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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.

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Course Objectives

At the completion of this course participants should be able to:

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



John 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
615-426-5505 | 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 Task Force, 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.


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

Course Information

  • Contact Hours Available: 19 ASHA CEUs
  • Appropriate Audience: SLP


David Howell, OTR/L, Rehab Education Manager