$625.00 USD

94% rating - reviews

2.1  ASHA CEUs

The Modified Barium Swallow Impairment Profile: MBSImP™ Standardized Training And Reliability Testing #e01

Presenter: Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Honors

Learn a Standardized Approach to the MBS Study

Video Preview of the MBSImP™ Training Program

MBSImP - Training Zone

The MBSImP™ Training Zone with Scoring Feedback

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Download MBSImP Advocacy Guide

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.

This self-study, online course includes the MBSImP™ Standardized Clinical Training and Reliability Testing. Participants will learn to employ a standardized assessment of swallowing impairment through examination of 17 physiologic components of the swallowing mechanism in adults.

The training platform includes videofluoroscopic images paired with custom-built animations to depict swallowing impairments. Participants will be taught systematically the 17 physiologic components and standardized impairment scores associated with each that together comprise the MBSImP standardized assessment. The training format provides ample opportunity for interactive practice in interpreting swallow studies. Feedback is given 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. Course focus is the adult population.

Offered for 2.1 ASHA CEUs – 21 contact hours.

Course Enrollment Options

Individual, Group, and Discounted Enrollment Options

**Groups of 3 or more must submit all enrollment forms together to receive the group discount of $125 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.


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MBSImP Training - Component 15 - Tongue Base Retraction

Learners have unlimited time to complete this training course and testing. Access to course content is retained after completion to allow for ongoing reference and review.

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 - Component 15 - Tongue Base Retraction

The MBSImP™ Learning Zone

MBSImP - Training Zone Learning Platform

The MBSImP™ Training Zone

MBSImP - Training Zone - Laryngeal Vestibular Closure

The MBSImP™ Reliability Zone

Website Templates To Generate Standardized Reports

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 their 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 12.1 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, 10 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.


"This course helped me train my eyes to VFSS. It has helped me in refining my accuracy when I administer VFSS at work." M.S. (Jul. 2024)

"I enjoyed having many real life examples to score. Repetition was very helpful." A.G. (Jul. 2024)

"I really appreciated the amount of research and validity studies that have been done to support this protocol. That, plus the detailed definitions of impairment, give me a lot more confidence when evaluating if someone is WFL vs impaired." K.S. (Jul. 2024)

"I enjoyed the variety of the videos and feedback provided. I also loved the fact that I could get additional assistance by emailing in my questions, that was very helpful." A.W. (Jul. 2024)

"Well-structured and comprehensive learning modules." W.P. (Jul. 2024)

"Lots of diverse real examples of swallows. I liked the examples of swallows within normal variation as well as pathological swallows." E.S. (Jul. 2024)

"Training zone was very helpful with explanations on why if you chose an incorrect answer." J.C. (Jul. 2024)

"This content greatly increased my knowledge and confidence in administering and interpreting MBSS." G.W. (Jul. 2024)

"Strengthens my confidence of analysing wider components of the swallow in VF." A.M. (Jul. 2024)

"I appreciated the handouts to assist in scoring and the videos for scoring help." S.H. (Jul. 2024)

"I liked the viewing and reporting of the various MBS studies for reliability purposes." K.R. (Jul. 2024)

"I loved the variety of studies, the multiple opportunities for practice, the fantastic written supports and method of testing reliability with feedback on areas for improvement which aided in my self-study." K.B. (Jul. 2024)

"I liked that there was no time limit to learn. I am able to get loads of practice with correspondent feedback and explanation before testing. The descriptions in the guidelines were clear." K.T. (Jun. 2024)

"The different zones were organized very well for my learning style." M.H. (Jun. 2024)

"I liked how comprehensive this course is and how many opportunities we have to practice/score each of these components." A.H. (Jun. 2024)

"I liked the variety of study examples/swallowing impairment severities." G.Z. (Jun. 2024)

"Access to zooming and slowing down the video to help analyse the images was very helpful. Having access to the scoring guides and explanation videos was very useful." C.C. (Jun. 2024)

"The number of varied studies to watch and rate was helpful. I enjoyed the teaching material." S.M. (Jun. 2024)

"The extensive exposure to fluoro was beneficial. I appreciated the ability to revisit training material, including animation." G.S. (Jun. 2024)

"Thorough videos with great visuals paired with clear explanation. The additional written guide was a great supplement." D.E. (Jun. 2024)

"I liked having the opportunity to revisit the Learning and Training Zones while completing the Reliability Zone for multiple models/examples of components I needed more guidance to score." M.L. (Jun. 2024)

"Lots of opportunities to practice and retake tests as needed." S.M. (Jun. 2024)

"I enjoyed all the differing videos with differing impairments and the repeated practice." R.R. (Jun. 2024)

"A good foundational understanding of swallow physiology." E.W. (Jun. 2024)

"The user interface was appealing and easy to use and navigate." L.B. (Jun. 2024)

"Printable guides were helpful to reference as I entered the reliability zone." M.B. (May. 2024)

"I liked that this protocol provides an opportunity for a more standardized MBS across a department and also across sites within a city or a system. I liked that there were many examples and the opportunity to go back into the different zones for learning." K.F. (May. 2024)

"Lots of exposure to VF's." Z.P. (May. 2024)

"I enjoyed the individual assessment of each component and organization into oral, pharyngeal, esophageal components." A.C. (May. 2024)

"I liked the side-by-side comparisons in learning section with coloured videos and detailed explanations of each score." Q.L. (May. 2024)

"I liked having multiple attempts at passing each component in the Reliability Zone. I also appreciated the scoring tips provided for each component, especially when I was trying to decide between two scores." K.K. (May. 2024)

"I liked learning about normal variations in swallow and learning about PES opening and how 'partial' can be duration OR distension OR obstruction of flow - not all or nothing." B.N. (May. 2024)

"I liked the ability to self-pace the course and see a variety of examples of each component." D.B. (May. 2024)

"There were multiple opportunities to improve my skills and understanding of the rating scales." A.B. (May. 2024)

"Thoroughness of the course helped me a lot to begin answering the "why" in a patient's swallow function." E.C. (May. 2024)

"Great physiological images to relate with X-ray images and scoring tips were really helpful." C.E. (May. 2024)

"I was grateful that there were multiple examples of each component and written explanations to refer back to. I can see these materials as useful to refer back to during real world studies." M.D. (May. 2024)

"I really enjoyed the various learning opportunities and lots of resources for scoring examples." E.A. (May. 2024)

"I liked re-learning all of the individual components in such detail and then have repeated practice opportunities to implement what I learned." S.B. (May. 2024)

"The example videos were really helpful, and it was really helpful to practice with single swallows and then full swallows before going to the test parts." C.W. (May. 2024)

"I like the hands-on use of real MBS videos to help train my eyes and brain to look for the various components across a variety of presentations." J.B. (May. 2024)

"I liked the explanations regarding errors during practice exercises." R.O. (May. 2024)

"Extensive exposure to MBS and hints for frequently missed items." J.D. (May. 2024)

"The number and range of practice fluoros allowed lots of repetition. The training resources and videos are excellent. I like the self-directed nature of this program and that people can work through it in their own time." J.C. (May. 2024)

"Visual examples given throughout the lessons were extremely helpful." A.A. (May. 2024)

"Extremely thorough training and I liked the fact you could refer back to the learning zones to refresh your memory for components you were not scoring appropriately in the training/reliability zone." J.M. (May. 2024)

"I like having the opportunity to practice on so many swallows before testing." E.C. (Apr. 2024)

"I liked being able to retake the test as needed, it was less stressful." S.H. (Apr. 2024)

"The tutorials talking through the scoring were helpful." K.P. (Apr. 2024)

"I liked the explanation videos and written handouts (with great diagrams)." M.R. (Apr. 2024)

