[Dysphagia] Dysphagia Digest, Vol 40, Issue 9

[noahsark322 at yahoo.com (Sharon Richards)]

Does anyone have the web site/address for ASHA's listserve for dysphagia?
  

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Today's Topics:

1. Re: Swalowing workshop (Todd R. Fix)
2. Re: Swallowing workshop 2 (Furstoss, Jeanne ACMC)


----------------------------------------------------------------------

Message: 1
Date: Mon, 5 Mar 2007 10:47:58 -0500
From: "Todd R. Fix" 
Subject: Re: [Dysphagia] Swalowing workshop
To: "'Staci Otto'" 
Cc: dysphagia at b9.com
Message-ID: <003901c75f3d$a6da32f0$6401a8c0 at toddybcrussy8t>
Content-Type: text/plain; charset="us-ascii"

Staci,

For any of us who have read the posts here over the past years, it seems
apparent that this "original comment" was not out of character. I am
convinced that there is a self-serving motivation which leads to the obvious
behaviors exhibited. Honestly, it saddens me. Unlike ASHA's division 13
listserve, this service seems blatantly pointed at certain individual's
personal character. If you read between the lines, the extrapolation of
original intent is obvious. It is wise to uplift and promote...to do
otherwise is selfish and destructive. Peace and self-growth are paramount.

Todd R. Fix MA CCC/SLP
297 Woodgreen Lane
Winter Springs, FL 32708

(407) 312-0213



-----Original Message-----
From: Staci Otto [mailto:OTTO at email.chop.edu] 
Sent: Monday, March 05, 2007 8:55 AM
To: lobsterpam at aol.com; tfix1 at cfl.rr.com; bsonies at comcast.net;
eripley at yahoo.com
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] Swalowing workshop

Nicely said, Pam. 

One of the many things I love about this field is that you can change
careers within a career- as SLPs we not only find ourselves in the fluoro
department but in schools, early intervention, long term care facilities,
nursing homes, outpatient clinics, rehabilitation, acute care, etc. and
while I have 10+ years of pediatric dysphagia experience, should I desire a
change of venue or to expand my horizons, I would certainly be looking at
basic level courses for outpatient therapy or nursing homes, or school based
therapy, etc.
Let's also not forget the nationwide shortage of SLP's right now, which DOES
often result in hiring of staff that we will eventually provide training to
in specific areas, where the original course in question would be helpful.

Outside of that, I m not sure why the original comment needed to be
made....?

Staci Otto MS CCC-SLP
Senior Speech Pathologist
Center for Childhood Communication
Children's Hospital of Philadelphia
215-590-7636
fax # 215-590-5641


>>> 03/05/07 7:17 AM >>>
Attempting to shelve the sarcasm, here are a few thoughts....

1. Potential employers expect the SLP to have the appropriate knowledge,
skills and expertise when they hire them to work with a given population.
2. SLPs are ethically bound not to practice in areas where they are not
adequately trained.
3. It would be better for the SLP to obtain training in an area where they
feel they need it, whether as a refresher or to make up a deficiency, than
to practice in an area where they are NOT adequately trained.
4. Practice patterns vary greatly among SLPs, and are often not evidence
based. 
5. There is evidence that SLPs, as a group, are not as well versed in the
respiratory and infectious disease literature as we should be, if we are
going to participate in management of conditions thereof. I believe we're
getting better, though.
6. A lot of time is spent convincing graduate students that no matter how
much they have learned, they cannot know everything when they finish their
degree.
7. Continuing education is required for maintenance of certification and,
in most states, for licensure.

All that said, I'm sure we are all aware that ASHA has no requirement that
CEU activities be evidence based. The language included with every activity
states that the content has not been endorsed. "ASHA CE Provider approval
does not imply endorsement of course content, specific products, or clinical
procedures." Attending CEU activities does not absolve the clinician from
personal responsibility to thoughtfully and carefully evaluate the evidence
behind the content and/or clinical approaches. (In other words, we shouldn't
adopt a practice pattern just because someone, somewhere said it sounded
like a good idea and that it seemed to work for someone they worked with
somewhere.)

If you've never read the ASHA Knowledge and Skills document with regard to
swallowing/swallowing disorders, you really should do so.
Compare it to the KASA (Knowledge and Skills Assessment) that students
complete, and you'll see gigantic differences. Differences the size of our
Pennsylvania potholes.

