This course will discuss the role of the speech-language pathologist in the evaluation and treatment of Esophageal Stage Dysphagia. Participants will learn anatomy and physiology of the esophagus, etiology of common esophageal disorders and diseases, and how swallowing and voice disorders occur from disorders of the esophagus. Learn to identify common disorders and diseases of the esophagus during assessment and treatment options to improve swallowing function in patients with esophageal dysphagia. Learn to interpret the findings of an esophagram and upper GI as it relates to patients with dysphagia, and discuss the role of the SLP in medical management and treatment of esophageal dysphagia. Current research is reviewed and how these findings apply to speech pathology practice is discussed. Offered for 0.3 ASHA CEUs – 3 contact hours.
Course Run Time: 3:03:27
PART I: Esophageal Dysphagia
PART II: Esophageal Considerations
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.
Tom is nationally known for the role he has played in the development of the Free Water Protocol, and he routinely provides consultation to hospitals and other institutions on establishing heartburn and swallowing disorders centers, on developing free water protocols, and on implementing oral hygiene programs. Currently, Tom is a practicing clinician in Temple, TX.
Financial — Tom Franceschini is the presenter of online CEU courses by Northern Speech Services; receives royalties.
Nonfinancial — Tom Franceschini has no relevant nonfinancial relationships to disclose.
This program is offered for 0.3 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 email@example.com 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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“I think it was beneficial to learn about the different esophageal issues and why these occur as well as how they can impact the swallow as a whole. I also enjoyed the content, the video examples, the self-paced format.” – K.H. (Jul. 2020)
“ I liked the description of various esophageal dx, along with the endoscopy to see that diagnosis.” – S.W. (Jun. 2020)
"I appreciated going over how esophageal dysphagia can impact other functions as well as discussing each type of esophageal disorder and their symptoms. The pictures and videos were helpful to visualize each disorder." – N.R. (May 2020)
"The topic of disorders of the UES was most helpful. It was covered in adequate depth that allowed better understanding of the different types of disorders. I liked the organization of the material and the illustrations (images and videos)." – A.V. (Apr. 2020)
"The topic of esophageal dysphagia in relation to oral and pharyngeal phase dysphagia was most beneficial. The videos were excellent." – P.S.F. (Mar. 2020)
"I thought the entire course was beneficial. Excellent presentation use of visual material. Excellent course." – D.C.G. (Feb. 2020)
"Very thorough, very informative, very literature based and excellent slides/videos/illustrations." – C.W. (Feb. 2020)
"I really enjoyed the instructor and the personalized stories he provided. The discussion re: the cranial nerves and the treatment ideas for poor UES opening were most beneficial." – M.M. (Feb. 2020)
"Reviewing the anatomy of swallow, going over the inclusive types of the LES, reviewing the types of diverticuli, and the discussion on candidiasis were most helpful. The pace and manner of the presentation was very good. Very comprehensible with lots of illustrations." – J.S. (Jan. 2020)
"The entire course was fascinating. I've been looking for an esophageal course. I am a 40 year home care veteran Speech Pathologist. Very passionate about swallowing disorders. Have even including the esophageal piece for a number of years. This course reinforced my own practice and provided so much additional well presented education. Very well done." – P.V. (Dec. 2019)
"All of it was beneficial. Esophageal dysphagia was not touched on much if any during my college education. The instructor made it very easy to understand, especially with the visual aids." – S.F. (Dec. 2019)
"To be honest, all of it was helpful. This is very useful information that will help me in all of my Modified Barium Swallow Studies. I enjoyed all of the videos - very helpful with regards to putting names to actual disorders." – J.G. (Dec. 2019)
"Good information for discussing the role of SLP and GI in dysphagic patients. Thorough instruction with usable information." – S.S. (Nov. 2019)
"Nice overview of esophageal abnormalities and how they affect the swallow (including how they appear on both barium examinations and endoscopy). I also like the research studies that were incorporated into this presentation, as they help give an idea of how common these issues are." – S.S. (Nov. 2019)
"I enjoyed the information about structural vs dysmotility problems of the esophagus, going over what symptoms you might see (frothy secretions, pain with swallowing) with different disorders of the esophagus, and evidence supporting esophageal sweep during Modified Barium Swallow Studies. Good overall presentation of information." – K.O. (Oct. 2019)
"The speaker kept information interesting. The discussion on common disorders of esophagus observed during MBS and associated videos of scopes was most helpful." – A.D. (Sept. 2019)
