Lost In Transition: Communication And Continuity Of Care Swallow The Gap podcast

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When Killers Realize It's Over: Raw Police Interrogation Murderer Reaction Compilation Some moments in true crime are unforgettable—none more so than the second a killer realizes it’s over. This episode dives into a chilling compilation of real police interrogations, capturing the exact moment suspects break. From calculated silence to sudden emotional collapse, we explore: The mindset behind their deception The breaking point during questioning The jaw-dropping confessions that followIncluding cases where the accused thought they were untouchable—until undeniable evidence shattered their story. These raw, emotional moments are disturbing, riveting, and revealing. You’ll hear the psychological unraveling firsthand. Content Warning: Contains graphic details of violent crimes, real audio clips, and emotionally intense content. Listener discretion is advised. When Killers Realize It's Over Raw Police Interrogation Reaction Compilation killer interrogations, raw police interrogations, true crime podcast, criminal confessions, when killers break down, interrogation room moments, police interviews, shocking confessions, caught lying, interrogation breakdowns, true crime reactions full police interrogations raw interrogation footage killer confessions suspect breakdown interrogation room reactions real crime footage police interview compilation murder suspect reactions criminal confessions true crime interrogation series serial killer interrogations Hosted on Acast. See acast.com/privacy for more information. Become a supporter of this podcast: https://www.spreaker.com/podcast/interrogation-nation-full-police-interrogations-serial-killer-docs-and-true-crime-investigations--6672917/support .…

Swallow the Gap »
Lost in Transition: Communication and Continuity of Care

about a year ago 43:40

MP3•Episode home

Explore what happens when information isn’t transferred in a usable, human-centered way—and how clinicians can bridge the gaps with clearer communication, defensible rationale, and simple tools that empower both patients and providers.

Support the show

Gap Education:
https://swallowthegap.com
Facebook:
https://www.facebook.com/GapEducationLLC

Instagram:
https://www.instagram.com/swallowpatho

Chapters

1. Intro (00:00:00)

2. Meet Eva & the documentation gap (00:00:45)

3. Clinical risk: Biased decisions without data (00:04:00)

4. Getting the answers we need (00:10:00)

5. Impact of missing tests and test results (00:11:40)

6. Making the most of your clinical data (00:17:20)

7. Speaking the patient’s language (00:26:10)

8. Making a lasting impact (00:34:00)

9. Outro (00:42:38)

30 episodes

Swallow the Gap

Lost in Transition: Communication and Continuity of Care

Swallow the Gap

published about a year ago

MP3•Episode home

Support the show

Gap Education:
https://swallowthegap.com
Facebook:
https://www.facebook.com/GapEducationLLC

Instagram:
https://www.instagram.com/swallowpatho

Chapters

1. Intro (00:00:00)

2. Meet Eva & the documentation gap (00:00:45)

3. Clinical risk: Biased decisions without data (00:04:00)

4. Getting the answers we need (00:10:00)

5. Impact of missing tests and test results (00:11:40)

6. Making the most of your clinical data (00:17:20)

7. Speaking the patient’s language (00:26:10)

8. Making a lasting impact (00:34:00)

9. Outro (00:42:38)

30 episodes

All episodes

Swallow the Gap

1
Lost in Transition: Communication and Continuity of Care 43:40

9 weeks ago43:40

43:40

We bring attention to a widespread challenge in clinical care: decisions and recommendation that don’t follow the patient. Whether it’s missing imaging, undocumented rationale, or unclear explanations, these breakdowns in continuity disrupt care, bias clinical judgment, and strip patients of informed choice. Explore what happens when information isn’t transferred in a usable, human-centered way—and how clinicians can bridge the gaps with clearer communication, defensible rationale, and simple tools that empower both patients and providers. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
You Can’t Eat a Stat: The Real Goal of Swallowing Therapy and Research 1:05:53

13 weeks ago1:05:53

1:05:53

This episode explores the concepts of patient centric care and research—does intervention matter if your patient doesn’t care about it? With insights from decades of clinical practice and research, the guests share strategies for therapy that actually fits real lives. Guests: Dr. Giselle Carnaby, MPH, PhD, CCC-SLP, F-ASHA Dr. Michael Crary, PhD, F-ASHA Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
From Old Thinking to New Insights 36:30

19 weeks ago36:30

36:30

With our dedication to our patients, we've gained a deeper understanding of the complexity of swallowing and dysphagia. How can we use these insights to advance SLP education and our own professional growth? Guest: Nicole Wiksten, MS, CCC-SLP, BCS-S Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
The Role of Baseline Neurological Health in Swallowing Recovery After Stroke 36:07

25 weeks ago36:07

36:07

What does pre-stroke neurological health have to do with swallowing prognosis, post stroke? In this episode, Dr. Janina Wilmskoetter, Assistant Professor at the Medical University of South Carolina, discusses her recent publication, Cerebral Small Vessel Disease is an Independent Determinant of Dysphagia After Acute Stroke. Join us for insights into clinical implications for patients with dysphagia! For questions, reach out to Dr. Wilmskoetter at wilmskoe@musc.edu , and access the article via https://www.sciencedirect.com/science/article/pii/S2213158224001517 Episode Sponsor: Bracco Diagnostics, the manufacturer of Varibar barium sulfate products. The only FDA-approved products for the Modified Barium Swallow Study Learn more at https://bracco.com or https://varibarmbs.com Upcoming Live Webinar (2/23/25): Don’t forget to check out Swallowing Cinema , a long-standing MBS case study event at ASHA, now hosted by Gap Education Access at https://gap.learnworlds.com/course/cinema1 https://www.swallowthegap.com/livecourses Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Elevating Research Standards in Dysphagia 56:43

