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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
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The Modified Barium Swallow Impairment Profile: MBSImP™ Standardized Training and Reliability Testing

# e01   The Modified Barium Swallow Impairment Profile: MBSImP™ Standardized Training and Reliability Testing

by Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Fellow

2.1 CEUs

$ 600.00

Course Description

This self-study, online CEU course includes the MBSImP™ standardized clinical training and reliability testing. The MBSImP approach provides a validated and evidence-based protocol to interpret and communicate MBS study results in a manner that is consistent, specific, accurate, and objective.

Participants will learn to employ a standardized assessment of swallowing impairment through examination of 17 essential physiologic components of the swallowing mechanism in adults. Utilizing videofluoroscopic images paired and synchronized with custom swallow physiology animations, participants are systematically taught the 17 physiologic components and standardized impairment scores associated with each that together comprise the MBSImP standardized assessment.

The training format provides ample opportunity for interactive practice and includes  feedback as to scoring accuracy. When ready, participants will demonstrate their competency in the reliability zone testing. Participants may work at their own pace and have unlimited time to complete this training. The Reliability Testing may be repeated as needed. The MBSImP training and testing are entirely Internet-based and require no special software. Offered for 2.1 ASHA CEUs – 21 contact hours. Upgraded in 2016 with high-resolution swallow studies and other new features to enhance learning.



Content Disclosure: This online CE course focuses on the MBSImP approach for assessment of swallowing impairment.  Other assessment protocols will not be included in this course. View financial and non-financial disclosures on the Presenter & Disclosures tab.

Prerequisites: A degree in Speech-Language Pathology and hold the CCC from ASHA or an international equivalent SLP certification. If a Clinical Fellow (CFY) or a graduate student, please email mbsimp@northernspeech.com for more details.

*Groups of 3 or more must submit all enrollment forms together to receive the group discount.
**Purchase orders are accepted, however, they do not constitute payment. 

Access to the training will only be granted after payment is 
received in the form of check or credit card.


Course Format

This online training contains audio, visual and interactive practice components. Participants may work at their own pace and have unlimited time to finish. Specifically this training is divided into Zones:

LEARNING ZONE: Participants are taught 17 physiologic components and their associated impairment scores which together comprise the MBSImP assessment. Bonnie Martin-Harris, PhD provides an audio narration as participants view videofluoroscopy segments, each combined and synchronized with state-of-the-art swallow animations. tour learning zone 

TRAINING ZONE: Updated in 2016 to include new, high-resolution swallow studies, plus enhanced Scoring Help resources. Participants practice scoring each MBSImP component, initially on single, isolated swallows taken from swallow studies, and then practice scoring each component on full MBS studies. Immediate feedback is provided and this zone may be repeated as needed to refine scoring accuracy. tour training zone 

RELIABILITY ZONE: This is the testing zoneParticipants are tested on their newly acquired skill in using the MBSImP scoring metric to successfully capture and profile swallowing impairment in adults. Ten high-resolution swallow studies are presented for scoring. Accuracy of 80% or higher must be achieved on each of the 17 components. Partial retests are required only on those components scored with less than 80% accuracytour reliability zone 
PATIENT DATA & REPORTS: Once the Reliability Zone has been successfully completed, access is granted to the very functional "Patient Data & Reports" clinical area of www.mbsimp.com. This area provides free online templates for clinicians to generate standardized assessment reports based on MBSImP impairment scores.  tour of express reports  |  tour of full report templates


Registered MBSImP Clinicians

Learners who complete this training and pass the online Reliability Assessment testing will earn the designation of Registered MBSImP Clinician A current list of Registered MBSImP Clinicians may be viewed hereRegistered MBSImP Clinicians have access to the MBSImP Patient Data & Reports area where standardized assessment reports may be generated and saved. See below for more information. Registered MBSImP Clinician status is awarded for a period of 5 years. The 5-year renewal process will consist of a $99 renewal fee and completion of a 5-hour CEU training & testing related to the MBSImP.


Standardized Assessment Reports

The MBSImP is much more than simply a CE training program! Completion of the MBSImP standardized clinical training and reliability testing is just the beginning of all that the MBSImP approach was intended to be.

The clinical training portion of www.mbsimp.com introduced a standardized approach for objectively profiling swallow impairment. The Patient Data & Reports area of www.mbsimp.com then allows for Registered MBSImP Clinicians to communicate those results via standardized assessment reports. Access to these online report generating templates is granted at no additional cost to those who successfully pass the Reliability Zone testing. Registered MBSImP Clinicians can use these clinical tools to:

  • Generate standardized assessment reports. These reports will be detailed and reflective of the study and comply with Joint Commission requirements for documentation. tour of express reports and tour of full report templates plus view sample full report or view sample express report
  • Maintain a database of their patients with dysphagia, consisting of de-identified data that includes diagnoses, MBSImP results, effectiveness of intervention and patient outcomes. 
  • Track patient progress and outcomes and demonstrate evidence for treatment. 
  • Contribute to the first and only international data registry dedicated solely to swallowing dysfunction, providing an adjunct to research that has never existed, until now.