Pam Smith, Ph.D.
Bloomsburg University
Bloomsburg, PA
-----Original Message-----
From: bsonies at comcast.net
To: eripley at yahoo.com; tfix1 at cfl.rr.com
Cc: dysphagia at b9.com
Sent: Sun, 4 Mar 2007 10:50 PM
Subject: Re: [Dysphagia] Swalowing workshop

I guess then that physicians and dentists and psychologists are all so
highly trained once they get their degree that there is no need for them to
get any continuing education either. Maybe they never forget anything they
have learned and are totally up to standards at every moment during their
professional lives. Why single out the SLP?


On 3/4/07 9:41 PM, "Irene Campbell-Taylor" wrote:

> Perhaps you would be so kind as to share what it is you believe me to
be
> missing. My understanding is that these workshops are attended by
practicing
> SLPs and I fail to see why that should be necessary if they are
already
> adequately trained and educated as ASHA's position papers indicate
they should
> be. It seems like a very basic course to me as well as missing some
important
> material so that I should be grateful for your explanation.
> 
> "Todd R. Fix" wrote: Yes Irene. You are missing
something.
> If you yourself were an SLP, you'd
> have answered your own question.
> 
> 
> Todd R. Fix MA CCC/SLP
> 297 Woodgreen Lane
> Winter Springs, FL 32708
> 
> (407) 312-0213
> 
> 
> 
> -----Original Message-----
> From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf
> Of Irene Campbell-Taylor
> Sent: Sunday, March 04, 2007 9:03 AM
> To: dysphagia at b9.com
> Subject: [Dysphagia] Swalowing workshop
> 
> Someone recently poste a notice about a swallowing workshop as
follows:
> 
> 
> 
> This workshop is designed to provide:
> 
> --knowledge and hands on experience with radiographic and clinical
> 
> techniques for evaluation of swallowing problems in a variety of
patients
> 
> (including neurological and cancer patients)
> 
> --strategies for knowing when and how to implement interventions
during
> 
> radiographic studies and in therapy
> 
> --Guidelines for discontinuing alternate feeding techniques
(gastrostomy and
> 
> 
> nasogastric)
> 
> --observation and participation in evaluation of treatment of
patients.
> Extensive review of video-taped x-ray swallowstudies will be
provided.
> 
> I must be missing something but, aren't these the very things that 
> practicing SLPs are supposed to already know - according to the ASHA 
> position papers?
> 
> 
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
> Dysphagia mail list: Normal and disordered swallowing information 
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> 
> 
> 
> 
> 
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
> Dysphagia mail list: Normal and disordered swallowing information 
> Dysphagia at b9.com Manage subscription: 
> http://lists.b9.com/mailman/listinfo/dysphagia
> Visit the new Dysphagia Web Forum: http://dysphagia.com/forum


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------------------------------

Message: 2
Date: Mon, 5 Mar 2007 09:48:21 -0800 
From: "Furstoss, Jeanne ACMC" 
Subject: Re: [Dysphagia] Swallowing workshop 2
To: "'Dysphagia at b9.com'" 
Message-ID:
<2FC9FB8695144D41B3EE180354463BBD03DEF81A at acmc-mail3.acmedctr.ad>
Content-Type: text/plain; charset="iso-8859-1"

"I don't think I will ever see the point in the coy and thinly veiled
questions that appear to me as digs at the SLP profession."

A point may be to encourage an active response: 

1) by professional associations i.e. ASHA, AOTA, who market their
professionals as competant in dysphagia management services, 
-that these associations protect consumers by insuring their professionals
meet the knowledge and skills that their own documents say they have; 
-that these associations take initiative to support serious and creative
interdisciplinary problem solving with dietitians and nurses, toward
unbiased clarification of misconceptions, assessment of consumer needs, and
appropriate outcome service provision, before these professionals are simply
uninvited to the table due to payor decisions or inadequate outcome
performance.

2) by current dysphagia service provision professionals,
-to critically analyze dysphagia service marketing vs. patient outcomes 
-to continue to increase support for each other in understanding and
implementing evidence based practice 
-to try to see in an unbiased way, what is the best use of their skills, and
to subsequently encourage their employers to utilize their skills in such
manners. 




------------------------------

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End of Dysphagia Digest, Vol 40, Issue 9
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