32 weeks ago56:43

56:43

Dr. Catriona Steele , president of the Dysphagia Research Society, discusses her journey in dysphagia research, including motivation from her pre-PhD days, and focuses on systematic reviews. She highlights the need for rigorous and transparent methodologies in evaluating research quality, introduces the FRONTIERS framework, and underscores the importance of continual learning and questioning in the field. Episode Resources from Dr. Steele: PRISMA guideline: Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264-269, W264. https://doi.org/10.7326/0003-4819-151-4-200908180-00135 Prospero: https://www.crd.york.ac.uk/PROSPERO/ Open Science Framework: https://osf.io/ Cochrane Collaboration: https://www.cochrane.org/ EQUATOR Network: https://www.equator-network.org Covidence: https://www.covidence.org/ Rayyan: https://www.rayyan.ai/ Clinical Trials dot gov: https://clinicaltrials.gov Frontiers Framework: https://www.frontiersframework.com Episode Sponsorship: The TIMS Medical team is excited to announce that ASPEKT-C will be included in upcoming releases of TIMS MVP in 2025 , following close collaboration with The Swallowing Rehabilitation Research Laboratory. The team at TIMS ( www.tims.com ) is honored to support the implementation of ASPEKT-C which assists clinicians in identifying the underlying mechanisms of impaired swallowing safety and efficiency. Additionally, the ASPEKT-C Method also enables clinicians to compare swallowing parameters to reference values in healthy individuals, offering valuable insights for improved care. To learn more about ASPEKT-C, visit The Swallowing Rehabilitation Research Lab website. For updates on upcoming TIMS MVP releases, follow TIMS Medical on social media or sign up for email notifications at www.tims.com . Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Special Edition: 150 Years of Experience, Behind Closed Doors 41:52

33 weeks ago41:52

41:52

What happens when you get 6 speech pathologists with 150 years of collective experience stuck together in a room? You’ll have to listen to find out! Join Julie Blair, Laurie Sterling, Dr. Deb Suiter, Dr. Barbara Messing, Jo Puntil, and Dr. Tim Stockdale (that’s 1, 2, 3, 4 ASHA fellows!) in a special edition episode, as we enjoy a laid-back evening conversation at the 2024 ASHA Convention in Seattle, Washington. Reflections include Swallowing Cinema, patient choice, and growing through vulnerability. Sponsor: This episode is sponsored by the Milton J Dance Endowment – a sponsor dedicated to support of head and neck cancer patients and swallowing disorders in all populations. Background photo credit: Daniel Schwen (https://commons.wikimedia.org/wiki/File:Seattle_4.jpg) Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Defining... Dysphagia? 36:04

36 weeks ago36:04

36:04

Believe it or not, there is extensive variability in how dysphagia is defined. Listen in as Drs. Giselle Carnaby, Debra Suiter, and Martin Brodsky discuss challenges and importance of defining dysphagia. The discussion highlights variability in how dysphagia is understood and defined across research, clinical practice, and healthcare systems. This gap has implications for patient care, reimbursement, and professional credibility. While acknowledging the complexity of the task, the speakers emphasize the progress made, the importance of raising awareness, and some steps needed to create a more cohesive approach to dysphagia research and treatment. Episode Sponsor: Phagenesis -Non-surgical, neurostimulation therapy to restore swallowing control https://www.phagenesis.com/ Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Bridging the Gap: Advancing Education in Pediatric Feeding Disorders 33:18

37 weeks ago33:18

33:18

Join us for an insightful discussion with Jaclyn Pederson, CEO of Feeding Matters, as we discuss the critical gaps in education for pediatric feeding disorders. Jaclyn sheds light on the challenges faced by clinicians, who often lack the specialized training needed to manage complex feeding issues in children. Drawing on her background in nonprofit leadership and healthcare innovation, she shares a strategic approach to advocating for improved education and research in this area. This episode calls for meaningful action to enhance education and resources, ensuring better support for those affected by pediatric feeding disorders around the world. Episode Resources: https://pubmed.ncbi.nlm.nih.gov/38801459/ https://youtu.be/oVZWdpu71Wc?si=Tz4QK1xzDQErAH4V Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Getting More From Your Swallow Evaluation With Knowledge of Cranial Nerves 42:04

39 weeks ago42:04

42:04

In this episode, we explore how a solid understanding of cranial nerves can make dysphagia evaluations more precise and guide treatment. By knowing which nerves impact each part of the swallow and how to interpret the oral mechanical exam, clinicians can tailor treatments to lead to better patient outcomes. Guest: Kendrea L. Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE This episode is graciously sponsored by Bracco Diagnostics, maker of VARIBAR® (barium sulfate) - Check them out at VaribarMBS.com Cranial Nerve Diagram for Swallowing: https://www.instagram.com/p/C0vHczIxtk_/?img_index=1 Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Functional Swallowing 41:25

