Learn an evidence-based, standardized approach for assessment of swallowing impairment.
This online course provides a comprehensive introduction to MBSImP™ or Modified Barium Swallow Impairment Profile. Participants will learn an evidence-based, standardized approach toward the MBS study, including clinical training, administration of the study, interpretation of impairment, and reporting of results — each aspect standardized.
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 course serves as an excellent preparatory course for those SLPs planning to go on to enroll in the MBSImP™ Standardized Training and Reliability Testing (course #e01). Focus is adult population.
Specifically, this MBSImP™ introduction course features seven sessions:
Video. Features a video lecture presentation with a downloadable handout.
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 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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Over 99% of past course participants would recommend this course to a colleague.
"Very detailed and gave visual examples." D.S. (Aug. 2021)
"The creation of a standardize 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. (July 2021)
"Walking through video case examples and practicing scoring was beneficial for my practice. I enjoyed the cae examples." C.K. (July 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)
“I enjoyed exploring the differences between the radiographic presentation of impairment vs. physiologic components.” – I.L. (Nov.2020)
“I found learning about the variations of "normal" when it comes to deglutition to be most helpful. I also appreciated learning the history of the MBSImP and the rationale for each component.” – A.D. (Aug. 2020)
"The whole scoring component of MBSImP is useful in my practice as I receive reports from clinicians who scored an MBS with this protocol. It has increased my insight tremendously into the scoring process and the rationale for why patients may be receiving scores for certain components based on the standardized protocol. When I read a report from a clinician who uses MBSImP vs a clinician who did not, the structure of the reports make it so easy to quickly create a therapy plan in the subacute setting and ensure I am targeting the exact deficits." – A.F. (July 2020)
"I found the discussion on the positive pressure to push bolus down was helpful. The right amount and style of repetition of material was provided - going over things multiple ways eased the learning process. Also, BMH has such a soothing voice!" – K.R. (May 2020)
"I particularly appreciated the overview of structures and anatomy during the discussion about the 17 physiological components of the swallow." – R.C. (Apr. 2020)
"The idea of viewing the impairment more holisticly rather than simply detecting penetration/aspiration was most beneficial. I liked the video examples." – K.F. (Mar. 2020)
"I appreciated the way the swallow was broken down into the sum of its parts to better understand impairment and the way all the bio-mechanics of the swallow are affected. I appreciated the side-by-side viewing of the digital replication of the swallow and the fluoroscopic imaging." – J.P. (Mar. 2020)
"I really enjoyed the specific breakdown of all of the structures. This does seem to be a comprehensive protocol in evaluating a MBS." – L.P. (Feb. 2020)
"All of it was beneficial. It was very informative on the anatomy and physiology of the swallow. I liked the videos and 17 components of the swallow." – K.H. (Feb. 2020)
"I found this course to be very helpful in refreshing MBS prior to taking the MBSImP course. I like all of it. Excellent instructor, easy to follow and understand. I am looking forward to the MBSImP." – J.M. (Jan. 2020)
"I loved the clinical cases provided in this online course. I find it all to be very beneficial to be a more efficient clinician. It was great to understand how MBSImP puts everything into perspective and grades it." – V.B. (Jan. 2020)
"It was helpful to have each component in the swallow broken down and defined. This will allow more focused therapy. The printed resources are very helpful." – K.M. (Dec. 2019)
"I liked the ease of completing the course on my own time, taking breaks when needed as well as the presenter's vast knowledge and presentation style. Very comprehensive and well organized course." – K.A. (Dec. 2019)
"Great handouts including the advocacy guide, the scoring grid, the MBSImP Guide, the Impairment Profile and the sample report; these will be very helpful in my practice and will help my department standardize our documentation." – L.M. (Nov. 2019)
"I found it beneficial to not only be able to see each of the components in real imaging studies, but to see each of the scores during real studies as well to see the difference between each of the scores. I found it beneficial to hear descriptions of each of the components and what is being evaluated with each component to take back to the studies that I am currently completing and other things to look for with each component that you are assessing." – C.R. (Oct. 2019)
"The penetration/aspiration scale was especially helpful. Learning the how and why helps me better understand clinician interpretations." – K.S. (Sept. 2019)
"I recently switched to acute care hospital setting and am just beginning to regularly complete MBSS. All of my fellow SLPs have also completed MBSImP training and refer to it frequently. Going over each of the seventeen components of the swallow, how to score, and the reasons why they were chosen as part of the protocol were very beneficial (so much pretty much everything!). I appreciated how thought out and how well each item was presented and explained. Fluoro and respective animated presentations of each component and their score was wonderful for learning!" – K.M. (Aug. 2019)
"I found that the information regarding interpreting MBS is the most beneficial for my daily practice. Although I do not perform MBS at my skilled nursing facility, I do receive MBS reports and appreciate the ability to interpret and analyze the report myself in order to make sound recommendations. I thought more report writing would be covered in this course." – J.S. (July 2019)
