FEES 2021: Instrumental Dysphagia Assessment

Transnasal endoscopy training (FEES) for Speech-Language Pathologists assessing oropharyngeal swallowing functions. Content included FEES development, anatomy/physiology, protocols/procedures, equipment needs, medical issues & infection control procedures, scoring, analysis & interpretation.  Participants received hands-on endoscope training & case-based analysis exercises.

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SKU: FEES 2021 Basic Course Category:


Presented by SA Swallowing Services, PLLC

Nashville, Tennessee

Course Dates: Due to COVID-19, class size held to 15 until further notice

  • January 23-24, 2021 Completed
  • March 27 & 28, 2021 Completed
  • July 17 & 18, 2021 Completed
  • September 25 & 26, 2021 Completed
  • November 13 & 14, 2021 (Wait List Only)


To provide a two-day training course for Speech-Language Pathologists in the use of transnasal endoscopy to assess pharyngeal dysphagia using a standard FEES assessment protocol, and scoring and analysis procedures.

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

  • Apply safe & effective manual skills using nasoendoscopy to assess the oropharynx, hypopharynx, & larynx before, during, & after each swallow event;
  • Describe & use specific FEES protocols & procedures to capture & assess dynamic & complex swallowing events;
  • Describe & evaluate the anatomy & physiology of swallow peristalsis & airway protection functions during normal & abnormal swallowing events, as viewed endoscopically;
  • Identify, understand, & use standard infection control procedures with any FEES procedure;
  • Identify any risks or contraindications for administering the FEES procedure; and
  • Score, analyze, & interpret FEES results to recommend & guide appropriate interventions. 

Faculty: – Certified, Experienced and Knowledgeable

Michelle Skelley, M.Ed., CCC-SLP

SA Swallowing Services, PLLC

John R. Ashford, Ph.D., CCC-SLP

SA Swallowing Services, PLLC

Matt Ward, M.S., CCC-SLP

SA Swallowing Services, PLLC

Sheri Coker, RN, M.S., CCC-SLP

SA Swallowing Services, PLLC

Christina Everett M.S., CCC-SLP

SA Swallowing Services, PLLC

Travis Camp, M.S., CCC-SLP

SA Swallowing Services, PLLC

Intended Audience Only:

Speech-Language Pathologists with earned Master’s degree or above who are working in the medical community.  Graduate students in their final year of training and who have completed a university dysphagia course may attend. Registration by non-SLP professions will not be permitted.

Course Location:

Select Specialty Hospital, 2004 Hayes Street, Nashville, Tennessee 37221.  All courses held on the first-floor conference facility–Charity Hall.  After registering for a course, a Letter of Confirmation and course agenda will be sent to you.

Hotel Accommodations:

Living accommodations are at the discretion of the participant.

Course Registration and Tuition:

$500.00.   Includes lunch and refreshments both days, hands-on endoscope training, and a 140-page training manual (lecture powerpoints, scoring forms, report examples, other information) to take home.  A maximum of 20 participants will be registered per course. Student and group discounts are not permitted. Participants may register by check, money order, or online using PayPal (you do not have to have a PayPal account).

Continuing Education Credit:

This course is offered for 1.6 ASHA CEU’s (Intermediate Level).

Program Completion Requirements:

Participants are expected to be present for the entire program. Individuals who are not present for the full program will not be recommended for ASHA CEUs. No partial credit will be provided.


-Ms. Skelley: Financial-Co-owner of SA Swallowing Services & paid presenter/supervisor; Non-financial relationships- none.

-Dr. Ashford: Financial-Financial-Co-owner of SA Swallowing Services & paid presenter/supervisor; Non-financial relationships- none.

-Mr. Ward: Financial-paid presenter/coordinator. Non-financial relationships-none.

-Ms. Everett: Financial-paid presenter/supervisor. Non-financial relationships-none.

-Mr. Camp: Financial-paid presenter/supervisor. Non-financial relationships-none.

-Ms. Coker: Financial-paid supervisor. Non-financial relationships-none.

-ATMOS Medical, Inc.: Financial-Participant tuition support; Non-financial-equipment loan.

-Optim LLC/Spar Medical, Inc.: Financial: None; Non-financial-equipment loan.

-Select Specialty Hospital: Financial: None; Non-financial-use of facility meeting space

Course Switching and Cancellation Policies: 

Cancellations: 30 days or more before course date: 100% of course tuition, less PayPal processing fees, will be refunded

10 to 29 days before course date: 50% of tuition, less PayPal processing fees, will be refunded

Less than 10 days before course date: No refund of course tuition.

Cancellations must be in writing, preferably email. Allow 30 days after course completion for refunds.

Course Switching:  Switching registration to an earlier or later course-if seats are available-is permitted without charge if the course switch is made 30 days or more prior to the first or original course registration.  A transfer and processing fee of $150.00 will be charged when course switches are made less than 30 days from the first or original course registration.

Course Agenda:

Day One: 8:00 to 5:00

  • Introduction & Purposes of FEES (45m)
  • Surface Anatomy (15m)
  • Underlying Anatomy &Physiology of Swallowing (45m)
  • Nasoendoscopic & FEES Equipment (30m)
  • Medical Issues & Nasoendoscopy (30 min)
  • Infection Control Requirements & Procedures (45m)
  • Endoscope Insertion & Handling (30 min)
  • FEES Demonstration (30m)
  • Small Group, Hands-on Nasoendoscopy/FEES Labs & Computer Analysis Labs (225m)

Day Two: 8:00 to 4:30

  • FEES Protocols & Procedures (60m)
  • Scoring FEES Using Rating Scales (60m)
  • Analyzing Swallow & Airway Protection Behaviors (75m)
  • FEES: Behavioral Intervention & EBP (45m)
  • Small Group, Hands-on Nasoendoscopy/FEES Labs & Computer Analysis Labs (225m)

Additional information

Basic FEES Course Dates

July 17 & 18, 2021, September 25 & 26, 2021, November 13 & 14, 2021