40 weeks ago41:25

41:25

In this episode, we turn the tables as guest host Jeanette Benigas, PhD, interviews Tim on the concept of "functional" swallowing. They explore what truly defines functional swallowing by delving into its core impact on nutrition, hydration, quality of life, and pulmonary health. Together, they reframe our understanding of swallowing function, challenging traditional views and grounding the discussion in clinical outcomes that matter most. Check out Tim's MBSS/VFSS, which is discussed in this episode! https://youtu.be/hVH6G1Wh9Zk Guest Host: Jeanette Benigas, PhD, SLP Guest: Tim Stockdale, SLPD, CCC-SLP This episode is graciously sponsored by Bracco Diagnostics, maker of VARIBAR® (barium sulfate) - Check them out at VaribarMBS.com Episode Resources: A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson's disease Comparison of 2 interventions for liquid aspiration on pneumonia incidence Fatalities due to choking: Internal occlusion of airway Malnutrition: Risks & concerns in dysphagia management Management of dehydration in patients suffering swallowing difficulties A survey of speech pathologist practice patterns for consulting registered dieticians when recommending diet alterations Functional Swallowing Reel (Instagram) @SwallowPatho Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Exploring sEMG in Dysphagia Rehabilitation 33:18

44 weeks ago33:18

33:18

Join Tim and Dr. Gabriela "Gabi" Constantinescu as they explore the use of surface electromyography (sEMG) in swallowing rehabilitation. Gabi, with her background as a clinician and PhD in Rehabilitation Medicine, shares insights on how sEMG biofeedback can enhance patient engagement and outcomes in dysphagia therapy. Whether you're familiar with this technology or new to it, this episode offers a clear and practical overview of how sEMG works, its benefits, and its potential for clinical practice. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Paradigm Shifts in Neurogenic Dysphagia: Innovating Treatment with Physicians 33:18

45 weeks ago33:18

33:18

We’re thrilled to have a neurology physician out of Düsseldorf, Germany join us to explore neurogenic dysphagia and the role of interdisciplinary treatments in its management. Dr. Bendix Labeit will introduce central compensatory mechanisms, brain stimulation, pharmacological therapies, and more, offering insights to shift the way SLPs approach dysphagia care. Episode Sponsor: Phagenesis -Non-surgical, neurostimulation therapy to restore swallowing control https://www.phagenesis.com/ Hard to Swallow - A Catalyst for Change in Dysphagia Management conference, featuring our guest: https://peaks.rm.edu/course/hard-to-swallow-dysphagia-management-conference-2024/ Bio: Bendix Labeit is a neurology physician and clinician scientist at University Hospital Düsseldorf in Germany. His research focuses on neuroscience, geriatrics, and rehabilitation, particularly addressing dysphagia (swallowing impairment) within these fields. He employs various scientific methods, including Flexible Endoscopic Evaluation of Swallowing (FEES), magnetoencephalography (MEG), functional MRI (fMRI), and bioimpedance (BIA), to conduct his studies. His commitment to advancing the field is reflected in his publications in leading journals, including Lancet Neurology, Neurology, Movement Disorders, Stroke, Nature Parkinson’s Disease, and the Journal of the American Medical Directors Association. Through his work, he aspires to create a significant impact by reducing mortality rates and enhancing the overall quality of life for patients. Episode Resources: https://pubmed.ncbi.nlm.nih.gov/34746431/ https://pubmed.ncbi.nlm.nih.gov/38508837/ https://pubmed.ncbi.nlm.nih.gov/38954267/ https://pubmed.ncbi.nlm.nih.gov/27158122/ https://pubmed.ncbi.nlm.nih.gov/38581884/ https://pubmed.ncbi.nlm.nih.gov/37789340/ https://pubmed.ncbi.nlm.nih.gov/34394727/ https://pubmed.ncbi.nlm.nih.gov/33449304/ Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Metrics that Matter: The Critical Role of RMST in Dysphagia Management 35:17

45 weeks ago35:17

35:17

How can Inspiratory Muscle Strength Training (IMST) be integrated into your patient care? In this episode, we explore respiratory muscle strength training (RMST), with a specific focus on IMST—one of the less familiar tools for speech-language pathologists. Tune in as we discuss the science and real-world applications of RMST, with expert insights from Dr. Alex Brandimore. Whether you’re new to RMST or looking to deepen your knowledge, this episode offers valuable insights for advancing dysphagia care. Episode Sponsor: Aspire Respiratory Products - Visit https://emst150.com for access to free educational resources (found on the healthcare professionals side of the site). Other Resources: https://emst150.com/research-list-case-studies/ Hear more from our speaker on Sept. 20-21, 2024 at the Hard to Swallow - A Catalyst for Change in Dysphagia Management conference, featuring our podcast guest - https://peaks.rm.edu/course Bio: Dr. Alexandra Brandimore, Ph.D. CCC-SLP joined the USF Communication Sciences and Disorders department faculty in May 2017. Her research targets the development of evaluative techniques and therapeutic paradigms to improve upper airway dysfunction, primarily dysphagia (disordered swallowing) and dystussia (disordered cough), in persons with neurodegenerative diseases (e.g. Parkinson’s disease). Her clinical work has mainly been in Movement Disorders where she has evaluated and treated the motor speech, voice, AAC, and airway protective needs of hundreds of patients. She has participated in the collaborative, multidisciplinary ALS clinic within the USF Health system to facilitate the complex needs of these patients. Dr. Brandimore has teaching expertise in respiratory physiology, cognitive-motor relationships, neural/myogenic adaptations to exercise and training, with emphasis on the swallowing, coughing and respiratory systems, and clinical disorders of motor speech, voice, and airway protection. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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ICU Discussion Panel - Continuing Conversation from 'Dysphagia in Patients with Pulmonary Compromise (ICU & Beyond) 1:02:03

