FEES Courses



The Langmore Advanced FEES course provides an opportunity for participants who have begun using FEES in their clinical practice to share their experiences and to calibrate their scoring and interpretation skills against other participants and with Dr. Langmore.  The class size is smaller and customized to the needs of the participants.  Extensive time is spent viewing and scoring FEES recorded studies and learning a scoring system.  Latest research will be reviewed and the participants will have time to share problems they may have encountered in implementing the procedure back at their clinic. The Langmore Advanced FEES course is a one-day course.  The cost for registration, including materials, breakfast and lunch, is $250/person

In order to perform this procedure, training is needed.  I offer FEES courses to help you incorporate this tool into your practice.  The Langmore Foundation FEES course is an introductory course aimed at clinicians who have very little or no experience with FEES. The participants are mainly speech language pathologists who do have experience with the modified barium swallow and are ready to add FEES to their evaluation tools.  Some physicians attend who are interested in adding FEES to their practice.  Some teams attend the course. Occasional graduate students have also attended.  The course covers the basics of FEES, from understanding swallowing as seen endoscopically, through the evaluation protocol, to scoring, and finally to using endoscopy as a treatment tool.  A valuable part of the course is the 4 hours of hands-on training time where the participant will have practice passing the scope under direct mentorship of an experienced speech pathologist or otolaryngologist. Representatives from several companies that make endoscopic equipment will be there for you to try out their equipment.

The Langmore Foundation FEES course is a 2 day course.  The cost for registration, including materials, breakfast, and lunch,  is $500/person.  If 2 or more people from the same institution attend, a reduced rate of $425/person will be applied. Further discounts are offered if 3 or more persons from the same institution apply.

The courses are offered at Boston Medical Center approximately every 3 months.  Upcoming courses will be held July 15-16 and October 21-22, 2011, Jan 27-28, 2012, April 13-14, 2012

A sample agenda from a recent Foundation course:

Day One –Friday

8:00 – 8:30Continental breakfast

8:30 – 9:45 Anatomy and the normal swallow: what can be seen endoscopically and fluoroscopically.

9:30 – 9:45Indications for a FEES exam vs. a fluoroscopy exam

9:30 – 9:45Break

9:45 – 11:00The FEES Protocols: Standard protocol and Ice chip protocol, FEESST protocol.

11:00 – 12:00Scoring the FEES examination. – Part 1 findings

12:00 - 1:00Lunch


1:00 – 2:30Scoring an Exam:  Part II Findings

2:30 – 3:00Scoring Systems:  Sample reports; practice scoring

3:00 – 3:15Break

3:15 -5:00Use of FEES to guide therapy, management of dysphagia.  Incorporating therapy into the exam. Use of endoscopy as a biofeedback tool in therapy.

Day 2 -  Saturday

7:30-8:00Continental breakfast

8:00 – 12:00   Demonstration of equipment and passage of the endoscope. 

                            Hands-on practice passing the endoscope on other participants                                                                                                    

12:00 – 12:30Lunch

12:30 – 1:30Using FEES in the inpatient setting:  case studies (R Scheel and E McNally)

1:30 - 2:15Implementing FEES in your setting; training issues; billing

2:15 – 2:30 Risks of endoscopy, infection control and informed consent


2:45-3:30Case studies, practice scoring. Use of FEES with different patient populations and settings

3:30-4:00Discussion:  Wrap up

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Boston Medical Center