When striving for autonomy and the push for clinical beneficence clash, service providers need sound advice based on current best practice. Participants will learn a comprehensive model of medical ethics and how this can be combined with evidence-based practice. This approach can be successfully applied to clinical practice in order to better manage complex cases. Offered for 0.1 ASHA CEU – 1 Contact Hour.
Course Run Time: 1:05:31
1. Evidence Based Practice
2. Informed Clinical Expertise
3. Different Cultures
4. Patient Values and Beliefs
6. Case Study
Courses may be taken in sequence or individually.
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.
Video PowerPoint presentation with author narration & downloadable handout.
Domain of OT: Client Factors: Values, Beliefs and Spirituality
Professional Issues: Issues and Trends: Ethics; Evidence-based practice
Paula Leslie, PhD, FRCSLT, CCC-SLP, is a professor and director of the Doctor of Clinical Science in Medical Speech-Language Pathology. She maintains full clinical licenses in the USA and UK where she is a Specialist Adviser to the Royal College of Speech & Language Therapy in swallowing disorders. She provides support to researchers and provides continuing education from grassroots to international level and across the health professions on complex clinical decision making, ethics, and end of life decisions in vulnerable populations. Her honors include the Honors of the Association Southwestern Pennsylvania Speech-Language-Hearing Association, the American Speech-Language-Hearing Association DiCarlo Clinical Achievement Award, the Pennsylvania Speech-Language-Hearing Association Clinical Achievement Award, and Fellow of the Royal College of Speech & Language Therapists (UK).
Financial — Paula Leslie is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Leslie has no relevant nonfinancial relationships to disclose.
This program is offered for 0.1 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA 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.
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.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
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 My Online 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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). 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 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 are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content 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 device, via your NorthernSpeech.com online 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.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA 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 CEUs earned online.
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 My Online Courses tab on your profile screen. Click the course you would 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.
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.
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 ASHA 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.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
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.
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, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. 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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"I enjoyed learning about the relationship between informed clinical expertise, best evidence, and informed patient preference. In addition, I liked the comparison between clinical expertise and eminence based practice. I liked that I was given specific practical examples to aid in my understanding." – A.D.P. (Apr. 2020)
"I liked the graphs/tables as I'm a visual learner. The evidence based hierarchy and the value each weighs (systematic reviews meta-analysis, case control studies, case reports, etc) was helpful." – R.F. (Mar. 2020)
"The most beneficial to me was the inclusion of cultural and religious background when providing a treatment plan and discussing options/providing education with families. It was laid out in a way that was easy to understand and follow." – S.K. (Feb. 2020)
"I appreciated the section that reviewed the difference between correlation and causation. I like that Paula Leslie used her own research as an example for review of clinical study." – N.L. (Feb. 2020)
"I liked the discussion about David Seedhouse's grid and understanding the complexity of ethical decision making when providing services. It was very interesting and explained the difference between evidence based practice and what seems more common emminence based practice." – C.C. (Feb. 2020)
"I appreciated the discussion that communication with the client is most crucial when patients are in a crisis. I liked the available handouts, along with audio stream." – M.R. (Jan. 2020)
"This is a wonderful, clearly presented course." – G.B. (Jan. 2020)
"Good refresher on EBP studies and added information about patient preferences. I liked the quick and easy format from presentation to test to submission of CEUs." – S.H. (Dec. 2019)
"I found the review of evidence versus eminence based practice very helpful and will use that information as a reminder to make informed and collaborative decisions with my patients. I found the speaker to be very thoughtful and clear in her message." – M.C. (Dec. 2019)
"The presentation was presented at a good pace. It was helpful to get information about how to analyze research studies." – K.T. (Nov. 2019)
"I genuinely appreciated the thorough explanation of evidenced based practice, especially as it relates to ethics." – A.D. (Oct. 2019)
"The review of hierarchy of research was very helpful as was the Seedhouse Ethical Grid. It was very comprehensive and easy to understand." – P.K. (Sept. 2019)
"I enjoyed the discussion about what it means to be ethical. It provided thorough explanations of the information taught." – E.M. (Aug. 2019)
"It was very well done. I enjoyed the speaker's cadence and pacing. The discussion about consulting with the patients and families was most beneficial. I feel like too often clinicians disregard the patients/families as part of the healthcare "team." The visuals helped make this clear to understand." – S.H. (Aug. 2019)
"I liked the discussion of patient values and beliefs as well as the patient, family, and clinical perspectives." – C.E. (July 2019)
"I appreciated the visual charts and the understanding of the level of importance of research in clinical practice." – J.D. (July 2019)
"Going over how to analyze research and determine if it is relevant for a client or client population. The course was delivered in a clear manner and based in medical literature. The topics were directly relevant to clinical decision making." – S.P. (June 2019)
