The Modified Barium Swallow Impairment Profile: MBSImP™ Standardized Training And Reliability Testing

#e01

2.1 ASHA CEUs

$600.00 USD


Compatibility
Course Type

Description

Standardizing the MBS Study

The MBSImP™ approach provides a standardized and evidence-based protocol to interpret and communicate MBS study results in a manner that is specific, consistent, accurate and objective.

Video Preview of the MBSImP™ Training Program

This self-study, online course includes the MBSImP™ Standardized Clinical Training and Reliability Testing.

Course participants will learn to employ a standardized assessment of swallowing impairment through examination of 17 physiologic components of the swallowing mechanism in adults. 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.


Download MBSImP Advocacy Guide


MBSImP Training Zone

The MBSImP™ Training Zone with Scoring Feedback


The training format includes ample opportunity for interactive practice in interpreting swallow studies and provides feedback to aid in refining scoring accuracy. When ready, participants will demonstrate their competency in the reliability zone testing. Participants may work at their own pace, may stop and start the training at any point, 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. Course focus is the adult population.


• **Groups of 3 or more must submit all enrollment forms together to receive the group discount of $100 off each. Each member of the group will receive an individual training course login to work at one's own pace.
• Discounts MAY be combined. If claiming multiple discounts (i.e., prior grad student trainee plus the group discount), please submit this enrollment form.
• Purchase orders are accepted, however, they do not constitute payment. Access to the training will be granted only after payment is received in the form of credit card or check payment.


Questions?

This training program is conducted fully online and contains audio, video and interactive practice components. Participants may work at their own pace and have unlimited time to finish. Clinical email support is available for training course questions. Specifically, this training is divided into three 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

view sample express report | view sample full report 


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 online training course related to the MBSImP.

MBSImP Training Zone

The MBSImP™ Learning Zone


MBSImP Training Zone

The MBSImP™ Training Zone


MBSImP Training Zone

The MBSImP™ Reliability Zone


Website Templates To Generate Standardized Reports

Over 94% of prior course participants would recommend this course to their SLP colleagues.

"I enjoyed the detail to every aspect of the swallow!"  M.L.B. (May 2022)

"I liked how interactive the course was and very educational material."  B.W. (May 2022)

"I appreciated the example scoring videos."  J.F. (May 2022)

"Lots of practice examples to facilitate and consolidate learning."  E.C. (May 2022)

"I appreciated the ability to go between modules -- if there was an area I was having difficulty with on the reliability section, I liked going back to the learning/training sections to practice/improve my performance." C.G. (May 2022)

"To be able to keep the components passed and only have to re-rate the swallows for the components with scores of was nice."  M.G. (May 2022)

"Erin provided fantastic support and some additional teaching modules. Her help was valuable beyond measure."  L.L. (May 2022)

"I like being able to write/draw on the quick component score/definition page and take notes as I studied."  O.D. (May 2022)

"Overall, I found the course to be educational and useful."  M.R. (May 2022)

"Wow. Very comprehensive & I plan to use immediately for my VFSS studies."  A.H. (May 2022)

"I enjoyed the supports available when I was stuck on certain components."  M.L. (May 2022)

"I thought this training gave great insight and review of anatomy and physiology of musculature/structures required for swallowing."  K.A. (May 2022)

"I enjoyed the breakdown of each component."  H.S. (May 2022)

"Detailed rich and meticulous explanation step-by-step training, strict assessment."  H.H. (May 2022)

"I like the ability to go back and replay videos and re-visit training."  E.M. (May 2022)

"Lots of opportunities to practice and really embed the principles. I liked the immediate feedback in the training zone."  S.B. (May 2022)

"The side by side videos showing VFSS and animation and scoring tips were also helpful."  B.M. (May 2022)

"I loved the ability to study at my own pace and the ability to review previous videos as needed. The print out material was great!"  J.G. (May 2022)

"Improved understanding of a p of swallow mechanism, I felt there were gaps in my learning in graduate school and this helped fill those gaps as I am not working in acute care and will be conducting my own instrumental assessments."  A.P. (May 2022)

"The amount of content and ability to go back to the learning and training zones throughout was great."  N.A. (May 2022)

"I like the MBSImP guide that you can reference throughout training or testing to improve scoring. I also like the live videos for training."  J.T. (April 2022)

"I feel that the best part of this training is the opportunity to break each section down (i.e., swallow by swallow as well as full studies). I felt that this made it more of a "real" simulation and eased us on into the reliability section." A.L. (April 2022)

"I like the different stages to move through, building confidence and then applying the skills in the final stage."  A.J. (April 2022)

"I liked how thorough each portion was. Each training broke down the components section by section to provide clinicians w/ a better understanding of exactly where a deficit may be and to prepare clinicians with therapy implications."  S.E. (April 2022)

"I liked the learning zone."  A.H. (April 2022)

