Presenter: Paula Leslie, PhD, FRCSLT, CCC-SLP
When striving for autonomy and the push for clinical beneficence clash, service providers need sound advice based on current best practice. In this course, participants will learn a comprehensive model of medical ethics and how this can be combined with evidence-based practice. This approach can be successfully applied to clinical practice in order to better manage complex cases. Course focus is the adult population. Offered for 0.1 ASHA CEUs – 1 Contact Hour.
Course Overview – Run Time: 1:05:31
– L.D., prior course participant
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.
"I work in a hospital and we tackle ethical issues every day. I liked the ease of taking this course from home." S.K. (Jan. 2023)
"Review of importance of client perspectives. I liked the pace of presentation and sense of 'discussion' in method." P.L. (Jan. 2023)
"Course was clear and easy to follow handout. Respecting not only what the patient wants but the reason and understanding behind it." L.S. (Jan. 2023)
"I thought the whole presentation was helpful. Liked that I was able to watch it over a period of time." C.W. (Jan. 2023)
"I liked the speaker. I enjoyed the discussion about being informed vs being an expert." A.S. (Jan. 2023)
"I liked the patient examples." J.L. (Jan. 2023)
"In depth information about EBP and using critical thinking to make the best clinical decision for my pts. I liked the visual of the Seedhouse Grid." S.P. (Jan. 2023)
"Well organized with digestible amounts of information. I liked the levels of literature hierarchy in addition to the description of nuances to which we should attend; emphasis on patients as having unique experiences; and values that must be held as paramount without abandoning either of the other EPB tenets." A.J. (Dec. 2022)
"Lots of great information." K.Y. (Dec. 2022)
"This course provided great insight on the importance of considering the family/caregiver perspective. It was good to review the ASHA Code of Ethics." A.C. (Dec. 2022)
"This course shows how to read and research articles and evaluate their strength. Course was clearly laid out. The presenter had a pleasant voice." D.V. (Dec. 2022)
"Communication with patient/family to identify their current understanding and perspective. The information was well organized and examples illustrated points clearly." K.M. (Dec. 2022)
"I will apply specific examples of patient perspectives as considerations in my daily practice. I enjoyed the specific examples of patient perspectives." S.B. (Dec. 2022)
"Looking closely at what the research is stating. Valid points about research and studies." K.M. (Dec. 2022)
"This was an interesting topic which was food for thought. It was great to hear about the ethical and moral part of speech and language therapy." S.F. (Dec. 2022)
"The differentiation between clinical expertise and INFORMED clinical expertise. Dr. Leslie presents quite well and provided excellent advice as I read research articles." C.B. (Dec. 2022)
"The grading of evidence from highest to lowest was beneficial. Course was to the point." J.B. (Dec. 2022)
"The remarks on considering pt's perspective at all times, the author's view about compliance, and the role of the SLP in finding the ways to negotiate information was very helpful. Course was presented in a very down to earth way." D.S. (Dec. 2022)
"Course was well organized and added to my knowledge." E.M. (Dec. 2022)
"This course is very organized." S.W. (Dec. 2022)
"The course provided organized, practical information. Considering patient wishes, preferences, and uniqueness in decision making." J.J. (Dec. 2022)
"The entire course was a nice refresher on ethics." C.B. (Dec. 2022)
"I liked the Seedhouse Grid. The information was clear and thorough." S.S. (Dec. 2022)
"I liked the clarity and ease of information presented." K.B. (Dec. 2022)
"Easy to follow and easy to apply." B.S. (Dec. 2022)
"This course had a good discussion of frameworks and case studies. Speaker related the research to everyday clinical practice." L.D. (Dec. 2022)
"Ethics can be complicated/confusing at times, but this speaker kept the information shared fairly simple, which made it easier to understand." L.K. (Dec. 2022)
"Focused on patient and family desires which was good. Good review of aspects to consider for maintaining an ethical practice." C.O. (Dec. 2022)
"The reminder was good to consider all of the following: external evidence, clinical expertise, and patient's values and beliefs." A.R. (Dec. 2022)
"The discussion about autonomy and multicultural considerations was clear, concise, and useful." L.G. (Nov. 2022)
"The presenter had an excellent rate of speech, clear vocal quality, great examples, and a simplicity to her slides." E.D. (Nov. 2022)
"The presenter was knowledgeable and provided refreshing perspective to evidence-based practice with informed patient/family as well as clinician expertise and best practice information." C.L. (Nov. 2022)
