Welcome to ASC 823J

Medical Aspects of Speech-Language Pathology

Fall Semester, 2002

Instructor: Peter LaPine, Ph.D.Phone: 517-353-8780

Office: 215 Oyere-mail:

Place &Time: 151 COM

M & W 5:00 p.m.-6:20 p.m.

(1 hr. arranged)

This is the second time this graduate course has been taught. Medical Aspects of Speech-Language Pathology exists as the result of several significant curricular changes that were recommended by the Faculty of the Department of Audiology and Speech Sciences. Essentially, the Faculty felt that the profession of speech-language pathology had changed so significantly in recent years that a course in the practice of speech-language pathology in medical settings was needed to support our Master’s Degree curriculum.

Intent of the course format:

Most, if not all, persons enrolled in this course will be second year graduate students. Consequently, the focus of the academic interchange among the group will be didactic. Traditional testing and evaluation processes will not be used. Individual and group products will be the sole media for evaluating one’s performance the class. The practice of speech-language pathology, by its very nature, is didactic; therefore, the course will be structured with emphasis on personal outcomes as measured by individual effort and group performance.

The inherent structure of this course is based on several assumptions:

  1. Professional education is a continuum; a path of learning over time. Not everyone will be an “expert” in every area of speech-language pathology but everyone in the discipline must have some common, fundamental educational underpinnings.
  2. Professionalism per se requires sharing information in a variety of ways. Such sharing can occur in patient care, at conference proceedings, in-services, classroom supervision or in student supervision.
  3. Oral and written communication skills are requisites for professional practice and professional growth.

Goals for the class:

  1. To explore the topics most commonly managed in medical settings;
  2. To study the clinical practices of speech language pathology that are specific to and used in medical settings;
  3. To develop topics based on scholarly work for distribution in class;
  4. To learn by doing, thus, to demonstrate facility with and develop expertise in clinical instrumentation;
  5. To use common, contemporary technology to gain experience in formal presentations;
  6. To learn just how much one can accomplish in one semester!

Class Text:

Johnson, A. F. and Jacobson, B.H. (1998). Medical Speech-Language Pathology: A

Practitioner’s Guide. Thieme: New York.

Optional Text:

Golper, L.A., (1998). Sourcebook for Medical Speech Pathology. (2nd Ed.).

Singular Publishing Group: San Diego.

Additional journal readings will be required. Citations and sources will be provided.

Projects:

The course is composed of a series of projects. Students must select one of the following clinical procedures. Student groups will be formed from the selected areas. Individual evaluations of class performance will be derived from the performance of each group, e.g., the members of the group receive the same grade regardless of who does what amount of work. A brief description of each project follows:

1. Videolaryngostroboscopy: A videotaped rigid oral nasopharyngoscopy must

be performed using zenon and halogen light.

2. Videolaryngostroboscopy: A videotaped flexible nasopharyngoscopy must

be performed using xenon and halogen light.

  1. Tracheoesophageal Prosthesis Sizing and Fitting: A videotaped procedure

with a laryngectomee to size and fit a tracheoesophageal prosthesis.

  1. Speaking Valve Application: A videotaped fitting of a tracheostoma valve or Barton-Mayo Button.

5. TEP Preparation: A videotaped tracheoesophageal insufflation procedure.

6. VelopharyngealPort Analysis: A videotaped evaluation of the velum

and velopharyngeal closure.

  1. Flexible Endoscopic Examination of Swallowing: A videotaped process to

evaluate the safety of the swallow mechanisms.

  1. Cranial Nerve Evaluation: A videotaped assessment of motor and sensory

components needed for speech function.

Format: During the first meeting of the class, each member of the class will select one of the projects. The members of the class will be collapsed into groups according to the projects selected. Once the groups are identified, a series of related activities will follow.