"I like the learning process that is divided into the three zones, the possibility to log on/off and take the course when you have time, the opportunity to re-test only the components that were scored under 80%, and the animation videos of swallow."  A.K. (April 2022)

"I like the quality of training observation skills." K.W. (April 2022)

"Immediate feedback on the training was very helpful. Overall I really enjoyed the entire training." T.K. (April 2022)

"The immediate feedback in the training zone with an explanation including frame numbers was so helpful for learning what I did wrong." S.B. (April 2022)

"I like all the resources to understand the scoring and the individual and full study training section! The anatomy overview was also helpful." C.F. (April 2022)

"I liked the printout materials that were provided."  F.G. (April 2022)

"I like how there is a very detailed explanation on how the rating should be done case by case." C.Y. (April 2022)

"I like the computer-generated images alongside MBS." A.G. (April 2022)

"I like the clear description of each component. The videos were necessary and helpful. Loved learning about a reliable and systematic method of measuring swallows." E.F. (April 2022)

"I liked being able to go back to the previous training if I had questions about ratings. I also found it very helpful to have explanations for the scorings during the practice. At the beginning of the course, it was also nice to have both the illustration and real-life examples of each scoring component." M.P. (April 2022)

"I liked all of the supplemental information we had access to in order to review specific modules with even more detail." C.M. (April 2022)

"The learning zone is helpful with anatomy review and in-depth discussion and visualization of swallow components."  A.C. (April 2022)

"Great real-life studies and practice. Extremely challenging which hopefully will help build my confidence as a clinician and diagnostician."  F.S. (April 2022)

"The specific videos to help with training helped with watching multiple components of the swallow and allowed me to feel more confident in my skills."  A.M. (April 2022)

"I liked the extra scoring example videos and PDFs!" E.C. (April 2022)

"The training module was great." K.M. (March 2022)

"I liked the review of the anatomy." J.S. (March 2022)

"I enjoyed the training zone with detailed explanations." A.B. (March 2022)

"There were many opportunities to practice the components several times." V.L. (March 2022)

"In the training zone, I love the idea that the correct answers were given immediately. Also, the animations were great."  A.C. (March 2022)

"I enjoyed the guided videos, watching others score was helpful. I liked self-pacing." L.W. (March 2022)

"Very systematic training! Very fruitful! It is good to have animation together with fluoroscopic view of the same swallow simultaneously. It's clear and helps us to understand better." J.L. (March 2022)

"I love the components and how easy everything it was to complete on my own time." A.G. (March 2022)

"I appreciated the ability to further evaluate the components of the swallow." E.B. (March 2022)

"The clear explanation and real VFSS examples during the learning zone were excellent. This course has definitely helped me improve my documentation skills in report writing."  M.S. (March 2022)

"Even though it is time-consuming, I really enjoyed how in-depth it was and also how it gradually increased in how much you were using the knowledge as the course progressed."  M.J. (March 2022)

"The opportunities to review the course as many times as I liked.  I liked the animation in addition to the VF images.  The course was easy to navigate after a few initial errors on my account."  S.W. (March 2022)

"I loved all the repetitions of the swallow studies and the scoring help videos! " J.H. (Mar. 2022)

"I loved the review of how to break down each area of the swallow and giving it some quantitative data."  K.A. (Mar. 2022)

"I liked the three sections (learning zone, training zone, reliability zone)."  M.S. (Mar. 2022)

"Good variety of clinical presentations. Option to save as you go along to complete in small sections. Introductory videos provided a good level of information for someone new to videofluoroscopies."  M.S. (Mar. 2022)

"I like the multiple training zones."  Z.S. (Mar. 2022)

"I enjoyed all the training videos along with the ability to access the training videos during the test."  J.B. (Mar. 2022)

"I liked the conference-style explanations for each component. The powerpoints were not as helpful for me."  V.B. (Mar. 2022)

"The quality of the anatomy diagrams paired with the videofluoroscopy examples. The scoring example videos were very helpful!! I love that this course material is still accessible for review after course completion. Thank you."  R.S. (Mar. 2022)

"Comprehensive and made me look at areas of the swallow that I didn't always pay attention to."  A.S. (Mar. 2022)

"The quality of the anatomy diagrams paired with the videofluoroscopy examples. The scoring example videos were very helpful!! I love that this course material is still accessible for review after course completion. Thank you." J.S. (Mar. 2022)

"The layout and easy access to videos during training and testing for review."  S.M. (Feb. 2022)

"The organization of the training including the different zones, all the training videos were good."  J.H. (Feb. 2022)

"I liked the ability to review all 3 portions of the experience as needed, that is, the learning zone was always available to review during the reliability. I also appreciated the practice of only retesting portions that needed review and retesting. That helped me understand my weaknesses and where I needed to check for scoring tips I missed."  M.S. (Feb. 2022)

