Presenter: Paula Leslie, PhD, FRCSLT, CCC-SLP
When striving for autonomy and the push for clinical beneficence clash, service providers need sound advice based on current best practice. This course will examine and discuss values, morals and professional codes related to a variety of challenging situations that occur in everyday practice. Participants will learn a comprehensive model of medical ethics and how this can be successfully applied to their practice in order to better manage complex cases. Course is offered for 0.1 ASHA CEUs – 1 Contact Hour.
Also see course, #e150 – Ethics I: Evidence And Clinical Decision Making
Course Overview – Run Time: 1:11:05
– C.K., prior course participant
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.
"Discussion about personal bias and how to be cognizant of one's own biases when working with patients was helpful. Clear, straight-forward discussion." H.L. (Dec. 2024)
"The examples of how to write accurate notes were helpful. I liked that there were numerous examples." A.G. (Oct. 2024)
"All the information was beneficial and clear, concise with examples given." K.G. (Sep. 2024)
"Beneficial discussion on medical ethics on how we provide what our patients need. I liked the flow of the course. Providing information and giving realistic examples with patient care." G.H. (Sep. 2024)
"The section about clinical documentation was helpful. I liked the real-life examples." E.F. (Sep. 2024)
"Understanding of patient's importance in decisions. I liked the pacing of the presentation." L.S. (Aug. 2024)
"I liked the resources." B.P. (Aug. 2024)
"Discussing what is autonomy in ethical decision-making was helpful." N.W. (Jun. 2024)
"I really appreciated the first section discussing values, morals, and ethics. So important to clearly define especially when working in healthcare settings. I appreciated the presenters expansion on each slide- almost like she was having a professional conversation with each topic. The examples at the end were very helpful as well." M.H. (May. 2024)
"Discussing terminology was beneficial and I liked the examples." B.M. (May. 2024)
"Information on documentation was helpful. I enjoyed the specific examples given." L.H. (Apr. 2024)
"Ethics always comes up in our field, so this was helpful." R.C. (Apr. 2024)
"Discussing the res’ right to decide this care was beneficial." K.K. (Apr. 2024)
"The discussions about documentation were helpful since I supervise graduate students who do seem to struggle with wording, and this helps to give me some language to help provide backing for my suggested wording alternatives. I liked the length: Easy to register and complete from home." R.Z. (Mar. 2024)
"This course really gets to the core of implicit bias, ethics, and is incredibly relevant, relatable, and applicable to SLP profession. It is so powerful to understand how our bias really can harm our patients if not understood and addressed appropriately. It’s wonderful to see our profession moving away from "do it my way or else" and focus on providing the correct tools to our patients to participate and drive their own outcomes." C.K. (Feb. 2024)
"Looking into why the patient may not be motivated through discussion to gain their perspective, as well as diet recommendations and nonmaleficence - I need to always follow up with the dietician consult. Course was well done with a great rate of speech, examples, and resources." J.H. (Jan. 2024)
"Beneficial review of the ethics process and pt motivation including strategies to increase pt motivation." T.M. (Jan. 2024)
"The discussion on recommendations for diet levels was beneficial. I thought the speaker was excellent and very engaging." K.B. (Jan. 2024)
"I am a school-based SLP and appreciated the review of strategies for reading/interpreting and integrating research study results into my current practice. I appreciated the emphasis on considering patient and family perspectives as we present our evaluation results and recommendations, and emphasize the family's role in the team implementation of the treatment plan. Thank you for this course!" L.R. (Jan. 2024)
"There were many areas of importance that were addressed such as in-depth discussion of values, morals, and ethics as it relates to professional decisions and the culture and values of the patient and the family. When professionals have questions about patient care, they should refer to publications and research in the area of ethics (ASHA; APTA; AOTA)." A.B. (Dec. 2023)
"Dr. Leslie's presentation was excellent. She presented very complex information in a clear and organized manner." A.B. (Dec. 2023)