"The flow of the content and knowledge of the presenter were good." D.C. (Nov. 2022)
"I liked the presentation style of the speaker." H.M. (Nov. 2022)
"Comprehensive, easy to understand, and to the point." J.D. (Nov. 2022)
"I liked that it discussed several important ideas to consider when making clinical decisions with patients, and it encouraged broader perspective taking on the part of the clinician." N.M. (Nov. 2022)
"The speaker was knowledgeable and clear." K.B. (Nov. 2022)
"Great content." D.H. (Nov. 2022)
"Nice, understandable explanation of the evidence-based practice. It was very well organized and clear. As the presenter noted, being clear can be the difference in understanding information or not. I will definitely take the next section of this course." S.P. (Nov. 2022)
"It was easy to follow and made ethical considerations seem more straightforward." S.C. (Nov. 2022)
"Explicit instructions of evidence-based research were most beneficial. I enjoyed the speaker's PowerPoint and real examples." A.N. (Nov. 2022)
"I liked the different examples." S.K. (Nov. 2022)
"The Seedhouse Grid model brought up some interesting points about patient-centered care." M.H. (Nov. 2022)
"Clear concise explanation of several complex concepts." L.H. (Nov. 2022)
"Tips about how to read studies with a critical/intelligent eye were beneficial." N.C. (Nov. 2022)
"Reviewing how to judge research papers was good." M.P. (Nov. 2022)
"All of it was beneficial for my daily practice." A.E. (Nov. 2022)
"I thought the discussion about the perspective of the client and how the clinician should understand what they are going through during the situation was beneficial. I liked the examples presented by the presenter." S.S. (Oct. 2022)
"Review of ethical decision making and the importance of considering cultural background in decision making will be beneficial to my daily practice. I liked the format." J.P. (Oct. 2022)
"I like the convenience and cost." J.G. (Oct. 2022)
"I enjoyed Dr. Leslie's clear communication and that the info is relevant to my practice." S.C. (Oct. 2022)
"I like the instructor's 3 overlapping areas to make up Evidenced Based Practice and her description of their intervention." K.F. (Oct. 2022)
"The organization of the content was easy to follow and helped me understand the topic better." T.M. (Oct. 2022)
"I liked the suggestions on how to evaluate research papers and articles. The course was clear and applicable." R.W. (Oct. 2022)
"This helped me to feel more confident moving forward in my practice." J.B. (Oct. 2022)
"The discussion of what goes into good peer review was beneficial." K.K. (Oct. 2022)
"How talking a comprehensive view of our clinical expertise married with patient values and best evidence fulfills our obligation as speech-language pathologists to provide beneficial care." H.M. (Sept. 2022)
"I like the healthcare aspect." A.M. (Sept. 2022)
"I like the topic of considerations of Patient's or Family's Understanding or view of illness or situation." P.L. (Sept. 2022)
"The course was very well organized and the content was presented in a clear manner." M.D. (Sept. 2022)
"I like listening to the concerns and input from the children on our caseload and their families. The course was organized and easy to follow." K.M. (Sept. 2022)
"I found the review of research method and statistics helpful for when I’m reviewing papers. I also found the speaker engaging and easy to understand." K.B. (Aug. 2022)
"The course had good organization." E.W. (Aug. 2022)
"Speaker was very organized and knowledgeable." J.K. (Aug. 2022)
"I enjoyed reviewing the code of ethics portion and refreshers on ethical research based articles. The powerpoint visuals were helpful." B.J. (Aug. 2022)
"The course was easy to follow and understand. Liked discussion of different ways to take your clinical recommendation with what the patient/family expects and work together to come to an agreement." B.H. (Aug. 2022)
"Detailed and easy to understand." K.R. (Aug. 2022)
"It was easy to understand. Good discussion of respect among cultures and practices." E.E. (Aug. 2022)
"I liked that it was relatable to my work." A.N. (July 2022)
"Reminder of patient’s unique perspective is important. And it is a good reminder that just because I have been practicing for 20 years doesn’t mean I provide evidence based practice techniques." M.R. (July 2022)
"It was easy to listen to, relevant and clear goals." E.N. (July 2022)
"I enjoyed the section where it provided an example of a clinical situation as to when listening and understanding a family's cultural beliefs will go against medical recommendations by a clinician. Liked the organization and smoothness of the course." A.T. (July 2022)
"Enjoyed the course and the objectives." C.Y. (July 2022)
"The course instructor brilliantly delivered valuable information in an astounding approach." D.M. (July 2022)
"This was a good general review of ethics. The presenter was very good." L.P. (July 2022)
