Presenter: Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Honors
Learn an evidence-based and standardized approach for assessment of swallowing impairment in the adult population.
This course introduces participants to the MBSImP™ Protocol. This approach provides a validated and evidence-based protocol to interpret, quantify, and communicate MBS study results in a manner that is specific, consistent, accurate and objective.
Participants will learn to profile and quantify physiologic impairment of swallowing function through application of the MBSImP™ scoring metric across 17 components of the swallowing mechanism. Learn how an assessment based on specific physiologic impairment, rather than a symptom-based assessment, better enables the clinician to link MBS study results to clinical action through targeted therapy.
This optional introduction course serves as an excellent preparatory course for those SLPs planning to go on to enroll in the full course, MBSImP™ Standardized Training and Reliability Testing (course #e01). It also touches on other pertinent topics related to interpreting MBS studies and assessing swallow function. Course focus is the adult population.
Offered for 0.6 ASHA CEUs – 6 contact hours.
This Course Features Seven Sessions:
"The systematic approach to scoring an MBS and the systematic approach to doing the MBS are amazing for actual clinical practice! This whole course was hugely helpful in identifying impairment and learning about the anatomy of the swallow. The speaker was probably the best I've ever seen in any course I've taken. She was excellent."
– A.K., prior course participant
Participants may work at their own pace and stop and re-start the course at any point. Participants retain access to course content after completion for ongoing reference and review.
Video course. Features a video lecture presentation with a downloadable handout. Participants may work at their own pace and stop and re-start the course at any point. Participants retain access to course content after completion for ongoing reference and review.
"All topics were beneficial. I enjoyed the ease of course navigation and the handouts." D.B. (Nov. 2023)
"A deep dive into the 17 components and rating scales. I liked the examples of each of the scoring criteria across all 17 components utilizing both VFSS and animation." S.B. (Nov. 2023)
"I liked the handouts and lectures. Course was easy to navigate." M.S. (Nov. 2023)
"The bolus protocol, textures, and amount were helpful to discuss. I liked the handouts." J.A. (Nov. 2023)
"Going over each component of MBSImP images was beneficial. I liked the pace and material with a supported explanation as to the manner each component was tested." B.H. (Oct. 2023)
"I really enjoyed this course. I'm looking forward to completing the full version in the near future. I really enjoyed the videofluoroscopy videos in conjunction with the animated videos to help me identify the structures and where the bolus was. The videos were awesome." M.D. (Oct. 2023)
"The presenter was so knowledgeable and really explained everything in such a way that everything made sense. She was so interesting. I can analyze what I'm seeing and score it correctly. I loved it!" M.D. (Oct. 2023)
"Very thorough course! I liked the scoring guidelines." G.E. (Sep. 2023)
"The overview of the MBSImP was helpful to have a true preview of the material. Easy accessibility!" A.D. (Aug. 2023)
"I enjoyed the entire course. Viewing normal vs. abnormal swallow function was helpful. I liked the videos, case studies, real-life examples." P.M. (Aug. 2023)
"I liked the use of a standardized assessment for MBS studies. The frame-by-frame review of various MBS studies was beneficial." A.D. (Aug. 2023)
"The repetitive practice was beneficial. Many opportunities to practice." M.T. (Aug. 2023)
"Learning the finer details of the MBSImP was invaluable!! I LOVE that I could get such a good overview so that I understood the concepts." L.D. (Jul. 2023)
"Improved my knowledge about physiologic areas that were not taught to me during grad school. I liked the impacts on treatment planning, ability to standardize MBSS at our hospital for reliability, and improved vocabulary for report writing. I liked the videos and detail provided for all the components." S.F. (Jul. 2023)
"The scoring part was very informative. I liked that I can take my time in watching the videos, and that I could go back and rewatch whenever I wanted." A.L. (Jul. 2023)
"Analyzing the 17 physiological components and additional clinical advice that was given throughout this course was beneficial - i.e., transferring the information to functional living / recommendations / future management / compensatory strategies and exercises. I liked being able to take sections at my own pace - stop and start the videos and revisit content, and download supporting materials. I also liked seeing the animations alongside videofluoroscopic imaging to support learning." R.F. (Jul. 2023)
"Definitions of each functional component were beneficial. The videos were great!" A.F. (Jun. 2023)
"The standardization model was beneficial. I like listening to Bonnie Martin-Harris report her work." L.E. (Jun. 2023)
"Objectively quantifying the data collected in MBS studies will provide for much more accurate report writing, recommendations, and communication w/ other SLPs. Loved the video illustrations as well as the actual MBS studies to enhance my understanding of the swallow." M.B. (Jun. 2023)