"Good use of real videos and animations to demonstrate each component of the swallow and give clear examples of the different impairment levels." J.E. (Apr. 2024)

"The feedback was immediate in the training portion. If my answer was wrong - I liked that it showed you specifically where with a diagram." N.D. (Apr. 2024)

"I liked the quality of the training content." E.W. (Apr. 2024)

"Immediate feedback in training zones." D.C. (Apr. 2024)

"Lots of opportunity for review. I appreciated the ability to return to the training to improve validity of my scoring." K.M. (Apr. 2024)

"The different zones of practice and various videos were helpful." M.M. (Apr. 2024)

"I appreciated the detailed examples and repeated opportunities to take the test." A.B. (Apr. 2024)

"I enjoyed the swallow by swallow vs full study training and the calibration guides." K.F. (Apr. 2024)

"This course trains your eye on what to look for. I like how I will have continued access to the course to continue using as a resource." L.N. (Apr. 2024)

"I appreciated the ability to return to the training and learning zones during reliability testing. The small details are summarized in the learning zone. The various specific instructions for troubleshooting scoring of each component." R.F. (Apr. 2024)

"I liked the training and learning zone with feedback regarding what portion of the swallow the scores were taken from." J.M. (Apr. 2024)

"I liked the detail and specificity of each component and how to evaluate impairment, the standardisation process, the break down into multiple different components, the format - learning, training and then reliability zone." M.C. (Apr. 2024)

"Ample practice opportunities and videos. I liked the guidance within training of timestamp for where to view specific components." J.C. (Apr. 2024)

"Videos, education guidebooks, scoring handouts were helpful. Multiple studies with breakdown of scoring system." A.N. (Apr. 2024)

"I liked the helpful videos that go through all the scoring and the actual examples of the fluoro showing that particular score." K.W. (Apr. 2024)

"The course was very thorough and helpful to be able to evaluate images outside of clinic." R.R. (Apr. 2024)

"The educational videos and references to refer back to to better understand each component." S.H. (Apr. 2024)

"The videos and diagrams side by side helped with visualization." J.P. (Apr. 2024)

"The amount of examples and explanation for each component was beneficial. I also liked that during the reliability portion, I only had to retest on components that I hadn't previously passed." K.R. (Apr. 2024)

"I like that for reliability training if you get a passing score you do not have to go back through each component." B.C. (Apr. 2024)

"I appreciated the swallow-by-swallow review." C.F. (Apr. 2024)

"The educational section and training zone were helpful in scoring individual components." L.B. (Apr. 2024)

"Options to repeat assessment and go back to training zone. Appreciated feedback and extra support from Northern Speech staff in helping me better understand certain components!" C.K. (Apr. 2024)

"I enjoyed how the components go well hand in hand with the impairments, brings everything together." A.T. (Apr. 2024)

"The training zone before the reliability testing and the many resources to learn how to score were beneficial." N.L. (Apr. 2024)

"I liked the standardization of scoring a MBSS, so that there is consistency across the board. Very specific information provided in regard to scoring." R.I. (Mar. 2024)

"This training was informative and provided a range of varying swallow images." R.S. (Mar. 2024)

"I felt that the sequential difficulty assisted in building understanding. Being able to go back and review, and test myself again on components without losing my place was a real confidence booster." L.M. (Mar. 2024)

"I really had very little experience with A-P views and this course was excellent in helping me evaluate this aspect." M.H. (Mar. 2024)

"Breaking the swallow down into each component part was beneficial- reminded me to think discretely about the system- what was going wrong and why. It was helpful to train the eye to catch more information when viewing swallow studies." J.Z. (Mar. 2024)

"I liked the self-paced aspect of this course!" R.D. (Mar. 2024)

"The videos with audio descriptions over the top of what you are seeing, and the errorless learning approach were helpful." K.J. (Mar. 2024)

"I really liked the breakdown of each step. This is really helpful to best evaluate each step of a MBSS." J.G. (Mar. 2024)

"Sufficient examples and training to support competency. I liked that I could complete the course at my own pace." S.B. (Mar. 2024)

"I enjoyed the detailed criteria for each component." B.K. (Mar. 2024)

"I liked the opportunities for a lot of practice and review of errors." V.S. (Mar. 2024)

"I liked the three zones and the amount of videos to review. Also, the guides for each component and handouts were helpful." J.H. (Mar. 2024)

"The training modules and the scoring help videos were very helpful." S.K. (Mar. 2024)

"LOTS of opportunities for practice and feedback!" C.D. (Mar. 2024)

"I liked the way the course was set up, having a learning zone and training zone prior to the testing. I like the resources available to us even after we've finished the course!" B.O. (Mar. 2024)

"The training modules were highly effective with excellent explanation of each component. My eye was trained for more exact interpretation of degree of closure/residual." N.U. (Mar. 2024)

"I enjoyed progressing through the various "levels" of the training, honing my skills and continuing to learn throughout each segment." M.M. (Mar. 2024)

"It was helpful having multiple methods of accessing information to enhance learning (i.e. videos, audio, written content)." W.C. (Mar. 2024)

"The immediate feedback provided during the training modules prior to testing was beneficial. I appreciated the opportunity to review scoring criteria while testing." K.P. (Feb. 2024)

"I enjoyed the range of videos available, the scoring tips, no timeframe for completion, and I was able to retest components scored below 80% only." A.B. (Feb. 2024)

"I liked how we can take and retake the studies for more reps/practice (even if we have passed prior)." A.R. (Feb. 2024)

"This training really trains your eye to assess for impairment." S.C. (Feb. 2024)

"I enjoyed the repeated practice and immediate feedback from the training section." S.W. (Feb. 2024)

"This course assisted me in interpreting the swallowing mechanism in a whole new and standardized way." K.D. (Feb. 2024)

"I learned the world standards for objective evaluation of swallowing function." K.M. (Feb. 2024)

"I liked the detailed frame-by-frame analysis." O.K. (Feb. 2024)

"The repetition and feedback of the training section was beneficial." A.D. (Feb. 2024)

"I really liked the descriptions for esophageal transit." L.K. (Feb. 2024)

"This course is an organized system to validate and objectify MBSs." D.T. (Feb. 2024)

"I liked the way the course was structured through learning, practice, then testing." M.C. (Feb. 2024)

"I think that the training did a good job of teaching me where to look for all the components and where deficits may be noted, which I may not have been able to identify as clearly before." M.B. (Feb. 2024)

"I liked the examples where we are able to replay in slow motion and repeat." A.N. (Feb. 2024)

"The course was comprehensive and provided excellent training videos that broke down and detailed the components that are essential for proper diagnosis to establish relevant treatment goals/exercises." K.S. (Feb. 2024)

"I really appreciated not having to retake the entire test and just the components I did not pass the first time. I felt like I could spend more time on the components I was having a hard time understanding vs. pouring myself back into components I had already mastered." J.D. (Feb. 2024)

"I liked that the course involved active participation the whole way through." M.T. (Feb. 2024)

"Variety of studies, easy access to guides on different components." F.K. (Feb. 2024)

"Very thorough and clear course." M.P. (Feb. 2024)

"All the different swallows and targeted areas were beneficial. I enjoyed being able to repeat areas as much as needed." L.G. (Jan. 2024)

"I liked having access to information sheets and being able to go back and review previous sections." H.D. (Jan. 2024)

"The training mode of this course was really fantastic. It's really detailed." B.K. (Jan. 2024)

"I liked the updated graphics giving feedback about each component scored by outlining the structures." H.K. (Jan. 2024)

"Very structured and easy to follow course. Good range of teaching methods - video, written, repetitive practice." R.B. (Jan. 2024)

"The intro videos were very thorough. All the practice was helpful." J.S. (Jan. 2024)

