Some signs and symptoms traditionally thought by SLPs to represent an oral and/or pharyngeal dysphagia may also at times be the result of a primary or comorbid esophageal swallow disorder, or even be the result of pathology at the level of the stomach, intestine, and/or colon. This course explores integrating the concepts of esophageal physiology evaluation as well as screening for signs and symptoms of pathology in the lower GI tract into the clinical swallow exam. In addition, key concepts to an emerging differential diagnostic algorithm for holistic evaluation of physiological disorders of the upper aerodigestive tract including but not limited to swallow disorders will be discussed.
Special emphasis is placed throughout the course on esophageal treatment options as well as indications for specialty physician referrals. Course presenter has been trained to use equipment not normally used by SLPs to show esophageal disorders not generally understood by SLPs with the purpose of bringing awareness of esophageal disorders that can influence treatment planning and need for referral. Participants interested in obtaining the training needed to use the equipment shown as part of this course should contact the presenter. Offered for 0.5 ASHA CEUs – 5 contact hours.
Course Run Time: 5:00:01
Content Disclosure: 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.
Robert J. Arnold, SLPD, CCC-SLP, BCS-S, is the Chief Clinical Officer for Southeastern Biocommunication Associates, LLC. Dr. Arnold has over 20 years of experience in medical speech-language pathology as a diagnostician, therapist, clinical research scientist, author, inventor, and adjunct professor. He has made numerous presentations at the state, regional, and national level. Dr. Arnold has been twice presented with the Distinguished Clinical Achievement Award by the Speech and Hearing Association of Alabama and he is a Board Certified Specialist in Swallowing and Swallowing Disorders. In addition, Dr. Arnold is the inventor of the Oromotor Dynamometer.
Financial — Robert Arnold is the presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Robert Arnold is the inventor of Oromotor Dynamometer; holds the patent.
Financial — Robert Arnold is the author of the CSA Endoscopy differential diagnostic algorithm for the upper aerodigestive tract; holds copyrights & trademark.
Financial — Robert Arnold is a co-owner of Southeastern Biocommunication Associates, LLC; ownership interests.
Nonfinancial — Robert Arnold has no relevant nonfinancial relationships to disclose.
This program is offered for 0.5 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.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
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:
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 currently not accepted for online orders, if you wish to submit a purchase order please do so at firstname.lastname@example.org or fax to 888-696-9655.
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. Please note that courses offered for university students are not applicable for 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 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 courses include closed captioning.
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.
Please click here for any special needs requests, and we will do our best to accommodate them.
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"The crossover therapy techniques, myofacial release therapy to re-mobilize soft tissues after radiation were beneficial for my daily practice. I liked the case studies and review of terminology." M.T. (Sept. 2021)
“I found all the different test to help diagnose problems very helpful.” – K.M. (Jan. 2021)
“I loved Dr. Arnold's clear presentation style and the plethora of information that can be applied to daily practice.” – D.M. (Dec. 2020)
“This was a very thorough course. Plus, it walks you through each step several times. The examples were extremely helpful.” – L.R. (Nov. 2020)
“I thoroughly enjoyed learning to take into account the entire digestive system as part of my CSA. I also enjoyed learning about the various esophageal complications that can impede the swallow and pose risks for aspiration.” – K.R. (Jun. 2020)
"I liked learning in greater detail the importance of assessing the esophagus & how to do it. I enjoyed the holistic approach, going over how the upper and lower digestive tracts work together, and linking multiple areas together - voice, swallowing, GERD, & cough." – A.H. (May 2020)
"I work in SNFs with elderly who exhibit esophageal symptoms and have always been weak in this area due to minimal training/exposure. I liked that it explained an area that I needed to learn about and that I can use the info in working with the elderly." – G.J. (Apr. 2020)
