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2019 MTM: From Fluoro to Flourish: Managing the Patient Across the Continuum of Care
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About this Course

This course is available now. It is pre-recorded so you can take the course at your own pace. If you have already registered, please access your CE videos & documents within your groups pages in your online profile (You must sign in to access). 


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*Please Note - you MUST sign in to your online account to register for CE Courses. Click Here if you need to create an online account. 



Course Description

The Meet the Masters distinguished panel identified the key components for swallowing fluoroscopy procedures (birth to senescence), with emphasis on the essential information to be passed to the next clinician. This is a recording of the 2019 Meet the Masters held during the ASHA Convention in Orlando, FL

This course is offered for .20 ASHA CEUs (Intermediate Level; Professional area). 


Presenters and Disclosures

Jo Puntil M.S., CCC-SLP, BCS-S, F-ASHA


Jo Puntil is an ASHA CFCC board member and board-certified specialist in Swallowing.  She has extensive experience in developing Interdisciplinary dysphagia programs in critical and acute care.  She has lectured for the last 34 years providing a more medically based understanding of the complex

swallowing disordered patient. Jo has numerous honors and publications.

Disclosure: Ms. Puntil is employed by Dixie Regional Medical Center and received honoraria from JH Conference Planning.  Non-financial – Ms. Puntil is the Chair-elect for ASHA’s CFCC Board and is a member of the AB-SSD Application Committee.


Memorie M. Gosa, PhD, CCC-SLP, BCS-S

Memorie Gosa is a pediatric SLP and board-certified specialist in swallowing.  She has worked in this area specialty for more than 16 years.  As an assistant professor at The University of Alabama she maintains a clinical caseload. Dr. Gosa has published peer reviewed manuscripts, book chapters, a recent textbook and has presented nationally and internationally. She maintains a clinical practice at The University of Alabama Speech and Hearing Center and in the Neonatal Intensive Care Unit of Druid City Hospital in Tuscaloosa, AL.

Disclosure:  Dr. Gosa is employed by the University of Alabama, LeBonheur Children’s Hospital, and Druid City Hospital.  She received honoraria from JH Conference Planning.  Non-financial:  Dr. Gosa is the Chair for the American Board of Swallowing and Swallowing Disorders.


Catherine S. Shaker, M.S., CCC-SLP, BCS-S 

Catherine Shaker has 42 years of experience and has practiced in large NICUs since 1985. She currently is in a Level IV NICU at Advent Health for Children in Orlando FL. She has published several manuscripts on NICU intervention and is an invited lecturer internationally and nationally for therapists, nurses & physicians.


Disclosure:  Ms. Shaker is employed by Advent Health for Children and received honoraria from JH Conference Planning.  Non-financial:  Ms. Shaker has no relevant non-financial relationships.

Steven Sireci, Jr., M.D. 

Dr. Steven Sireci, Jr. is the Executive Director of Medical Affairs for Bracco Diagnostics

Disclosure:  Dr. Sireci, Jr. is employed by Bracco Diagnostics and received honoraria from JH Conference Planning.  Non-financial:  Dr. Sireci, Jr. has no relevant non-financial relationships.


An unrestricted Educational Grant was provided for the live presentation by Bracco.


The presentation is approximately 2 hours long.



Introduction (10 minutes)

Big Considerations for Tiny Feeders:  Navigating VFSS in the Neonatal Intensive Care Unit (25 minutes)

Pediatric VFSS:  Fundamentals and Future Direction (25 minutes)

Adult VFSS: What to use, Interpretation of Results, and Necessary Communication to All (20 minutes)

Fluoroscopy Procedures:  Esophagus, Stomach and Pyloris, Oh My! (25 minutes)

Question and Answers (15 minutes)


Learning Objectives

After completing this session you will be able to:

  • Describe two influences in the NICU setting and its attendant sequelae on the utilization and delivery of instrumental swallowing assessments for preterm infants.
  • Discuss two reasons to allow patients to aspirate and not change their diets.
  • Explain at least two reliable, evidence-based metrics that can be derived from pediatric and adult video fluoroscopic swallow studies.
  • Identify three pieces of information that should be communicated regarding the results of the MBS from clinician to clinician as well as clinician to ancillary staff.


Pricing and Certificate of Completion

The cost of this course is $25. (Because the Meet the Masters courses are offered at this special price no additional discounts apply.)

You will receive your certificate for this course upon completion of the online Learning Assessment.  You will find your certificate within your online profile under "Professional Development".

Your ASHA CEU credits will be processed through the American Board of Swallowing and Swallowing Disorders and submitted to ASHA four times per year; January, April, July, and October.