This self-study, online CEU course includes the MBSImP™ standardized clinical training and reliability testing. The MBSImP approach provides a validated and evidence-based protocol to interpret and communicate MBS study results in a manner that is specific, consistent, accurate and objective.
Participants will learn to employ a standardized assessment of swallowing impairment through examination of 17 essential physiologic components of the adult swallowing mechanism. Utilizing videofluoroscopic images paired with custom-built animations depicting swallow impairments, participants are systematically taught the 17 physiologic components and standardized impairment scores associated with each that together comprise the MBSImP standardized assessment.
The training format includes ample opportunity for interactive practice in interpreting swallow studies and provides feedback as to accuracy of impairment scoring. When ready, participants will demonstrate their competency in the reliability zone testing. Participants may work at their own pace and have unlimited time to complete this training. The reliability testing may be repeated as needed. This training is fully website-based and requires no special software. Offered for 2.1 ASHA CEUs – 21 contact hours. Download MBSImP Advocacy Guide
**Groups of 3 or more must submit all enrollment forms together to receive the group discount.
**Purchase orders are accepted, however, they do not constitute payment. Access to the training will only be granted after payment is received in the form of check or credit card.
This online CE course focuses on the MBSImP approach for assessment of swallowing impairment. Other assessment protocols will not be included in this course. View financial and non-financial disclosures in the Presenter & Disclosures area.
This online, website-based training contains audio, video and interactive practice components. Participants may work at their own pace and have unlimited time to finish. Specifically, this training is divided into Zones:
LEARNING ZONE: Participants are taught 17 physiologic components of the swallowing mechanism and their associated impairment scores which together comprise the MBSImP assessment. Component scores are taught via narrated PowerPoint presentations and also visually demonstrated via fluoroscopy segments paired with state-of-the-art swallow animations. tour learning zone
TRAINING ZONE: Participants practice scoring each MBSImP component, initially on single, isolated swallows taken from swallow studies, and then practice scoring each component on full MBS studies. Immediate feedback is provided and this zone may be repeated as needed to refine scoring accuracy. tour training zone
RELIABILITY ZONE: This is the testing zone. Participants are tested on their newly acquired skill in using the MBSImP scoring metric to successfully capture and profile swallowing impairment in adults. Ten high-resolution swallow studies are presented for scoring. Accuracy of 80% or higher must be achieved on each of the 17 components. Partial retests are required only on those components scored with less than 80% accuracy. tour reliability zone
PATIENT DATA & REPORTS: Once the Reliability Zone has been successfully completed, access is granted to the very functional "Patient Data & Reports" clinical area of www.mbsimp.com. This area provides free online templates for clinicians to generate standardized assessment reports based on MBSImP impairment scores. tour of express reports | tour of full report templates
RENEWAL COURSE: Registered MBSImP Clinician status is awarded for a period of 5 years. The 5-year renewal process will consist of a $99 renewal fee and completion of a 5-hour CEU training & testing related to the MBSImP.
Learners who complete this training and pass the online Reliability Assessment testing will earn the designation of Registered MBSImP Clinician. A current list of Registered MBSImP Clinicians may be viewed here. Registered MBSImP Clinicians have access to the MBSImP Patient Data & Reports area where standardized assessment reports may be generated and saved. Registered MBSImP Clinician status is awarded for a period of 5 years. The 5-year renewal process will consist of a $99 renewal fee and completion of a 5-hour CEU training & testing related to the MBSImP.
The MBSImP is much more than simply a CE training program! Completion of the MBSImP standardized clinical training and reliability testing is just the beginning of all that the MBSImP approach was intended to be.
The clinical training portion of www.mbsimp.com introduced a standardized approach for objectively profiling swallow impairment. The Patient Data & Reports area of www.mbsimp.com then allows for Registered MBSImP Clinicians to communicate those results via standardized assessment reports. Access to these online report generating templates is granted at no additional cost to those who successfully pass the Reliability Zone testing. Registered MBSImP Clinicians can use these clinical tools to:
Post Test and Certificate of Completion: Accuracy of 80% or higher must be achieved on each of the 17 components across the 10 swallow studies in the Reliability Zone testing in order to receive a certificate of completion and earn Registered MBSImP Clinician status. Retesting will be required only on those components scored with less than 80% accuracy.
CEUs cannot be awarded partially nor proactively.
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 2.1 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.
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 this online course. You may log off and log on as you wish in order to complete all sections of this course.
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 the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).
ASHA CE Registry Submission:
During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase orders are accepted, however, they do not constitute payment. Access to the training will only be granted after payment is received in the form of check or credit card.