"The informed clinical rationales and informed patient family decision making was good." L.M. (June 2022)
"I like the ability to watch it on my own time." C.A. (June 2022)
"I like the clarity of the presentation" A.C. (June 2022)
"I like the relationship between informed clinical expertise, informed patient knowledge and evidence-based practice." T.K. (June 2022)
"Learning skills to find the most useful research was beneficial. The discussion about statistics was easy to understand." Q.F. (June 2022)
"I liked the general reminders regarding ethical practice. Course was easy to access." L.A. (June 2022)
"Discussing bias and patient background was helpful. The course was very thorough." A.C. (May 2022)
"I enjoyed learning about the different types of research and the strength of each one. I also thought that the Seedhouse Grid was helpful to consider with patient treatment. The case study at the end was helpful as well. The presenter was excellent. She covered larger concepts about ethics and research but also on a specific level with patients and their families. She explained very well, and also had a very pleasant speaking voice!" K.B. (May 2022)
"I enjoyed how this course really intertwined the importance of patient preference and input. The flexibility to work at my own pace was nice." R.P. (May 2022)
"I found value in the broadening of evidence-based practice to incorporate not only pertinent published research but also taking into account the families perspectives/needs as well as my own clinical experience. The teaching and outcomes were clear. The pace of presentation was also helpful." P.P. (May 2022)
"Clearly defined EBP and the course was well organized." W.R. (May 2022)
"Appreciated the deep dive into patient / family wishes which can play a part in decision making. I liked the speaker - she was thorough." T.V. (Apr. 2022)
"I enjoyed the discussion of differing models used, as pertains to EBP and decision-making. Very insightful." V.B. (Apr. 2022)
"I liked the clear rate of speech and use of prosodic features of the presenter – and learning to become more sensitive to the patient perspective in clinical decision making." E.T. (Apr. 2022)
"I liked the emphasis on patient autonomy and informed patient/caregiver decision-making. Information was provided in a relatable, palatable way." S.F. (Mar. 2022)
"I appreciated that both handouts and the test questions were made available as it helped me to focus on what was most important." P.C. (Mar. 2022)
"It was easy to follow and gave valuable information." E.R. (Mar. 2022)
"Great course! Most beneficial - reminding me to more intentionally help families participate in decision-making. Very well organized, clear and comprehensive." D.E. (Mar. 2022)
"Very well organized, much information that is useful to assist in reading research papers." J.J. (Feb. 2022)
"I think the end of the presentation reminded me that I need to consider the patient/client/student input and make decisions with them, not for them. I think the presenter was very thorough in her points." A.B. (Feb. 2022)
"I enjoyed the information related to what to look for and be careful of when reading papers/articles." B.M. (Jan. 2022)
"I liked the thoroughness over each topic and relevance to my current employment. It was a very good course." J.S. (Jan. 2022)
"I liked hearing SLP issues in the medical field." F.F. (Jan. 2022)
"I liked the speaker's voice and clarity of information. I also like learning one hour at a time." M.M. (Dec. 2021)
"It was a well organized presentation." H.L. (Dec. 2021)
"I thought the review of analyzing research and clinical articles was beneficial. Remembering to go to the original source when reading a clinical article is crucial as information can be misinterpreted and affect practice. The course was presented in a clear, structured manner. It was not too basic." L.M. (Dec. 2021)
"I liked the Seedhouse Grid Model as a way to consider all factors when making informed clinical decisions." K.A. (Dec. 2021)
"The speaker was clear and easy to listen to. She provided good examples to clarify her points." M.C. (Nov. 2021)
"Good reminder to consider the patient and their family members' perspective and considerations." L.S. (Nov. 2021)
"The considerations of family wishes, family background, and family preferences as part of the decision making process was beneficial for my daily practice." C.S. (Nov. 2021)
"That evidence based practice involves a combination of informed clinical expertise, informed patient preference, and best evidence. I like how the author broke down the highest grading of evidence to the lowest grading of evidence when it comes to evidence based practices. This visual was a great way to easily confirm if the research is supported by solid evidence." K.H. (Nov. 2021)
"I found the discussion on evidence based practice the most beneficial to my daily practice. I thought the presenter did a good job clearly describing what she was talking about." R.R. (Nov. 2021)
