A Procedure for Evaluating Oropharyngeal Dysphagia (or the swallowing function)
The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was developed by Dr. Susan Langmore in 1988. Alongside the modified barium swallow (MBS) study, FEES has become a globally recognized gold standard for evaluating oropharyngeal dysphagia and for assessing swallowing function. She and her team provide two types of FEES courses at Boston University Medical Center – a two day foundation (introductory) course and a one day advanced course.
For questions about any of the upcoming FEES courses, please contact the Langmore FEES Course Team 617-414-1750 or [email protected].
Langmore Foundation FEES Program - Two Days
Dates: May 19-20, 2017 This course is now closed.
Overview: The foundation course provides physicians and speech pathologists with 12 hours of lecture and 4 hours of hands-on practice. The lecture component covers normal physiology, indications, scoring, interpretation, use of endoscopy for treatment, billing, and program establishment. The hands on component takes place in a state-of-the art otolaryngology clinic, and participants will pass the scope at least 5 times under the guidance of multiple highly trained mentors. A range of FEES systems will be used to allow participants to test various types of equipment. This program is offered for 1.50 CEUs (Intermediate Level, Professional Area) and a certificate of completion is provided to participants who complete all parts of the 2-day course.
Foundation Fees Agenda: Click here
Faculty: The Foundation course is taught by Susan Langmore, PhD, CCC-SLP, BRS-S. She has used FEES with all types of adult patients and dysphagia etiologies, and has worked in ICU, inpatient, outpatient, and nursing home settings. Dr. Langmore carries an active clinical case load, teaches graduate and doctoral students, conducts extensive research, and gives lectures on dysphagia nationally and internationally. Dr. Langmore will be assisted by other speech pathologists and otolaryngologists in the department who use this procedure.
Outcome: The participant will attain a minimal level of competence in performing the FEES protocol, interpreting the results of FEES examinations, and using endoscopy to guide therapy for patients with dysphagia. With a guarantee of passing the endoscope at least 5 times, he/she will become familiar with handling the endoscope, passing it into the hypopharynx, and manipulating the endoscope within and around the larynx to attain an optimal view.
On conclusion of the program, the participants will be able to:
1. Understand what can be visualized and understood about normal and abnormal swallowing from an endoscopic image.
2. Know clinical indications and risks for performing FEES.
3. Follow a protocol for administering a FEES exam.
4. Identify key structures, identify and interpret findings, and apply appropriate therapeutic interventions during the performance of a FEES exam.
5. Implement and adapt the FEES protocol for different patient populations and settings.
6. Know how to use endoscopy to manage patients with dysphagia.
7. Learn how to implement FEES into their employment setting.
8. Have an introductory level of skill in passing the endoscope safely and know how to position the scope to get an ideal view during the FEES examination.
This program is offered for 1.50 CEUs (Intermediate Level, Professional Area)
Langmore FEES Advanced Program - One Day Course (click here for brochure)
2017 Date: TBD
Overview: This program is geared toward clinicians who have been using FEES for at least one year, and who want more advanced training in scoring and interpreting FEES exams. The faculty will have videos to review, but participants are encouraged to bring their own videos that were challenging to interpret and/or proved challenging in recommending diet or rehabilitation options. Throughout the 8 hour workshop, participants will have an opportunity to sharpen their skills, share their experience and to calibrate their scoring and interpretation skills against other participants and the faculty. This program is offered for 0.65 CEU'S (Intermediate level; Professional area), and a certificate of completion is provided to participants who complete all parts of the 1-day course. For a sample agenda, please click here.
Advanced FEES Agenda: Click here
Faculty: The course is primarily taught by Susan Langmore, PhD, CCC-SLP, BRS-S. Dr. Langmore will be assisted by two senior BUMC speech language pathologists: Rebecca Scheel, MS, CCC-SLP, BRS-S and Edel McNally, MS, CCC-SLP.
Outcome: The participant will attain an intermediate to advanced level of competence in performing the protocol, interpreting the results of FEES examinations and using endoscopy to guide therapy for patients with dysphagia. There will be an optional hands-on portion in this course.
Learner Outcomes: On conclusion of the program, the participants will be able to…
1. Summarize the latest research using endoscopy
2. Identify normal versus abnormal swallowing
3. Assess FEES exams using standard scoring instruments.
4. Understand and interpret finding from FEES exams in different patient populations and in different clinical settings.
5. Explain how and when to use endoscopy as a biofeedback tool to manage patients with dysphagia.
6. Describe current requirements for training, billing and reimbursement for FEES.
This program is offered for 0.65 CEU'S (Intermediate level; Professional area).
Transportation to Boston and Parking Information
Logan airport is 5 and 1/4 miles from Boston Medical Center (BMC).
- The Metropolitan Transit Authority has trains/buses to/from the airport and the city.
- A taxi will cost approximately $35.00
- If you are driving to the Boston Medical Center, campus parking is available at garages located at, 710 Albany Street, Boston MA, 02118
Please book your hotel early as they sometimes do not have available rooms.
Boston Marriott Copley Place
110 Huntington Avenue, Back Bay, Boston, MA 02116
Around $269-$450 per night
The Colonnade Hotel Back Bay
120 Huntington Ave, Boston, MA 02116
Around $260-$360 per night
140 Clarendon Street, Back Bay, Boston, MA 02116
Around $160-270 per night
Mandarin Oriental Boston
776 Boylston Street, Boston MA 02199
Around $600-800 per night
The Inn @ Saint Botolph
99 Saint Botolph St.
Boston, MA 02116
$150-$360 per night