"This was the best course I've ever taken for Modified Barium Swallow Studies. Highly recommend! I love how detailed the discussion of each patient example was and I would highly recommend to anyone wanting to take the MBSImP to take this course first! I will absolutely be taking the full course for MBSImP following this wonderful introduction course." – R.R. (June 2019)
"I am seeking out more training on dysphagia in order to transition into the medical SLP setting. This training was very effective in providing sufficient knowledge and education in order to assist me in understanding the fundamentals of the swallowing mechanism and the importance of standardized assessment procedures." – J.R.G. (May 2019)
"The presentation was very clear and concise, the video format was great, and I could learn at my own pace!" – O.J. (Apr. 2019)
"Dr. Martin-Harris presented the information in a way that was understandable and clinically significant to both researchers and practicing clinicans." – K.F. (Mar. 2019)
"There were a couple components that I was less familiar with, including pharyngeal stripping wave and PES opening. I found these components most beneficial to my learning. I really enjoyed the real life VFSS rather than only the computerized version. Things are a lot easier to see when it is computerized and there it was very beneficial to have actual VFSS. The course was great." – S.S. (Jan. 2019)
"Excellent new information with clinical relevance. I liked that I was able to integrate the course into my schedule because I could stop and restart." – J.F. (Dec. 2018)
"Bonnie Martin Harris was wonderful! I did really like how she discussed the process of assessment development with the use of statistical procedures." – M.E. (Oct. 2018)
"The breakdown of the scoring system was extremely helpful! Clear and concise content. Very relatable to everyday practice." – S.S. (July 2018)
"The analyzing of epiglottic inversion and hyolaryngeal elevation and excursion was most beneficial. I liked the in-depth scaling of each phase of the swallow." – T.K. (May 2018)
"This was my first introduction to the MBSImP. The information was very straightforward and easy to understand." – R.D. (Apr. 2018)
"I very much appreciated her review of each of the scoring components and what each of the individual scores looked like. I felt the course was very thorough and appreciate the review of the component-specific guidelines." – C.S. (Mar. 2018)
"Not only was it a great review in evaluating swallow function but I love the thought of using a standardized format to score swallowing impairment/function. The entire course was wonderful." – K.D. (Feb. 2018)
"It was very thorough and efficient. Not too much information...not too little. I liked how she showed the imaging associated with each component in both the computerized and fluoro image." – M.R. (Jan. 2018)
"The increased focus on physiology rather than symptoms is very beneficial. I liked the video examples, both animated and fluoro, with accompanying explanations." – J.L. (Dec. 2017)
"The best part was how utilizing the MBSImP approach trains you to look at impairments in motor function that predicts risk rather than just aspiration/penetration. This kind of thinking helps drive better clinical decision making for diet recommendations." – D.P. (Nov. 2017)
"Great review of anatomy and physiology of swallow. The analysis of each of the 17 components was beneficial in thinking about the swallow performance while targeting your tx. I consider myself a seasoned clinician but learned a lot." – D.H. (Oct. 2017)
"This course has significantly impacted how I will conduct, score and review swallow studies. The protocol of the MBSImP is somewhat different from how I have conducted studies in the past. This entire course has transformed how I view the modified barium swallow study." – C.C. (Oct. 2017)
"I enjoyed the point by point discussion of the components of the MBSImP. It made each structure clear and identifiable." – A.W. (Oct. 2017)
"This course was presented in a logical format by an extremely knowledgeable clinician. The information was presented clearly, concisely and in a way that I can easily transfer knowledge I have gained into my clinical practice." – C.C. (Oct. 2017)
"EVERYTHING was beneficial! This was so helpful on every level. Graduate courses are so limited by time and our lack of experience at the time they're taught. This was exactly what I needed!" – S.B. (Sept. 2017)
"All speech-language pathologists working the medical field, who read or conduct modified barium swallow studies should have this training. The information was presented in a concise manner that required a good deal of thinking, but was not too difficult to understand. It would be wonderful if MBS ImP could become a standard part of dysphagia courses at the graduate level before students go into their medical practicum." – K.B. (Aug. 2017)
"Dr. Martin-Harris is an engaging presenter who, while covering a very complex subject, easily and clearly speaks about the topic in a smooth and knowledgeable manner. Her presenting style is conducive to learning and maintains the attention of the learner. Further courses by Dr. Martin-Harris would be appreciated." – A.G. (July 2017)
"User-friendly and easy to navigate. Having visuals of the Modified Barium swallows was very helpful as well." – K.H. (June 2017)
"I feel that having standardized ways of describing function would be beneficial when working with a team of other SLPs in daily practice. Everyone would describe things the same way so that everyone is on the same page with understanding the patient's impairment." – K.H. (June 2017)
"Dr. Martin-Harris is highly professional, knowledgeable, and excellent at teaching. This was the most excellent course I have taken in a long time. This standardized procedure is necessary and helpful in the implementation and interpretation of the Modified Barium Swallow studies that we have been doing for years!" – S.L. (May 2017)
"I found the entire course relevant and beneficial for my daily practice, specifically the identification and scoring used to score various components." – B.C. (May 2017)
