$79.00 USD

98% rating - reviews

0.4  ASHA CEUs

Purpose And Rationale For Using Endoscopy/FEES In The Management And Treatment Of Dysphagia #e306


Presenter: Joseph Murray, PhD, CCC-SLP, BCS-S

Learn the steps necessary to gain competency in performing a FEES exam.

"All of the information was excellent and can be used in my practice. I appreciated the views of the FEES videos. This has been one of the best online courses I have ever completed."

– E.A., prior course participant

Read more comments about this course!

This course introduces and reviews the Fiberoptic Endoscopic Evaluation of Swallowing (FEES) as a tool for visualizing, monitoring and treating swallowing function. FEES is an established procedure with distinctive objective findings and unique practical applications. This course will outline the decision-making process that follows a clinical exam.

Guidelines for selecting FEES or videofluoroscopic instrumentation are presented with a comprehensive review of the laryngoscopic visualization of normal and abnormal swallow function and further in-depth review of patient safety and selection. The learner will understand the equipment used to complete the exam and the steps necessary to gain competency in performance of the exam. The discussion provides essential elements to include in the administration of the examination for confident completion of clinical goals.

Offered for 0.4 ASHA CEUs – 4 Contact Hours.

Course Overview – Run Time 4:08:27

  • Review of the magnitude of swallowing disorders.
  • Introduction to the task of assessing the patient starting with clinical exam.
  • Projecting what may be seen using laryngoscopic imaging.
  • Use of protocols, approach to the task of presenting food and liquid.
  • Imaging the normal and abnormal swallow.
  • Interventions.
"All topics were very beneficial to my daily practice as an Acute Care SLP. I particularly enjoyed the side by side comparisons of FEES vs MBS."

– A.L., prior course participant

Read more comments about this course!

The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.

Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

"The techniques were helpful. I liked the multiple examples." L.E. (Feb. 2024)

"Beneficial topics included credentialing, use of topical anesthetic, standards varying by state, and standards set forth by EU & Canada. I liked the videos." J.S. (Feb. 2024)

"Excellent and well-presented course!! Loved it!" N.D. (Feb. 2024)

"Discussing the abnormal findings was beneficial. I liked everything!" A.A. (Jan. 2024)

“The entire presentation exceeded my expectations. Well done! The presenter is well-versed and extremely knowledgeable - and his delivery was easily understood by the listener. He provided a vast amount of information that was evidence-based. I especially found it helpful that most of the content was cited by reputable authors/journals so that I could review the information he used in this presentation." S.W. (Jan. 2024)

"Interventions/strategies after completion of FEES were beneficial. Informative education for an SLP to provide and implement in the SNF setting." L.E. (Dec. 2023)

"Making inferences from endoscopic findings that can determine the integrity of swallow events. I liked the pacing and instructor’s clear delivery. I’ve taught dysphagia and performed hundreds of videofluoroscopic exams but only a handful of FEES exams. I learned information about swallowing function that was brand new to me. Incredibly valuable course." C.G. (Dec. 2023)

"I enjoyed the videos." M.K. (Dec. 2023)

"Discussing the FEES process was beneficial. I liked the course clarity and professionalism." E.S. (Nov. 2023)

"The use of studies and conclusions, lidocaine use, ASP-PEN scale practice, and indications for fluoroscopic vs. FEES were beneficial topics. I enjoyed the imaging combined with Dr. Murray's commentary." M.F. (Nov. 2023)

"The visual aids were great with side-by-side Fluoro and FEES." L.T. (Nov. 2023)

"The discussion on FEES vs Videofluoroscopy was beneficial. I liked the videos and review of anatomy." M.T. (Oct. 2023)

"Many videos that illustrated the detection of penetration/aspiration, the Yale Rating Scale for residuals, the detailed instructions on how to evaluate epiglottic inversion, pharyngeal wall constriction, and where to position the scope were all beneficial." J.W. (Oct. 2023)

"The presenter is clearly quite skilled and is an excellent instructor. I appreciate so much the very practical nature of his instruction!" J.W. (Oct. 2023)

"Refreshed and organized information about the swallow." R.C. (Oct. 2023)

"Passing the scope, interpretation of swallow disorders, and the simultaneous views of FEES and VF were very helpful." H.M. (Sep. 2023)