"It is an easier and cost effective way to continue my education and helps me keep up with new and current practices in my field." D.E. (Nov. 2021)
"I thought the summary of ways to read research was a good refresher. I also enjoyed the inclusion of the patient preference information." K.R. (Nov. 2021)
"I appreciated hearing about the discussion on communication breakdown. All SLP's work with individuals young or old. Communication repair is a part of our role as speech clinicians. Listening to or reminding ourselves about breakdown triggers is very helpful for our line of work. Although the presenter used examples about patients from various medical settings, an SLP could apply her examples to almost any setting." A.A. (Oct. 2021)
"Understanding which research articles to use to guide my practice was important. I liked how easy it was to access." M.K. (Oct. 2021)
"I was enlightened to learn the difference between Eminence based practice and Evidence based practice. The instructor defined and clarified the basics and used appropriate visuals to illustrate." A.H. (Oct. 2021)
"Evidence Based Practice uses a combination of research evidence, informed clinical expertise, and informed patient wishes." M.H. (Oct. 2021)
"I liked that the course related to direct patient care to improve ethical decision making as an SLP." S.L. (Oct. 2021)
"The informed decision making by both the patient and the practitioner was beneficial for my daily practice. I liked the flow and ability to stop and start the course as needed." C.M. (Sept. 2021)
"I liked that the course was short and the speaker had good examples." K.S. (Sept. 2021)
"Reviewing evidence based practice and how it impacts our clients was beneficial. The pace of the course and it being easy to understand was good." A.K. (Sept. 2021)
"The information regarding types of studies and judgement criteria for research will help my daily practice. The discussion of importance of patient perspective as a part of evidence-based practice was very good." C.M. (Aug. 2021)
"I liked that the importance of the patient was stressed within the video." J.D. (Aug. 2021)
"Ethical healthcare from ASHA's code of ethics is beneficial for my practice. I liked that I could take it on my own free time." C.W. (Aug. 2021)
"Being more aware of listening to pt/caregiver perspective will help my daily practice." C.B. (Aug. 2021)
"Review of various research types was good. The presenter was very knowledgeable, simple explanations, good time duration." M.G. (Aug. 2021)
"Listening to the patient's perspective and knowledge of their situation will help my daily practice. The ease of taking the course at home was nice." L.K. (Aug. 2021)
"Presented clearly with easy to follow power point that aligned with verbal explanation." B.N. (Aug. 2021)
Northern Speech Services is an AOTA Approved Provider of professional development. Course
approval #23078. This eCourse is
offered at 0.1 CEUs, educational level
Intermediate, 1. Domain of OT: Client Factors: Values, Beliefs and Spirituality
2. Professional Issues: Issues and Trends: Ethics; Evidence-based practice. The assignment of AOTA CEUs does not
imply endorsement of specific course content, products, or clinical procedures by AOTA.
Northern Speech Services is an AOTA Approved Provider of professional development. Course approval #23078. This eCourse is offered at 0.1 CEUs, educational level Intermediate, 1. Domain of OT: Client Factors: Values, Beliefs and Spirituality 2. Professional Issues: Issues and Trends: Ethics; Evidence-based practice. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
Paula Leslie, PhD, FRCSLT, CCC-SLP, is a professor and director of the Doctor of Clinical Science in Medical Speech-Language Pathology. She maintains full clinical licenses in the USA and UK where she is a Specialist Adviser to the Royal College of Speech & Language Therapy in swallowing disorders. She provides support to researchers and provides continuing education from grassroots to international level and across the health professions on complex clinical decision making, ethics, and end of life decisions in vulnerable populations. Her honors include the Honors of the Association Southwestern Pennsylvania Speech-Language-Hearing Association, the American Speech-Language-Hearing Association DiCarlo Clinical Achievement Award, the Pennsylvania Speech-Language-Hearing Association Clinical Achievement Award, and Fellow of the Royal College of Speech & Language Therapists (UK).
Financial — Paula Leslie is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Leslie has no relevant nonfinancial relationships to disclose.
This program is offered for 0.1 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
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.
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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