"This course was beneficial in understanding how the pharyngeal phase of swallowing cannot be solely looked at. Many esophageal dysphagias can cause pharyngeal phase dysphagia. I think it was great to say that the stages could not be separated. I thought the course was well designed and was presented in a way that was engaging. The information was very informative and something I can take back to my workplace." – A.M. (Aug. 2019)
"Thorough and informative with functional, applicable research-based information. The review of neuroanatomy was especially good." – C.B. (July 2019)
"I enjoyed the discussions on swallowing, esophageal dysphagia, and structural abnormalities." – C.S. (July 2019)
"It was a great course. I will recommend it to all my colleagues. I liked the pace, good explanations, and good anecdotes to assist with understanding and improve future memory. I especially enjoyed the discussion on all of the esophageal relationships with the first two parts of the swallow." – S.K. (June 2019)
"I liked the review of anatomy and cranial nerves as well as slides of actual studies demonstrating various esophageal disorders. The recommended treatment strategies for poor UES opening were most beneficial." – L.R. (June 2019)
"I found the discussion of the rationale for why the esophagus should be screen in addition to the various disorders (and why the disorders may occur) to be most beneficial for my practice. I liked the pace of this course and all of the visual examples on the slides to help learn about the various disorder, what the esophagus might look like, and what might cause an issue." – B.D. (Apr. 2019)
"Great case examples throughout. I enjoyed the multiple visual examples of pathologies seen on VFSS, which is the instrumental exam I use most often." – L.S. (Mar. 2019)
"I appreciated the portions about GERD, structural abnormalities of the esophagus, and achalasia. The course provides a wealth of information. I am a speech pathologist that performs mbss on various patients, but I have been introduced to new symptomology and pictures that will assist me when viewing swallow studies." – T.Y. (Feb. 2019)
"This was an excellent course and very informative re esophageal disorders. I liked all of the visuals and visual examples." – B.O.W. (Feb. 2019)
"Going over the rationale for screening the esophagus during VFSS was most beneficial. I liked the evidence to present to radiology and GI departments to support an esophageal sweep during VFSS studies." – K.O. (Jan. 2019)
"My husband and son have GERD and I as a mother/wife/SLP learned a lot more about the esophagus and its function in helping them as well...thank you so much for this course and all of the information I received from viewing! Excellent!!" – P.A. (Dec. 2018)
"Everything was beneficial. In this rural area, I see patients at skilled nursing, long term and perform Modified Barium swallow studies. I now have more confidence considering all esophageal components." – R.L. (Dec. 2018)
"The speaker did an exceptional job with content organization and making the concepts both easy to understand as well as easy to take and implement in daily practice upon course completion. I especially enjoyed the discussion on the adverse effects of obstructive esophageal pathology on swallow physiology." – R.A. (Dec. 2018)
"One of the best courses I have taken at NSS." – G.C. (Dec. 2018)
"Excellent! Probably the best class I've ever taken on dysphagia. I loved the video examples. Very knowledgeable speaker! It was a great course." – M.M. (Nov. 2018)
"I appreciated the visualization of the anatomy under fluoro and endoscopy. Clear descriptions of the pathological conditions. The speaker was informative, knowledgeable. He spoke quickly so we were able to learn a lot in the shortest amount of time." – K.M. (Oct. 2018)
"I do MBS daily; more and more of my patients experience esophageal dysphagia and as someone practicing for nearly 20 years, they did not teach us much on the esophagus. I have had to rely on excellent courses such as this one to gain knowledge and comfort as a therapist working with these patients. Our referral sources often rely on us to guide them in their treatment. It is essential to have this knowledge." – K.F. (Oct 2018)
"It was so comprehensive, and I appreciated the "refresher" in Cranial Nerve function as it related to the esophagus. Fascinating videos and pictures to support the theory. Tom used references back to his own clinical population to make this a very practical course. I thoroughly enjoyed your presentation style and the passion for your work shone through!It was wonderful!" – K.M. (Sept. 2018)
"I enjoyed the correlations with EGD footage, the quality of interdisciplinary collaboration with radiologists and GI doctors, the video examples of disorders, and the pace of presentations." – A.T. (Aug. 2018)
"This presenter was excellent. After 36 years in the field it is difficult for me to find CEUs that are truly helpful. It is difficult to find good presenters. This course included both." – M.O. (July 2018)
"The clinical presentation of esophageal disorders and common subjective complaints was most beneficial. The speaker was extremely knowledgeable and videos of EGDs were helpful to visualize each disorder." – K.E. (Apr. 2018)