"All the visuals and videos were beneficial. The repetitive information presented in different ways was also very helpful." H.T. (Jan. 2024)

"I liked the different levels of this course, where I was able to learn the material, practice it, and then test my knowledge." M.D. (Jan. 2024)

"Very detailed course with lots of practice videos. I liked the patient history included." M.B. (Jan. 2024)

"The feedback in real-time in the training zone was beneficial!" L.G. (Jan. 2024)

"I liked the very detailed descriptions of where each component was rated." A.D. (Jan. 2024)

"The training zone was helpful to practice skills learned prior to implementing them in the assessment portion." M.F. (Jan. 2024)

"I enjoyed the reading materials, replay speed variation, and feedback." Y.E. (Jan. 2024)

"I like that the course sets standards for scoring, and I love how it is set up in the three different modules." T.J. (Jan. 2024)

"I liked that you could do the course at your own pace. I also liked that you were given multiple opportunities to complete the reliability zone. I feel that this really helped me to learn each component, and gave me the opportunity to hone in on certain components that I had more trouble with, with a test-retest set-up. I also feel that the training was very thorough. I liked that it was broken into 3 sections, so you really became familiar with the content by the end." S.D. (Jan. 2024)

"I really appreciated the in-depth training/practice zones. I also benefited from some personalized assistance when I was stuck on a component!" J.C. (Jan. 2024)

"The feedback with visuals in the training zone was extremely helpful!" M.M. (Jan. 2024)

"I liked the repetitive practice." E.C. (Jan. 2024)

"I really liked all of the videos and the trainings." L.P. (Jan. 2024)

"The course was quite thorough. I also liked that retesting was only required for specific components that were not tested with 80% accuracy." L.S. (Dec. 2023)

"Visuals, lots of repetition, meaning you really get to understand." A.B. (Dec. 2023)

"Multiple modalities of learning and plenty of hands-on practice." A.M. (Dec. 2023)

"The training zone was beneficial! It was super helpful to be able to access that throughout." E.C. (Dec. 2023)

"Literally, all of it was beneficial, from all of the zones to options of downloading the pdf files." A.S. (Dec. 2023)

"I liked how this course was broken down into three sections in regards to the training." K.N. (Dec. 2023)

"This course really helped me to distinguish aspects of swallowing to build a better, holistic picture of swallowing ability." M.M. (Dec. 2023)

"Realistic imaging, good component explanation." L.P. (Dec. 2023)

"I really enjoyed the information specifically related to improving the quality of my documentation. I think this will be helpful when sharing patients with other therapists. I also think this will be useful in documenting measurable progress for reimbursement purposes." M.W. (Dec. 2023)

"I liked the opportunity to go back into the training videos and focus on specific components to build or refresh my rating skills, and the access to component scoring tips whenever needed." S.H. (Dec. 2023)

"The specific focus on all parts of swallow physiology - keeps mind away from aspiration only as the focus of an MBS." A.L. (Dec. 2023)

"The level of information provided to develop an understanding of the separate components was beneficial. I liked the opportunity to go back, check, refine, re-try." C.M. (Dec. 2023)

"I liked having all of the education on each of the 17 components of swallow. It was a nice review of anatomy as well which will help with my VFSS." E.P. (Dec. 2023)

"Multiple opportunities to practice with real life cases." A.M. (Dec. 2023)

"I loved how detailed each section was. The amount of content is truly necessary to get the full picture." M.O. (Dec. 2023)

"Excellent resources to help understand each component. Good scaffolding of skills to ID each component up to full study." S.D. (Dec. 2023)

"I liked the feedback in the training zone and all the practice." H.J. (Dec. 2023)

"I liked the rationale for scores provided in the training zone." T.C. (Dec. 2023)

"I really enjoyed how thorough this course was and the clear process for working through the information." D.G. (Nov. 2023)

"The level of support and being able to compare visually differing scores was helpful. I liked the extra tips and guidance videos looking at different swallows and each particular component of the swallow." N.F. (Nov. 2023)

"I liked the repetitive nature of the training with good exposure to videos." R.V. (Nov. 2023)

"Real study examples and simulation to illustrate scores. I liked both the single-swallow and whole-study evaluations." K.W. (Nov. 2023)

"Lots of practice videos and examples. I liked the detailed scoring information and advice on each component." R.F. (Nov. 2023)

"I loved the constant feedback and ability to practice/re-take the test. It led to stress-free learning." E.S. (Nov. 2023)

"I liked the examples and the repetition. I also liked that I could easily go back and forth for reviewing." M.C. (Nov. 2023)

"Good opportunity for evaluating a lot of studies." L.C. (Nov. 2023)

"Lots of practice watching MBSS and looking at different physiological impairments." S.B. (Nov. 2023)

"The tip sheets for each component, scoring tips, and feedback on performance were all beneficial." R.Z. (Nov. 2023)

"I liked the learning zone and thought it was a great review. I like this attempt to standardize a rather subjective assessment." K.R. (Nov. 2023)

"I love that this course is standardized!  We can all "speak" in the same language now across our patients. I can picture a labial seal-2 and a pharyngeal contraction-1." S.M. (Nov. 2023)

"When errors were made, I appreciated that correct answers with specific cuts of video footage were immediately displayed. This was helpful for recognizing specifics of an error." R.J. (Nov. 2023)

"I liked the training zone. Having instant feedback was great." M.Z. (Nov. 2023)

"Each zone was helpful and prepared me for the reliability zone." K.S. (Nov. 2023)

"Informative course and clear instructions on how to complete. Lots of information to support independent learning." E.D. (Oct. 2023)

"The training zone was very thorough and allowed you to train at your own pace." K.F. (Oct. 2023)

"I enjoyed the learning and training zones, with additional information on each component for extra support." B.R. (Oct. 2023)

"Ability to review all course materials during the entire training. And being able to practice multiple times." K.G. (Oct. 2023)

"I liked the depth of knowledge and ease of instructions." S.B. (Oct. 2023)

"Good pace. I liked the repetitiveness to embed the knowledge." R.A. (Oct. 2023)

"I appreciated the scoring component tips alongside training each component before full videos." E.H. (Oct. 2023)

"Visual and animated examples of each score were beneficial." R.H. (Oct. 2023)

"I loved that the reliability section could be completed more than one time, to allow for learning within the testing portion." Z.S. (Oct. 2023)

"Practice training sessions with feedback were beneficial." M.B. (Oct. 2023)

"I liked the video examples provided and the unlimited practice." E.B. (Oct. 2023)

"I liked the step by step instructions and the video comparisons among different scores." Y.C. (Oct. 2023)

"The immediate feedback on why things were right or wrong in the training section was beneficial." B.G. (Oct. 2023)

"I liked the multiple check points and resources available to supplement understanding." A.P. (Oct. 2023)

"Ability to work through training at own pace was beneficial. And being able to move between training and testing zones." L.B. (Oct. 2023)

"Liked having guides to help with scoring." S.S. (Oct. 2023)

"I found being able to view animation alongside an x-ray image very helpful. Also the many practice videos has been excellent in allowing me to consolidate my knowledge." R.H. (Sep. 2023)

"I loved the in depth analysis of each component of the swallow. It was beneficial to evaluate all three domains of the swallow. The videos were presented excellently and I liked that they are analyzed in fluoro and color when describing the impairments." E.O. (Sep. 2023)

"I feel so much more confident now in my VFSS interpretation." K.F. (Sep. 2023)

"Lots of exposure to a variety of different VF videos." S.W. (Sep. 2023)

"I liked the immediate feedback and the structure of the practice sessions. This training broke down very intimidating and complex information into "bite" sized pieces!" A.A. (Sep. 2023)

"Learning how each component is broken down. I liked the research that was put into the course." M.T. (Sep. 2023)

