CD 5677 Swallowing Disorders in Adults and Children
Summer 1999
Instructor: Heather M. Clark, Ph.D.
201 A Duncan Hall
262-7044
clarkhm@appstate.edu
http://www.appstate.edu/~clarkhm
Office Hours: Tues & Thurs 12-1 pm, By appointment



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:

Texts

Logemann, J. A. (1998). Evaluation and Treatment of Swallowing Disorders (2nd 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.

Additional readings will be held on reserve at Belk Library or
will be available on-line.


Course Requirements

Quizzes & Examinations:

Quizzes: Students will complete four on-line quizzes to demonstrate comprehension of concepts discussed in the readings and class activities.  Additionally, students will complete two in-class quizzes to demonstrate memory/understanding of key concepts. Each quiz will be worth 5% of the final grade, for a total of 30%.

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 40% 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:

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 15% of the final grade.

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 

 Course Schedule

Date Topic Readings Portfolio Assignments
June 8 Introduction & Overview Reserve: ASHA Position Statements 
Code of Ethics
Subscribe to the class listserv by sending the message "subscribe neuro yourname" to listproc@listproc.appstate.edu

Submit at least 4 contributions to the listserv during the semester.

June 10 Review of Anatomy & Physiology Normal swallowing function Logemann, Ch. 2 Subscribe to the dysphagia listserv. (text: subscribe dysphagia) 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 15
June 15
June 17
June 22
June 24
Swallowing Disorders in Adults Logemann, Ch. 1, 7, 8, 9, 10 
Yorkston et al.
Observe a swallowing assessment or management session. Include a summary of your experience in your portfolio.
In-Class Quiz #1 June 17
On-line Quiz Two due June 24
June 29
July 1
Assessment of swallowing function Logemann Ch 3 - 5, 12, 13 

Clinical Indicators

 Include in your portfolio clinical swallowing assessment protocols for adults and children. The adult assessment protocol should be developed personally to serve as a guide for clinical practice. (Draft due July 6) On-line Quiz Three due July 1
July 6
July 8
July 13
Management of swallowing disorders in adults Logemann Ch 6 -11
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 13
July 15 WRITTEN EXAM
July 20
July 22
July 27
Laboratory Sessions: Clinical Assessment, MBS, Treatment techniques **Turn in Portfolios for Review July 27 **
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.
July 29 CLINICAL EXAM Portfolios returned