MBSImP Notes & Disclosures 

  • Prerequisite #1: Knowledge of swallow anatomy & physiology is assumed and is not a focus in this online training. 
  • Prerequisite #2: The enrollee must hold the Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association (ASHA). If outside the United States, the enrollee must be certified, licensed and/or otherwise recognized by his or her Speech-Language Pathology governing agency. Graduate students or enrollees in their clinical fellowship year (CFY) may access this training – please email mbsimp@northernspeech.com for details. View MBSImP Terms of Use.
  • Target Population: The MBSImP was validated using patients 18 years and older, as such, the included swallow animations and sample videofluoroscopy visuals are of adult swallow physiology. 
  • Earning CEUs: Enrollment does not guarantee the enrollee will earn CEUs nor earn the designation of "Registered MBSImP Clinician." Both are dependent on the enrollee meeting the passing requirements within the Reliability Zone testing.  CEUs are awarded on the date of successful testing completion only.  CEUs cannot be awarded partially nor proactively. View MBSImP Terms of Use.
  • Software Requirements: Downloading the newest version of your Internet browser and latest version of Adobe Flash Player is required.  Both the Training Zones and Patient Data & Reports section are completely Internet-based.  There is no special software to purchase. 
  • Internet Requirements: This training website functions best using a high-speed Internet connection (cable provider). DSL providers may not provide sufficient download speeds to load the animations and swallow studies. DSL connections are not recommended and the features of this web-based training cannot be guaranteed to function as intended with download speeds of less than 2.5 Mbps and users may experience video loading delays when accessing via download speeds of less than 10 Mbps. 
  • iPad /Tablet Viewing: This training website requires Flash Player, as such it is best viewed using a desktop or laptop computer (Mac or PC). This training website may be accessible on an iPad by using App's such as Puffin Web Browser or others available in the App Store. Northern Speech cannot guarantee all aspects of www.mbsimp.com will function as intended when viewing via an iPad or other tablet or mobile device.
  • Time: Learners have unlimited log-in access and unlimited time to complete the training and testing. Most learners require between 20 and 30 hours in total to complete this training. 
  • Testing: The Reliability Zone may be repeated as needed to achieve 80% accuracy on each component tested. (No re-testing fees.)
  • Renewal Fees: Registered MBSImP Clinician status is awarded for a period of 5 years from date of passing the online reliability testing. A 5-hour MBSImP-related CEU training and a renewal fee of $99 will be required to maintain Registered MBSImP Clinician status for a second 5-year period. 

After completion of this online training, participants will be able to:

  1. List the 17 physiologic swallowing components comprising the MBSImP™ assessment protocol.
  2. Identify standardized terms for describing observations of the adult swallowing mechanism as seen on videofluoroscopic swallow studies.
  3. Explain the scoring metric for each of the 17 physiologic components comprising the MBSImP assessment protocol.
  4. Apply the MBSImP scoring metric to videofluoroscopic swallow studies of adult patients.
  5. Demonstrate the ability to score successfully (with 80% accuracy) each of the 17 physiologic components when viewing videofluoroscopic swallow studies of adult patients. 

Prerequisite: A degree in Speech-Language Pathology and hold the CCC from ASHA or an international equivalent SLP certification. If a graduate student or Clinical Fellow (CF), please email mbsimp@northernspeech.com for more details.

Content Disclosure: This online CE course focuses exclusively on the MBSImP approach for swallow impairment assessment.  Other assessment protocols will not be included in this course. 

Post Test and Certificate of Completion: Accuracy of 80% or higher must be achieved on each of the 17 components across the 10 swallow studies in the Reliability Zone testing in order to receive a certificate of completion and earn Registered MBSImP Clinician status. Retesting will be required only on those components scored with less than 80% accuracy. CEUs cannot be awarded partially nor proactively.

 





Bonnie Martin-Harris,

PhD, CCC-SLP, BCS-S,
ASHA Fellow


Dr. Martin-Harris is the Alice Gabrielle Twight Professor in the Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, and Associate Dean for Academic Affairs in the School of Communication at Northwestern University. She is also Professor, Otolaryngology-Head and Neck Surgery and Radiation Oncology, Feinberg School of Medicine.

She is a Past-President of the Dysphagia Research Society, past Chair of the Specialty Board for Board Certification in Swallowing and Swallowing Disorders (BCS-S), and Associate Editor for the Dysphagia Journal. She is an ASHA Fellow, recipient of the 2016 Admiral Albert J. Baciocco Innovation Award – Medical University of South Carolina (MUSC), The 2017 12th Annual Pepper Lecturer, Northwestern School of Communication, Honorary Member of the MUSC Chapter of The National Academy of Inventors, recipient of Honors from the South Carolina Speech-Language-Hearing Association (SCSHA), 2010 MUSC College of Health Professions Scholar of the Year Award, and associate member of the Academy of Otolaryngology-Head and Neck Surgery and the American Head and Neck Society.