"I liked all the examples to help train the clinical eye." M.D. (Sep. 2023)

"This course had lots of practice, interesting studies, and helpful step by step guides and support." N.C. (Sep. 2023)

"This training was something I could complete at home on my own time. I really liked that the components were able to be reviewed numerous times to learn, reference, and self-teach as much as necessary." S.Y. (Sep. 2023)

"I liked that each component had its own training section and that video demonstrations were provided for each component." E.B. (Sep. 2023)

"The scoring example videos and guides were very comprehensive." R.G. (Sep. 2023)

"I liked the breakdown of the scoring, the videos explaining tips for the training, and the immediate feedback during the Training Zone when you clicked a score. This allowed me to know if I was scoring too late or early." V.O. (Sep. 2023)

"Good video information and layout. I liked the 3 Zones and how each Zone increased independence, and being able to drop back into the zones to refresh on certain items was useful also." L.C. (Sep. 2023)

"I liked everything. The descriptions, video examples, and ability to pace myself." C.L. (Sep. 2023)

"Rigorous study helped create consistency in scoring." C.H. (Sep. 2023)

"I liked the breakdown of physiology into components, and the systematic approach to training and reliability testing." E.H. (Aug. 2023)

"I appreciated the explanations of the correct scores, including showing the frame where the score decision was made." E.D. (Aug. 2023)

"I liked the guidance document (with pictures of anatomy to show each level of impairment) as this was a great quick reference point to use to familiarize yourself with the level of impairment." B.W. (Aug. 2023)

"Large number of swallow studies available for review. I liked the breakdown of swallow physiology." K.N. (Aug. 2023)

"The animations alongside VF videos was excellent when starting off the training. I liked the number of videos included." K.W. (Aug. 2023)

"I liked the mixed media. Really thorough video clips and education. Excellent." K.V. (Aug. 2023)

"The course saves the components that you already passed, so you only have to spend your time focusing on the material that is more difficult for you." H.S. (Aug. 2023)

"The most beneficial parts to me were learning to distinguish between laryngeal elevation and anterior hyoid excursion and learning more detail about the pharyngeal stripping wave." J.C. (Aug. 2023)

"I liked the three zones, which were very easy to navigate! I felt like the course was designed to set you up for successfully passing the exam at the end." H.M. (Aug. 2023)

"The progression from learning to training, and then the ability to go back and review the learning components as needed was really helpful." N.E. (Jul. 2023)

"Looking at each domain of the swallow, breaking it down to each component, rather than aspiration or not, was beneficial. I liked that I could discuss each component of swallowing with my patient and the impacts that can have." L.R. (Jul. 2023)

"I appreciated the amount of videos available to practice and get consistent in judging and assessing each component." L.T. (Jul. 2023)

"I've been practicing for 9 years as an acute care clinician and I've never felt this confident about each individual component of the swallow process. I'm looking forward to having more confidence in my assessment of overall swallow impairment and ability to target the appropriate therapeutic interventions based on the individual patient impairment profile." S.R. (Jul. 2023)

"Instant feedback was extremely beneficial." E.L. (Aug. 2023)

"Really helped me refine my eye." E.M. (Jul. 2023)

"Ample amount of videos and variety of deficits amongst them." K.G. (Jul. 2023)

"The ability to go at my own pace, utilize course materials, and learn from home, made this course very appealing. I thought the intro course was a great refresher to set the foundation for this course. I very much appreciated the physiology animation introduced first, which made components easier to spot." M.D. (Jul. 2023)

"I liked standardizing the language to improve communication amongst SLPs." N.S. (Jul. 2023)

"Variety of studies available and the various rating videos to assist in learning were helpful." A.H. (Jul. 2023)

"Course is easy to navigate for specific questions." J.M. (Jul. 2023)

"So many opportunities for practice." T.F. (Jul. 2023)

"I liked the breakdown of the oral and pharyngeal swallow domains into components - it helped deepen understanding of the musculature used for swallowing given the ratings rather than purely subjective interpretations." M.L. (Jun. 2023)

"Ability to look at all the swallow studies of various types and slow them down to visualize frame by frame was beneficial." M.T. (Jun. 2023)

"I liked the structure and the consistency." C.G. (Jun. 2023)

"Clear and methodical. I liked the definitions of each swallow component." K.B. (Jun. 2023)

"Well done course. Multiple options for learning about each component of the swallow. I especially liked and benefited from the feedback that was given after selecting a component score throughout the training zone." N.R. (Jun. 2023)

"I liked the immediate feedback and rationale regarding accuracy of my responses in the training zone." K.K. (Jun. 2023)

"Lots of hands on rating practice." H.S. (Jun. 2023)

"I liked the interactional element. And ability to do this on my own time and that you can go back and view videos over and over again. Liked the additional help videos, very useful." V.S. (Jun. 2023)

"I liked the different approaches to learn: by video, and the detailed descriptions and the key points to remember highlighted when a section wasn’t passed." J.S. (Jun. 2023)

"The sheer scope of material for visual training is absolutely priceless. I also think it's critical in correlating our observations with verbal descriptions." J.T. (Jun. 2023)

"Multiple videos of different patient cases were beneficial. Also I enjoyed having a case history on patients." N.C. (May 2023)

"I liked the many opportunities for training, especially for each component and the scoring guide that is available from the beginning until the end." Z.L. (May 2023)

"I liked being able to continue to review and refine my interpretation reliability by reviewing examples, instructions, guide sheets, etc. Being able to complete this course over a couple months of time allowed for deeper learning and retention of the information because I was recalling it often over that longer duration." A.B. (May 2023)

"The training zone was beneficial. I feel like it prepared me for the final test!" M.C. (May 2023)

"I liked the organization of the material. The way things were broken down to learn the material, differentiate the scores, and the exceptions to the scoring." S.B. (May 2023)

"The content is well organized, and the explanations are clear." W.D. (May 2023)

"I was able to hone in on different components of the swallow better since taking this course." S.T. (May 2023)

"I liked the aspects of this training that assist in drawing attention at different stages, especially for someone new to MBS." R.S. (May 2023)

"I feel so much more confident about the anatomy of structures I am seeing with VFSS." A.B. (May 2023)

"This was a good course to fine tune your VFSS abilities." A.G. (May 2023)

"I liked the ability to go back and review the training modules. Course layout and format were helpful." A.M. (May 2023)

"I liked how this protocol provided terminology to describe observations. Course reviewed physiology well and discussed normal variations and surrogate measures." J.D. (May 2023)

"This training is incredibly thorough and absolutely makes me feel confident in my ability to evaluate an MBSS in my actual practice. I love that I can come back and use the resources whenever I need as well, and refresh my understanding of the different components in so many different ways." E.V. (Apr. 2023)

"Detailed interactive videos regarding each component were beneficial." J.B. (Apr. 2023)

"I liked the quality of the material, video, documentation for each component and the fact that it is available for consultation during training and after." S.V. (Apr. 2023)

"The educational voice-overs really helped me understand why certain components were scored the way they were." A.Z. (Apr. 2023)

"I liked the clear and detailed information and resources. And the fact that it is presented in a way that encourages the practice and development of skills of observation, rather than an expectation to 'get it right first time'." L.K. (Apr. 2023)

"Breaking down the physiological markers to assist with scoring was beneficial." K.T. (Apr. 2023)

"Allowed me to see real examples and compare different MBSSs to each other. I liked that extra help is offered per section." S.R. (Apr. 2023)

"Incorporated a variety of teaching methods (instructional videos, readings, and hands-on practice) to help solidify and consolidate learning. I also appreciated that upon completion of the reliability testing, one only had to re-rest on those components scored below 80%." C.L. (Apr. 2023)

