SLPs are increasingly asked to make important clinical decisions after performing shorter assessments. Though it is not acceptable to cut corners in the assessment process, there are ways of more efficiently utilizing screening, assessment, and medical history data to develop informed diagnostic impressions, while understanding and accounting for the uncertainty involved in any medical testing process. This course will review the screening and clinical assessment process, clarify the differences between dysphagia screening and evaluation, explain how to use evidence on screening and assessment to judge the value of testing components, and select test procedures based on good evidence. Emphasized will be self-study to increase the clinician's background knowledge base, and the importance of understanding underlying disease processes, especially the natural history of the patient's primary disease and comorbidities. Offered for 0.25 SLP CEUs – 2.5 contact hours.
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.
Financial — James Coyle is a presenter of CE seminars and online CE courses sponsored by Northern Speech Services; receives speaking fees and royalties.
Nonfinancial — James Coyle has no relevant nonfinancial relationships to disclose.
This program is offered for 0.25 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 NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
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.
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 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.
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"The details of the clinical examination was most useful, but I really appreciated the review of the literature. I liked the verbal presentation with the handout and ability to review examination before the presentation. Very thorough course." – B.M. (Apr. 2020)
"Very detailed course. The discussions on screening details, correct uses, interpretation of outcomes, false positives, and negatives were most beneficial." – R.A. (Mar. 2020)
"The presentation was wonderful. The information flowed well and good examples and visuals were provided. I found the discussion around including speech & language skills in the completion of a swallowing evaluation very interesting and helpful." – C.S. (Jan. 2020)
"I expected a video of someone providing a bedside dysphagia evaluation." – M.S. (Dec. 2019)
"The topic of what factors are included in determining when an instrumental diagnostic swallow exam is necessary and when it may not be was most helpful. The course was easy to follow especially for someone who needs a brief refresheron some of the basics in addition to more in depth, specific information regarding topics." – C.S. (Nov. 2019)
"I appreciated the discussion on the qualities of a good screen as well as support for the 3 Oz Water Screen. The presenter was well versed and the handout was well written. However I found the pass-fail, positive-negative aspects a bit confusing to say the least!" – N.H. (Sept. 2019)
"I like that it not only showed which seemingly normal methods were less than ideal, but it also showed what the best approach and combination of approaches yields the best results and patient outcomes." – M.W. (Aug. 2019)
"Going over the relevance of cranial nerve testing as a predictor of dysphagia was most beneficial. Very easy to understand, nice speaking style." – W.K. (Aug. 2019)
"I appreciated the discussion on the qualities of a good clinical dysphagia evaluation. I liked the organization of the information presented." – D.F. (June 2019)
"The speaker is very articulate and knowledgeable, the information is well organized and presented, and despite no visual of the speaker, it is interactive due to the 'red markings.' " – A.S. (June 2019)
"Learning about the sensitivity vs specificity screening test was most helpful." – J.C. (Feb. 2019)
"It was a good reminder that screenings are still measurable and need to be more structured." – E.B. (Dec. 2018)
"I liked the discussion of false positives and negatives as well as the discussion of the limitations of clinical exams." – J.B. (Dec. 2018)
"It was all very informative. I especially enjoyed the importance of obtaining thorough background information about the patient's swallow - their baseline." – A.W. (Dec. 2018)
"James Coyle is a great speaker and the information regarding swallowing screens was really informative." – T.S. (Dec. 2018)
"The review of the goals and limitations of screening was very helpful. The information was presented at a good pace, and the examples and illustrations were helpful." – S.N.A. (Nov. 2018)
"I appreciated that he explained the difference between a screening and comprehensive exam to help discuss with physicians." – K.R. (Sept. 2018)
"Going over the importance of swift accuracy and need for consistent and accurate screen protocols was helpful." – S.C. (Aug. 2018)