"I liked the case studies and overall material." C.A. (May 2023)
"This course will literally change how I evaluate during a video swallow study." S.B. (Apr. 2023)
"The observation of each specific component and scoring simplifies the final report and interpretation of the study. Sessions were VERY easy to follow, clear explanations to help understand concepts." C.E. (Apr. 2023)
"Implications of the protocol were beneficial. I liked that the course was broken up into segments." M.B. (Apr. 2023)
"The videos going through the different components and how to score these was beneficial. I have recently commenced my MBSImP training.... this introductory course has allowed me to have an overview of how to get going with my training." V.S. (Feb. 2023)
"Great presenter. Great video footage, both diagrams and videofluoroscopy studies. Good range of patients." V.S. (Feb. 2023)
"Learning about tongue base retraction was beneficial. The animated images were helpful." A.H. (Feb. 2023)
"I liked all of it. Seeing lots of swallow studies and learning to distinguish anatomical structures and different features of swallowing impairment." A.J. (Jan. 2023)
"I complete MBS frequently at work and this course will assist in standardization by the team. I liked the ease of being able to take this course online." S.K. (Jan. 2023)
"The VF & animated examples were so helpful in understanding each swallowing component. I liked the course pacing and real life examples." K.S. (Dec. 2022)
"All topics were excellent. I liked that I could take breaks as needed." B.S. (Dec. 2022)
"This content gave me a new perspective on how I look at and interpret MBSs. I found the entire course to be relevant to my daily practice." L.R. (Dec. 2022)
"Course was extremely informative going between the speaker and her many videos to outline what she was referring to. The entire presentation made me realize the importance of completing the entire MBSImP course and protocol to incorporate in my daily practice." A.R. (Dec. 2022)
"I liked the breakdown of the 17 swallow components. Repetition and detailed walk-though of each component was beneficial." J.B. (Dec. 2022)
"Lots of swallow videos. Speaker was excellent." J.B. (Nov. 2022)
"A great refresher on anatomy, and great for updated swallowing info." K.F. (Nov. 2022)
"The depth of information and discussion of the rationale behind this protocol impacting patients every day in our work environment was great! I also loved the app for swallowing to educate patients and their families. What an enormous amount of research and time to improve the world of speech-language pathology!" P.A. (Nov. 2022)
"I liked the breakdown of the components and scoring definitions." K.W. (Nov. 2022)
"I enjoyed going through the whole swallow study after the discussion about each component of the MBSImP. I felt like it really expanded my view of the continuity of the swallowing mechanism. I was blown away by Dr. Bonnie Martin-Harris' ability to explain such a complex process in such a clear way." N.P. (Oct. 2022)
"MBSImP Guide and scoring were very beneficial because I do MBS frequently. Guide to MBS impairment profile is the topic I liked best as well as the MBS components." E.E. (Oct. 2022)
"I now plan to better standardize and communicate findings in my reports. Dr. Martin-Harris did a great job presenting all of this information. I really appreciated all of the supplemental materials provided along with this course." A.M. (Oct. 2022)
"Excellent presentation. Clearly presented to increase understanding of reading MBS." L.M. (Sept. 2022)
"This course is very easy to follow. Liked learning implementation of this protocol." C.R. (Sept. 2022)
"Great to have objective measurements for the MBSS." C.R. (Sept. 2022)
"The review of the components and the format of the course were good." G.S. (Sept. 2022)
"Practical and thorough. Excellent animation and imaging studies demonstrating normal and impaired swallowing." V.M. (Aug. 2022)
"Learning about a standardized method of examining swallow function and dysfunction under fluoroscopy was beneficial for my practice." C.B. (Aug. 2022)
"I will use this entire analysis of swallow function in my daily practice. This course has helped me to more accurately pinpoint areas of weakness/dysfunction that contribute to dysphagia, and will help guide my treatment plan. I liked the very specific visual examples of each component with detailed explanations to give me a good idea of what each score looks like in each area. So, very helpful!" G.P. (Aug. 2022)
"The in depth and systematic approach to evaluating phases of swallow, impairments, and causes was good. The video simulations paired with the fluoroscopy videos helped me visualize the information." J.P. (Aug. 2022)
"I liked having the animated swallows side by side with actual swallow studies." H.Y. (Aug. 2022)
"I thought that both the animated and actual swallow study showing the different components and ratings were extremely helpful." C.P. (Aug. 2022)
"I liked the real time and animation swallowing models. And the discussion of radiation dose considerations." S.S. (Aug. 2022)
"I liked the discussion of how to specifically rate each component." T.M. (Aug. 2022)