"I really appreciated the argument for why SLPs should be involved with GI. Our GIs at my hospital refuse to let us scan down. This gave me information to build a case against that." – H.S. (Apr. 2018)
"I love Tom as a presenter/speaker. He breaks things down to simplify." – C.S. (Apr. 2018)
"Wonderful review of anatomy and physiology of swallowing, particularly the cranial nerve innervation. I also appreciated the in-depth review of the various esophageal disorders, including frequent presenting symptoms." – L.L. (Mar. 2018)
"I appreciated the coverage of disorders of the UES and treatment options for poor UES opening. I also found it very beneficial that abnormal barium swallow studies were shown to identify disorders - what to look for, etc." – M.K.H. (Feb. 2018)
"I loved the knowledge, thoroughness, and visual aids given by Tom. Excellent course and teacher!!" – J.D. (Jan. 2018)
"All of the discussions about the ramifications of GERD were really beneficial. I liked the link between the information presented and actual patient cases." – L.B. (Dec. 2017)
"I loved the overview of esophageal disorders and treatment possibilities for each. Excellent information." – J.C. (Dec. 2017)
"I enjoyed the pictures and videos of patients with cancer or esophageal dysphagia to visualize what it would look like during a study. I liked the stories relating to each topic he introduced." – P.W. (Dec. 2017)
"Going over the types of different esophageal impairments and how they relate to the swallowing function and our role as an SLP in identifying symptoms of potential esophageal impairment was very helpful. I really enjoyed the videos in line with descriptions of the different types of esophageal impairments and how they affect the overall swallowing function." – K.P. (Nov. 2017)
"I liked EVERYTHING!!!!!! This is one of the best courses I've completed over the last few years. The info was presented in a very clear, easy to understand way! I do MBSS weekly and have been looking at the esophagus but really have more practical knowledge now and a better way to communicate with my physicians." – L.S. (Nov. 2017)
"The entire program was excellent and well done. The presenter was clearly knowledgeable, articulate and interesting." – C.W. (Oct. 2017)
"I appreciated the discussion on the disorders associated with MBS findings and the esophagus. Tom is an excellent speaker; the information was clear and understandable." – M.B. (Oct. 2017)
"The lecture as a whole was extremely beneficial. GERD is an extremely common dx that many people have and the information regarding the disorders will help in being apart of the medical team and tx of my patients. The presenter was able to keep you interested throughout the entire course and relayed beneficial information. His visuals and videos were really great and helped with the understanding of the topic. I would have liked a little more focus on treatment and management." – A.F. (Oct. 2017)
"The visual images of specific esophageal anomalies were excellent." – N.F.T. (Oct. 2017)
"I enjoyed the overview of the many causes of esophageal dysphagia and the many videos included. I expected more treatment methods for practicing SLPs." – M.H. (Oct. 2017)
"The Esophageal tx options were most helpful. I liked the course organization, clarification, and obvious expertise of a practicing Speech-Language Pathologist. Great illustrations and explanations." – G.E. (Oct. 2017)
"The content was excellent in scope, depth, and practicality. Well presented, great video and photo examples, excellent pace and teaching style." – H.T. (Oct. 2017)
"I felt the discussion on esophageal disorders and the corresponding videos were the most beneficial. I enjoyed the examples via pictures and videos. I would have liked more of a discussion on treatment options pertaining to the SLP." – P.S. (Sept. 2017)
"I enjoyed the rate of information being presented with plenty of visual examples multiple times. All of it was great." – V.S. (Sept. 2017)
"I appreciated the overview of different types of esophageal dysphagia and the importance of the SLP in helping to diagnose and treat these problems." – M.S. (Sept. 2017)
"This is an excellent course, presented by one of my favorite speakers. Information is fresh, clearly presented, and concise. Slides have a good balance of information, not overly visually distracting. Videos and photos are all excellent and helpful. Highly recommend to SLPs who complete MBS studies." – C.B. (Aug. 2017)
"The course was great. I enjoyed listening to the speaker and he gave meaningful and insightful true stories that helped to create a more clear picture of the entire situation." – N.S. (Aug. 2017)
"Very accurate, well supported, high-level information. It's clear the presenter is very knowledgeable." – A.G. (Aug. 2017)
"Fantastic course and presentation. I will be ready to transfer the information I learned directly into patient care and feel prepared to discuss esophageal function with all members of the medical team. Wish I would have taken this course 17 years ago. Also appreciate not only speech therapy sited research, but also from the viewpoints of radiology and GI perspectives." – D.A. (Aug. 2017)