This course is intended to educate and inform SLPs about GERD and LPR as it affects both swallowing and voice disorders in adults. Learn how anatomy and physiology relate to the genesis of reflux for a more complete understanding of the syndromes. Review current GERD and LPR research and apply the findings to SLP practice. Also, understand the role SLPs can play in assessment, as well as behavioral and medical treatment. Offered for 0.4 ASHA CEUs – 4 contact hours.
Course Run Time: 4:02:44
PART I: Gastro-Esophageal Reflux Disease: Effects on Swallowing and Voice
PART II: Pathophysiology and Treatment
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.
Tom is nationally known for the role he has played in the development of the Free Water Protocol, and he routinely provides consultation to hospitals and other institutions on establishing heartburn and swallowing disorders centers, on developing free water protocols, and on implementing oral hygiene programs. Currently, Tom is a practicing clinician in Temple, TX.
Financial — Tom Franceschini is the presenter of online CEU courses by Northern Speech Services; receives royalties.
Nonfinancial — Tom Franceschini has no relevant nonfinancial relationships to disclose.
This program is offered for 0.4 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the My Online Courses tab, and then viewing your desired course.
Certificate of Completion:
On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry Submission:
During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at firstname.lastname@example.org or fax to 888-696-9655.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Please click here for any special needs requests, and we will do our best to accommodate them.
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"I liked the interesting information, presenter moved at a good pace through info. Also, different treatment options besides meds." S.S. (Nov. 2021)
"The information was applicable. The presenter explained the information in a clear concise, and well organized manner." B.O. (Oct. 2021)
"The ways to make a differential diagnosis between LPR and GERD and lifestyle changes related to managing GERD and LPR were beneficial. The instructor was informative and had working knowledge of subject and cases to relate." M.K. (Sept. 2021)
"Learning about the role that LPR and GERD can play with voice and swallowing. This is going to be something I now add to my case history with all clients. I also feel prepared to be making relevant recommendations in my reports to clients and back to their GPs. The presenter's manner was engaging and his anecdotes and experience was helpful." S.S. (Aug. 2021)
“I loved the flow of the presentation. The presenter was wonderful and made it feel like a 1-hour course instead of a 4-hour course. This definitely made me so much more interested in reflux/esophageal dysphagia in general.” – M.C. (Feb. 2021)
“Despite working closely with our GI docs over the years, I felt that the presenter shared insights concerning LPR, chemical interactions within the body, and insights regarding etiology of clinical presentations that I have never heard before. The practical, very applicable information will be extremely useful in my daily practice!” – J.A. (Jan. 2021)
“I liked that the speaker provided examples from his practice. I feel these examples helped me to understand how related dysphagia and LPR symptoms are.” – J.W. (Dec. 2020)
"It was very complete - from what kinds of things can cause GERD, management, medications, and various surgical procedures." – J.D.G. (July 2020)
"I enjoyed the sections on LPR vs GERD and their symptoms, how to diagnose and treat. I liked the applicable information - great case study discussions to assist with making the information functional in daily practice. This information assists in seeing the big picture when working with acute patients." – K.C. (June 2020)
"This course really helps with my assessment and treatment of pts with GERD and LPR and in guiding them to next steps to discuss with their family docs." – R.H. (May 2020)
"The discussion of causes and symptoms of GERD and treatment were most beneficial. Excellent presenter style - very comfortable and makes it easy to listen to him. It didn't sound like he was reading every line but presented as a discussion. Very knowledgeable and complete. I wish I knew someone with GERD and then would send for an evaluation." – G.J. (Apr. 2020)
"The course was very detailed and the diagnostic section was most helpful. Tom Franceschini was very thorough and his pace and explanations were helpful even to a seasoned voice specialist." – V.B. (Mar. 2020)
"Good videos and pictures, and the course introduction was very detailed." – A.G. (Feb. 2020)
"We are often asked to evaluate patients and complete an MBSS. This course better assisted me in identifying when an MBSS may not be the best recommendation. I was surprised by the many symptoms of LPR or GERD that I may have associated prior with an oropharyngeal dysphagia. The presentation was done very clearly with great visuals/examples." – L.M. (Jan. 2020)