"I found this course helpful and could directly apply what I learned to my work in an acute medical setting." J.N. (Dec. 2023)
"Ways to deal with patients who seem uncooperative. I liked the knowledge and how it was shared by the presenter." L.H. (Dec. 2023)
"The presenter was engaging. Distinctions among values, morals, and ethics." R.W. (Dec. 2023)
"The 4 pillars of medical ethics and the review of ASHA's code of ethics were beneficial topics." W.G. (Oct. 2023)
"Clear, concise presentation. I liked the case study applications." L.S. (Oct. 2023)
"I liked exploring the individual ethics questions and range of options. The presenter was straightforward and maintained my interest." T.R. (Sep. 2023)
"The definitions of values, morals, and ethics was beneficial. I liked the case studies." M.C. (Sep. 2023)
"The discussion on cores of medical ethics was helpful." H.W. (Sep. 2023)
"Documentation suggestions were beneficial. I liked the personal bias section and presenter's stories." G.F. (Aug. 2023)
"Learning how best to document sessions with clients. Lovely to listen to this speaker." T.O. (Aug. 2023)
"The topics of Bias and Patient Autonomy were helpful. I liked the discussion that treatment interventions should not be top-down dictated by SLP, rather options should always be explored between pt/caregiver and SLP." J.M. (Aug. 2023)
"I was extremely impressed and grateful about the fact that the patient's input was a large focus of this presentation. I really appreciated the thorough manner in which this information was explained." M.K. (Aug. 2023)
"Excellent. I liked the speaker's style, rate of presentation and handouts." J.Z. (Aug. 2023)
"Importance of elaborating on teach-back to support clinical decision-making was beneficial. I liked that the course covered ethics criteria." A.D. (Jul. 2023)
"Talking about how to document properly was beneficial." A.M. (Jul. 2023)
"This serious material was presented in a kind, even-handed manner." J.A. (Jul. 2023)
"I found it helpful to sort out the differences between values, morals and ethics. I agree that it is necessary to understand that you have biases and need to understand when and how they may impact your treatment delivery." S.P. (Jul. 2023)
"I liked the discussion of autonomy, beneficence, justice, and maleficence. The suggestion to consider use of these terms in documentation was interesting. I need the practice to do that accurately and effectively." S.P. (Jul. 2023)
"Discussing the distinction between values, morals, and ethics was beneficial." M.G. (Jun. 2023)
"I really liked the specific definition of terms. I thought this course was concise, relevant, and to the point." A.J. (Jun. 2023)
"The topic on unmotivated patients was beneficial. I liked the video presentation and appropriate handouts." K.M. (Jun. 2023)
"I liked the discussion of bias." C.S. (Jun. 2023)
"Autonomy discussion was beneficial. I liked the presentation of relevant cases." N.H. (May 2023)
"Discussion of documentation and its importance! I liked the specific examples." M.C. (Mar. 2023)
"This course had detailed explanations and examples. I liked the practical application, critical thinking, decision making, and metacognitive aspect of learning." L.M. (Mar. 2023)
"This helped me reframe some of the language I use in documentation, especially eliminating "appeared to be" altogether and only reporting on actions and statements. Ex. I might typically say, "patient appeared agitated as evidenced by throwing a book across the room," and instead, just state what happened, "patient threw a book across the room and spoke in an elevated volume." I liked the digestible concepts." K.D. (Mar. 2023)
"I liked that this course discussed some specific scenarios and what to do/say." B.D. (Mar. 2023)
"Direct and concise course. Defining the difference between values, ethics, and morals and highlighting personal bias was beneficial." A.Z. (Mar. 2023)
"The presenter used realistic and reliable examples. I liked learning about personal bias." L.W. (Mar. 2023)
"I liked the clarity of information and discussion of personal bias." E.G. (Feb. 2023)
"Course was a nice and brief review of what ethics is. The “how” of clinical notes was a very good reminder." C.M. (Feb. 2023)
"Easy to follow slides and clear definitions of values, morals, and ethics. I liked the examples given of patient's beliefs and values that might be different from SLP's." N.O. (Feb. 2023)
"Mention of use of existing patient preferences in decision making. Inclusion of general scope of practices." L.L. (Feb. 2023)
"Clear and concise content. Learning about bias was helpful." R.M. (Feb. 2023)