"The case study at the end was most beneficial. I liked the evidence-based information about screens and other factors to assess during a bedside swallow exam besides the swallowing itself. Several great suggestions that I can implement in my job." – J.K. (July 2018)
"I appreciated the progression from screening to clinical bedside to Gold Standard. Dr. Coyle's style was easy going and natural rather than a reading of the slides. Interesting perspectives and a lot to think about and digest." – J.O. (June 2018)
"I really enjoyed learning more about the validity and specifics of dysphagia screening. It was a very good course." – L.O. (May 2018)
"I enjoyed the values of the screening process and the content of the course." – J.E. (Mar. 2018)
"The discussion of the CSE as a series of screens and it's implication for understanding swallow and functional implications for interventions as well as critical thinking regarding need for clinical testing vs. instrumental evaluation were very helpful. I liked the readily applicable information that can be immediately used and considered in my daily practice." – J.V.R. (Jan. 2018)
"I appreciated the discussion of decision making regarding screening and plans for further evaluation/treatment. Very straightforward and interesting." – L.F. (Nov. 2017)
"The detailed breakdown of the research was helpful." – S.K. (Sept. 2017)
"I enjoyed the clinical examination and everything to consider." – L.L. (Aug. 2017)
"I appreciated the discussion on the aspects of the screening / quick water test. Good presentation." – M.M. (Aug. 2017)
"The speaker kept it interesting. I especially enjoyed the variables of screening and clinical screens." – M.L. (July 2017)
"The information regarding multiple screens and cut-off factors was most valuable. I liked the clear-cut re: screening vs clinical exam vs gold standard eval of dysphagia." – C.D. (Apr. 2017)
"The speaker is excellent and explains everything so clearly." – S.O. (Apr. 2017)
"I appreciated a discussion of methods used that do not reliably correlate w/aspiration. I liked the formatting of the 4 videos, so that you may pause as needed." – K.C. (Mar. 2017)
"I enjoyed the specific steps for conducting a clinical swallow study and also the discussion regarding specificity vs sensitivity. I liked its thoroughness and clarity. It was very easy to relate this presentation to my work in the skilled nursing facility." – R.B. (Feb. 2017)
"I appreciated that it gave good info about how to discuss results of screen with MDs." – L.D. (Jan. 2017)
"I especially appreciate the integration of the material covered in a case example at the end." – J.C. (Dec. 2016)
"I am glad I can use the information provided to best educate nursing staff and MDs who perform and/or report dysphagia screening results." – A.S. (Nov. 2016)
"Learning about the use of the 3 oz water screening was most beneficial. It was an interesting course that held my interest the entire time." – L.N.K. (Sept. 2016)
"Comparing the screen to the CSE to the MBS/FEES and what each one can do was especially helpful. I really appreciated the information of specificity/sensitivity. I liked the flow charts allowing visualization of information. Very helpful for technical information." – K.B. (July 2016)
"I thought we would actually do screens and look at different ones." – E.S. (July 2016)
"I liked the examples and case study presented." – G.C. (July 2016)
"The discussion on the clinical assessment process was most beneficial." – G.N. (June 2016)
"A review of statistics was nice. The review of the validity of studies was great. However, I would have liked to have seen more specific screening tools and assessments used by clinicians." – J.R. (June 2016)
"I liked that he shared my opinion that there are many times when instrumental testing is not appropriate." – S.D. (May 2016)
"I enjoyed the discussion regarding pass/fail and the limitations to a CSE. Good refresher on terms." – S.G. (May 2016)
"Good information. The discussion on best practices was most useful." – P.B. (Apr. 2016)
"Information was concise and pertinent. I especially enjoyed the information about detailed interview and observation." – C.B. (Apr. 2016)
"I appreciated the review and definition of terms needed for evaluating research studies. I liked the course format and visuals." – T.O.P. (Mar. 2016)
"Understanding all the components that go into a bedside eval was incredibly useful. I liked the 'timing' information - especially when having to respond to a consult within 24 hours - this may be too soon for the patient. I liked the presentation of video, audio and ppt slides." – S.N. (Mar. 2016)
"The format was great and easy to use." – S.P. (Feb. 2016)
"Learning the differences in assessment and what each can do was really useful. I liked the layout of the course." – J.C. (Jan. 2016)