"The training is very detailed and helps to identify location points that are very difficult to identify." M.S. (Feb. 2022)

"The training zone really helped apply the knowledge to understand each component."  M.M. (Feb. 2022)

"I liked that it directly relates to my everyday practice and will help me moving forward."  A.S. (Feb. 2022)

"Great exposure to lots of different case studies and videos- great for learning, and excellent resources to supplement the assessment."  O.E. (Feb. 2022)

"I liked having videos with the lectures to help me better understand the cartilage structures I was looking for. I also appreciated all the extra handouts/guides for each component to help me best understand each test item and scoring criteria."  K.L. (Feb. 2022)

"It's very prescriptive. This is helpful for inter and intra-rater reliability and for quicker analysis."  P.K. (Feb. 2022)

"The process from Learning Zone to Training Zone allowed for familiarity with the scoring system."  J.K. (Jan. 2022)

"It was nice to get a review of swallow studies and re-learn each component. I feel much more knowledgeable when I do MBS studies now."  B.S. (Jan. 2022)

"The chance to revisit each component of the swallow with an unlimited amount of time and no timer to rush you along. I appreciated the many avenues available to refresh your memory and learning of the scoring criteria's. The process is thorough which I also appreciated as it cemented my learning. A well laid out easy to use system that is also very clever as it saves your progress as you go."  J.C. (Jan. 2022)

"The clinical team was very helpful with interpreting select case studies and frames. There were certain frames which led me to picking a corresponding answer. Thanks to Erin and Kate, I was able to understand and see differently. Being able to toggle back and forth from reliability to the training portions were very helpful, being able to check prior testing questions were helpful along with the component notes and handouts sent by the clinical team. The color coding and use of visual markers helped with seeing structures more easily. I also frequently used the magnifier feature, color contrast and inverter settings recommended by Tom which helped for select components. I also liked how this was self paced."  A.M. (Jan. 2022)

"Progress always saved so that I could complete course on my own time."  E.T. (Jan. 2022)

"I enjoyed the learning and the training zones."  M.C. (Jan. 2022)

"The course did a very good job in explaining each component of the evaluation and making me feel confident in my ability to reliably rate each component of the MBSImP evaluation." N.K. (Jan. 2022)

"I like all the videos it provides as support on how to score. The example videos were very helpful!"  J.S. (Jan. 2022)

"I really appreciated the different modules for learning, and that you could take the test repeatedly. That actually REALLY helped in my growth."  L.C. (Jan. 2022)

"Very thorough explanation of each component and I appreciated all of the practice throughout the course."  M.R. (Jan. 2022)

"This training did an exceptional job at providing an in-depth foundational understanding of dysphagia."  S.Z. (Jan. 2022)

"I liked the Training Zone with the immediate feedback. The "hint" section helped to further clarify scoring."  E.L. (Jan. 2022)

"Excellent course. Clear guidance providing multiple opportunities to refine clinical interpretation and analysis."  D.B. (Jan. 2022)

"This is excellent and really thorough training. It has made me think a lot about mastication."  N.P. (Jan. 2022)

"Learning how to read Vestibular closure, tongue base movement grading, laryngeal elevation." Previously, I would not have been able to quantify/qualify these anatomical positions well." N.A. (Jan. 2022)

"I liked the break down of swallowing components. I feel like I understand the swallowing mechanism and their relation in more depth than I did prior to the course."  J.D. (Dec. 2021)

"I liked the hands-on learning experience and careful attention to where common errors may be."  C.C. (Dec. 2021)

"I like that you are tested on reliability at the end of the course."  A.L. (Dec. 2021)

"I appreciated the feedback in the training zone telling you exactly why the correct answer was the correct answer."  J.D. (Dec. 2021)

"I appreciated the variety of examples and extensive training program."  A.N. (Dec. 2021)

"I loved all the resources and the various mediums for learning: lecture style, examples, practice, etc. This is the hardest, but the best course I've ever taken and I feel much more equipped to complete MBSs in my own practice."  R.B. (Dec. 2021)

"The format of the education portion was very helpful in explaining with the fluoro and the animations."  K.D. (Dec. 2021)

"I liked that you can complete it at your own pace."  M.R. (Dec. 2021)

"I liked that the course is standardized, available online and able to work through at your own pace."  V.O. (Dec. 2021)

"I liked the layout of the program (videos explaining each of the parameter, then practice and then the test) I also liked that you get answers in the training zone and that there are videos that pinpoint when it was demonstrated in the vfss which was helpful when I did get something incorrect"  H.M.P. (Dec. 2021)

"I loved how there were videos as well as dotted lines on the explanation during the training portion. This is a change from a few years ago"  J.K. (Dec. 2021)

"The descriptions of each swallow component are helpful regardless of if the entire protocol is followed."  A.H. (Dec. 2021)

