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Basic+ FEES Training Course

Course Description

To provide a 19-hour, specialty training course for Speech-Language Pathologists in the background, skills, procedures, and support needed to effectively use fiberoptic nasoendoscopy to assess oropharyngeal dysphagia, and to develop advanced skills in the observation, scoring, analysis, and interpretation of FEES findings needed for concise documentation and focused intervention.

Learning Objectives

  • By completing this course you will be able to:
  1. Use safe & effective manual skills using nasopharyngoscopy to assess the oropharynx, hypopharynx, & larynx before, during, & after each swallowing event.
  2. Describe & use specific FEES® protocols & procedures to assess dynamic swallowing events.
  3. Describe anatomy & physiology of normal & abnormal swallow events, as viewed endoscopically.
  4. Identify & use standard infection control procedures, & identify risks & contraindications for nasoendoscopy.
  5. Score, analyze & interpret FEES® results to recommend appropriate diets and interventions.
  6. Have a minimum of 10 successful endoscope passes on normal subjects following FEES procedures.
  7. Systematically observe & score individual & unique behaviors associated with normal or abnormal oropharyngeal swallowing events as captured using an endoscopic swallow procedure.
  8. Analyze the significance of endoscopically-observed behaviors during an abnormal oropharyngeal swallowing event.
  9. Determine underlying biomechanical/sensory causes of abnormal oropharyngeal swallowing behaviors, which potentially determine directions for intervention and remediation.
  10. Relate observed abnormal swallowing behaviors & their biomechanical/sensory causes to underlying primary medical conditions.
  11. Write a concise & clear report incorporating endoscopic observations of normal & abnormal swallowing events, their significance & underlying causes relative to the primary medical diagnoses, & possible intervention approaches.


Ashford_JohnJohn Ashford, Ph.D., CCC-SLP, Education Director & Co-Owner of SA Swallowing Services
Doctor of Philosophy - Vanderbilt University
Bachelor & Master in Speech-Language Pathology - University of Southern Mississippi
Phone: 615-426-5505 Email: john@sasspllc.com

John is Education Director and Co-Owner of SASS. He is a retired Clinical Speech-Language Pathologist from the Veterans Administration Tennessee Valley Health Care System, and a retired Associate Professor of Speech-Language Pathology from Tennessee State University. He previously held an Adjunct Assistant Clinical Professorship at the Vanderbilt University School of Medicine. He chaired the VA Best Practices in Dysphagia Treatment Taskforce, and served on the ASHA Evidence-Based Practice Group reviewing dysphagia clinical practices. He has served as President of the Tennessee Association of Audiologists and Speech-Language-Pathologists, and on the Tennessee Board of Communication Disorders and Sciences. He does research, is published, and has presented nationally in the areas of dysphagia, oral care, and voice disorders.

SkelleyAshford MichelleMichelle Skelley-Ashford, M.Ed., CCC-SLP, President & Co-Owner
Master of Science in Education, Speech-Language Pathology - Tennessee State University
Bachelor of Science in Speech-Language Pathology - Middle Tennessee State University
Phone: 615-306-3693 Email: michelle@sasspllc.com

Michelle is president and co-owner of SA Swallowing Services. Her experience as a speech-language pathologist includes nursing care facilities, rehabilitation centers, acute care hospitals, & home-health care. She also has experience as an administrator for a home-health care company in west Tennessee. She is certified by the American Speech-Language-Hearing Association and licensed by the Board of Communication Sciences and Disorders in Tennessee, Mississippi, Indiana, & Kentucky. She is a certified clinician and trainer in transnasal endoscopy - Tennessee statutes.


  • Providence/Swedish Employees- $300
  • Non-Providence/Swedish Employees- $600

Registration deadline:  November 3, 2016

Course Information

  • November 11, 2016, 4:00 p.m. – 9:00 p.m.
  • November 12 – 13, 2016, 8:00 a.m. – 5:00 p.m.
  • 19 Contact Hours
  • Appropriate Audience: SLP
  • Providence St. Peter Hospital
  • 413 Lilly Rd NE
    Room 200
    Olympia, WA 98506


David Howell, OTR/L, Rehab Education Manager

Registration Instructions:

Registration closed - Course is full