"Understanding the depths of scope of practice for SLP and knowing where it crosses over into another professional's scope was most helpful. Very insightful information." – B.M. (Mar. 2020)
"I enjoyed the discussion on risk management with transnasal procedures and going over the role of SLP in upper aerodigestive function. I have more of a leg to stand on with some radiologists during MBS." – J.K. (Feb. 2020)
"The general info and how connected all parts of the aerodigestive tract are was helpful discussion. Well organized course." – P.M.L. (Jan. 2020)
"I liked the info on esophagus as I've been seeking more info about issues to help know what symptoms to look for, refer to MD/GI." – K.H. (Dec. 2019)
"All of the topics were relatable to each other and demonstrated application to every swallowing disorder and the myriad of possible considerations for diagnosis and treatment." – C.F. (Dec. 2019)
"I appreciated going over esophageal management in general. I have been seeing more pts with esophageal difficulties, and the new knowledge will be helpful for management." – G.H. (Nov. 2019)
"The presenter was excellent and provided clear definitions throughout with multiple case studies to enhance understanding. Also, I liked how recommendations for direct and indirect interventions were reviewed; and the risks information that were inherent to FEES, mTNE and CSA." – A.C. (Oct. 2019)
"I enjoyed the coverage of all aspects of the Upper Aerodigestive tract and how problems in one area give insight into problems in other areas. I liked the case studies." – D.L. (Sept. 2019)
"Great information to apply tomorrow with therapy." – R.H. (Aug. 2019)
"The discussions on s/s of esophageal dysphagia and when to refer on to the GI MD were most beneficial." – S.N. (July 2019)
"All of the information is beneficial. I like the detailed handouts." – L.W. (July 2019)
"I appreciated the specific information re comorbidities of the esophagus and stomach as well as the medical, evidence-based information." – K.B. (June 2019)
"I enjoyed hearing about the scope of practice for SLPs with respect to esophageal dysphagia." – R.M. (June 2019)
"Good explanations of esophageal deficit, and I liked the interplay of systems and swallow function. The specific techniques that I can employ today with my patients were most beneficial." – B.G.D. (May 2019)
"Going over the differences between the CSA and the CSE and the differences in the nTME vs FEES was very helpful. I liked seeing the images of the mTNE and the discussion of the medical causes of the swallow dysfunctions." – J.T. (Apr. 2019)
"Learning that a colon obstruction can affect the swallow was most beneficial. The course really made clear how important an esophageal screen can be to the overall health of a patient." – L.W. (Mar. 2019)
"I liked the different case studies and different assessments for analyzing esophageal phase of swallowing and new scopes of practice for SLP's with esophageal dysphagia. However, I expected the use of manometry to be covered as well." – P.D. (Feb. 2019)
"I enjoyed learning more about the esophagus." – C.L. (Jan. 2019)
"I learned a lot of valuable info in regards to history questions to ask and what to look for." – D.W. (Jan. 2019)
"The information regarding the correlation between pitch and aspiration was most helpful. The course was informative and efficient to meet my needs." – S.C. (Dec. 2018)
"The course was comprehensive about all aspects of esophageal dysphagia and it also tied in information on how other dysphagias (and other communication disorders) contribute or mimic esophageal dysfunction." – J.S.Y. (Nov. 2018)
"All of the information about the esophagus and upper GI that can have profound effects on our dysphagia patients and differential diagnoses was most beneficial. I liked the videos and pictures demonstrating the disorders." – L.A.R. (Dec. 2017)
"This course provided extensive evidence to support instrumental evaluation of suspected esophageal dysphagia. Although there are a number of interventions available, it was good to hear that some specific voice treatments are also finding success with patients with swallow difficulty. Other topics that were beneficial included, the use of new technology, understanding the varying challenges that occur with current instrumental methods, and the need for confident practitioners. The course was comprehensive about all aspects of esophageal dysphagia and it also tied in information on how other dysphagias (and other communication disorders) contribute or mimic esophageal dysfunction." – J.S.Y. (Nov. 2017)