"Understanding that it's imperative to understand the role of ethics, morals and values while treating the patient as a whole, and providing evidence based intervention, while respecting patient wishes and practicing justice in the system. Liked that I can go at my own pace and not feel rushed with the test!" A.E. (Jan. 2023)
"I liked the review of Values, Morals and the subsets of Code of Ethics. And the examples given." D.L. (Jan. 2023)
"I deal with these issues discussed often. I liked the ease of taking this course from home." S.K. (Jan. 2023)
"Thorough course. Ethical presentations always bring up scenarios for a clinician that are thought provoking." K.W. (Dec. 2022)
"Speaker was knowledgeable and easy to listen to. Understanding the patient perspective." M.C. (Dec. 2022)
"Short, to the point, good information. Discussing noncompliance with the patient was beneficial. I liked the opportunity to be thoughtful about these issues. I am grateful to the speaker for the research she had to do to put this course together." M.G. (Dec. 2022)
"Emphasizing the importance of listening to patients, and "meeting them where they are". I liked the discussion of personal bias, and how that can affect one's perception of an individual." S.F. (Dec. 2022)
"This whole course was a nice refresher on ethics. I liked the ease of access of the course." C.B. (Dec. 2022)
"Real-life clinical scenarios - liked the discussion of autonomy, non-maleficence, justice." S.A. (Dec. 2022)
"Very detailed and thorough course. I liked the discussion of patient autonomy and beneficence." C.G. (Dec. 2022)
"I found it interesting the discussion of personal values and biases and the need to recognize those in my own practice." B.D. (Nov. 2022)
"I enjoyed the discussion regarding personal bias, as well as the presenter's illustration of ethical issues through case studies. Easy to follow and good use of examples." K.B. (Nov. 2022)
"The course was easy to listen to." M.D. (Nov. 2022)
"Good overview of ethical issues." H.B. (Nov. 2022)
"I liked the examples of ethical decision-making and the information on Medical Ethics. The presenter used inflection, maintained the flow of the presentation, and gave personal examples." L.S. (Nov. 2022)
"Broad and specific examples." S.M. (Nov. 2022)
"This was a good review of medical ethics. I enjoyed the instructor's personal experience, examples and case studies." A.O. (Nov. 2022)
"I liked the convenience and cost." J.G. (Oct. 2022)
"I would recommend this course." M.L. (Oct. 2022)
"The definitions and differentiation of values, morals, and ethics were good topics. The course was clear and concise." H.K. (Sept. 2022)
"This class was great! Navigating how ethics can influence choices in treatment - it is not something that was available to me as a practicing clinician. I really enjoyed the content and the way the instructor presented it." K.C. (Sept. 2022)
"Presenter was clear and natural in her presentation." I.K. (Aug. 2022)
"Liked the concise nature. Good overall coverage of the topic." D.R. (Aug. 2022)
"The slides were clear and helpful. Liked hearing about Justice and how other disciplines describe specifics in this - i.e., PT, OT." M.S. (Aug. 2022)
"The importance of patient autonomy - I always enjoy Paula Leslie's presentations - she is such a good presenter." J.S. (July 2022)
"Direct and informative. The discussion on values was interesting." J.G. (July 2022)
"Specific examples of beneficence and how to avoid harm by lack of action. Good case examples, along with the use of not just ASHA, but also AOTA and APTA codes of ethics and Medical Ethics." K.C (July 2022)
"Liked the skilled nursing dilemmas in swallowing. Use of experience in teaching." K.C (July 2022)
"Dr. Leslie was very easy to listen to. Very clear in her explanations." J.G (July 2022)
"I liked the discussion regarding unmotivated clients, and values and personal bias. Clear information and good examples to make you think and evaluate your own personal biases and values." T.K. (June 2022)
"I liked the discussion of values vs morals vs ethics, and the conversational nature of the course with many examples." L.A. (June 2022)
"I liked discussion on medical ethics. The course was concise and easy to apply to daily practice." J.C. (June 2022)
"I enjoyed the real-life examples of ethical dilemmas that allowed the listener to go through critical thinking of how different situations may be best resolved. I enjoyed the interdisciplinary content in this course looking at the ethics in several organizations (e.g., ASHA, AOTA)." J.C. (June 2022)