"I loved the content review - you offered excellent information and a lot of ways to learn."  C.M. (Dec. 2021)

"I liked the availability of the animation versions to allow my eyes to adjust when compared to the videofluoroscopy equivalent."  S.B. (Dec. 2021)

"I liked the video scoring examples with both real fluoroscopy images side by side with the animated example."  M.M. (Dec. 2021)

"Multiple avenues for ways to check scoring during reliability, whether it be watching an examples video or having the scoring sheet out was nice.  I liked the more information of laryngeal penetration or aspiration with more case studies, but the overall content was very education and detail oriented."  K.C. (Dec. 2021)

"I like the process of learning/ training / reliability. An improved understanding of 17 components will also be very beneficial for my report writing."  A.H. (Dec. 2021)

"Very thorough training guides which were helpful in reviewing my mistakes"  D.P. (Dec. 2021)

"It helped delineate all of the different components of a swallow I should be evaluating when completing a VFSS."  H.S. (Dec. 2021)

"I really enjoyed the learning and training zones with the immediate feedback."  T.L. (Dec. 2021)

"I liked that there is a set protocol that can help improve flow of the study and comparison from study to study"  N.G. (Dec. 2021)

"I liked the progression of the course, from single consistency to full study."  E.B. (Nov. 2021)

"I like that the reliability assessment does not require retesting on areas already mastered. The learning zone is also very helpful in that it breaks down both swallow-by-swallow and full studies to practice each component."  M.C. (Nov. 2021)

"I liked the multiple examples of variability. Having fluoro images along with the 3D images really helped visualize the different components."  K.M. (Nov. 2021)

"The training forced me to really understand and differentiate among each component."  S.D.L. (Nov. 2021)

"I really enjoyed the learning zone being able to toggle to the videos and watch the different components."  M.W. (Nov. 2021)

"I liked all of the different patients that were presented."  M.E. (Nov. 2021)

"I liked the opportunity to systematically hone observational grading skills across all aspects of swallowing function. Learning to recognize the often subtle difference between 2 scores results in greater confidence (and reliability)". J.B. (Nov. 2021)

"Lots of example videos, I loved the 3 step course outline (learn, train, test). Very thorough."  A.Z. (Nov. 2021)

"The go at your own pace is perfect. I needed a lot of review and the ability to practice over and over was very beneficial. The corrective feedback for wrong answers was very helpful."  J.P. (Nov. 2021)

"I liked the fact that it was hands-on training and included real life case studies, which made it applicable to my current practice."  E.V. (Nov. 2021)

"I liked that it was updated to show tips (the pop up boxes) when answers were incorrect in the full study training zone."  H.B. (Nov. 2021)

"Being able to repeat elements that I did not pass several times until I passed was helpful."  D.M. (Nov. 2021)

"I liked the opportunity to review multiple studies, practice and re-take the test in parts and come back to it at different times based on my schedule."  G.W. (Nov. 2021)

"I liked the progression of learning from more simple with more learning aid to a gradual independent mode."  K.L. (Nov. 2021)

"I liked the multiple videos with detailed explanation in the training zone, the immediate feedback in the training zone."  W.K. (Nov. 2021)

"REPETITION! this is the best way for me to learn and I liked that the training modules required constant repetition"  J.S. (Nov. 2021)

"The online resources are brilliant. It's great that you can refer back to them so easily throughout each section of the course. The fact that you can save your progress during the test and revisit it is also really useful."  L.W. (Nov. 2021)

"I appreciated the examples and the option to continue retesting until I passed. My setting has changed, so for a while, completion of this course fell down on my priority list. It was wonderful to pick up where I left off to finish the training."  W.M. (Nov. 2021)

"I liked being able to practice a lot before testing."  A.D. (Nov. 2021)

"I liked the progression of training: lecture to learning zone, to training zone, etc."  K.C. (Nov. 2021)

"I like that you are able to continuously look at the learning zone and training zones to supplement the information you already learned when you're having difficulty with a topic."  K.H. (Nov. 2021)

"I liked the opportunities for massed practice and review."  P.K. (Oct. 2021)

"I liked that I have ongoing access to training zone."  A.W. (Oct. 2021)

"Repetition of all activities to promote learning and both xray and computer imagery diagrams and text to explain each component. That you can complete this in your own time scale and that you can go back into learning zone at any point to re test your skills."   P.S. (Oct. 2021)

"The sheer volume of studies was really valuable. It was helpful to have the breakdown into individual swallow then whole studies before the testing."  J.A.-Y. (Oct. 2021)

"The resources and learning support are excellent."  V.G. (Oct. 2021)

"The was accessible and is presented in an easy to use format."  A.B. (Oct. 2021)

"I liked the recent updates in the training zone that provided pop up videos showing precise frames used for scoring."  B.L. (Oct. 2021)

"I liked the specific feedback in the training zone; I also liked the component tips."  A.H. (Oct. 2021)

"I liked the repetition to help with visual information."  F.O. (Oct. 2021)

"I really enjoyed the reliability component of training, considering various swallow presentations with varying ratings across 13 different components."  M.S. (Oct. 2021)

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.

