BOSTON MEDICAL CENTER

FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING (FEES) COMPETENCY

APPLICANT : _______________________________________________________________________________

KNOWLEDGE REQUIRED DATE MEETS DOES NOT COMMENTS/PLAN INITIALS

MEET
Know normal & abnormal aerodigestive
physiology for respiration, airway
protection and swallow
Recognize anatomical landmarks viewed
endoscopically
Recognize altered anatomy as it relates to
swallow function
Recognize changes in A&P of the swallow
over the life span
Identify indications and contraindications
for an endoscopic exam
Identify the elements of a comprehensive
endoscopic exam
Detect and interpret abnormal findings in
terms of the underlying A&P
Apply appropriate treatment interventions,
implement postural changes, and alter the
bolus or method of delivery to determine
the effect on the swallow
Use the results to make appropriate
recommendations or referrals
Know when to re-evaluate the swallow
function
Use the endoscopy as a bio-feedback tool
to educate patients, family and staff using
the endoscopic images

SKILLS REQUIRED
Operate, maintain, and disinfect the
equipment needed for an endoscopic
examination
Apply anesthetic when clinically
appropriate and permitted by the licensing
regulations of the individual states.
Insert and manipulate the endoscope in
manner that causes minimal discomfort
and prevents unpleasant complications
Manipulate the endoscope within the
hypopharynx to obtain the desired view.
Direct the patient through appropriate tasks
and maneuvers as required to compete a
comprehensive exam
Interpret and document findings in a
written report
Formulate treatment and management
strategies.

SPEECH PATHOLOGY PRECEPTOR

__________________________________________________________________________________
NAME TITLE INITIALS

BOSTON MEDICAL CENTER

 FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING (FEES)
RECORD OF TRAINING

APPLICANT: ____________________________________________________ DATE____________________

NUMBER OF FEES OBSERVED

NORMALS: _________________

PATIENTS: _________________

NUMBER OF FEES COMPLETED UNDER SUPERVISION OF ALL PROCTORS

NORMALS: ________________

PATIENTS: ________________

(25 TOTAL - MINIMUM 15 PATIENTS)

SIGN OFF

APPLICANT HAS COMPLETED THE REQUIRED NUMBER OF OBSERVATIONS AND FEES

EVALUATIONS UNDER DIRECT SUPERVISION

APPLICANT HAS MET ALL REQUIREMENTS FOR FEES COMPETENCY AND IS DEEMED COMPETENT
TO PERFORM THIS EXAMINATION INDEPENDENTLY (SEE ATTACHED SHEET)

SPEECH PATHOLOGY MENTOR

Name Title Date

_________________________________________________________________________________________________

ATTENDING OTOLARYNGOLOGIST, BMC

Name Title Date

_________________________________________________________________________________________________

MD DIRECTOR, VOICE AND SWALLOWING CENTER

Name Date

PLEASE ATTACH LIST OF OBSERVATIONS AND EVALUATIONS COMPLETED