"I enjoyed the examples and hands-on practicing prior to the reliability portion. I also enjoyed how it was a go at your own pace training." J.M. (Apr. 2023)

"This course had very clear studies and good training materials. It was clear and concise." J.M. (Apr. 2023)

"Extremely well explained. The written materials supplemented the videos so well." C.C. (Mar. 2023)

"This is a good training tool for studying the swallow mechanism. I liked the case studies in the training. I agree with and will use the Protocol in my studies at work." A.K. (Mar. 2023)

"This course was very detailed and comprehensive. It will definitely help me to catch things that I haven't caught before. I feel better trained to be looking out for aspects of the swallow that I hadn't looked as closely at in the past. I also really appreciate how many example videos are available and just how much training is involved before completing the reliability section. Thank you for all of the time you put into this!" T.W. (Mar. 2023)

"I appreciated the multiple modes of learning material, including videos, still images of fluoro, and animations with scoring hints." L.C. (Mar. 2023)

"I liked the feedback in the training zone to identify the best frame to look at the correct answer and to understand why." J.B. (Mar. 2023)

"This course was excellent. Numerous videos reflecting specific scores and functional correlation of these ratings." E.W. (Mar. 2023)

"The review of how to view the different components of swallow deficit was incredible and definitely assisted in a more reliable interpretation of swallow impairment. The understanding of the AP view and interpretation was very helpful and the examples were pertinent." B.C. (Mar. 2023)

"I liked the opportunities for practice and breaking things down in a step by step approach." N.P. (Mar. 2023)

"The way the training was set out was fantastic. The variety of training videos was excellent and the resources well set out and very useful!" B.D. (Mar. 2023)

"I liked the breakdown of each component of the swallow and the multiple examples." K.R. (Mar. 2023)

"The course was very thorough. I liked the breakdown of all the different parts of swallowing to consider when interpreting MBSS." L.W. (Mar. 2023)

"I liked that the full-exam examples included medical history and s/s of swallowing difficulties." M.M. (Mar. 2023)

"I liked the multi-step learning process and being able to take the information I learned and applying it to the case studies." K.P. (Mar. 2023)

"I liked the interactive content, and the fact I could do it when I had time." A.P. (Mar. 2023)

"The animated feedback with visual cues during the training zone to increase understanding of why it was incorrect was really helpful." M.M. (Mar. 2023)

"I enjoyed the opportunity to review various VFSS to differentiate between anatomical structures across patients." K.B. (Mar. 2023)

"Tons of practice with MBS videos." J.B. (Mar. 2023)

"The supporting example videos were very useful for cementing knowledge." L.J. (Mar. 2023)

"I appreciated having the variety of examples to learn from along with the opportunities to practice and learn simultaneously as I went through the course, looking at each component." S.M. (Mar. 2023)

"I liked the amount of training and practice opportunities provided." N.C. (Feb. 2023)

"I liked how MBSImP focuses on our job more as swallow specialists, and reporting about the function, safety, and efficiency of the swallow rather than the old-school mindset of "aspiration police." C.K. (Feb. 2023)

"The design of the whole platform is excellent. I felt the use of animations simultaneous to the VFS images was a really good way of teaching VFS." A.G. (Feb. 2023)

"Excellent teaching resources - videos, PDF summaries and FAQs." R.P. (Feb. 2023)

"Improved my familiarity and comfort with assessing components of swallowing physiology. I liked the training guides, video examples, and video feedback in training zone." D.Z. (Feb. 2023)

"Training different components step by step. Easy to follow through." K.K. (Feb. 2023)

"Lots of repetition, animations as well as videos to aid learning." N.M. (Feb. 2023)

"Easy to use platform. Love that the video player had different options for playback, to be able to slow it down and analyze." R.M. (Feb. 2023)

"I liked how you could go back and review any of the videos from the training or learning zone." H.L. (Feb. 2023)

"I liked the animations, overview videos, training and learning zone videos with feedback." B.B. (Feb. 2023)

"I liked that you can keep going back to the training areas for additional review. It took awhile to view the material in a different way (I have been doing MBS for 20 years), but by retraining my old eyes, I think it has improved the way I look at the study. I think it has tremendous value for anyone just starting out. I have a CF that took the course as a student and came in with more MBS knowledge than someone with more experience." C.B. (Feb. 2023)

"I liked having several different swallow studies to score and ability to rewatch and retake test." V.M. (Feb. 2023)

"Course provided lots of examples and plenty of practice." T.L. (Feb. 2023)

"I liked the training videos with side-by-side tutorials." B.B. (Feb. 2023)

"Unlimited time to complete and the ability to go over as many times as needed." R.F. (Feb. 2023)

"Ability to return to learning & training zones at any time throughout training and to review between test attempts." J.C. (Feb. 2023)

"I liked all of the resources to help with distinguishing between scores and what nuances to look out for." N.E. (Feb. 2023)

"Multiple videos to review and detailed descriptions." C.Y. (Feb. 2023)

"Animations to go along with the video examples, to clearly understand the physiology. The structure of the learning: starting simple, then stepping up. Ability to go back through the learning and practice zones as needed. Examples of each score within each component." K.R. (Feb. 2023)

"All of the materials were SO helpful! The visuals, diagrams and live x-ray clips paired together were very supportive in learning." A.B. (Jan. 2023)

"I liked the intensity of the program, specifically all of the details of the swallowing mechanism to master the swallowing components. I will be able to utilize these components for my practice. I sincerely appreciate the diligence and detail which the MBSImP offers. It has been a thorough educational and learning experience." E.B. (Jan. 2023)

"Great resources of videos and written explanation and the training format overall was excellent." K.B. (Jan. 2023)

"The videos with examples of each one of the scores, not only with animation but in MBS format too were very helpful." M.L. (Jan. 2023)

"Evaluation method was very conducive to learning the material and assumptions you make when scoring." R.C. (Jan. 2023)

"I liked the single swallow studies and then full studies. I found the training very thorough, although lengthy at times, it was a really comprehensive course and I am so glad I enrolled." E.W. (Jan. 2023)

"Liked the establishment of a standardized protocol for MBS." L.W. (Jan. 2023)

"Extensive practice with MBSS clips/studies." L.V. (Jan. 2023)

"I liked the multiple training/practice opportunities with single bolus presentations that then progressed to full studies." R.E. (Jan. 2023)

"I am transitioning into acute care and this course was a helpful refresher on completing instrumental assessments. The course was very thorough." A.Y. (Jan. 2023)

"I liked the training zone, and the scoring guides to go with it." C.R. (Jan. 2023)

"Review of the physiology, and detailed description of each component was beneficial." I.R. (Jan. 2023)

"The ability to work at my own pace and being able to review training information as needed. I also really appreciated only having to go back and complete the sections that were scored less than 80% in the reliability zone." L.M. (Jan. 2023)

"I appreciated the opportunity for unlimited reviewing as I improved my skills." S.B. (Jan. 2023)

"I liked the quantity and different types of videos which are good for learning and reviewing MBSS." C.G. (Jan. 2023)

"I normally do not look at an AP view due to trying to minimize time and radiation exposure. This training opened my eyes to the benefits of the AP view." S.F. (Jan. 2023)

"Loved the videos and the training materials." M.M. (Jan. 2023)

"This course offered immediate feedback about the accuracy of my scoring." S.S. (Jan. 2023)

"Immediate feedback during practice testing." K.C. (Jan. 2023)

"Videofluoroscopy next to animations was a wonderful way to understand what to look for." M.B. (Jan. 2023)

"I loved how this course took you step by step to really understand the anatomy and physiology of the swallowing mechanism. I loved that it allowed me to continue to go through the videos if there was something I wasn't quite understanding." A.H. (Jan. 2023)

"I really liked the freedom of working on and completing course at my own pace." K.B. (Jan. 2023)