"Viewing the video recordings of the scopes was beneficial." R.K. (Sep. 2023)

"Comparison of VFSS to FEES and how they differ was helpful. I liked the images of the pharynx and larynx." K.C. (Aug. 2023)

"Good, clear explanations. Imaging swallow dysfunction was a beneficial topic. I liked the opportunity to view swallows in both real-time and in slow motion." E.H. (Jul. 2023)

"Excellent information with a clear, slow presentation during anatomy presentations." K.G. (Jun. 2023)

"Every part of this presentation was informative and important. It has been several years since I last completed FEES. I am starting a new job and they want someone to do FEES. It was helpful to review the anatomy so many times and to review each video several times to truly assess the swallow. Loved how many times the speaker reviewed the videos to clearly visualize the swallow." T.F. (Jun. 2023)

"I liked the video examples of the FEES exams. I found Dr. Murray's descriptions and analysis very helpful. The outline and chapter format were beneficial to my learning. Having the pdf of the slides was a nice bonus." S.M. (Jun. 2023)

"Placement of the scope and all of the anatomical information was beneficial. I liked the vivid videos and images with detailed information." K.S. (Mar. 2023)

"The overall thoroughness of this course was exceptional. I am an experienced endoscopist but haven't been practicing for some time, and I found this course to be extremely informational. I will recommend this course to new and experienced endoscopists!" M.M. (Feb. 2023)

"Tips on how to interpret images and infer correctly deficits. Clear explanations by Joseph Murray and various videos." F.S. (Feb. 2023)

"Indications of use of FEES vs Fluoroscopy. Course was organized and easy to follow for beginners." L.R. (Jan. 2023)

"The considerations for implementation of FEES, general protocol, and review of the observation period prior to initiation of the exam. I also found the images of the Yale Residue Scale helpful. I appreciated the side by side MBS and FEES views; also, the resources and research studies to clarify findings and engage clinical thinking skills. Very helpful." K.O. (Jan. 2023)

"Detailed views and discussion of swallows. Footage of real swallows and intervention discussion was beneficial." S.W. (Jan. 2023)

"I liked the examples with analysis, indications for choosing FEES, and visual examples with instructor describing." L.S. (Dec. 2022)

"I enjoyed the side-by-side VFSS/FEES images and the great review of anatomy. I also enjoyed the level of detail and direct applicability to my practice." L.M. (Dec. 2022)

"Dr. Murray is an excellent presenter and his rate of speaking was great to process the more complex information." J.C. (Dec. 2022)

"The instructor was very informative and kept the material interesting and understandable. I liked the discussion of FEES vs MBS - pros and cons." A.K. (Nov. 2022)

"How to infer aspiration during the swallow despite the period of white-out was beneficial. I liked the multiple video examples." C.G. (Nov. 2022)

"All of it was great! We are starting FEES by SLPs in the spring. I liked all of the examples." M.B. (Nov. 2022)

"Video examples were helpful." V.B. (Nov. 2022)

"The imaging swallowing dysfunction section was beneficial to my practice. Lots of examples and videos." S.B. (Oct. 2022)

"I would recommend this course." H.H. (Sept. 2022)

"This is my first introduction to FEES. I liked everything about this course - very helpful!" E.N. (Aug. 2022)

"I found the discussion re: the differences in retention ratings between FEES and VFSS interesting. It will make me consider what retention visualized on VFSS might look like via FEES and vice versa, and consider whether I'd make differing recommendations." R.K. (Aug. 2022)

"Easy to follow and pick up where you left off. Good review of anatomy and physiology with FEES process/protocol." K.C. (Aug. 2022)

"It was well organized with a good balance of research and practical knowledge." R.K. (Aug. 2022)

"Good videos with explanation. The entire presentation was beneficial."  E.N. (Aug. 2022)

"I love Joe Murray. Very clear delivery of information. Very easy-to-listen-to voice. Would love to see more continuing ed from him on NSS." K.I. (June 2022)

"Liked the use of patient videos and review of footage w/ narration of anatomic and physiologic findings." R.R. (June 2022)

"Practical applications and in-depth discussion of physiological inferences from exam." M.J. (Mar. 2022)

"I liked the comparison of VFSS to FEES in real time. The course was comprehensive by a highly reputable presenter." A.W. (Feb. 2022)