1 year ago1:02:03

1:02:03

This episode continues the discussion from the April 20th, 2024 webinar "Dysphagia in Patients with Pulmonary Compromise: ICU and Beyond." It is a special release that falls between Season 1 and Season 2, covering topics related to dysphagia practice in patients in the Intensive Care Unit (ICU). It is also relevant to long-term acute care units (LTAC) and other settings. This episode expresses opinions of the guests and hosts. It should not be taken to represent our employers or as health or legal advice. Guests: Martin Brodsky, PhD, ScM, CCC-SLP, ASHA Fellow Jo Puntil, MS, CCC-SLP, BCS-S, ASHA Fellow Kendrea Layne (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, CCRE George Barnes, MS, CCC-SLP, BCS-S Resources: Confounding Case Series, Beginning June 27, 2024: https://www.swallowthegap.com/livecourses or https://events.zoom.us/eo/AldPDrAEr9j1jAVZ1uZ1Il3vgIoWBj1EeacLXXZ4lhJvT3D76Gli~AggLXsr32QYFjq8BlYLZ5I06Dg Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Season Finale: Moving Beyond Our Reflection 1:01:33

1 year ago1:01:33

1:01:33

In a startling sample of patients, 67% of those with a modified diet and 61% of those with feeding tubes who were then assessed with FEES did not appear to even have dysphagia (Bice et al., 2024)! Soon to be Dr. Matthew Ward (🤞April 18th) and Tim discuss jarring data from Matt’s recent publication Dysphagia and Diets in Skilled Nursing Facilities When Patient's Health Status Changes: The Role of Imaging . Moving beyond the angst of the metaphorical mirror of dysphagia management, we highlight the transformative potential that is possible through reflection and a growth-mindset. Episode Sponsored by https://www.sasspllc.com/ Training in Flexible Endoscopic Swallow Evaluations – Beginner, Advanced, and More! Guest Bio Matthew Ward received his B.A. from Lipscomb University and his M.S. in Speech-Language Pathology from Tennessee State University. He is currently studying for a Ph.D. in Health and Human Performance from Middle Tennessee State University, defending his dissertation two days after this episode's release! He has been a medical speech-language pathologist since 2012. He is a certified endoscopist, certified endoscopy trainer, and the Director of Clinical Education for SA Swallowing Services. He has been a medical speech-language pathologist since 2012, and he currently serves on the Board of Communication Disorders and Sciences for the state of Tennessee. He teaches basic and advanced FEES courses, and he teaches medical speech-language pathology courses at Middle Tennessee State University. Matt has been an invited speaker at colleges, state and local associations, international podcasts, and multiple international medical universities. He has published multiple articles on swallowing and swallowing disorders in peer-reviewed journals, and his research interests include swallowing, health outcomes related to swallowing disorders, and health outcomes associated with the treatment of swallowing disorders when treated by speech-language pathologists. Resources: https://pubmed.ncbi.nlm.nih.gov/38109943/ Please let us know your thoughts on season 1 and your ideas for season 2! https://www.swallowthegap.com/survey Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Breath of Fresh Air: Uncovering the Impact of Oral Hygiene on Hospital-Acquired Pneumonia 52:59

1 year ago52:59

52:59

How can you prevent ~40 pneumonia cases and save $1.5 million in 1 year? Listen to find out! Join us today with three doctorate-level healthcare providers and an advanced practice nurse as we unravel startling data on the effect of oral hygiene on hospital-acquired pneumonia. Our expert guests will dive into how something as simple as improved oral hygiene can not only enhance patient outcomes (by ~37%!!) but also potentially save healthcare facilities millions of dollars. This episode contains actionable insights and practical information aimed at advancing oral hygiene practices in healthcare institutions. Prepare to be surprised by the powerful effect of basic oral care in this eye-opening discussion. This episode is graciously sponsored by Bracco Diagnostics, maker of VARIBAR® (barium sulfate) - Check them out at VaribarMBS.com Dr. Barbara Quinn is a board-certified Adult Clinical Nurse Specialist and a Fellow of NACNS (National Association of Clinical Nurse Specialists). She has 30 years of experience as a Registered Nurse. After 18 years at the bedside, Barbara earned her Master of Science degree in Nursing and then her Doctor of Nursing Science in 2021. Barbara recently retired from her role as the Director of Professional Practice and Nursing Excellence for the Sutter Health System of hospitals with a focus on elevating the profession of nursing, improving outcomes, and mentoring nurses. Barb continues to educate and consult, emphasizing nurse-sensitive outcomes such as the prevention of Non-Ventilator Hospital-Acquired Pneumonia (NV-HAP). She is a member of several professional organizations, is a frequent presenter at national professional conferences, and has co-authored several peer-reviewed publications. When she is not in the home office, Barb enjoys being outdoors on their 5-acre property in the Sierra foothills of California. Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN is a Critical Care Clinical Nurse Specialist and Consultant. She has published & lectured nationally and internationally on a variety of pulmonary, critical care, prevention of health care acquired injuries including pressure injury and CAUTI/CLABSI’s and other HAI’s, work culture and sepsis recognition & management. •College of Critical Care Medicine (2004) •American Academy of Nurses (2009), •Current President: World Federation of Critical Care Nurses (2023-2025) Dr. Erin McCarthy is the owner and Executive Director of Rochester Feeding & Swallowing Therapy in Rochester, New York – a private practice dedicated to the assessment and treatment of individuals with feeding & swallowing disorders from Birth through age 64. She is also the Director of Clinical Education for the new graduate level Speech-Language Pathology program at D’Youville University. Dr. McCarthy is affiliated with the University of Rochester Medical Center and Rochester Regional Health and is a Board-Certified Specialist in Swallowing disorders. She is a consultant and an expert-matter speaker for Stryker Medical Company and has presented at the regional, state and national level. She has been in clinical practice for 26 years and has extensive experience in the acute care setting, with leadership & supervision, implementation science research, inter-professional practice, and academia. Her clinical focus areas are in adult neurogenic acquired swallowing disorders, post-extubation dysphagia, utilizing oro Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Beyond the Bedside: Humanizing Healthcare in the ICU 57:25