"I liked the variety of studies shown in this course. And mention of normal variations of swallowing and multiple verbiage for describing key observation points." K.H. (Dec. 2022)

"I liked how flexible course was to work through the training sections. Able to fit into busy clinical caseload." G.B. (Dec. 2022)

"Best course I have taken in 19 years." Y.R. (Dec. 2022)

"The self study format allows for one to complete training on one's own timeline and provides the ability to review all education materials, as needed. Information was presented clearly and effectively." K.S. (Dec. 2022)

"I liked that I could redo training and the many examples. The explanations were clear." D.T. (Dec. 2022)

"I liked that each component of the swallowing mechanism was discussed in detail and that I will now be able to accurately describe each component in my future documentation." C.B. (Dec. 2022)

"Thorough and hands-on practice. I am a very hands-on and visual learner so I appreciate this approach." K.A. (Dec. 2022)

"The fluoro scoring example videos were extremely beneficial. I found these to be more helpful in my decision-making than the illustrations." C.P. (Dec. 2022)

"The individual scoring guides for each component as well as the animations were invaluable!" S.D. (Dec. 2022)

"I really benefitted from the multiple methods of training and observation of the different scores within every component. By this I mean the computer generated visuals combined with the actual fluoro images that coincide. It was also very helpful to have all of the training materials available as you go along. I am a visual learner, so this helped me a lot." H.C. (Dec. 2022)

"I liked the way the swallow is broken apart into components. It helps me to look at the swallow in a more detailed way." E.K. (Dec. 2022)

"I liked the breakdown of each component at the beginning of the course followed by direct application of knowledge." M.S. (Dec. 2022)

"I liked the ability to re-take the reliability test by sections in order to assist in learning and education." L.M. (Dec. 2022)

"I really liked the clinical cases presented in the training portions to go along with the studies. I feel like there was a good variety of studies used as well." A.F. (Dec. 2022)

"Although I didn't pass components during initial testing, I found being able to re-take those components provided more practice and therefore improved my skills in assessing those specific components. I find this to be one of the strengths of the way this course is presented/completed." A.K. (Dec. 2022)

"Lots of opportunities for practice and feedback." A.C. (Dec. 2022)

"I liked the number of examples, tips, helpful hints, etc that were available." K.M. (Nov. 2022)

"The video examples were very useful and helpful." H.B. (Nov. 2022)

"Lots of opportunities for practice and learning with instant feedback!" K.B. (Nov. 2022)

"The intensive training zone was really beneficial." S.S. (Nov. 2022)

"I like that it is interactive. Lots of practice with the components. It is an amazing learning package. The videos and animations are incredibly helpful. Very quick to respond to questions and provide feedback." J.W. (Nov. 2022)

"This course taught me how to evaluate the swallowing process in a much more precise and standardized manner." K.P. (Nov. 2022)

"I liked the thorough handouts provided to aid in appropriate scoring. The descriptions of what, when, where, and nuances were helpful in further understanding." L.S. (Nov. 2022)

"I enjoyed the real life and realistic application of the diagnosing deficits in oropharyngeal swallow function." J.N. (Nov. 2022)

"I like that it breaks down the physiology of the swallow which is great for guiding treatment plans and for educating families in the inpatient setting." R.C. (Nov. 2022)

"I do think this course is the best we have, for now, for MBSS. I think it is rigorous and there are clearly a lot of example videos and resources to help." H.G. (Nov. 2022)

"Good instructional videos. Ample chance to practice skills. I think this is the most effective way to learn to interpret VFS images without a 1:1 instructor inside a clinic. These skills will be transferable to the clinic." J.W. (Nov. 2022)

"Loved the training zone and being able to check your answers/understanding before evaluating on the reliability zone." T.C. (Nov. 2022)

"I liked the variety of studies shown and the explanations with each part detailing the area or frame that showed deficits." C.S. (Nov. 2022)

"I like the video simulations for training purposes." J.C. (Nov. 2022)

"I liked how the learning was set up with a short teaching video and practice rating." E.T. (Nov. 2022)

"The thorough practice and reference materials were good." C.B. (Nov. 2022)

"Plenty of video examples throughout the training to help you in recognizing each component." K.T. (Nov. 2022)

"I like the training zone practice (i.e., the amount of practice before the reliability zone) and the functions of the course (e.g., ability to pause / reverse / move frame by frame)." M.H. (Nov. 2022)

"I liked being able to do it in my own time scale. The training zone is fab!" H.B. (Nov. 2022)

"Lots of examples, good videos." F.E. (Nov. 2022)

"Self-paced training and unlimited test takes." J.D. (Nov. 2022)

"I appreciated the videos being shuffled and exchanged during the reliability testing." M.R. (Nov. 2022)

"This really helped especially as at times there were long periods of time between when I was able to retest, so it was nice to have a refresher." C.H. (Nov. 2022)

"Very clear videos and feedback." V.L. (Nov. 2022)

"Being able to watch a ton of MBSS videos. I learned a lot by the breakdown of steps." J.M. (Nov. 2022)

"The examples and hints with additional videos were good." A.M. (Nov. 2022)

"I like that the course is self-paced, good overview, and information." T.A. (Nov. 2022)

"The resources are great to review, go back over and the end product allows continuity and better communication between different sites/slps and to referral sources!!" M.B. (Nov. 2022)

"There is an extensive training portion." B.L. (Nov. 2022)

"I like the ability to review the materials and the visuals (video and images) were very helpful. I appreciated that there's no deadline to complete this course." I.B. (Oct. 2022)

"The option to take reliability test several times was nice." N.A. (Oct. 2022)

"All the examples and the step-by-step guidance were good." D.H. (Oct. 2022)

"I liked that it was very challenging and included a wide variety of swallowing impairments, but that the learning and training portions were thorough and comprehensive." J.B. (Oct. 2022)

"This course was an excellent reminder of primary physiological components of a swallow I should be paying attention to during assessment." D.J. (Oct. 2022)

"I like that it was broken down into phases and gave you the opportunity to view them at each phase and then in completion." L.C. (Oct. 2022)

"I liked the MBS videos and the animated visuals side by side. Very helpful." K.G. (Oct. 2022)

"I like how it was broken down into the three separate areas which made the learning seem more achievable." S.L. (Oct. 2022)

"The ability to review and go back and review during the reliability testing was good." B.M. (Oct. 2022)

"Very challenging course but worth the time and effort. As a seasoned clinician with many years completing MBS studies, this training has helped me view the oral, pharyngeal, and esophageal portions of the swallow in a new way. It has also provided new terminology that is very useful for discussion and report writing."  J.H. (Oct. 2022)

"I liked the training zones with the immediate feedback and the scoring tips w/ examples."  C.G. (Oct. 2022)

"I do feel like I can now be consistent with other/newer SLPs. I also like that this objective information will make it much easier for me to train newer SLPs who join my place of work."  M.S. (Oct. 2022)

"It was good practice looking at the pharyngeal stripping wave (which I haven't considered as much in the past)."  E.L. (Oct. 2022)

"The amount of swallows I analyzed solidified my knowledge of structure and function of the swallowing system. I thought the layout of the course (3 zones) was great for learning. The sheer AMOUNT of swallows I analyzed made me understand the anatomy completely."  E.T. (Oct. 2022)

"I liked the build-up from single studies to full studies. And the fact I could go back to single studies for review."  L.R. (Oct. 2022)

"Multiple opportunities to review both anatomical videos and real case studies of radiographs. I appreciated not having a strict timeframe to complete the training, it was great to go at my own pace."  C.E. (Oct. 2022)

"Great to have the opportunity to refer back over materials, review understanding of function, and reflect on anatomy and key points of focus/change."  D.H. (Oct. 2022)