  • Prerequisites:
    • Knowledge of swallow anatomy & physiology is assumed prior to beginning this online training.
    • The enrollee must hold the Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association (ASHA).
    • If outside the United States, the enrollee must be certified, licensed and/or otherwise recognized by her or his Speech-Language Pathology governing agency.

  • Graduate Students and CFYs: Graduate students or those in their clinical fellowship year (CFY) may access this training – please email mbsimp@northernspeech.com for details.

  • Target Population: The MBSImP was validated using patients 18 years and older, as such, the included swallow animations and sample videofluoroscopy visuals are of adult swallow physiology only.
  • Earning CEUs: Enrollment does not guarantee the enrollee will earn CEUs nor earn the designation of "Registered MBSImP Clinician." Both are dependent on the enrollee meeting the passing requirements within the Reliability Zone testing. CEUs are awarded on the date of successful reliability testing completion only. CEUs cannot be awarded partially nor proactively.
  • Time: Learners have unlimited log-in access and unlimited time to complete the training and testing. Most learners require between 20 and 30 hours in total to complete this training.
  • Testing: The Reliability Zone may be repeated as needed to achieve 80% accuracy on each component tested. (No re-testing fees.)
  • Renewal Fees: Registered MBSImP Clinician status is awarded for a period of 5 years from date of passing the reliability testing. The 5-year renewal process will consist of a $99 renewal fee and completion of a 5-hour online training & testing related to the MBSImP approach.
  • Software Requirements: This training is website-based and accessible via both Windows and Apple / Mac. Windows 10 or Apple OS 10.15 and newer is recommended. Smartphone screen sizes are not supported.
  • Web Browser: Please ensure your Internet browser is up-to-date with the newest version before beginning this training. Some video content is delivered via the YouTube platform. Ensure your facility network allows access to YouTube content before beginning this training.
  • Minimum Device Requirements: 6 GB memory, 5 Mbps download speeds, 64 bit processor, the newest (updated) version of your Internet browser, and minimum screen size of 992 x 747 pixels. Phone-sized screens are not supported. Memory below 6 GB and download bandwidth below 10 Mbps may affect video playback efficiency.
  • Internet Requirements: This training website functions best using a high-speed Internet connection. Download speeds below 5 Mbps may be insufficient to load and play video content. Learners may experience video loading delays (buffering) when accessing via download speeds below 10 Mbps.
  • iPad and Tablet Viewing: This training may be viewed on most tablet devices. Minimum screen size required is 992 x 747 pixels. This training is best viewed via computer, however, due to the larger screen sizes and ability to utilize keyboard controls for video playback.  Access via phone-sized devices is not supported due to screen size being too small to accommodate the learning content. 

Learners who complete this training and pass the online Reliability Testing will earn the designation of Registered MBSImP Clinician. A current roster 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 online training & testing related to the MBSImP.

The MBSImP™ Training is much more than
simply a CE course!

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:

  • Generate standardized assessment reports. These reports will be detailed and reflective of the study and comply with Joint Commission requirements for documentation.
  • Maintain a database of their patients with dysphagia, consisting of de-identified data that includes diagnoses, MBSImP results, effectiveness of intervention and patient outcomes.
  • Track patient progress and outcomes and demonstrate evidence for treatment.
  • Contribute to the first and only international data registry dedicated solely to swallowing dysfunction, providing an adjunct to research that has never existed, until now.

Course Objectives

  1. Be able to list the 17 physiologic swallowing components comprising the MBSImP™ assessment protocol.
  2. Be able to identify standardized terms for describing observations of the adult swallowing mechanism as seen on videofluoroscopic swallow studies.
  3. Be able to explain the scoring metric for each of the 17 physiologic components comprising the MBSImP assessment protocol.
  4. Be able to apply the MBSImP scoring metric to videofluoroscopic swallow studies of adult patients.
  5. Be able to demonstrate the ability to score successfully (with 80% accuracy) each of the 17 physiologic components when viewing videofluoroscopic swallow studies of adult patients.

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.

Presenter & Disclosures

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.

Presenter Disclosures:

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.

Intended Audience/Accreditation

asha ce approved provider

This program is offered for 2.1 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP

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:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

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:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.

Frequently Asked Questions

Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

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.

Content Access:

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:

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.

Receiving CEUs:

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.

Testing requirements:

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.

Course formats:

Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.

Course handouts:

Most of our non-text online courses provide a link to download the accompanying handout.

Purchase orders:

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.

Group discounts:

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.

Computer requirements:

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. 

Special Needs:

Please click here for any special needs requests and we will do our best to accommodate them.

