12:30 – 1:30  Lunch (provided)

1:30 – 2:30  Using FEES with pediatric patients (Kara Larson)

2:30 – 3:30 
Scoring the FEES Examination - Part I Findings

3:30 – 3:45 

3:45 – 4:30 
Scoring an Exam - Part II Findings

4:30 – 5:30 
Treatment strategies: Using FEES to

Guide Treatment

Fiberoptic Endoscopic Evaluation of Swallowing

Langmore FEES


Day Two
Faculty: Susan Langmore, Edel McNally, Becky Scheel

7:15 – 7:45 
Continental breakfast in Moakley Clinic (provided)

7:45 – 12:15 
Hands-on practice - passing the endoscope on other participants & rotating rooms/equipment

12:15 – 1:15 
Lunch in FGH Building Carter Conference Room (provided)

1:15 – 2:45 
Implementing FEES in your setting; training, billing. Risks/safety issues

2:45 – 3:00 

3:00 – 4:30 
Unexpected findings; FEES scoring practice

4:30 – 4:45 
General questions; wrap up

Sample Agenda for Advanced FEES course

This agenda is flexible  and may either be a one or two-day

course. Look for detailed agenda when the course is announced.

9:00  Introductions/current professional and clinical issues raised

9:30  Protocols and scoring systems
Research updates regarding protocols and scoring, use of lidocaine, new protocols

10:30  Break

11:00  Scoring FEES
Review of anatomy, scoring residue on FEES vs MBS. Development of the BRACS residue scale at Boston

12:30  Lunch (provided)

1:30  Cases from the participants           
View taped FEES studies done by participants for critique, discussion to answer questions, problem solve, etc.

2:00  Scoring Practice
Score FEES exams using the BMC score sheet

3:30  Break

4:00  Use of FEES across Settings and Populations
Case studies for discussion of protocols, findings, interpretation, management recommendations; use of FEES as Biofeedback in Treatment. Head and Neck Cancer and neurologic populations stressed.

5:30  Finish

If you have questions about the agenda, contact Susan Langmore at langmore@bu.edu or Gintas Krisciunas at gintas@bu.edu


A sample agenda from a recent Foundation course at Boston Medical Center. Exact times are subject to change.

Day One 
Faculty: Susan Langmore, Kara Larson (guest lecturer)

8:30 – 9:00  Continental breakfast (provided)

9:00 – 10:00  Anatomy and the normal swallow: what can be seen endoscopically and fluoroscopically

10:00 – 10:30  Indications for a FEES exam vs. a fluoroscopy exam, and in different clinical settings

10:30 – 10:45 

10:45 – 12:30  The FEES Protocols: Standard protocol and Ice chip protocol, FEESST protocol.


12:30 – 1