"Multiple opportunities to practice across the different zones. I really liked the feedback that popped up in the training zone that explained why a certain component scored that way and provided the frame #. I also liked that I only had to re-test on specific components vs repeating the entire test."  L.M. (Oct. 2022)

"Excellent video, written materials, helpful breakdown of single swallow, then full study with hints and instant right/wrong with pointers of where to look back." J.D. (Oct. 2022)

"Good explanations are given before the start of exam."  M.T. (Oct. 2022)

"I enjoyed the feedback given during the training modules. The resources provided are also helpful (e.g., report templates, guide, etc.)."  M.P. (Oct. 2022)

"I enjoyed the structured three "zones". I found it helpful to go back to the learning zone when I wasn't able to achieve 80% on a few of the components in the reliability zone."  J.T. (Oct. 2022)

"I liked the clear examples, descriptions, and learning and training zones."  A.C. (Oct. 2022)

"The immediate feedback on the components during the training zone was very beneficial to learning."  P.C. (Oct. 2022)

"I liked how there were several different types of swallows covered (e.g., with tubes, bicycle-chain jaws, etc)."  S.C. (Oct. 2022)

"Very thorough. Great supporting documents."  S.G. (Oct. 2022)

"I liked the abundant examples with fluoro AND computer-generated imagining. The PDFs of individual components were also helpful."  A.G. (Oct. 2022)

"Many videos to study for detailed information related to the components."  P.R. (Oct. 2022)

"I loved all of the example videos to interpret."  M.L. (Oct. 2022)

"I liked the step by step videos of all anatomical structures and the repetition to ensure learning."  H.J.-R. (Oct. 2022)

"It is comprehensive and very detailed."  J.W. (Oct. 2022)

"The multiple training options leading up to the assessment area were helpful."  C.P. (Oct. 2022)

"I enjoyed having the different levels of the task and increasing my knowledge throughout this."  H.T. (Sept. 2022)

"I appreciate the high level of reliability needed for course completion."  B.P.C. (Sept. 2022)

"I like the visuals and seeing MBS studies repeatedly."  A.C. (Sept. 2022)

"I appreciated the scoring guides and being able to jump back to each component as I needed to. It was also very helpful to have components checked off as I met 80% reliability."  M.H. (Sept. 2022)

"Pairing the video clips with the verbal explanations to demonstrate components were good."  M.P. (Sept. 2022)

"The tutorials were amazing!"  C.M. (Sept. 2022)

"I liked how through this training is."  J.P. (Sept. 2022)

"The verbal explanations of sections with examples with fluoro were helpful."  A.W. (Sept. 2022)

"I learned a ton and it has improved my MBS skills immensely."  R.B. (Sept. 2022)

"I liked that there were powerpoint presentations and scoring guides that could easily be printed for reference."  N.V. (Sept. 2022)

"The information is valuable and gives me the opportunity to improve my practice patterns. I liked the numerous opportunities I was given to test and retest. It has been many years since my first attempt and NSS kept its word that I would have unlimited opportunities."  L.T. (Sept. 2022)

"I liked the ability to go at my own pace."  E.M. (Sept. 2022)

"Multiple examples and views of each component to form a good basis of knowledge."  H.B. (Sept. 2022)

"Being able to go over and recap training components was nice."  A.B. (Sept. 2022)

"I liked the education and training for specific components of the swallow."  N.S. (Sept. 2022)

"I liked the practice videos and the detailed explanation to start the course."  J.P. (Sept. 2022)

"The instruction is laid out perfectly for successful completion of this course."  M.T. (Sept. 2022)

"I liked the simple explanations."  M.I. (Sept. 2022)

"I liked being able to practice and being provided the videos of examples and explanations."  S.L. (Sept. 2022)

"Very clear descriptors accompanied by videos helped to refine my scoring skills. I liked the different zones - it takes a while but it definitely hones the scoring skills."  K.A. (Sept. 2022)

"I appreciated the detailed breakdown into 17 components. It is an excellent resource for new clinicians to learn the anatomy and physiology of the swallow, and is also helpful for seasoned clinicians to brush up on skills and do a refresher."  E.C. (Sept. 2022)

"I liked the way the course was divided into three sections."  J.V. (Sept. 2022)

"The physiology and repetition/practice was good."  C.H. (Sept. 2022)

"I liked all of the available reference materials."  T.R. (Sept. 2022)

"The way this course is structured was very good."  B.A.M. (Sept. 2022)

"The ability to go back in all stages and review the feedback under each video in the Training Zone is very helpful."  R.R. (Sept. 2022)

"I like that this training helps to better identify the severity of swallowing functions."  E.P. (Sept. 2022)

"I liked the handouts, and the feedback with which frame something occurred."  T.C. (Sept. 2022)

"Even though I have been doing swallow studies for years, this forces me to look at some areas in a different or more specific manner."  V.F. (Aug. 2022)

"I liked the practical training of this course. Even though it took me awhile to complete the components, it was highly effective at helping me feel confident in reading swallow studies."  K.M. (Aug. 2022)

"The 17 components allowed me to understand how to interpret impairments in swallowing function and identify normal swallowing."  K.B. (Aug. 2022)

"I liked how I could review the materials as many times as I needed to. I also liked that I could do it at my own pace."  J.D. (Aug. 2022)

"I like the overall review on anatomy and dynamic aspects of oropharyngeal swallow function."  S.P. (Aug. 2022)

"There was lots of practice and explanation."  K.G. (Aug. 2022)

"The consistent practice opportunities were helpful."  C.A. (Aug. 2022)

"I enjoyed the detailed video samples."  R.L. (Aug. 2022)

"I liked the thorough explanations of scoring and the ability to return to the training zone as often as needed."  K.E. (Aug. 2022)

"There were several videos to practice with, varying degrees of oral and pharyngeal dysphagia. Opportunities to retest."  J.L. (Aug. 2022)

"I liked the scoring tips interactive area."  J.J. (Aug. 2022)

"I really enjoyed the learning and training zones including the breakdown of swallowing anatomy, additional examples, scoring tips and the ability to redo portions of the learning zone as much as you want for additional practice."  A.G. (Aug. 2022)

"I liked the superior video graphics, presentations, and animations. The division of learner, training, and reliability should be considered excellent with ample opportunities to rewatch videos. The technical system was nearly flawless."  R.P. (Aug. 2022)

"All the hands on rating and feedback was nice."  C.D. (Aug. 2022)

"The ability to go between training, practice, and testing was good."  K.L. (Aug. 2022)

"There were plenty of opportunities to practice."  F.A. (Aug. 2022)

"The explanation in the training zone as to why an answer is what it is and giving the exact frame to support it was helpful."  L.D. (Aug. 2022)

"Concrete examples and explanations."  S.K. (Aug. 2022)

"I like how detail oriented every section was. It really helped me learn more than I already knew about certain areas of the swallow."  A.G. (Aug. 2022)

"The three modules helped me learn the concepts better and gave flexibility for self learning."  T.D. (Aug. 2022)

"It is nice being able to flux between the learning, training and reliability zones, especially for testing/retesting and honing skills."  C.M. (Aug. 2022)

"Instructions are clearly presented, material thorough and easy to follow."  P.B. (Aug. 2022)

"I like the many examples given, and especially the Training Zone where it points out the exact slide to back up the score. I also appreciate that you can retake only the ones you need to work on rather than having to redo the whole thing."  R.W. (Aug. 2022)

"I liked that the training allowed you to practice scoring 15 different swallow studies with immediate feedback before you entered the reliability zone. Having the direct feedback in the training zone allowed me to look back and see what I was missing."  E.W. (Aug. 2022)