What is an Online Course?
Our Online Courses include text, audio, or video formats and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any computer, via your Northern Speech account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%) a printable certificate of completion is presented to you.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to online CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the Online Courses tab on your profile screen. Click View next to the course you’d like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Course completion timeframes:
Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.
Course content expiration:
Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Certificate of completion:
A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry:
Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
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 non-text online courses provide a link to download the accompanying handout.
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.
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, Internet Explorer, etc) and newest version of Flash Player. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Please click here for any special needs requests and we will do our best to accommodate them.
What your colleagues are saying about the MBSImP:
"The step-wise learning by presenting components in isolation and then with full studies was very good." T.K. (Aug. 2021)
"Excellent videos, good feedback on swallow by swallow training module. The training support from Kate Davidson (Humphries) was excellent." M.P. (Aug. 2021)
"I liked the hands out part of the course. I learned a lot just from the repetition." D.B. (Aug. 2021)
"I really liked the organization of this course and the step by step process for completing the course. I liked that I was forced to watch any pre-requisite videos and downloading forms prior to entering into a specific zone. I also liked the scoring help link with videos of additional examples. I really struggled with "Pharyngeal Stripping Wave" component and decided to click the scoring help guide. I watched additional example videos of scores 0, 1, and 2 and this helped SO much, I ended up passing the reliability for this component directly after watching those videos." A.C. (Aug. 2021)
"All of the resources and the ample practice were good." T.S. (July 2021)
"Good thorough explanation of the different components of the swallow. Appreciated seeing examples of each level. It made me re-think the way I interpret a VFSS, and I am looking at components that I previously did not consider." A.O. (July 2021)
"This course caused me to pay more attention to the more minute portions of the swallow." K.W. (July 2021)
"The number of examples and the endless opportunities to practice were nice." P.C. (July 2021)
"The repetition and availability of resources throughout each portion of the course were great. It was helpful to get immediate feedback re: accuracy during the training zone." R.K. (July 2021)
"I like the multiple opportunities for practice. I enjoyed being able to slow the videos down multiple times." R.M. (July 2021)
"The tips and helpful handouts were good." M.G. (July 2021)
"There is plenty of example videos, scoring tips, examples of different presentations on fluoro, and the opportunity to retest only the missed component scoring sections needed." S.T. (July 2021)
"I really appreciated how willing Northern Speech Services was to answer questions via email. That helped me a lot!" S.G. (July 2021)
"The visual drills to get the correct scoring was a good way to eliminate educated guesses and really look at the measurements of each component. It was hard to get through, but feel I have a better understanding of each component." A.M. (July 2021)
"I was able to complete when time allows, able to review videos as often as needed, very good information, great handouts to provide to patients and radiologists, overall a great package." K.C. (July 2021)
"I appreciated the amount of resources provided." K.M. (July 2021)
"Well structured learning and IT was easy to use." L.F. (July 2021)
"I enjoyed the intro videos, frame-by-frame, and discussion of each rating value." S.N. (July 2021)
"I really enjoyed having access to so many instrumentals to compare! And that I could watch in slow-motion or frame by frame. The videos explaining the scoring were very helpful" M.S. (July 2021)
"I did enjoy the interpretation though it did become time consuming, tedious and inefficient because of lack of feedback." S.H. (July 2021)
"I loved the detailed instruction, book, and format." M.M. (July 2021)
"I really enjoyed the different visual aspects for learning; the animation to go along with the radiology videos of the swallowing. That really helped with familiarizing myself with the radiological images. I also really liked the scaffolding of single swallow trials up through the full study swallows." C.M. (June 2021)
"I enjoyed how objective the scoring is for MBS." K.L. (June 2021)
"The video learning and component breakdown information were helpful." Z.M. (June 2021)
"The ability to manipulate each video to customize it to your learning style i.e. slow things down, rewind, etc. The interactive learning was great and it was helpful to review each grading scale for each component when necessary. The visuals were great." S.H. (June 2021)
"The intensity of the training was excellent. I also liked the progression of the different zones." M.K. (June 2021)
"The videos demonstrating the difference between the scoring for each component was great!" B.G. (June 2021)
“This is a comprehensive course which will help you improve your skills as a clinician interpreting modified barium swallow studies. It is the ONLY real comprehensive course out there. I recommend it for all clinicians performing MBSS's. Standardization in our field is KEY!!”
“This is a very thorough program with an abundance of resources to help clinicians analyze video swallows with precision and reliability. I appreciate the combination of real videos with anatomical animations to guide learning.”