"I enjoyed all the visuals and practical application, and the standardization of assessing 17 evidenced-based physiologic components of swallowing." K.W. (Aug. 2022)
"Very thorough, evidence-based course. Liked learning the impact of esophageal clearing on oral and pharyngeal swallowing." O.S. (July 2022)
"I learned more through this course then I ever did in graduate school. It's so beneficial to see the videos and break it down in order to determine exactly what's going on and the function of each structure at each stage of the swallow. Liked the videos with in-depth discussion on each component, and the fact that it is a standardized program." S.H. (June 2022)
"The review of the components was great because everything was broken down so I knew exactly what I was looking for. I feel that this course was very functional and it is something that I can directly relate to my practice as a SLP." K.M. (June 2022)
"I liked the inclusion of so many swallow studies within the course." J.M. (June 2022)
"The 17 physiological components listed in the protocol during assessment along with the varying degrees of impairment were beneficial." S.T. (June 2022)
"I liked reviewing actual MBSS along with animations to practice scoring." A.C. (June 2022)
"The thorough explanation and example videos were good!" M.H. (May 2022)
"Clearly tutored, structured way of going through the protocol. Learning a standardized protocol, very useful!" F.S. (May 2022)
"The systematic approach to scoring an MBS and the systematic approach to doing the MBS are amazing for actual clinical practice! This whole course was hugely helpful in identifying impairment and learning about the anatomy of the swallow. The speaker was probably the best I've ever seen in any course I've taken. She was excellent." A.K. (May 2022)
"I liked the specific examples and visuals comparing different scores in each component of the swallow. The course had great structure, visuals, and was very detailed for an introduction!" R.B. (May 2022)
"I really enjoyed having the visuals of the modified barium swallow studies along with the verbal explanations." M.C. (May 2022)
"The course was very well presented with lots of examples." K.B. (Apr. 2022)
"I liked the standardization aspect. This is something that you can use in practice with patients." A.M. (Apr. 2022)
"Excellent organization of coursework, presentation of materials, supported with visual demonstration and explanation." E.M. (Mar. 2022)
"I liked the breakdown of overall impression scoring." N.T. (Mar. 2022)
"I liked the physiology components, being able to separate them, but also see how they work together." E.G. (Mar. 2022)
"Very easy to listen to with lots of good, clinical examples and anecdotes." N.C. (Mar. 2022)
"MBSImP scoring in real time with many examples." C.H. (Mar. 2022)
"Learning how swallow impairment can be judged without looking at every individual food type, and how the scoring can be used to help interpret MBS more accurately." E.V. (Feb. 2022)
"I liked that you can take your time and review the material, and learning the overall scoring and breaking down the swallow function into all of its smaller parts." B.M. (Feb. 2022)
"The organization of the course was great. I look forward to taking the full MBSImP course." A.P. (Feb. 2022)
"Looking at mbss in a whole different way!" M.H. (Feb. 2022)
"I liked the general review of the protocol and its use and being allowed to go at my own pace." R.R. (Feb. 2022)
"It was well organized and broken down into teachable segments that I could go over several times if needed. I loved the animated version coupled with the fluoro videos, it was very helpful for understanding where landmarks are and seeing the normal swallow function compared to levels of abnormal." E.A. (Feb. 2022)
"The entirety of the MBSImP protocol is applicable to my work as an acute care, outpatient, & acute rehab SLP as I perform VFSS on a weekly basis." R.H. (Jan. 2022)
"Every topic of discussion regarding this protocol was useful/beneficial for my daily practice; learning about the time, research, and planning that went into protocol's development; video and animated demonstrations." J.S. (Jan. 2022)
"Overall premise of breaking the swallow down into small individual segments and functions - extremely interesting - will be of great benefit in treatment. Very impressed by the animations, they made the actual fluoro image a bit more able to follow." K.K. (Jan. 2022)
"I appreciated the education on laryngeal, thyroid and arytenoid movement during the swallow. These are things I have observed and considered for years, but was not taught, yet so valuable. Content applicable immediately to my patient care!" A.M. (Jan. 2022)
"Bonnie Harris-Martin is an excellent instructor. She provided useful information and it was evident that she is passionate about the work she and her colleagues are doing." M.H. (Jan. 2022)
"Pacing at a rate that I could digest, understand and remember. I liked the computer simulations paired with videofluoroscopic images." B.E. (Jan. 2022)
"I really appreciated the depth of her discussion on how the swallow functions. I liked the ability to pause and replay items of interest. I felt I really had time to take notes." S.N. (Jan. 2022)
"Every topic of discussion regarding this protocol was useful/beneficial for my daily practice." J.S. (Jan. 2022)
"The organization of the course was great. I look forward to taking the full MBSImP course." A.P. (Jan. 2022)
