (Aug. 2017)

"I enjoyed the in-depth discussion by respected professionals, case examples, emphasis on patient choice and collaboration between SLPs and the patient. I liked the ease of access, ability to utilize at home and work." – E.J. (Aug. 2017)

"It was an excellent course. I liked that the course had many different aspects of swallowing and the treatments with many different suggestions for intervention. However, I expected to go over how to read a swallowing study image." – K.D. (July 2017)

"I enjoyed the courses on hydration and respiration in dysphagia in particular, especially with their role with more medically complex individuals and those in long-term care. I really appreciated how each course was separate, allowing me to take the course over several days." – S.M. (June 2017)

"This is a fantastic and unique e-course that covers varied aspects of dysphagia treatment, in an evidence-based format, that will be useful for clinicians working with dysphagia across all settings and at all stages in their careers. This course has something to learn for everyone. It is presented by experts, who bring their unique take on dyspahgia management in special populations and cover topics they are experts in, with great detail. Personally, I found the sessions on esophageal dysphagia, oropharyngeal strengthening, compensatory strategies and Dyspahgia and Dementia most useful for my practice in working with older adults in the SNF. I learnt something from each session that I will be able to apply immediately in clinical practice on Monday morning. I highly recommend this e-course to every clinician working with adults with dysphagia." – R.V. (Apr. 2017)

"Overall, this was an excellent course." – M.U. (Apr. 2017)

"Excellent information by leading experts. Very current and relevant to clinical practice. 'Attendees' would be able to apply information to their clinical practice the next day. Well done." – C.B. (Mar. 2017)

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