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[DYSPHAGIA] FEES training



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       Janet, in response to your request for member comments on FEES 
training, I contribute the following:
       I have added to my training towards the use of FEES with the 
Crary/Mann course at the University of Florida.  It is a fairly intense 24 
hours of didactic and hands-on training over three days.  Each participant 
scoped dummy models first and then at least 5 "normal" human volunteers, as 
well as also being a volunteer. 
       I enrolled in the course after three years of participating in "joint" 
nasoendoscopic studies in an acute care setting with the ENT passing the 
scope and the SLP cueing the patient to evaluate voicing and introducing 
solid and liquid boluses to evaluate swallowing safety--we then document on a 
joint report and the physician writes additional comments in the Physician 
Progress Note section of the chart.  
       While their course is excellent, both Michael and Giselle emphacize 
that additional practice will be needed for efficacy and proficiency, and 
that the quantity of practice may vary with each individual and their 
relationship with a preceptor/mentor.  These comments dovetail nicely with 
similar thoughts expressed by Susan Langmore, whose current ASHA audiotape is 
also very informative. 

Mary S. Porter, M.A., CCC
Director of Rehabilitation Services
Northern Virginia Community Hospital
Arlington, VA  22204
fax: 703-578-2353

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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2>  &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Janet, in response to your request for member comments on FEES 
<BR>training, I contribute the following:
<BR> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;I have added to my training towards the use of FEES with the 
<BR>Crary/Mann course at the University of Florida. &nbsp;It is a fairly intense 24 
<BR>hours of didactic and hands-on training over three days. &nbsp;Each participant 
<BR>scoped dummy models first and then at least 5 "normal" human volunteers, as 
<BR>well as also being a volunteer. 
<BR> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;I enrolled in the course after three years of participating in "joint" 
<BR>nasoendoscopic studies in an acute care setting with the ENT passing the 
<BR>scope and the SLP cueing the patient to evaluate voicing and introducing 
<BR>solid and liquid boluses to evaluate swallowing safety--we then document on a 
<BR>joint report and the physician writes additional comments in the Physician 
<BR>Progress Note section of the chart. &nbsp;
<BR> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;While their course is excellent, both Michael and Giselle emphacize 
<BR>that additional practice will be needed for efficacy and proficiency, and 
<BR>that the quantity of practice may vary with each individual and their 
<BR>relationship with a preceptor/mentor. &nbsp;These comments dovetail nicely with 
<BR>similar thoughts expressed by Susan Langmore, whose current ASHA audiotape is 
<BR>also very informative. 
<BR>
<BR>Mary S. Porter, M.A., CCC
<BR>Director of Rehabilitation Services
<BR>Northern Virginia Community Hospital
<BR>Arlington, VA &nbsp;22204
<BR>fax: 703-578-2353</FONT></HTML>

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