1 year ago57:25

57:25

This episode is a must-listen for those who dream big about inspiring positive change and for clinicians who may need a boost in their motivation. Sam Walker, an SLP and business owner, shares transformative lessons from her mother's 72-day hospitalization battling sepsis, acute respiratory distress syndrome (ARDS), and the rigors of invasive airway support. With her unique blend of personal experience and professional acumen, Sam elevates a perspective on patient care and education that intertwines our individuality, professionalism, and shared humanity. This episode also features Jo Puntil, an esteemed ASHA Fellow and ICU trailblazer with over 35 years of acute care expertise, adding depth to this inspiring dialogue. This episode is graciously sponsored by Bracco Diagnostics, maker of VARIBAR® (barium sulfate) - varibarmbs.com Bios Sam Walker, MS, CCC-SLP, TSSLD , the spirited and passionate owner of Speaking of Samantics and the SLP Test Prep, is a shining example of how creativity can pave the way to success. When the pandemic left her unable to work, she tapped into her artistic side and transformed her situation with just a few brilliant sticker designs. Today, Speaking of Samantics boasts an incredible collection of over 400 unique designs that have expanded far beyond stickers! Beyond her inventive flair, Sam has embraced her role as a fervent advocate for graduate students in the field of speech pathology. Recognizing the challenges of graduate school, she is determined to reshape the narrative, striving to create a more accepting and supportive environment for all those navigating this demanding journey. In line with this mission, Sam launched The SLP Test Prep, your go-to platform for an engaging and effective study experience designed specifically for SLP graduate students. Whether you're preparing for critical exams or seeking to reinforce your learning, the interactive approach makes studying both enjoyable and comprehensive. Join Sam every Tuesday for live Kahoot! sessions via Zoom for real-time learning, and don't worry if you miss a session. With over 95 recorded games and more than 100 interactive worksheets available, you can study at your own pace, ensuring you're always on top of your game. At The SLP Test Prep, Sam is committed to helping you succeed in your SLP graduate studies by turning study time into an interactive, knowledge-building adventure. https://slptestprep.com/ Jo Puntil, MS, CCC-SLP, BCS-S, ASHA-F is the Past ASHA Chair of the CCFC which oversees the implementation of certification and standards of care in Speech Pathology and Audiology. She has specialized in managing communication/cognitive and swallowing disorders for over 35 years in critical and acute care. Jo has extensive experience in developing interdisciplinary rehab programs, has lectured extensively, and has numerous publications. Oh yeah! The early bird rate for Jo's ICU webinar event with Dr. Martin Brodsky, Dr. Kendrea (Focht) Garand, and George Barnes ends at 11:59 PM March 31st! Sign up now and save $21. www.swallowthegap.com/livecourses Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

1
Dysphagia in Patients With Dementia 56:46

1 year ago56:46

56:46

In this episode, we discuss diagnosing and managing dysphagia in patients with dementia. Dr. Jeannette Benigas and Rinki Varindani Desai integrate various sources with their own professional experience to help better equip SLPs to partner with our patients. Episode Resources: Free webinar of NFOSD: https://swallowingdisorderfoundation.com/webinar-recording-dysphagia-dementia/ NFOSD blog post for caregivers: https://swallowingdisorderfoundation.com/caregivers-guide-dysphagia-dementia/ ECAT https://www.healthpropress.com/product/environment-communication-assessment-toolkit-ecat-for-dementia-care-with-meters Medbridge Link for the following courses: https://www.medbridgeeducation.com/benigas code to save: BENIGAS Biography Dr. Jeanette E. Benigas, PhD owns Safe Swallowing Diagnostics, a mobile FEES company serving Eastern Ohio and Western Pennsylvania. Her extensive clinical experience has included work with adults in the acute care, inpatient rehabilitation, post-acute rehabilitation, long-term care, home health, and outpatient settings. Dr. Benigas's research interests include improving the quality of life for people with dementia, specifically those who have difficulties eating and swallowing. Her research has incorporated the use of spaced retrieval to teach swallowing strategies so individuals with dementia can avoid unwanted dietary modifications. She has traveled nationally to consult and speak with other professionals in the medical field who work with people with memory loss or dysphagia. Dr. Benigas received a master's degree in speech-language pathology from Eastern Michigan University and a Ph.D. in speech and hearing science with an interdisciplinary specialization in aging from The Ohio State University. She has taught at several universities across Ohio, Indiana, and New York. She co-authored Spaced Retrieval Step by Step: An Evidence-Based Memory Intervention and is the co-host of the podcasts Fix SLP and Other SLPs' Pockets. Dr. Benigas can be found on social media on Instagram (@Fix.SLP or @MedSLPadvocate) or Facebook (@FixSLP and @MedSLPadvocate). Rinki Varindani Desai, MS, CCC-SLP, BCS-S is a medical speech-language pathologist and board-certified specialist in swallowing and swallowing disorders. She is the founder of the Medical SLP Forum community, co-creator of the Dysphagia Therapy mobile app, and co-founder of the Swallowing Training and Education Portal online learning platform. Rinki currently serves as a member of ASHA's Scientific and Professional Education Board. She has earned multiple awards for excellence in clinical practice, leadership, advocacy, and clinical education. She has practiced in medical settings across the US for over a decade. In addition to teaching and mentoring graduate students, she has presented nationally and internationally and published several articles on topics related to adult dysphagia. In her downtime, she enjoys reading, writing, cooking, volunteering, and doing what she can to help advance the profession by paying it forward. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Practicing Research and Researching Practice: Interpreting Clinical Trials and Building the Foundations for Future Research 1:05:56

