Flexible endoscopic evaluation of swallowing (FEES) for neurogenic dysphagia: training curriculum of the German Society of Neurology and the German stroke society

  • Neurogenic dysphagia is one of the most frequent and prognostically relevant neurological deficits in a variety of disorders, such as stroke, parkinsonism and advanced neuromuscular diseases. Flexible endoscopic evaluation of swallowing (FEES) is now probably the most frequently used tool for objective dysphagia assessment in Germany. It allows evaluation of the efficacy and safety of swallowing, determination of appropriate feeding strategies and assessment of the efficacy of different swallowing manoeuvres. The literature furthermore indicates that FEES is a safe and well-tolerated procedure. In spite of the huge demand for qualified dysphagia diagnostics in neurology, a systematic FEES education has not yet been established. The structured training curriculum presented in this article aims to close this gap and intends to enforce a robust and qualified FEES service. As management of neurogenic dysphagia is not confined to neurologists, this educational programme is applicable to other clinicians and speech–language therapists with expertise in dysphagia as well. The systematic education in carrying out FEES across a variety of different professions proposed by this curriculum will help to spread this instrumental approach and to improve dysphagia management.

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Author:Rainer Dziewas, Jörg Glahn, Christine Helfer, Guntram Ickenstein, Jochen Keller, Christian Ledl, Beate Lindner-Pfleghar, Darius G. Nabavi, Mario Prosiegel, Axel Riecker, Sriramya LapaORCiD, Sönke Stanschus, Tobias Warnecke, Otto Busse
URN:urn:nbn:de:hebis:30:3-306423
DOI:https://doi.org/10.1186/s12909-016-0587-3
ISSN:1472-6920
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/26911194
Parent Title (German):BMC medical education
Publisher:BioMed Central
Place of publication:London
Document Type:Article
Language:English
Date of Publication (online):2016/12/20
Year of first Publication:2016
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2016/12/20
Tag:Clinical competence; Flexible Endoscopic Evaluation of Swallowing; Muscular diseases; Nervous system diseases; Stroke
Volume:16
Issue:70
Page Number:9
First Page:1
Last Page:9
Note:
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
HeBIS-PPN:425199975
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 4.0