Reviews

What your colleagues are saying about the MBSImP Training Course:

"I enjoyed the detail to every aspect of the swallow!"  M.L.B. (May 2022)

"I liked how interactive the course was and very educational material."  B.W. (May 2022)

"I appreciated the example scoring videos."  J.F. (May 2022)

"Lots of practice examples to facilitate and consolidate learning."  E.C. (May 2022)

"I appreciated the ability to go between modules -- if there was an area I was having difficulty with on the reliability section, I liked going back to the learning/training sections to practice/improve my performance." C.G. (May 2022)

"To be able to keep the components passed and only have to re-rate the swallows for the components with scores of was nice."  M.G. (May 2022)

"Erin provided fantastic support and some additional teaching modules. Her help was valuable beyond measure."  L.L. (May 2022)

"I like being able to write/draw on the quick component score/definition page and take notes as I studied."  O.D. (May 2022)

"Overall, I found the course to be educational and useful."  M.R. (May 2022)

"Wow. Very comprehensive & I plan to use immediately for my VFSS studies."  A.H. (May 2022)

"I enjoyed the supports available when I was stuck on certain components."  M.L. (May 2022)

"I thought this training gave great insight and review of anatomy and physiology of musculature/structures required for swallowing."  K.A. (May 2022)

"I enjoyed the breakdown of each component."  H.S. (May 2022)

"Detailed rich and meticulous explanation step-by-step training, strict assessment."  H.H. (May 2022)

"I like the ability to go back and replay videos and re-visit training."  E.M. (May 2022)

"Lots of opportunities to practice and really embed the principles. I liked the immediate feedback in the training zone."  S.B. (May 2022)

"The side by side videos showing VFSS and animation and scoring tips were also helpful."  B.M. (May 2022)

"I loved the ability to study at my own pace and the ability to review previous videos as needed. The print out material was great!"  J.G. (May 2022)

"Improved understanding of a p of swallow mechanism, I felt there were gaps in my learning in graduate school and this helped fill those gaps as I am not working in acute care and will be conducting my own instrumental assessments."  A.P. (May 2022)

"The amount of content and ability to go back to the learning and training zones throughout was great."  N.A. (May 2022)

"I feel that the best part of this training is the opportunity to break each section down (i.e., swallow by swallow as well as full studies). I felt that this made it more of a "real" simulation and eased us on into the reliability section." A.L. (April 2022)

"I like the different stages to move through, building confidence and then applying the skills in the final stage."  A.J. (April 2022)

"I liked how thorough each portion was. Each training broke down the components section by section to provide clinicians w/ a better understanding of exactly where a deficit may be and to prepare clinicians with therapy implications."  S.E. (April 2022)

"I liked the learning zone."  A.H. (April 2022)

"I like the learning process that is divided into the three zones, the possibility to log on/off and take the course when you have time, the opportunity to re-test only the components that were scored under 80%, and the animation videos of swallow."  A.K. (April 2022)

"I like the quality of training observation skills." K.W. (April 2022)

"Immediate feedback on the training was very helpful. Overall I really enjoyed the entire training." T.K. (April 2022)

"The immediate feedback in the training zone with an explanation including frame numbers was so helpful for learning what I did wrong." S.B. (April 2022)

"I like all the resources to understand the scoring and the individual and full study training section! The anatomy overview was also helpful." C.F. (April 2022)

"I liked the printout materials that were provided."  F.G. (April 2022)

"I like how there is a very detailed explanation on how the rating should be done case by case." C.Y. (April 2022)

"I like the computer-generated images alongside MBS." A.G. (April 2022)

"I like the clear description of each component. The videos were necessary and helpful. Loved learning about a reliable and systematic method of measuring swallows." E.F. (April 2022)

"I liked being able to go back to the previous training if I had questions about ratings. I also found it very helpful to have explanations for the scorings during the practice. At the beginning of the course, it was also nice to have both the illustration and real-life examples of each scoring component." M.P. (April 2022)

"I liked all of the supplemental information we had access to in order to review specific modules with even more detail."  C.M. (April 2022)

"The learning zone is helpful with anatomy review and in-depth discussion and visualization of swallow components."  A.C. (April 2022)

"Great real-life studies and practice. Extremely challenging which hopefully will help build my confidence as a clinician and diagnostician."  F.S. (April 2022)

"The specific videos to help with training helped with watching multiple components of the swallow and allowed me to feel more confident in my skills."  A.M. (April 2022)

"I liked the extra scoring example videos and PDFs!" E.C. (April 2022)

"The training module was great." K.M. (March 2022)

"I liked the review of the anatomy." J.S. (March 2022)

"I enjoyed the training zone with detailed explanations." A.B. (March 2022)

"There were many opportunities to practice the components several times." V.L. (March 2022)