"I appreciated the discussions on how to read and analyze research papers and the importance of balancing patient and caregiver perspective and our recommendations as SLPs as they may not always coincide." – S.M. (May 2019)
"Communicating with the patients and being more aware of their perspectives/culture was helpful. It was a very clear course, and I also enjoyed her accent! :) " – H.D. (Apr. 2019)
"The entire presentation was a good start when discussing Ethics professionally. It was perfect!" – L.F. (Mar. 2019)
"The Seedhouse grid is a useful tool and easily understandable. The discussion regarding bias in research was also useful as things to keep in mind when looking at new therapies/diagnostics. I liked that the course format was easily completed while still allowing for learning." – M.M. (Feb. 2019)
"I liked how well the material was explained, and I especially appreciated her breaking down how to understand research papers and defining the difference between informed versus eminence." – P.D. (Jan. 2019)
"I enjoyed the discussion of research and pt's perspective in decision making." – K.C. (Dec. 2018)
"I liked learning how best to apply clinical practice and research." – J.B. (Dec. 2018)
"I liked the research/evidence-based practice as it ties into ethics. It was different from the traditional ethics course." – M.B. (Nov. 2018)
"The instructor was easy to understand, and the concepts and information were clear and well organized." – A.C. (Oct. 2018)
"I like the seedhouse ethical grid. It was also helpful to review how to rate research papers by systematic design and methods, etc." – C.W. (Sept. 2018)
"I thought it was interesting to include how some families do think that a patient's condition is a punishment from God. Not many professional take that into consideration. It is really something we all should consider." – C.D. (Aug. 2018)
"I found the in-depth discussion of things to look for in research articles to be helpful." – A.C. (July 2018)
"I don't remember seeing the Seedhouse Grid before, and I thought it was very interesting and helpful." – K.W. (May 2018)
"I enjoyed the consideration of the family's beliefs regarding the recommendations made by the professionals may not always align but needs to be respected and considered." – C.S. (Mar. 2018)
"Discussing treatment options with family members was most beneficial." – A.P. (Jan. 2018)
"I appreciated the evidence-based practice including informed clinical expertise. I liked the content and format." – H.S. (Dec. 2017)
"The speaker was very clear, concise, gave great stories/examples and followed well and clearly with visual/powerpoint." – L.F. (Nov. 2017)
"I liked the focus on the patient and family, especially when discussing how family brings such a unique and valuable perspective to get a better idea of a patient's whole picture. I thought the information covered was informative enough yet also concise. I thought it was a valuable course -- I wouldn't change anything." – D.C. (Oct. 2017)
"Being able to identify personal biases was the best part for me. I liked that everything that was talked about was practical to use during therapy." – A.K. (Sept. 2017)
"Ethics can be a dry subject, but the presenter was effective teaching the course because she tied subject matter to application examples." – A.S. (July 2017)
"Going over how to judge/grade evidence was most beneficial. I liked the power point handouts and thorough explanations." – A.J. (May 2017)
"The portion on how to read research papers and relate to therapy was very useful. I liked her accent. :) " – C.E. (Apr. 2017)
"I found the eminence vs. evidence based practice discussion really helpful. I liked the reminder that crisis impacts true understanding of information." – J.J. (Mar. 2017)
"I appreciated the discussions on informed clinical expertise, informed patient preference, and best evidence. I liked the refresher on grading of evidence." – Y.W. (Jan. 2017)
"It is difficult to find specific courses on ethics. I was glad to find a good one." – J.S. (Jan. 2017)
"I enjoyed the Seedhouse Ethical Grid and general information discussed on how to determine if a study is evidence based. I liked the way the presenter specifically explained each slide." – S.H. (Dec. 2016)
"I liked the diagrams used to explain the relationship between all points made and the explanation between ethics and its undeniable role in ethics standards." – A.H. (Dec. 2016)
"I liked the discussion about what best practice entails beyond the RCT and how the patient should be included in the decision-making process." – J.C. (Nov. 2016)
"I appreciated the coverage on the ethics of decision making in a hospital setting." – A.C. (Oct. 2016)
"The consideration for cultural differences and preferences was the best part. I liked that the course was easy to follow and had examples that relate to current speech therapy practice." – M.G. (Oct. 2016)
"Going over how the issue of evidence-based practice should influence decision making on treatment approaches in our clinical practice was very useful. I liked the use of visual/graphic illustration to facilitate learning." – P.R. (Sept. 2016)
"The Seedhouse Grid was most beneficial. I liked the consideration of the patient's perspective." – T.T. (Aug. 2016)
"The suggestions on communicating with patients and their families were really helpful. I also liked the convenient format of the course." – E.D. (Aug. 2016)
"I appreciated the discussions on issues related to "non-compliance" and balancing patient desires vs other evidence." – J.B. (Aug. 2016)
"I liked that this course was thought provoking and relevant to day to day practice." – J.A. (Aug. 2016)
"The information regarding ways to understand statistical analysis conducted in research papers was most useful." – K.L. (July 2016)
"The speaker made discussion practical and easy to listen to, with everyday language. I especially appreciated the discussions on culture and shared clinical decision making." – M.K. (July 2016)
"The Seedhouse Grid was the most beneficial, and the example of pain in different cultures caused me to reflect." – Y.R. (July 2016)
"I appreciated the ethical and moral cross over in the clinical setting." – P.R. (June 2016)
"The content was great - it was all beneficial. The speaker was also great in how she presented the information." – V.K. (June 2016)
"This e-course offers valuable information that can be applied in a practical way to the clinical world." – R.P.M. (May 2016)
"I enjoyed the breakdown/hierarchy of available research/evidence. Relevant content with efficient delivery." – A.B. (May 2016)
"The discussion re: evaluating research papers for the effectiveness of a presented treatment was most beneficial. I liked the examples that were presented with each topic discussed." – L.S. (May 2016)
"I'm glad I didn't know, going into this, that the main topic would be on research papers/articles, because I wouldn't have been interested. But this information was 'need to know' and I'm glad to have taken the course." – W.H. (Apr. 2016)