THREE DAY EVENT INCLUDES INTRODUCTORY FEES COURSE AND ADVANCED FEES COURSE

INTRODUCTORY FEES COURSE
June 15 th 2023
Limerick
Facilitated by South Infirmary University Hospital, Cork

Course description:
A one day introductory course to FEES with a focus on FEES in the acute, head and neck and
community setting.
Are you thinking of setting up a FEES service or are you looking to expand your knowledge of
FEES in the ENT/acute or community setting?
This one-day introductory course to FEES is facilitated by a range of speakers from a variety
of settings including ENT, Head and Neck surgery, and community settings.
Topics include; nasal and laryngeal anatomy, tips and tricks to facilitate passage of the
nasendoscope, safety and policy, equipment, setting up a FEES service, with multiple case
study presentations with an opportunity for participants to evaluate studies.

Course objectives:
On completion of Day 1, participants will be familiar with the following:

• Nasal anatomy and tips on passing the endoscope
• Laryngeal anatomy, pathologies and voice
• Indications for FEES vs Videofluoroscopy
• SIVUH FEES assessment protocol
• Outcome measures in FEES
• Developing an SLT led FEES service in both the community and acute setting
• Equipment and the tendering process
• Decontamination and sterilization in FEES
• Case discussions, evaluation and rating

FEES: Advanced course
Facilitated by Dr Susan Langmore and Dr Margaret Coffey
Limerick, Ireland
June 16, 17, 2023

Purpose: This course is designed for SLTs who have taken a Langmore Foundation course
or who are FEES competent (performing FEES independently) and who want to update
their protocols, scoring and interpretation of FEES procedures. Throughout the two day
workshop (including breaks and Q&A sessions), participants will have an opportunity to
hear about updates and to sharpen their skills, share their experiences, and calibrate
their skills against Dr Langmore and other participants. It will be an interactive course.

Course objectives:

On completion of Days 2 & 3, participants will be able to:

• Summarize the latest FEES research
• Calibrate scoring of patients with dysphagia against instructor and other participants
• Be able to use techniques to obtain maximal visualization during the exam
• Identify patterns of dysphagia seen with FEES; interpret dysphagia in terms of
  underlying deficits
• Familiarize yourself with different protocols and scoring systems
• Explain how to use endoscopy tool to provide therapy and manage patients
• Outline the side effects of head and neck cancer treatment and how these impact
  swallow function.
• Explain the benefits of FEES for instrumental swallow evaluation for people with
  head and neck cancer.
• Develop knowledge of which swallow outcome measure tools can be used to
  interpret FEES for people with head and neck cancer

About the Course Facilitators: 

• Máire Ring is a Clinical Specialist Speech and Language Therapist in Head and Neck Cancer
  at the South Infirmary Victoria University Hospital, Cork.
  Máire graduated from University College Cork in 2013 and completed further training in the
  areas of Critical care and Head and Neck Oncology having worked in both Ireland and the
  UK. The majority of her career has been in London, in Guys and St Thomas hospital where
  she specialised in Critical care, Thoracic surgery and then Head and Neck Cancer.
  She has been using FEES clinically since 2015 across medical, surgical, stroke, thoracic
  medicine, ENT, critical care and Head and Neck. Special interests include airway
  reconstruction, head and neck cancer and laryngectomy.
  She is passionate about bespoke patient care and advocacy, the fantastic SLT team she works
  with, her family and good coffee!

• Susan Langmore, PhD, CCC-SLP, BCS-S
  Dr. Langmore is a clinician, teacher, and researcher.  She has worked as a speech pathologist
  her entire career, and has worked extensively in aphasia, dysarthria, and dysphagia.  She has
  worked in acute care, ICU, rehab, and outpatient settings, and with patients who have
  neurologic diseases, pulmonary conditions, and head and neck cancer.  Dr. Langmore has made
  many significant contributions to the field of Speech Language Pathology, starting with the
  development of the FEES procedure in the 1980's.  She has altered the medical field's perception
  and management of aspiration pneumonia with her research in the 1990's, and has recently
  completed a multi-center NIH funded clinical trial evaluating the efficacy of electrical stimulation
  for dysphagia in head and neck cancer patients.  Dr. Langmore was awarded the ASHA
  Fellowship in 1998 and then ASHA Honors in 2012, and currently serves as the president of
  the Dysphagia Research Society (DRS).  She has served on NIH review committees and is a
  reviewer or editor of a dozen medical journals.  Currently a Professor of Otolaryngology at
  Boston University School of Medicine and Clinical Professor at Boston University Sargent College,
  she mentors junior faculty and is involved in a number of clinical trials.  When not working, she
  enjoys yoga, wine, skiing, and traveling the world.

• Dr Margaret Coffey is a Clinical Academic Speech and Language Therapist with extensive
  experience in the evaluation and treatment of dysphagia.  Margaret has developed her clinical
  skills working in recognised centres of excellence in both the UK and the USA. She currently
  works at Imperial College Healthcare Trust in London, UK and is an honorary Senior Clinical
  Lecturer at Imperial College London, UK.
  Margaret is especially interested in the evidence based use of instrumental swallow evaluation
  tools including FEES to evaluate and manage swallowing function after head and neck cancer.
  She was one of the first SLTs in the UK to be awarded a prestigious National Institute of Health
  Research (NIHR) Clinical Doctoral Fellowship pioneering the use of FEES as a swallow
  evaluation tool for people with laryngectomy. Margaret was recently awarded a NIHR Advanced
  Fellowship to continue her post-doctoral work on an early stage clinical trial investigating the
  feasibility of an exercise based intervention to improve swallow function for people with
  laryngectomy.
  Margaret has published in leading peer reviewed journals and regularly provides teaching and
  organises courses aimed at promoting evidence based clinical care. She has contributed to
  national clinical guidance including the RCSLT FEES position paper and competency framework
  and the UK Multidisciplinary Head and Neck cancer guidelines.
  Margaret was recognised by the Royal College of Speech and Language Therapists (RCSLT)
  with a fellowship in 2021. Margaret was also awarded an honorary MBE in the Queen’s Birthday
  Honours in 2022 for her work during the Covid 19 pandemic.

More about this course:

Venue: This training event will take place in-person only, at University of Limerick, The Pavillion

Register below if you wish to attend all three days of this event.

Cancellation policy: Places cancelled within one month of this course will be subject to a cancellation fee of 50- 100% of the cost of the course, depending on the amount of notice given.