"In the training zone, I love the idea that the correct answers were given immediately. Also, the animations were great."  A.C. (March 2022)

"I enjoyed the guided videos, watching others score was helpful. I liked self-pacing." L.W. (March 2022)

"Very systematic training! Very fruitful! It is good to have animation together with fluoroscopic view of the same swallow simultaneously. It's clear and helps us to understand better." J.L. (March 2022)

"I love the components and how easy everything it was to complete on my own time." A.G. (March 2022)

"I appreciated the ability to further evaluate the components of the swallow." E.B. (March 2022)

"The clear explanation and real VFSS examples during the learning zone were excellent. This course has definitely helped me improve my documentation skills in report writing."  M.S. (March 2022)

"Even though it is time-consuming, I really enjoyed how in-depth it was and also how it gradually increased in how much you were using the knowledge as the course progressed."  M.J. (March 2022)

"The opportunities to review the course as many times as I liked.  I liked the animation in addition to the VF images.  The course was easy to navigate after a few initial errors on my account."  S.W. (March 2022)

"I loved all the repetitions of the swallow studies and the scoring help videos! " J.H. (Mar. 2022)

"I loved the review of how to break down each area of the swallow and giving it some quantitative data."  K.A. (Mar. 2022)

"I liked the three sections (learning zone, training zone, reliability zone)."  M.S. (Mar. 2022)

"Good variety of clinical presentations. Option to save as you go along to complete in small sections. Introductory videos provided a good level of information for someone new to videofluoroscopies."  M.S. (Mar. 2022)

"I like the multiple training zones."  Z.S. (Mar. 2022)

"I enjoyed all the training videos along with the ability to access the training videos during the test."  J.B. (Mar. 2022)

"I liked the conference-style explanations for each component. The powerpoints were not as helpful for me."  V.B. (Mar. 2022)

"The quality of the anatomy diagrams paired with the videofluoroscopy examples. The scoring example videos were very helpful!! I love that this course material is still accessible for review after course completion. Thank you."  R.S. (Mar. 2022)

"Comprehensive and made me look at areas of the swallow that I didn't always pay attention to."  A.S. (Mar. 2022)

"The quality of the anatomy diagrams paired with the videofluoroscopy examples. The scoring example videos were very helpful!! I love that this course material is still accessible for review after course completion. Thank you." J.S. (Mar. 2022)

"The layout and easy access to videos during training and testing for review."  S.M. (Feb. 2022)

"The organization of the training including the different zones, all the training videos were good."  J.H. (Feb. 2022)

"I liked the ability to review all 3 portions of the experience as needed, that is, the learning zone was always available to review during the reliability. I also appreciated the practice of only retesting portions that needed review and retesting. That helped me understand my weaknesses and where I needed to check for scoring tips I missed."  M.S. (Feb. 2022)

"The training is very detailed and helps to identify location points that are very difficult to identify." M.S. (Feb. 2022)

"The training zone really helped apply the knowledge to understand each component."  M.M. (Feb. 2022)

"I liked that it directly relates to my everyday practice and will help me moving forward."  A.S. (Feb. 2022)

"Great exposure to lots of different case studies and videos- great for learning, and excellent resources to supplement the assessment."  O.E. (Feb. 2022)

"I liked having videos with the lectures to help me better understand the cartilage structures I was looking for. I also appreciated all the extra handouts/guides for each component to help me best understand each test item and scoring criteria."  K.L. (Feb. 2022)

"It's very prescriptive. This is helpful for inter and intra-rater reliability and for quicker analysis."  P.K. (Feb. 2022)

"The process from Learning Zone to Training Zone allowed for familiarity with the scoring system."  J.K. (Jan. 2022)

"It was nice to get a review of swallow studies and re-learn each component. I feel much more knowledgeable when I do MBS studies now."  B.S. (Jan. 2022)

"The chance to revisit each component of the swallow with an unlimited amount of time and no timer to rush you along. I appreciated the many avenues available to refresh your memory and learning of the scoring criteria's. The process is thorough which I also appreciated as it cemented my learning. A well laid out easy to use system that is also very clever as it saves your progress as you go."  J.C. (Jan. 2022)

"The clinical team was very helpful with interpreting select case studies and frames. There were certain frames which led me to picking a corresponding answer. Thanks to Erin and Kate, I was able to understand and see differently. Being able to toggle back and forth from reliability to the training portions were very helpful, being able to check prior testing questions were helpful along with the component notes and handouts sent by the clinical team. The color coding and use of visual markers helped with seeing structures more easily. I also frequently used the magnifier feature, color contrast and inverter settings recommended by Tom which helped for select components. I also liked how this was self paced."  A.M. (Jan. 2022)

"Progress always saved so that I could complete course on my own time."  E.T. (Jan. 2022)

"I enjoyed the learning and the training zones."  M.C. (Jan. 2022)