1 year ago1:05:56

1:05:56

Corinne Jones, Ph.D., CCC-SLP delves into how SLPs can analyze and interpret clinical trials to facilitate translation of the science to our clinical practice. There is an emphasis on how clinicians form the foundations of research and how to build synergy with researchers. Bio Dr. Corinne Jones is an Assistant Professor at the University of Texas at Austin, focusing on Neurology and Speech, Language, and Hearing Sciences (SLHS). She completed her undergraduate studies in Linguistics with a minor in SLHS at Boston University, followed by a Master of Science in Speech-Language Pathology at the University of Wisconsin-Madison. Dr. Jones completed her clinical fellowship at the UW Hospital & Clinics, working part-time on the inpatient swallow team while managing a lab in swallowing physiology. She earned her PhD in Communication Sciences and Disorders and Neuroscience at UW-Madison. Currently, she balances her academic role with a day a week of clinical outpatient work at UT Health Austin. Episode Resources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520133 https://grants.nih.gov/policy/clinical-trials/definition.htm https://grants.nih.gov/policy/humansubjects/policies-and-regulations/data-safety.htm Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Changing Tides in the World of SLP 1:05:50

1 year ago1:05:50

1:05:50

From publication pushback to trailblazing in the continuing education world, Dr. Ianessa Humbert and Rinki Varindani Desai discuss challenges - and payoffs - of infusing new ideas into the field of speech-language pathology. Biographies: Dr. Humbert, PhD is an accomplished scientist, professor, and highly sought-after speaker with expertise and swallowing and swallowing disorders. Dr. Humbert is a world renowned 'Swallowologist,' the CEO and Co-founder of STEP - The Swallowing Training and Education Portal, and the CEO and founder of Swallowing Wellness. Rinki Varindani Desai is a medical speech-language pathologist and board-certified specialist in swallowing and swallowing disorders. She is the founder of the Medical SLP Forum community, co-creator of the Dysphagia Therapy mobile app, and co-founder of the Swallowing Training and Education Portal online learning platform. Rinki currently serves as a member of ASHA's Scientific and Professional Education Board. She has earned multiple awards for excellence in clinical practice, leadership, advocacy, and clinical education. She has practiced in medical settings across the US for over a decade. In addition to teaching and mentoring graduate students, she has presented nationally and internationally and published several articles on topics related to adult dysphagia. In her downtime, she enjoys reading, writing, cooking, volunteering, and doing what she can to help advance the profession by paying it forward. Resources : https://www.stepcommunity.com/ https://www.swallowingwellness.com/ Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Risk! 49:56

1 year ago49:56

49:56

In perhaps the most laid back and chaotic episode ever, George and Tim discuss factors that influence clinical decision making. This episode discusses foundations to allow medical SLPs to be more empirical and evidence-based our decision making. The discussion exalts the idea of harnessing our ability to think overcome flaws in clinical reasoning and to critically to facilitate more ideal outcomes in patient care. Bio George Barnes MS, CCC-SLP, BCS-S is a board-certified specialist in swallowing and swallowing disorders who has developed expertise in dysphagia management, focusing on diagnostics and clinical decision-making in the medically complex population. George yearns to make education useful and quality care accessible. With a passion for food and a deep appreciation for the joy and connection it brings to our lives, he has dedicated his life to helping others enjoy this simple but deep-rooted pleasure. George's Course: Complex Decision-Making in Dysphagia Management George's Blog Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Landing in the Same Location With Vastly Different Roles: Experiences of a Medical SLP Student, a Clinic Director, and an Associate Professor 51:26

1 year ago51:26

51:26

In this episode we integrate the experiences of three unique individuals who all landed in the same program, but with vastly different roles: a student, director of clinical education, and an associate professor. Themes include– but aren’t limited to - transitioning from student to clinician, self-assessment, fostering synergy via dialogue & debate, guidance for grads & mentors, and sharing mistakes. This episode is a must-listen for students, mentors, recent graduates, and all who are interested in collaboration and professional development. Due to microphone placement, setting, room acoustics, and other factors, the audio quality in this episode is somewhat different than other episodes. Bios: Wendy Chase, MA, CCC-SLP is a speech-language pathologist who joined Rocky Mountain University of Health Professions in July 2017 in the position of Director of Clinical Education/Assistant Professor. Ms. Chase earned her BS at Central Michigan University and her MA at Northwestern University. She has more than 30 years of experience in clinical positions treating clients from infancy through geriatrics. Her interests are focused on clinical education, gender affirming communication treatment, and management of swallowing and voice in clients with ventilator dependency. Phil Sechtem, Ph.D., CCC-SLP is an associate professor in the MS MedSLP Program at Rocky Mountain University of Health Professions in Provo, Utah. His academic, teaching, and scholarly interests include the neurologic underpinnings of typical and atypical communication, voice, and swallowing structures and functions. He is a clinical educator within the Center for Communication Disorders on the campus of Rocky Mountain University of Health Professions and he conducts and trains graduate-level endoscopic voice and swallowing methods and procedures for advanced interpretation and management of relevant patient populations. Russell deJesus, MS, CCC-SLP (he/him/his) is a Filipino-American immigrant from Eagle Mountain, Utah. He graduated with his Bachelor's in Communication Disorders from Brigham Young University, with his Master's with a medical emphasis from Rocky Mountain University of Health Professions, and is in his PhD program at the University of Utah. He currently lives in Salt Lake City, Utah with his wife and no kids, where he likes to spend time with family and be active outdoors. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Beyond Fear to Find Your Bliss: Growing Yourself and Transforming SLP Education 58:56

