Swallowing Disorders: Distance Syllabus Course Notes On-line Quizzes Links On-line Assignments

CD 5530 Swallowing Disorders Summer 2000 Instructor: Heather M. Clark, Ph.D. Appalachian State University 201 A Duncan Hall (828) 262-7044 clarkhm@appstate.edu http://www.appstate.edu/~clarkhm

Goals: The course is designed to provide students with the basic competencies set forth by ASHA as necessary to provide appropriate diagnostic and treatment services to individuals with swallowing disorders. The educational outcomes, as set forth by the ASHA Special Interest Division on Dysphagia, are that students will:

• understand the normal anatomy, physiology, and developmental influences across the life-span on swallowing
• understand the various etiologies and components of abnormal swallow physiology
• understand differences between symptoms in dysphagic adults and children
• understand principles of clinical oropharyngeal sensory-motor examination
• understand the various instrumental procedures to evaluate swallowing and their specific advantages and disadvantages
• evaluate the signs and symptoms of dysphagia as revealed by the clinical and instrumental evaluations
• understand principles of dysphagia diagnosis and treatment across age spans and conditions
• develop a remediation plan and functional goals based on assessment information
• counsel patients, families, and care givers regarding swallowing issues, including potential need for non-oral feeding methods
• understand indications and methods for non-oral feeding
• understand multi-cultural influences on feeding
• understand prevention of dysphagic complications
• understand risk behaviors and complications in dysphagia treatment
• understand dysphagia team structure, interactions, and functions.

Logemann, J. A. (1998). Evaluation and Treatment of Swallowing Disorders (2^nd Edition). Austin: Pro-Ed.
Yorkston, K. M., Miller, R. M., & Strand, E. A. (1995). Management of Speech and Swallowing Disorders in Degenerative Diseases. Tuscon: Communication Skill Builders.

Quizzes & Examinations:

Quizzes: Students will complete four on-line quizzes to demonstrate comprehension of concepts discussed in the readings and class activities.  Each quiz will be worth 5% of the final grade, for a total of 20%. Due to the time-compressed nature of the course, it is critical that the quizzes be turned in on time.  Quiz scores for late submissions will be reduced by 20% for each day the quiz is late (note this converts to 1% of your final grade--a total of 7 late days would equal an entire letter grade reduction).

Written Exam. A single written exam will be a comprehensive assessment of knowledge gained during the course. It will be "open-book" and comprised of items which will, as much as possible, require the type of information and/or problem solving encountered in clinical/professional situations. The exam will be comprised of both objective and essay items. It will constitute 45% of the final grade.

Clinical Exam. A clinical exam will assess skills gained during the course and will constitute 15% of the final grade. Skills to be assessed include:

• oral mechanism examination
• 4 point test
• interpretation of MBS observations
• ability to demonstrate therapeutic maneuvers

Grading: The clinical exam will be pass/fail for each skill. Failed skill demonstrations may be re-attempted until competency is demonstrated.

Portfolio:

Each student will develop a portfolio to document acquired proficiencies and to maintain assessment and treatment protocols. Several entries will be required, as noted on the course schedule, but it is expected that the portfolio will be a creative effort and that students will individualize their portfolios to best meet their needs and complement their learning and professional styles. The portfolio will constitute 20% of the final grade. Due to the nature of distance ed delivery, it is recommended that the portfolios be electronic (or easily converted to electronic form) so that I can review the portfolios via email.

Grading Scale:

The following are the cut off scores for each of the indicated grades:
 

95% A	88% B	79% C
93% A-	85% B-	75% C-
91% B+	82% C+	Below 75% F

This course will be delivered in two phases.  The first phase will involve the review of videotaped lectures and participation in internet-based assignments and interactive discussions.  The second phase will consist of interactive meetings.  The schedules for both phases are below.  It is strongly recommended that students follow the schedule in phase one as closely as possible to best benefit from the internet-based activities.
 
 

Phase 1: Video & Internet
Date	Topic	Readings	Portfolio	Internet
May 26-June 2	Dr. Clark is out of town			Print note packet
June 5	Tape Session 1: Introduction & Overview		Submit at least 4 contributions to the class listserv during the semester.	Subscribe to the class listserv by sending the message "subscribe swdist yourname" to listproc@listproc.appstate.edu
June 6	Tape Session 2: Review of Anatomy & Physiology Normal swallowing function	Logemann, Ch. 2	Subscribe to the dysphagia listserv. Place the enrollment notice in your portfolio. Include in your portfolio any discussions that you find particularly interesting or relevant.	On-line Quiz One due June 9
June 7 - June 14	Swallowing Disorders	Logemann, Ch. 1, 4, 7, 8, 9, 10  Yorkston et al.		On-line Quiz Two due June 19
June 15 - June 21	Assessment of swallowing function	Logemann Ch 3 - 5  Clinical Indicators	Develop a protocol for the clinical assessment of swallowing function. (Draft due July 6)	On-line Quiz Three due June 26
June 22 - June 30	Management of swallowing disorders	Logemann Ch 6 -11, 12, 13 Yorkston et al	Include in your portfolio "cheat sheets" for treatment strategies.  Develop samples of patient and family handouts for information about dysphagia and therapeutic or compensatory maneuvers.	On-line Quiz Four due July  6
Phase Two: Interactive
July 7	Clinical assessment	Clinical Exam: Oral Mech Exam Clinical Swallowing Assessment	Research a topic in dysphagia by searching the dysphagia listserv archive. Include a summary of the information you gained, along with the dates and authors of the messages from which you gained the information in your portfolio.	Case Studies
July 14	Instrumental assessment	Clinical Exam: Modified barium swallows		Case Studies
July 21	Treatment techniques	Clinical Exam: Therapeutic maneuvers	Portfolios Due Final Exams	Case Studies

 

Swallowing Disorders: Distance | Syllabus | Course Notes | On-line Quizzes | Links | On-line Assignments

Heather M. Clark, Ph.D. CCC/SLP
clarkhm@appstate.edu
Date Last Modified: 5/8/00