“I liked the fact that there was no way to cheat the system in the final exam. You were not given answers as to what you got wrong, and studies were shuffled and replaced. You truly need to learn and understand these concepts to successfully complete the course. That being said, I also appreciated having an unlimited amount of times to take the test so that I could then learn, test, re-learn, test.”
"I really appreciated how thorough you all were when I emailed you all for help. Every time I reached out, I improved. I like that there are so many training videos to gain adequate practice prior to entering reliability portion of the test."
"I have done many VF of swallow. This was very good at sharpening my eye for some aspects of the study. The learning sections were very good. The use of graphics and examples was awesome. I found the website easy to navigate."
"I love the technical aspects. I can be so specific now in my reports as to areas of impairment and physiological bases for those deficits."
"I am an experienced UK clinician, working routinely with videofluoroscopy for a number of years. Working through your course has very tangibly advanced my clinical practice, my thinking and my analytical eye for reading radiographic images. The package you've put together for clinicians is so robust and supportive, I will be highly recommending it for progressing our clinical skill and standardization in this field."
"It was very challenging! But the rigor leaves me feeling prepared to practice confidently with patients."
"It really helped develop an eye for the 17 components and gave me valuable practice. The course was difficult but I feel I will be a much more effective diagnostician at evaluating video swallow studies and recommending appropriate diets and remedial plans for patients. I feel the course was well researched and presented in a logical format."
"Modifieds are so often seen as tests to simply confirm/deny presence of aspiration and reports are so lacking, which negatively impacts thorough development of a plan of care for patients at the next level of care. I pride myself on writing thorough reports in acute care because I used to work in a SNF and on the rare occasion I could get an MBSS done, I experienced deep frustration with incomplete or vague reports. That being said, I was challenged and feel my reports will be more thorough and I learned a tremendous amount about each physiologic component."
"Fantastic variety of MBS films to watch, and learn from. Some really excellent ideas about swallow physiology that I was not familiar with (and I have done more than 8,000 MBS at the time I took the course)."
"This is one of the most challenging courses I have taken; however, it will also contribute to my clinical practice in the most relevant way. I now feel competent in administering and scoring MBS in a way that is standardized and reflects a true knowledge of the anatomy and physiology of the swallowing mechanism."
"After the course last weekend I came in Monday morning and had one of the hardest MBS studies I have ever had. Needless to say the study was a tricky one but I felt so much more confident in my assessment. I used the protocol, implemented strategies, and completed what I believe was a comprehensive and insightful study. Therapy will ensue and the patient can be helped. Thanks to MBSImP what could have been an overwhelming task was manageable. I can't thank you all enough."
"While it is hard to teach an “old dog new tricks”, I really enjoyed learning how to interpret the MBS using the impairment profile. The MBSImP challenged me to think about the interpretation of the MBS in a different fashion and I really enjoyed this challenge. I am so glad that as a hospital system we are going to make this the “standard” for how we do MBS evaluations."
"I really appreciated all the resources available to help with the training and the excellent customer services when emailing specific questions!"
"I learned about my own strengths and weaknesses as a clinician as well as the "standardized" interpretations of physiology."
"Definitely learned about components I never previously knew about or paid much attention to – pharyngeal stripping wave being one of them."
"I liked the videos, the training exercises that immediately told you whether you were right or wrong, and the ability to return to the training for further viewing."
"Teaching the MBSImP can be quite challenging and time consuming. NSS has developed and used an ideal platform to teach and train SLPs about the various components of the MBSImP."
"The animations and explanations were great! Loved that there was an animation and a fluoroscopy to go along with every score for every component – very helpful."
"Very practical training. Many video tutorials to supplement VFSS videos. Multiple trials of each of the components in the training zone. Varied patient profiles in the VFSS videos."
"I learned about all the component parts involved in swallowing and how they interact but also how we need to look at the impairment in each component to help our management of patients. We need to look beyond penetration aspiration to make effective patient rehab goals."
"Breaking apart the study was a huge learning experience."
"I found it to be exceptional. . . It's objective and allows for better communication between trained therapists. Can't recommend it enough."
"I really enjoyed the course and am recommending it to all my colleagues. It was positively challenging. I feel so much more confident when evaluating our VFSS results now and it truly does save time in the long run."
"The characteristics for each component are well defined, the videos provide excellent examples of the components. The attention to detail is outstanding. The learning is enhanced by the availability of the replay of the videos for study."
"I am so excited to have this standardization protocol in place. I have been frustrated for a long time with the differences in interpretation of MBSs from one clinician to another. I think this will add credibility to our profession. I am excited to start using the reports and contribute to research!"