"Probably the best course for my professional career that I've ever taken! Thank you." – J.R. (Jan. 2016)
"I enjoyed how each component of the swallow was broken down. I learned a lot by doing this. I liked how thorough it was explaining the swallow and how to apply a standard scoring system that translates into a standard interpretation of the swallow dysfunction and creating a treatment plan." – B.S. (Feb. 2017)
"This e-course was cohesive, well presented with excellent visual and printed aids. It will improve my clinical practice." – L.S. (Jan. 2017)
"I found it very helpful to break the swallow apart in order to really focus on the individual components of a normal vs. impaired swallow and to review how it all fits together. I thought the fluoro study examples and animations were really useful. It was great that the speed could be adjusted for easier interpretation. I always appreciate getting to review and study the structures and functions of all the parts of the swallow." – J.D. (Dec. 2016)
"The patient case study was very beneficial. It allowed me to use all of the information I had learned through the presentation in a functional way, similar to what I would experience when evaluating/diagnosing my own patients. I enjoyed reviewing each component through the computer-generated image and the x-ray image." – C.C. (Dec. 2016)
"It helps to have standardized assessments and published research to back up clinicians when dealing w/other health care professionals. I liked the ability to review images w/out bothering other clinicians to make sure that I see what is discussed." – M.D. (Nov. 2016)
"I'm a new learner for MBS procedure and glad to be learning MBSImP from the outset for best practices. Great presentation. I liked the pace and graphics. I thought there might be some practice, but I guess that's what the extended course is designed to accomplish." – J.H. (Oct. 2016)
"I work in the school setting but want to maintain my skills in dysphagia. Very competent and thorough presenter." – A.K. (Sept. 2016)
"I liked the way the 17 components were discussed and all the examples shown." – D.G. (Sept. 2016)
"The step-by-step explanation of each component and what distinguishes one score from another was incredibly helpful." – V.G. (Sept. 2016)
"I'm planning on completing the MBSImP training, and therefore, this training really solidified the information for the MBSImP. I liked the explanation of the scoring criteria for each of the 17 components. I enjoyed the course." – I.I. (Aug. 2016)
I really appreciated the scoring guidelines for each component - there are some components that I will now be paying more attention to, or looking at differently." – E.S. (Aug. 2016)
"It was an excellent course! The swallow impairment descriptions, loads of examples, and practice scoring were all very beneficial!" – B.R. (Aug. 2016)
"I liked the animation and fluoro side by side demonstrations." – B.Z. (July 2016)
"It was a very thorough course. The breakdown of normal and abnormal function by physiological component was especially helpful." – H.S. (July 2016)
"I appreciate being able to continue where I left in the videos, as well as return to previous content and review video content. It is also helpful to have written text for reference. Thank you for all of your work. Exactly what we needed." – T.J. (June 2016)
"Viewing the swallows individually with the classification being explained was most beneficial." – S.C. (June 2016)
"The step by step breakdown of each swallow component allowed me to think about each area of possible impairment and how I can customize my treatment for my patients. I enjoyed the combination of seeing the speaker and viewing the slides & animations, which made it more interactive." – S.H. (June 2016)
"I liked the videos, handouts, pace of the course, and the fact that the course doesn't expire and have unlimited time to finish it. This is a very important factor for very busy clinicians like myself with time constraints." – J.D. (June 2016)
"This was extremely helpful for me to increase my competency in identifying the physiologic causes behind the oropharyngeal dysphagia I assess and treat every day." – J.P. (May 2016)
"I appreciate the better understanding of the MBSImP and how it could be implemented in our hospital based SLP program." – A.M. (May 2016)
"As a relatively new clinician, this course was helpful because it allowed me to identify key components for accurately completing an MBSS. It also has assisted in my clinical comps in that it has guided me in my clinical thinking and completion of MBSS." – K.C. (May 2016)
"Breaking down the assessment and reviewing component by component was very helpful. I liked what BMH said about the rational behind the development of MBSImP. This is a much needed training for clinicians." – R.L. (May 2016)
"I appreciated being provided with exact anatomical landmarks and timing cues to allow for better assessment of swallow function." – N.R. (Apr. 2016)
"Learning the different areas to look at in a video was most helpful. I can honestly say in school I was never taught to look at all of those things." – L.R. (Apr. 2016)
"The specific analysis of portions of the swallowing with evidence-based reference was excellent." – J.V.R. (Mar. 2016)
"Very clear explanation, excellent graphics. Well paced." – C.S. (Mar. 2016)
"Great review of different components of the MBS. I liked the side by side comparisons of MBS video and the anatomical view." – G.M. (Feb. 2016)
"Dr. Martin Harris is extremely knowledgeable and practical. I appreciate that she brings a therapist approach not just as a researcher." – C.L. (Feb. 2016)
"I liked the mode of presentation and how clear the presenter was. The standardization of scoring of components of the swallow was the most beneficial." – B.G. (Feb. 2016)
"Looking at the 17 components in an organized way was very useful. It changes how I approach my interpretation of a swallow study. I liked the graphics and examples." – B.P. (Feb. 2016)
"I watched this as an overview prior to beginning my training for completing MBS. I liked that it is a good ease into MBSImP." – K.C. (Feb. 2016)
"I appreciated all the examples from actual mbs procedures." – E.P.M. (Jan. 2016)