"The course did a very good job in explaining each component of the evaluation and making me feel confident in my ability to reliably rate each component of the MBSImP evaluation." N.K. (Jan. 2022)

"I like all the videos it provides as support on how to score. The example videos were very helpful!"  J.S. (Jan. 2022)

"I really appreciated the different modules for learning, and that you could take the test repeatedly. That actually REALLY helped in my growth."  L.C. (Jan. 2022)

"Very thorough explanation of each component and I appreciated all of the practice throughout the course."  M.R. (Jan. 2022)

"This training did an exceptional job at providing an in-depth foundational understanding of dysphagia."  S.Z. (Jan. 2022)

"I liked the Training Zone with the immediate feedback. The "hint" section helped to further clarify scoring."  E.L. (Jan. 2022)

"Excellent course. Clear guidance providing multiple opportunities to refine clinical interpretation and analysis."  D.B. (Jan. 2022)

"This is excellent and really thorough training. It has made me think a lot about mastication."  N.P. (Jan. 2022)

"Learning how to read Vestibular closure, tongue base movement grading, laryngeal elevation." Previously, I would not have been able to quantify/qualify these anatomical positions well." N.A. (Jan. 2022)

"I liked the break down of swallowing components. I feel like I understand the swallowing mechanism and their relation in more depth than I did prior to the course."  J.D. (Dec. 2021)

"I liked the hands-on learning experience and careful attention to where common errors may be."  C.C. (Dec. 2021)

"I like that you are tested on reliability at the end of the course."  A.L. (Dec. 2021)

"I appreciated the feedback in the training zone telling you exactly why the correct answer was the correct answer."  J.D. (Dec. 2021)

"I appreciated the variety of examples and extensive training program."  A.N. (Dec. 2021)

"I loved all the resources and the various mediums for learning: lecture style, examples, practice, etc. This is the hardest, but the best course I've ever taken and I feel much more equipped to complete MBSs in my own practice."  R.B. (Dec. 2021)

"The format of the education portion was very helpful in explaining with the fluoro and the animations."  K.D. (Dec. 2021)

"I liked that you can complete it at your own pace."  M.R. (Dec. 2021)

"I liked that the course is standardized, available online and able to work through at your own pace."  V.O. (Dec. 2021)

"I liked the layout of the program (videos explaining each of the parameter, then practice and then the test) I also liked that you get answers in the training zone and that there are videos that pinpoint when it was demonstrated in the vfss which was helpful when I did get something incorrect"  H.M.P. (Dec. 2021)

"I loved how there were videos as well as dotted lines on the explanation during the training portion. This is a change from a few years ago"  J.K. (Dec. 2021)

"The descriptions of each swallow component are helpful regardless of if the entire protocol is followed."  A.H. (Dec. 2021)

"I loved the content review - you offered excellent information and a lot of ways to learn."  C.M. (Dec. 2021)

"I liked the availability of the animation versions to allow my eyes to adjust when compared to the videofluoroscopy equivalent."  S.B. (Dec. 2021)

"I liked the video scoring examples with both real fluoroscopy images side by side with the animated example."  M.M. (Dec. 2021)

"Multiple avenues for ways to check scoring during reliability, whether it be watching an examples video or having the scoring sheet out was nice.  I liked the more information of laryngeal penetration or aspiration with more case studies, but the overall content was very education and detail oriented."  K.C. (Dec. 2021)

"I like the process of learning/ training / reliability. An improved understanding of 17 components will also be very beneficial for my report writing."  A.H. (Dec. 2021)

"Very thorough training guides which were helpful in reviewing my mistakes"  D.P. (Dec. 2021)

"It helped delineate all of the different components of a swallow I should be evaluating when completing a VFSS."  H.S. (Dec. 2021)

"I really enjoyed the learning and training zones with the immediate feedback."  T.L. (Dec. 2021)

"I liked that there is a set protocol that can help improve flow of the study and comparison from study to study"  N.G. (Dec. 2021)

"I liked the progression of the course, from single consistency to full study."  E.B. (Nov. 2021)

"I like that the reliability assessment does not require retesting on areas already mastered. The learning zone is also very helpful in that it breaks down both swallow-by-swallow and full studies to practice each component."  M.C. (Nov. 2021)

"I liked the multiple examples of variability. Having fluoro images along with the 3D images really helped visualize the different components."  K.M. (Nov. 2021)

"The training forced me to really understand and differentiate among each component."  S.D.L. (Nov. 2021)

"I really enjoyed the learning zone being able to toggle to the videos and watch the different components."  M.W. (Nov. 2021)

"I liked all of the different patients that were presented."  M.E. (Nov. 2021)

"I liked the opportunity to systematically hone observational grading skills across all aspects of swallowing function. Learning to recognize the often subtle difference between 2 scores results in greater confidence (and reliability)". J.B. (Nov. 2021)