"Excellent comprehensive course that I can definitely use daily. I liked the thorough instruction of GI tract as well as going over the differences of GERD and LPR and medications that can cause GERD symptoms." – J.S. (Dec. 2019)
"I appreciated understanding gastric emptying and considering clear liquid diet for initial diet recommendations for patients who have had alternative means of nutrition for more than a week. So much of this content was interesting and extremely helpful to my practice." – S.M. (Dec. 2019)
"Great speaker, well organized, wonderful illustrations and videos!" – A.T.P. (Dec. 2019)
"The content and presentation was excellent. The course was thorough, easy to follow and understand, and it heightened my knowledge of FERD & LPR, essential for establishing and implementing patient specific therapy. All was excellent. Mr. Franceschini never disappoints." – M.B. (Nov. 2019)
"I enjoyed the presenter's style of lecturing. He was fluent and delivered the information in a well-organized manner. He added anecdotal and experiential comments which helped to make the information realistic and understandable. His use of written, pectoral and video slides was excellent." – L.T. (Nov. 2019)
"I found the information linking esophageal and stomach components of GERD/LPR very interesting. Great details about reflux which we don't routinely think about or teach when we are treating our voice patients. Great slides and appropriate rate of speech during his presentation." – L.B. (Oct. 2019)
"I've increasingly had a number of patients who appeared to have voice problems. However, it became clear to me from other symptoms that they had that they had reflux. This course helped to round out my knowledge on this area so that I can continue to make good recommendations for my clients. It was a very comprehensive course and delivered in a very informative, clear, and concise manner." – S.S. (Sept. 2019)
"I liked the focus on Esophageal phase dysphagia as it pertains to SLP intervention, not just GI." – J.F. (Aug. 2019)
"Good course! I appreciated going over the different esophageal disorders that can be found on non-diagnostic scan down during Modified Barium Swallow studies." – J.P. (Aug. 2019)
"I enjoyed the discussion on LPR signs and symptoms. Very knowledgeable and interesting presenter." – C.T. (Aug. 2019)
"The range of treatment is much greater than I had knowledge of. Great stories to increase understanding of the material." – R.C. (July 2019)
"As an SLP in the medical profession, I found the entire course very helpful. Mr. Franceschini was thorough and the illustrations were great." – L.M. (June 2019)
"This was an EXCELLENT presentation. I liked the use of excellent medical diagrams and actual cases to reinforce concepts." – C.P. (June 2019)
"The presenter was excellent, very clear, and provided great materials. Very enjoyable course." – P.K. (June 2019)
"Fascinating course! I especially enjoyed the discussion on the role of LPR relative to chronic cough, Vocal disorders, asthma, PVCD, etc. I liked the relevance to my patient caseload, both inpatient and outpatient clients." – L.N.K. (May 2019)
"This course increased my knowledge on prevention of GERD and LPR." – N.H. (May 2019)
"I appreciated going over the many various esophageal diagnoses that are related to reflux. I liked the visualizations of procedures/diagnostic testing." – S.F. (Apr. 2019)
"The impact of the esophagus and the influence of other comorbidities was really helpful. The speaker was outstanding. Delivery had passion and enthusiasm. He definitely opened my eyes as to the extensiveness of the influence of the esophagus when in a suboptimal state." – D.D. (Mar. 2019)
"Excellent review of A & P prior to discussing treatment and diagnosis." – E.H. (Mar. 2019)
"Going over LPR and the first signs of difficulty was most beneficial. I liked the pictures and detail along with the specific stories." – V.M. (Mar. 2019)
"I enjoyed listening to the speaker's personal experiences as this helps me understand the context better." – G.G. (Feb. 2019)
"I appreciated the discussion on integration a reflux finding store to support suspected reflex and to indicate further MD/GI assess. I liked the rate of presentation and incorporation of 'real life' examples." – J.W. (Feb. 2019)
"Wonderful stories, great flow of content, and excellent teaching." – L.V.Z. (Jan. 2019)
"It was an excellent course! Very interesting and far superior to the ASHA course on Aphasia I did last month." – G.M. (Jan. 2019)
"Great presenter! The anecdotes facilitated learning. The slides and video were wonderful. Cartoons were well chosen. Everything was excellent!" – M.G. (Dec. 2018)
"I found the entire course useful and thorough. The information was presented in a comprehensive and clear manner with excellent videos, handouts, and visual support." – K.C. (Dec. 2018)
"The discussion on treatment protocols for reflux was most beneficial, but all of the information was so pertinent to the treatment of adults in long term care facilities. It's amazing how prevalent GERD has become in the elderly. Excellent course." – S.D. (Nov. 2018)