1 year ago58:56

58:56

Dr. Julie Barkmeier-Kraemer discusses the transformative impact of learning from failure, managing self-expectations, and imposter syndrome. She draws from her experience as a clinician, instructor, researcher, administrator, and more to provide insights into developing oneself and revolutionizing education for speech-language pathologists. With brief tangents about cranial nerves and clinical swallow evaluations, the conversation navigates topics such as critical thinking, the strengths of case-based learning, and viewing clinical supervision as a partnership. Julie Barkmeier-Kraemer, PhD, CCC-SLP, ASHA Honors Dr. Julie Barkmeier-Kraemer is a tenured professor in the Department of Otolaryngology – Head and Neck Surgery, Director of the Voice, Airway, Swallowing Translational (VAST) Research Lab, Clinic Director for the Utah Voice Disorders Center, and Adjunct faculty to the Department of Communication Sciences and Disorders (CSD) at the University of Utah (U of U). She has enjoyed faculty positions at the University of Arizona and UC Davis prior to joining the faculty at the University of Utah. She has also enjoyed several administrative and leadership roles through the American Speech-Language-Hearing Association (ASHA), ASHFoundation, Dysphagia Research Society (DRS), International Parkinson and Movement Disorders Society (MDS), Feeding Matters, Dysphonia International, and the National Institutes of Health. She has participated as a research faculty mentor through the ASHA Pathways, ASHA Lessons for Success and the Grant Review and Reviewer Training (GRRT) programs and also enjoyed teaching, training, and collaborating with colleagues from multiple disciplines as well as working with students from undergraduate to graduate school and junior faculty levels. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Being an SLP in the Real World... Where's the Disconnect? 56:34

1 year ago56:34

56:34

This episode is essential for anyone struggling with conflicting expectations from their education, patients, administration, and personal goals. Our guest, Ed Bice, delves into how we can reconcile differences when we are faced with competing ideas. We explore strategies for navigating challenging situations and enhancing communication skills. Additionally, the episode focuses on the importance of leveraging the knowledge of those you are negotiating with, especially when advocating for more reasonable productivity standards and the adoption of new diagnostic and treatment equipment. Guest bio: Ed Bice is currently working as a Clinical Consultant for IOPI Medical. He is the co-founder of Appalachian-Zenith Training and Education Courses (A-ZTEC). He has experience in various settings, including acute care, outpatient, home health, and skilled nursing. Ed has held various leadership positions, including a Regional Manager, Vice President of Clinical Services, and Chief Operating Officer. Ed has been a guest on national and international dysphagia podcasts and has numerous publications in peer-reviewed journals. Ed was an invited member of the committee that developed the Adult Dysphagia Practice Portal for the American Speech Hearing and Language Association. She serves as the co-coordinator of the Speech and Hearing Association of Virginia’s special interest group for Feeding and Swallowing Disorders and currently assesses and treats patients at a nonprofit speech and hearing center. He teaches an introductory and advanced swallowing course at the University of Maryland as adjunct faculty. Ed has served as an expert witness in court cases related to swallowing and swallowing disorders. Ed has been an invited speaker for universities, state, national and international conventions on various topics in dysphagia. Resources: https://pubs.asha.org/doi/abs/10.1044/2019_PERSP-19-00022 Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Beyond Aspiration - Why Should We Care, and What Else Matters? 49:49

1 year ago49:49

49:49

On today's episode, we scratch the surface on variables beyond aspiration that impact dysphagia-related pneumonia in our patients. Our guest, Dr. John R. Ashford, Ph.D., brings a wealth of knowledge from his experience in clinical practice, academia, and research. Furthermore, we discuss lab values, education, life-long learning, and how SLPs can become more medically-focused in their patient care. Join us as Dr. Ashford provides valuable insights to help bridge the gap between research and practical clinical application. “What I know doesn’t belong to me; what people know really doesn’t belong to them; we’re nothing but conduits; we simply are passing along what others have taught us, and we’ve made sense out of it.” -Dr. John Ashford Bio John R. Ashford, Ph.D., is Education Director/Co-Owner of SA Swallowing Services, Nashville, TN. He is retired from the Department of Veterans Affairs as a Medical Speech-Language Pathologist, and as a Professor at Tennessee State University and the Vanderbilt University School of Medicine. Professional interests include understanding factors associated with pneumonia development in patients with dysphagia, and educating and training providers of FEES services. Episode Resources: https://www.sasspllc.com/ https://www.sasspllc.com/three-pillars-of-pneumonia Immune: A Journey into the Mysterious System that Keeps You Alive (Book) Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Healthcare Disparities in Dysphagia: Parallels Between Our Bodies and Society 44:02

