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Workshop 3: Videofluroscopic Assessment in 2020 - Rigor, Transparency, Reproducibility and Validity

About This Course
This course 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 "MY PROFILE" and then "GROUPS" (you will need to sign in to access).


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Session Preview
The modified barium swallowing study (MBSS) is a videofluoroscopic imaging approach for the clinical assessment of swallowing impairment and as a research method for quantifying swallowing physiology, efficiency and safety.  Scientific investigations have demonstrated that accurate and valid results are dependent on factors related to the training of the diagnostician, fidelity of the acquisition equipment and recording, transparency of the protocol and measurements and reproducibility of the test results.  This expert panel will address each of these factors in the framework of the current literature and implementation of the MBSS across the globe. The audience will be challenged to rethink the purpose and scope of the exam, the essential components for accurate imaging, recording and interpretation necessary for valid and reliable measures. Questions regarding differences, if any, between a research and clinical examination.



Kate Davidson, MS, CCC-SLP

Kate Davidson is a Speech-language pathologist and Research Associate at the Medical University of South Carolina where she has practiced dysphagia management for over 10 years. She is Assistant Lab Director of the Swallowing Cross-System Collaborative at Northwestern University in Evanston, Illinois. Kate received her master’s degree in communication sciences and Disorders from the Medical University of South Carolina in 2010. Her clinical focus is in adult swallowing disorders  and her research interests include standardization of the videofluoroscopic swallow study and the use of high-resolution pharyngeal manometry as an assistive biofeedback device for swallow rehabilitation.

  Danielle Brates

Danielle Brates is a PhD student in Communicative Sciences and Disorders at New York University. Her current research is focused on the effects of fatigue on swallowing and mealtime parameters, as well as other factors related to swallowing biomechanics and function in healthy and disordered populations.  She is a senior member of the NYU Swallowing Research Lab led by Dr. Sonja Molfenter.

  Anna Miles, PhD

Dr Anna Miles is a speech- pathologist and principle investigator of The University of Auckland Swallowing Research Laboratory. Anna runs an acute hospital-based student teaching clinic as well as an outpatient voice and swallowing rehabilitation clinic. She is the New Zealand Speech-language Therapists’ Association Clinical Expert in Adult Dysphagia and Lead in the New Zealand adoption of the International Dysphagia Diet Standardisation Initiative (IDDSI). Anna has a special interest in improving dysphagia assessment across the lifespan from bedside to instrumental from the mouth to the stomach.

  Heather Shaw-Bonilha, PhD, CCC-SLP

Heather Shaw Bonilha Ph.D. CCC-SLP is a speech-language pathologist whose research focuses on improving the care of patients with swallowing and voice disorders. She is an Associate Professor in the College of Health Professions at the Medical University of South Carolina and serves as the Medical Director of Speech-Language Pathology for the hospital and the co-Director of the Interdisciplinary Doctoral Program in Health and Rehabilitation Sciences. Dr. Bonilha has two lines of research related to her part of this talk. One line of her research is devoted to investigating radiation exposure from videofluoroscopic swallow studies, specifically how the exposure varies with patient and exam characteristics so that clinicians and health policy makers have the necessary information to make meaningful decisions regarding the use of videofluoroscopic swallow studies. A related line of research is focused on the impact of fluoroscopy exam settings, including pulse rate, on clinician ability to detect swallowing impairment and related treatment decisions.


Danielle Brates
Financial Disclosure: Dr. Brates is employed by New York University and receives a salary.
Non-Financial: No relevant non-financial disclosure exists.

Anna Miles, PhD
Financial Disclosure: Dr. Miles is employed by the University of Auckland and receives a salary.
Non-Financial: No relevant non-financial disclosure exists.

Heather Bonilha, PhD, CCC-SLP
Financial Disclosure: Dr. Shaw-Bonilha is employed by the Medical University of South Carolina and receives a salary. She also received an honorarium from Charleston Swallowing, NIH and Philips Inc. for consulting and speaking on dysphagia, epilepsy and neurology. Dr. Shaw-Bonilha receives lab funding from Medtronic for consulting on epilepsy as well.
Non-Financial Disclosure: No relevant non-financial disclosure exists.

Kate Davidson, MS, CCC-SLP
Financial Disclosure: Dr. Davidson is employed by the Medical University of South Carolina and receives a salary. She also receives royalties and consulting fees from Northern Speech Services and Northwestern University for teaching, consulting and contracted research. Dr Davidson receives a stipend from the Medical College of Wisconsin for speaking on dysphagia as well.
Non-Financial Disclosure: No relevant non-financial disclosure exists.


The presentation is approximately one hour and thirty minutes. 


Learning Objectives
After completing this session you will be able to:

  • Identify measures to specifically address the research question.
  • Identify technical aspects of the examination that influence the accuracy and reliability of metrics (scaling, kinematic, spatial measures).
  • Distinguish accuracy of measurement from validity of measurement.
  • Describe visualization and interpretation of oropharyngeal and esophageal function/impairment


Certificate of Completion

  • You will receive your certificate for this course upon completion of the online Learning Assessment. You will find your certificate within your profile under "Professional Development". 
  • Your ASHA CEU credits will be processed through the American Board of Swallowing and Swallowing Disorders. Reporting dates are the following: May 30th, June 30th, July 31st and September 30th. After September 30th, reporting dates will be at the end of every quarter. 

This course is offered for .15 ASHA CEUs (Advanced Level; Professional area). 


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