Dr. Martin-Harris is the author and developer of the first standardized method for videofluoroscopic assessment of swallowing impairment (Modified Barium Swallowing Impairment Profile, MBSImP™), translated to research and clinical practice in the United States, Canada and 13 additional countries. She is also author of the manual, "Standardized Training In Swallowing Physiology—Evidence-Based Assessment Using The MBSImP Approach" published by Northern Speech Services. Her work is funded by the National Institutes on Deafness and Other Communication Disorders (NIDCD), the Veteran’s Administration, and the Mark and Evelyn Trammell Foundation.

Presenter Disclosures:

Financial Bonnie Martin-Harris is presenter of CE seminars and online CE courses sponsored by Northern Speech Services; receives speaking fees and royalties.

Financial — Bonnie Martin-Harris is author of "Standardized Training In Swallowing Physiology — Evidence-Based Assessment Using The MBSImP Approach" published by Northern Speech Services; receives royalties. 

Financial — Bonnie Martin-Harris' former employer, MUSC, receives royalty payments from Northern Speech related to enrollment tuition of the MBSImP Online Training.

Financial — Bonnie Martin-Harris' MBSImP research and development was funded in part by Bracco Diagnostics; received grant funding.

Financial — Bonnie Martin-Harris' research is funded in part by the Veteran's Administration (VA); receives grant and research funding.
 
Financial — Bonnie Martin-Harris' research is funded in part by the Mark and Evelyn Trammell Foundation; receives grant funding.
 
Financial — Bonnie Martin-Harris' research is funded in part by the National Institutes on Deafness and Other Communication Disorders (NIH/NIDCD); receives grant and research funding.
 
Nonfinancial — Bonnie Martin-Harris is associated with numerous journals, publications and boards related to speech-language pathology; receives no compensation in these roles.

Intended Audience

  • SLP

This program is offered for 2.1 CEUs (Intermediate level; Professional area).

Offered for 21 CEEs. Northern Speech Services’ continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity’s eligibility for CEEs does not imply SAC’s endorsement of its content or any associated products or procedures.

Content Disclosure: This online CE course exclusively focuses on the MBSImP for swallow impairment assessment.  Other assessment protocols will not be included in this course.

Financial Disclosure: Funding for the development of this training website was provided in part by grants from Bracco Diagnostics and by grants from the Mark and Evelyn Trammell Trust. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

Prerequisite: Participants must have a degree in Speech-Language Pathology.

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

ASHA CE Registry:  During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUS: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Peer Reviewed: This course was peer reviewed and registered with ASHA on 08/31/2016.

  • Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

  • Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.

  • Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

  • ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

  • Purchase Orders: Purchase orders are accepted, however, they do not constitute payment. Access to the training will only be granted after payment is received in the form of check or credit card.

  • More FAQ: Please click here.

More Offerings by: Bonnie Martin-Harris

Ecourses

  E-Course # Course Title & Author CEUs Price  
e001 Introduction to MBSImP™ – A Standardized Protocol for Assessment of Swallowing Impairment
Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Fellow
0.6 $124.00
e137 Dysphagia Assessment: A Comprehensive Review of Evidence-Based Practice
Roxann Gross, PhD, CCC-SLP and Jacqueline Hind, MS, CCC-SLP, BCS-S and Christy Ludlow, PhD, CCC-SLP and Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Fellow and Paula Sullivan, MS, CCC-SLP, BCS-S
1.0 $139.00
e103 Dysphagia: Integrating Respiration and Deglutition
Bonnie Martin-Harris, PhD, CCC-SLP, BCS-S, ASHA Fellow
0.1 $24.00

Products

  Title Price  
Standardized Training in Swallowing Physiology: Evidence-Based Assessment Using the Modified Barium Swallowing Impairment Profile (MBSImP™) Approach $59.00

What your colleagues are saying about the MBSImP:

"I found it to be exceptional. . . It’s objective and allows for better communication between trained therapists. Can’t recommend it enough."

"I really enjoyed the course and am recommending it to all my colleagues. It was positively challenging. I feel so much more confident when evaluating our VFSS results now and it truly does save time in the long run."

"The characteristics for each component are well defined, the videos provide excellent examples of the components. The attention to detail is outstanding. The learning is enhanced by the availability of the replay of the videos for study."

"I am so excited to have this standardization protocol in place. I have been frustrated for a long time with the differences in interpretation of MBSs from one clinician to another. I think this will add credibility to our profession. I am excited to start using the reports and contribute to research!"

"After the course last weekend I came in Monday morning and had one of the hardest MBS studies I have ever had. Needless to say the study was a tricky one but I felt so much more confident in my assessment. I used the protocol, implemented strategies, and completed what I believe was a comprehensive and insightful study. Therapy will ensue and the patient can be helped. Thanks to MBSImP what could have been an overwhelming task was manageable. I can't thank you all enough."

"I am an experienced UK clinician, working routinely with videofluoroscopy for a number of years. Working through your course has very tangibly advanced my clinical practice, my thinking and my analytical eye for reading radiographic images. The package you've put together for clinicians is so robust and supportive, I will be highly recommending it for progressing our clinical skill and standardization in this field."

 

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