"The most beneficial aspect of the presentation was the way each section was linked to all the rest. Evaluation is not a simple process because swallowing is not simple and each decision affecting treatment directly effects quality of life and patient safety. I liked the instructor's clear mastery of the information while valuing new input from practicing clinicians." H.B. (Dec. 2021)
"I liked the thorough review of rationale for and development of the MBSImP, and watching videofluoroscopies and animations to better understand the scoring system." K.M. (Dec. 2021)
"Dr. Martin-Harris is an excellent presenter, and the program was very well planned and executed." K.M. (Dec. 2021)
"I appreciate the standardization to this approach." L.N. (Nov. 2021)
"The detailed information and visuals provided for each component in a break-down and then put-back-together structure of this program. Also the justifications for AP view and esophageal clearance were beneficial for my daily practice. I liked that it was very detailed and included many visual examples with the explanations." H.B. (Nov. 2021)
"The whole introductory class was beneficial prior to full training completion. I liked the content & length of time of online course." J.L. (Oct. 2021)
"Going through the components step by step with visual aids (VFSS, animations) and discussion of variations between scores was helpful. I liked that it is fast, self-paced and easy to access." N.M. (Oct. 2021)
"Very detailed and gave visual examples." D.S. (Aug. 2021)
"The creation of a standardized assessment to assist in assessing swallowing function and structures was helpful for my daily practice." C.P. (Aug. 2021)
"Using the standardization in everyday practice when completing VFSS at my facility will be helpful. I enjoyed the content, the presentation, the ease of access." J.J. (Jul. 2021)
"Walking through video case examples and practicing scoring was beneficial for my practice. I enjoyed the case examples." C.K. (Jul. 2021)
“The ability to work at my own pace. Actually, seeing the course format. Opportunity to practice scoring some of the studies presented in the course.” S.B. (Mar. 2021)
Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Honors, is the Alice Gabrielle Twight Professor in the Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, and Associate Dean for Academic Affairs in the School of Communication at Northwestern University. She is also Professor, Otolaryngology-Head and Neck Surgery and Radiation Oncology, Feinberg School of Medicine.
She is a Past-President of the Dysphagia Research Society, past Chair of the Specialty Board for Board Certification in Swallowing and Swallowing Disorders (BCS-S), and Associate Editor for the Dysphagia Journal. She is an ASHA Fellow, recipient of the 2016 Admiral Albert J. Baciocco Innovation Award – Medical University of South Carolina (MUSC), The 2017 12th Annual Pepper Lecturer, Northwestern School of Communication, Honorary Member of the MUSC Chapter of The National Academy of Inventors, recipient of Honors from the South Carolina Speech-Language-Hearing Association (SCSHA), 2010 MUSC College of Health Professions Scholar of the Year Award, and associate member of the Academy of Otolaryngology-Head and Neck Surgery and the American Head and Neck Society.
Dr. Martin-Harris is the author and developer of the first standardized method for videofluoroscopic assessment of swallowing impairment (Modified Barium Swallowing Impairment Profile, MBSImP™), translated to research and clinical practice in the United States, Canada, and 13 additional countries. She is also the author of the manual, "Standardized Training In Swallowing Physiology—Evidence-Based Assessment Using The MBSImP Approach" published by Northern Speech Services. Her work is funded by the National Institutes on Deafness and Other Communication Disorders (NIDCD), the Veteran's Administration, and the Mark and Evelyn Trammell Foundation.
Financial — Bonnie Martin-Harris is the presenter of CE seminars and online CE courses sponsored by Northern Speech Services; receives speaking fees and royalties.
Financial — Bonnie Martin-Harris is the author of "Standardized Training In Swallowing Physiology — Evidence-Based Assessment Using The MBSImP Approach" published by Northern Speech Services; receives royalties.
Financial — Bonnie Martin-Harris' former employer, MUSC, receives royalties from Northern Speech related to enrollment tuition of the MBSImP Online Training.
Financial — Bonnie Martin-Harris' MBSImP research and development was funded in part by Bracco Diagnostics; received grant funding.
Financial — Bonnie Martin-Harris' research is funded in part by the Veteran's Administration (VA); receives grant and research funding.
Financial — Bonnie Martin-Harris' research is funded in part by the Mark and Evelyn Trammell Foundation; receives grant funding.
Financial — Bonnie Martin-Harris' research is funded in part by the National Institutes on Deafness and Other Communication Disorders (NIH/NIDCD); receives grant and research funding.
Nonfinancial — Bonnie Martin-Harris is associated with numerous journals, publications, and boards related to speech-language pathology; receives no compensation in these roles.
This program is offered for 0.6 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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