2 years ago44:02

44:02

Raele Donetha Robison, PhD, CCC-SLP of University of Wisconsin-Madison offers her perspectives on healthcare inequities faced by individuals with dysphagia. With her rich understanding of complexities in patient care - such as the concepts of functional reserves and homeostasis - she provides enlightening comparisons between the challenges encountered in healthcare on both individual and societal scales. Bio: Dr. Robison is a Speech-Language Pathologist and current postdoctoral fellow at the University of Wisconsin-Madison (UW-Madison) in Dr. Nicole Rogus-Pulia’s Swallowing and Salivary Bioscience Laboratory. Dr. Robison is currently supported by a NIH specialized D-SPAN pre- to postdoctoral K00 fellowship grant. Under this NIA-supported K00 grant mechanism, Dr. Robison is sponsored by Drs. Nicole Rogus-Pulia and Nadine Connor. The overarching aim of this work is geared towards understanding how interrelated physiologic capacities throughout the body contribute to the development of dysphagia in frail older adults. Dr. Robison is also passionate about understanding how health disparities preclude equity surrounding the eating experience. She is an affiliate member of the UW-Madison Center for Health Disparities Research and hopes to identify barriers and expand access to swallowing care among socioeconomically disadvantaged groups. Episode resources: Contact: rrobison@wisc.edu Health Equity Tourism: Ravaging the Justice Landscape (Lett et al., 2022): https://pubmed.ncbi.nlm.nih.gov/35150324/ Fried Frailty Index derived from Cardiovascular Health Study: https://bmjopen.bmj.com/content/bmjopen/6/8/e012091/DC1/embed/inline-supplementary-material-1.pdf?download=true Swallowing and Salivary Biosciences Lab: https://ssbl.wisc.edu/ Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Gaps: Where Are They... Really? Progression in Perspective and the Importance of Nuance. 1:12:04

2 years ago1:12:04

1:12:04

Dr. Vose touches on the importance of nuance while reflecting on her 2018 paper, "A Survey of Clinician Decision Making When Identifying Swallowing Impairments and Determining Treatment," and why understanding the methodology in research is a key element of evidence based practice. This episode also discusses translating science outside of speech-language pathology into our practice, the need for more treatment research, and our motivation to keep growing as a profession. "By acknowledging the gap, it promotes promise for the future." - Alicia K. Vose, PhD, CCC-SLP https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242916/ Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Wave the Diet Waiver, "Goodbye!" 54:31

2 years ago54:31

54:31

Dr. Jeanette Benigas shares her insight into ethical dysphagia intervention that exemplifies patient-centered care. What do you do when a patient is not agreeable to your recommendations? How do we be sure to not undermine patient autonomy when a patient wants something that we may not consider to be "safe"? Bio: Jeanette E. Benigas, PhD Dr. Jeanette E. Benigas owns Safe Swallowing Diagnostics, a mobile FEES company serving Eastern Ohio and Western Pennsylvania. Her extensive clinical experience has included work with adults in the acute care, inpatient rehabilitation, post-acute rehabilitation, long-term care, home health, and outpatient settings. Dr. Benigas's research interests include improving the quality of life for people with dementia, specifically those who have difficulties eating and swallowing. Her research has incorporated the use of spaced retrieval to teach swallowing strategies so individuals with dementia can avoid unwanted dietary modifications. She has traveled nationally to consult and speak with other professionals in the medical field who work with people with memory loss or dysphagia. Dr. Benigas received a master's degree in speech-language pathology from Eastern Michigan University and a Ph.D. in speech and hearing science with an interdisciplinary specialization in aging from The Ohio State University. She is a Professor at Thiel College and has taught as an adjunct professor at several universities across Ohio, Indiana, and New York. She co-authored Spaced Retrieval Step by Step: An Evidence-Based Memory Intervention and is the co-host of the podcasts Fix SLP and Other SLPs' Pockets. Dr. Benigas can be found on social media on Instagram (@Fix.SLP or @MedSLPadvocate) or Facebook (@FixSLP and @MedSLPadvocate). Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Dysphagia Through Head and Neck Cancer: Personality and Perseverance 58:48

2 years ago58:48

58:48

Dr. Carly Barbon from M.D. Anderson Cancer Center (Houston, TX) and Faith Hoelzel-Lemke from Huntsman Cancer Center (Salt Lake City, UT) provide a glimpse into specialized dysphagia care for patients with - and survivors of - cancers of the head and neck (HNC). Join us in this jovial dialogue and learn makes care for this population so memorable! Go Pack... Go?! Bios: Carly E. A. Barbon, PhD Dr. Carly Barbon is an Assistant Professor in the Department of Head and Neck Surgery at The University of Texas MD Anderson Cancer Center. She completed a PhD in Rehabilitation Sciences from the University of Toronto where she investigated evaluation pathophysiologic and mechanistic drivers of dysphagia after radiotherapy. After her PhD she completed a postdoctoral research fellowship in Head and Neck Surgery at The University of Texas MD Anderson Cancer Center, with a focus on clinician-and patient-reported functional outcomes in oropharyngeal cancer patients. Her research is focused on modeling objective functional outcomes in oral cavity and oropharynx cancers and characterizing swallow pathophysiology to better identify rehabilitative targets in head and neck cancer survivors. Faith Hoelzel-Lemke, MS, SLP Faith Hoelzel-Lemke is a speech-language pathologist at the University of Utah Huntsman Cancer Institute. Her clinical and research interests largely focus on dysphagia related to head and neck cancer and voice restoration in the laryngectomee population. She is passionate about HNC education and serves part-time at the graduate level targeting this initiative. Support the show Gap Education: https://swallowthegap.com Facebook: https://www.facebook.com/GapEducationLLC Instagram: https://www.instagram.com/swallowpatho…

Swallow the Gap

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Navigating ICU Care: Dispelling Myths, Being Authentic, and Cultivating Professional Growth 59:54

2 years ago59:54