"The course was straightforward and clear." L.G. (June 2022)
"Clear and easy to follow with reasonable/relatable examples." M.B. (June 2022)
"The presenter offered information in a clear manner. The handout and resources were helpful." D.G. (June 2022)
"This course helped to remind me that our code of ethics is not there to hurt us or scare us but to help and support us. We can refer to it when we have questions or concerns and it can defend or justify our course of action in treating our patients." A.H. (May 2022)
"I liked that course discussed real life situations, and that it was self-paced." R.R. (May 2022)
"I liked the order of the issues. The presenter was nice and thorough and efficient." A.A. (Apr. 2022)
"I liked the clear definitions and strong presentation of ethics as well as the examples provided for the clinical settings with values and bias." W.M. (Apr. 2022)
"The complex interaction between our own clinical and personal biases, general principles of ethics, and professional ethical codes were good. I liked the simple definitions of ethics vs. morals vs. values. Also liked the cases studies - MORE!" C.J. (Apr. 2022)
"It was beneficial understanding the difference between values, morals and bias in relationship to working with clients who may come with differing beliefs or culture. Dr. Leslie speaks very clearly and concisely, making her very easy to listen to. Her wealth of knowledge and love of our profession was also very apparent. I liked everything about the course." J.N. (Mar. 2022)
“I enjoyed the speakers clear, well-paced, style of presentation.” D.B. (Feb. 2022)
"I liked the case scenarios that she presented and how she worked through what her role was." S.B. (Jan. 2022)
"I loved the presenter. She had a very nice way of explaining the content." C.C. (Jan. 2022)
"Great info and course was easy to navigate." C.M. (Jan. 2022)
"Considering what my values and bias might be and how I will need to consider how it effects my treatment and treatment plan considerations based on the client and family needs." S.B. (Jan. 2022)
"The entire presentation was clearly explained." C.R. (Jan. 2022)
Paula Leslie, PhD, FRCSLT, CCC-SLP, is a professor and director of the Doctor of Clinical Science in Medical Speech-Language Pathology. She maintains full clinical licenses in the USA and UK where she is a Specialist Adviser to the Royal College of Speech & Language Therapy in swallowing disorders. She provides support to researchers and provides continuing education from grassroots to international level and across the health professions on complex clinical decision making, ethics, and end of life decisions in vulnerable populations. Her honors include the Honors of the Association Southwestern Pennsylvania Speech-Language-Hearing Association, the American Speech-Language-Hearing Association DiCarlo Clinical Achievement Award, the Pennsylvania Speech-Language-Hearing Association Clinical Achievement Award, and Fellow of the Royal College of Speech & Language Therapists (UK).
Speaker Disclosures:
Financial — Paula Leslie is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Leslie has no relevant nonfinancial relationships to disclose.
This program is offered for 0.1 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
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:
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.
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.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
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 My Online 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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
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 currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.com or fax to 888-696-9655.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Receiving CEUs:
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Testing requirements:
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs 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 CEU limits related to home-study courses prior to enrolling in an online course.
Course formats:
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.
Course handouts:
Most of our online courses provide a link to download the accompanying handout as a PDF file.
Group discounts:
Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
Computer requirements:
For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Special Needs:
Please click here for any special needs requests, and we will do our best to accommodate them.
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