Introduction to FEES

A Self-Study Webinar

This online Fiberoptic Endoscopic Evaluation of Swallowing (FEES) course provides the foundation for starting your journey toward FEES competency. Taught by a team of experienced clinicians, this course is informative and practical. This course consists of video presentations, images and video clips from FEES exams, and relevant research articles to support learning. Course instructors will hold intermittent web chats for Q and A for participants in this course.
Introduction to FEES

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Course Information

This online FEES training course provides the foundation for starting your journey toward FEES competency. Taught by a team of energetic and experienced clinicians who still carry an active caseload, this course is both informative and fun. Course instructors have been deemed competent for supervision and training in FEES by board certified Otolaryngologists. 

Throughout this course we infuse citations from other research. In each section, we have included access to papers that were open access or that we had permission to share for you to read.. Also, we provided links to other resources that you can look over to enhance your understanding where appropriate. Finally, we have included handouts throughout this course that you can download.

Included in this course:

  • A review of recent research regarding instrumental swallowing assessments, specifically FEES
  • A review of the nasal, pharyngeal, and laryngeal anatomy, including normal and abnormal variants
  • A review of normal swallowing in adults and geriatrics
  • Information is provided on advocating for instrumentals, developing a FEES program, and incorporating FEES into clinical practice
  • A FEES protocol including anatomy/physiology assessment, bolus trials, and intervention application
  • An overview of rating scales available for use with FEES
  • A review of clips from recorded FEES exams to allow the participants to begin to understand FEES interpretation

Following this course:

Hands-on supervision is essential in becoming competent in FEES. We offer live, in person courses where we provide a more in depth look at FEES interpretation and offer hands-on supervision. Our hands-on training provides a focus on obtaining optimal view of the larynx while keeping in mind the ergonomics of the endoscopist. It is essential to check with your state and your facility to determine requirements for FEES competency. Following this Into Course, you are eligible for discounted tuition for a CSP hands-on FEES Training Course. 

Learning Objectives:

Following this course, participants will be able to:

  • Discuss research supporting use of FEES.
  • Label swallowing anatomy from a superior view.
  • Identify normal and abnormal swallowing physiology on FEES.
  • Describe rating scales that can be used with FEES.
  • Outline a FEES protocol, incorporating an Anatomy and Physiology Assessment.

This course is offered for 1.5 ASHA CEUs (Intermediate Level, Professional Area).

Webinar Notice:
Successful participation in this course includes completion of all chapters and chapter quizzes, as well as completion of the post-test with a score of 80% or higher. A course completion certificate will be generated automatically following successful course completion. If you would like to have your participation reported to ASHA, it must be indicated on the registration form. Participation will be reported to ASHA on a quarterly basis following successful completion of the course. Quarters run as follows: Jan-March, April-June, July-September, and October-December. Submissions are due by December 31st at 11:59 pm EST in order to be submitted for that year.

ASHA CE Providers have up to 45 days from the course's end date to send your participation to the ASHA CE Registry. The ASHA CE Registry processing time usually takes one week. During periods of heavy volume, processing time may be longer.

About the Instructors:

Jennifer Barnett, M.S., CCC-SLP
Jennifer Barnett completed her undergraduate and graduate education at the University of Nebraska-Lincoln, graduating in 2007. She is currently an owner of Mobile FEES, LLC providing mobile endoscopic swallow studies in the Midwest. She has received multiple ACE continuing education awards and has presented at area dysphagia study groups, state associations meetings, and guest lectured at a local universities.
Disclosures:  Jennifer Barnett has the following financial disclosure. She is an owner of Mobile FEES, LLC and receives payment from Carolina Speech Pathology for teaching. Ms. Barnett has no non-financial relationships to disclose.

Vanessa Lauf, M.S., CCC-SLP, BCS-S
Vanessa Lauf received a Masters degree from Loyola University in 2006 and her BCS-S in 2018. She serves as Clinical Lead SLP for Carolina Speech Pathology and also carries an active caseload. Vanessa has worked in the acute care and outpatient setting with adults and pediatrics. She has presented at ASHA and state conferences. She has taught Advanced Dysphagia and Ethics at the graduate level.
Disclosures: Vanessa Lauf has the following financial relationship to disclose. She is a salaried employee of Carolina Speech Pathology. Ms. Lauf has no non-financial relationships to disclose.

Selena Reece, M.S., CCC-SLP, BCS-S
Selena Reece received a Master’s degree from the University of North Carolina at Chapel Hill in 2003. She has worked in acute care, outpatient, and inpatient rehabilitation settings. She currently serves as the Director of Educational Resources for Carolina Speech Pathology, while carrying an active caseload providing mobile FEES services. She is a Board Certified Specialist in Swallowing and an ACE continuing education award recipient. Selena was featured on Swallow Your Pride Podcast, Episode 18 and has presented on FEES at state and national conferences.
Disclosures: Selena Reece has the following financial relationship to disclose. She is a salaried employee of Carolina Speech Pathology. Ms. Reece has no non-financial relationships to disclose.

Time Ordered Agenda:

  • 00:00:   Video 1: Introduction to FEES Part 1: Purpose of FEES, The SLP's Role, FEES
    Training, FEES Equipment
  • 00:20:   Video 2: Purpose of FEES, The SLP's Role, FEES Training, FEES Equipment
  • 01:44:   Anatomy Video, Read Article 1, Take Quiz
  • 02:06:   Video 3: The Endoscopic View, FEES Guidelines/Protocols
  • 02:44:   Read Article 2 and Article 3, Take Quiz
  • 04:33:   Video 4: Introduction to FEES Part 4: Scope Positioning During FEES, Normal
    Swallowing Video
  • 05:01:   Video 5: Introduction to FEES Part 5: Advocating for Instrumentals, Making
    Diagnostic Decision, and Starting a FEES Program
  • 05:39:   Read Article 4 and Article 5, Take Quiz
  • 08:26:   Video 6: Introduction to FEES Part 6: Identifying Dysphagia with FEES
  • 09:18   Read Article 6 and Article 8. (Article 7 is optional). Take Quiz
  • 11:28:   Video 7: Introduction to FEES Part 7: Use of Rating Scales, Intervention
    Application, Summary
  • 11:53:   Read Article 9, Article 10, Article 11, and Article 12, Take Quiz
  • 15:00:  Complete Post Test