"I liked all the videos of FEES and anatomy explanations." C.H. (Jan. 2022)

"I liked the discussion about what you can and can't visualize with FEES. Effectiveness of FEES in identifying aspiration events vs. results of VFSS." K.W. (Dec. 2021)

"The presenter is clear and effective in communicating information. I enjoyed being able to replay the footage to review the video more closely."  M.B. (Dec. 2021)

"Video examples of FEES instrumentation were great." L.R. (Dec. 2021)

"I liked all of it as I'm trying to start a FEES program. Knowledge of presenter was excellent." L.A. (Dec. 2021)

"The chapter "imaging swallow function and dysfunction" was helpful. Liked that it was online. I could start the course when it suited me and my schedule. And as a non-native English speaker the ability to pause and rewind helped me a lot during the course." F.H. (Dec. 2021)

"Good case studies. Liked the recommendations/interventions of FEES - why it is important in assisting with best practice dysphagia management program." L.E. (Dec. 2021)

"I liked the side by side orientations of VFSS and FEES. Rate of information was good, and the visual representations along with verbal representations, and segmented chapters." J.S. (Dec. 2021)

"Good review of the complexity of fees. Liked convenience of an online course." J.H. (Dec. 2021)

"I liked the overall description of FEES and indications for practice. And that I could do on my own time." L.R. (Dec. 2021)

"I liked all of it. One of the best courses I've ever taken on this platform." A.B. (Oct. 2021)

"I enjoyed everything before performing the FEES and how thorough he was in his explanations." Q.L. (May 2021)

“I liked that this course had a lot of actual FEES footage as examples.” C.M. (May 2021)

“Excellent presenter! Very knowledgeable, with excellent visuals to support his teaching. Easy to listen to.” K.M. (Apr. 2021)

“The presentation provided numerous advantages of FEES that are not typically discussed. The visual demonstrations provided to show the benefits of FEES to diagnoses.” D.J. (Apr. 2021)

“All topics were very beneficial to my daily practice as an Acute Care SLP. I particularly enjoyed the side by side comparisons of FEES vs MBS.” A.L. (Feb. 2021)

“I found the discussion of actual procedure completion helpful (ie placement of scope during passage and after entrance). I also found all provided videos in conjunction with lecture very helpful as well.” R.K. (Feb. 2021)

"All of the information was excellent and can be used in my practice. I appreciated the views of the FEES/videos. This has been one of the best online courses I have ever completed." E.A. (Jan 2021)

Course Objectives

  1. Demonstrate understanding of the application of the procedure for both assessment and treatment of swallow dysfunction.
  2. Explain the strengths and weaknesses of the laryngoscopic visualization of swallow function.
  3. Develop understanding and skill in distinguishing normal and abnormal swallow function as viewed endoscopically.
  4. Identify detailed anatomy of the nasal cavity, nasopharynx, hypopharynx and laryngopharynx.

Presenter & Disclosures

Joseph Murray, PhD, CCC-SLP, BCS-Sis a researcher, author and international lecturer who specializes in the assessment, treatment, and management of dysphagia with a special interest in FEES instruction.  He is the author of the Manual of Dysphagia Assessment in Adults. Dr. Murray is Chief of Audiology and Speech-Language Pathology at VA Ann Arbor Healthcare System in Ann Arbor, MI. He is currently the Board Historian for the American Board of Swallowing and Swallowing Disorders.

Presenter Disclosures:

Financial — Joseph Murray is a presenter of CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Joseph Murray is a member of the American Board on Swallowing and Swallowing Disorders.

Intended Audience/Accreditation

asha ce approved provider

This program is offered for 0.4 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • SLP

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.

ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

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

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

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

Frequently Asked Questions



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

Course Completion Timeframe:

You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.

However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.

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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.

ASHA CE Registry Submission:

During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

Purchase Orders:

Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.com or fax to 888-696-9655.

What is an Online Course?

Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.

Receiving CEUs:

Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.

Registering for an online course:

You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.

Accessing your purchased course or returning to a purchased course:

You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.

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.

Number of CEUs offered:

We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.

State licensing boards and online CEUs:

NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.

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. Most courses include closed captioning.

Course handouts:

Most of our online courses provide a link to download the accompanying handout as a PDF file. 

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, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.

Course Cancellation Policy:

A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded. 

Special Needs:

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

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