"The breakdown of the physiological function is excellent for identifying treatment goals. Too many times I see VFSS results blankly stating aspiration/penetration. This protocol and scoring system is a wonderful tool for expanding the knowledge we can provide on swallow function. The decrease in fluoro time with the vast amount of data we can collect is great."  A.C. (Aug. 2022)

"The large amount of examples/practice were good."  S.P. (Aug. 2022)

"The video examples and scoring hints helped tremendously."  M.C. (Aug. 2022)

"I like all the resources available and how you could always go back to the learning zone and re-teach yourself if needed."  E.W. (Aug. 2022)

"The video examples were good."  L.A. (Aug. 2022)

"The course allows you to get very familiar with impairments."  V.N. (Aug. 2022)

"The interactive training zone was very beneficial to my learning. I liked being able to practice scoring real studies, with immediate feedback."  H.L. (Aug. 2022)

"Many examples, lots of opportunity for practice, explanations of common scoring errors."  J.B. (Aug. 2022)

"Good review of swallowing anatomy and physiology-Introduction of some new swallowing aspects to take into account that I did not do so before (e.g., component 12)-Immediate feedback for the Training Zone, and opportunities to review and repeat full case study scoring (helped me improve my scoring accuracy, speed, and understanding of certain components with practice) -The various handouts, video tutorials, and materials we had/have access to-Thank you for the time, work, and effort put into making this resource available to clinicians and researchers working with pts with swallowing and swallowing disorders."  D.P.-B. (Aug. 2022)

"All the resources to assist with learning were good."  C.E. (Aug. 2022)

"The videos of multiple swallows was good."  G.S. (Aug. 2022)

"I like the repetitive practice and access to training stimulus as you complete the course."  J.V. (Aug. 2022)

"Very thorough and well explained in training section."  C.C. (July 2022)

"It was very very difficult but I feel like I learned so much with the repeated practice and watching the scoring videos multiple times."  S.J. (July 2022)

"I felt the supportive materials were very beneficial in breaking down the scoring in a concise manner."  J.U. (July 2022)

"I like the stepwise process from learning to training to reliability, and the option to go back and redo the training as needed."  R.B. (July 2022)

"The staged approach through learning, training and reliability testing was good."  L.R. (July 2022)

"I like the standardized approach that is attempted here. I learned more about the areas in a very precise manner. It is an improvement over my 25 years in practice."  M.B. (July 2022)

"I like the videos with both x-ray and animation."  K.P. (July 2022)

"I really appreciated the training zone with the graphics to aid in identifying structures and clarifying scores. I appreciated the feedback in response to questions posed."  Z.B. (July 2022)

"I enjoyed having the swallow by swallow practice as well as the full swallow practice and then the option to retest on the reliability zone."  M.R. (July 2022)

"I appreciated the number of practice opportunities."  L.F. (July 2022)

"I liked the ability to go back and forth and check on areas you weren't strong on."  S.T. (July 2022)

"I feel like the course gave me good vocabulary to improve my report writing."  B.V. (July 2022)

"I liked the available references and images to assist. I think it was very beneficial that the scoring was by component vs by person/case because it allowed me to better learn what to look for." A.L. (July 2022)

"I liked that there were plenty of opportunities for practice. I liked the flow of the course as well (learning, training, then reliability)."  R.H. (July 2022)

"I like the no time constraints, availability of materials, scoring guides, and variety of examples." L.E. (July 2022)

"I liked the immediate feedback in the training zone." A.W. (July 2022)

"I liked the reliability portion of the training in order to support the standardization of protocol." A.M. (July 2022)

"Good standardization and clear visualization of training materials." R.R. (July 2022)

"Training for calibrated VFS analysis with plenty of rehearsal was good." K.Y. (July 2022)

"I liked the various examples of swallows including NG, trach, hardware etc." H.S. (July 2022)

"I liked the videos." M.R. (July 2022)

"I really liked the videos prior to initiating the learning zones. I also liked how many studies you needed to complete before the real test." A.G. (June 2022)

"I enjoyed how easy it was to repeatedly access training material." R.B. (June 2022)

"I like that this is an objective way to score VFSS. It honed my analytical eye and my critical thinking for writing reports." B.O. (June 2022)

"Liked the side-by-side animations with fluoro." R.C. (June 2022)

"The ability to pace yourself and review as much as needed without penalty was nice." B.D. (June 2022)

"I appreciated how the Validity Zone was structured given the ability to retest on components scored under a certain threshold."  C.M. (June 2022)

"I like that I was able to complete at own pace." L.B. (June 2022)

"Training to score pharyngeal stage of swallowing is very useful."  S.L. (June 2022)

"I liked having access to the training tools and resources during the testing."  E.S. (June 2022)

"The ability to practice certain areas which are more difficult after not passing in the reliability zone were good."  H.B. (June 2022)

"Technologically easy to use, picks up right where you left off (I got interrupted multiple times by my kids)." J.B. (June 2022)

"The ability to revisit any component at any point and the availability of resources to refer to was great!"  E.A. (June 2022)

"I liked the training zone. I feel like that helped me determine what was a correct score or not."  L.K. (June 2022)

"I like the standardization of MBS procedures video examples."  D.S. (June 2022)

"Very structured learning method. Very good video's and information! Compliments!!"  F.S. (June 2022)

"The different modules and trainings were so helpful!"  A.H. (June 2022)

"Great interface with easy controls. I also REALLY appreciate the time someone took to ensure my work would be saved. No matter what."  P.O. (June 2022)

"That I discovered new ways to measure the function and efficiency of fluoroscopic swallow studies after 30 years of practice!"  E.C. (June 2022)

"Immediate feedback & helpful hints in the training zone were nice."  C.H.(June 2022)

"Quality of the teaching, quality of the videos, being able to flit between learning and training were great!"  K.C. (June 2022)

"The course provides real life situations when faced with a MBSS in acute care. I love that it is real and functional."  A.T. (June 2022)

"Clear step by step progression, ability to review previous sections when needed and handy tips were good."  R.P. (June 2022)

"I feel that this course was effective in breaking up the swallow function (entire study) into concise phases/components to improve visualization and rating of swallow."  J.B. (June 2022)

"A lot of MBS examples to rate and practice. Clear explanation of how to come up with the suggested rating."  S.M.K. (June 2022)

"I really liked the interactive value of the training and in various ways - swallow-by-swallow and full study which allowed for a lot of repetition which I found is really necessary with learning all of the nuances of this training. I also appreciated having all of the help/support documents. I used everything available and repeatedly throughout the course to and including the very end!"  C.W. (June 2022)

"Very useful in being more descriptive in report writing so the next therapist has all of the information they need. Excellent way to break down all components of the swallow."  L.B. (June 2022)

"Lots of examples and explanations!"  M.M. (June 2022)

"Huge amount of practice. Showing on the screen what you were looking for with lines and texts really helps you."  S.R. (June 2022)

"I loved how emailing the customer support for additional help resulted in a swift reply and significantly helped me improve my scoring."  A.R. (June 2022)

"I love that there are ways to learn, train and then execute your knowledge. The repetition made me lose my mind, but I learned so much!"  H.A. (June 2022)

"Training Zone was great to go back and forth to from the Reliability zone to really learn specific components. Love that once you accurately rate a component you don't have to keep doing it as well."  W.P. (June 2022)

"I liked all the training modules and the immediate feedback. It was also helpful to be able to go back to rewatch the overview and example videos while doing the training and reliability portions."  A.F. (May 2022)

"I like how the course was organized, going through each zones and then through the reliability zone. I felt the training zone set me up to succeed in the reliability zone because of how many different practice MBSSs you have to go through."  R.L. (May 2022)

"Very thorough, with extensive practice at all levels to ensure confidence and competence."  L.S. (May 2022)

"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)

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

  • Speech-Language Pathologists

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 master's 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.