  1. Review and study of the process, e.g., investigate various formats for completing the specific procedure(s), review previous literature from refereed journals, professional literature, and Internet sites Value: 40 points
  2. Carry out the procedure with a specific data collection, e.g., independent variable to measure. Using the equipment provided in the Vocal Tract Performance Laboratory, videotape the data collection process. Class time will be allocated for using instrumentation and for the data collection processes. Value: 50 points
  3. Compile a list of the selected, meaningful articles or references to provide to the class prior to your PowerPoint presentation as resources for their own individual reading on the topic. Each week each member of the group should bring to class an article related to the class project to present to the class. Bring a copy for each member of the class. Each group will submit this bibliography as part of their final class presentation. Value: 60 points
  4. Use the data collected to analyze via Microsoft Excel. Graph data; to the data apply at least measures of central tendency and dispersion. Focus on collecting enough data to use in a correlation; relate the strength and direction of the correlation. Show the correlation with a graph of the data. Data spreadsheets and copies of the graph(s) must be provided to the class as a whole at the time of the presentation. Value: 70 points
  5. Relate to the class in a formal presentation using PowerPoint media; presentation must include at least 2 graphs, 2 tables, 5 sound files and digital video files and relevant Internet hyperlinks. All PowerPoint files must be completed in advance of the class meeting and will be provided to PRL to save to writable CD. Class presentations will be from a class CD. Value: 100 points
  6. The outcome of the PowerPointpresentation should leave any member of the class with a substantial impression for how to perform the procedure(s) and with an understanding of the data analysis. Members of the class will be provided with an evaluation form; each group will be evaluated on their presentation by the individual class members and by the instructor. Value: ratings applied to evaluation forms to be provided to each member of the class. Ratings will be compiled for each group of presenters.

Professional Ethics:

A member of the MSU faculty from the Department of Human Medicine will lecture to the class. A variety of relevant topics that are germane to speech-language pathology practice in a medical setting will be provided. Based upon the discussion among the group, a number of debate pairs will be established. A second series of ethical questions will be developed. Debate pairs will have an opportunity to address pro/con aspects of each question. Class members will “grade” each individual pair of speakers.

Grades:

Final grades will be determined as a percentage of the “straight scale.” The proportion of effort for each element to be included in this proportion is as follows:

Group PowerPoint Project: 50%

Medical Ethics Debate: 25%

Class Participation: 25%

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100 %

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University Policies: See for more detail.

1. Academic Honesty: Article 2.3.3 of the Academic Freedom Report states that "the

student shares with the faculty the responsibility for maintaining the integrity of scholarship, grades, and professional standards." In addition, the Audiology & Speech Sciences department adheres to the policies on academic honesty as specified in General Student Regulations 1.0, Protection of Scholarship and Grades, and in the all-University Policy on Integrity of Scholarship and Grades, which are included in Spartan Life; Student Handbook and Resource Guide. Students who plagiarize will receive a 0.0 on the assignment.

2. Accommodations for Disabilities: Students with disabilities should contact the

ResourceCenter for People with Disabilities to develop reasonable accommodations.

For an appointment with a counselor, call 353-9642 (voice) or 355-1293 (TTY).

3. Dropping this Course: The last day to drop this course with a 100 percent refund and

no grade reported is Wednesday, 09/19/01. The last day to drop this course with no refund and no grade reported is Tuesday, 10/16/01. You should immediately make a copy of your amended schedule to verify you have dropped this course.

4. Religious Observance: If you wish to be absent from class to observe a religious

holiday, make arrangements in advance with the instructor (7 day minimum notice).

  1. Missing Class to Participate in a Required Activity: To be excused from this class to participate in a required activity for another course or a university-sanctioned event, you must provide the instructor with adequate advanced notice and a written authorization from the faculty member of the other course or from a university administrator.
  2. Commercialized Lecture Notes: Commercialization of lecture notes and university-provided

course materials is not permitted in this course.

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Course Outline

Week OneFirst Day of Class; Introduction to format, discussion, select project option.

Week TwoClass text: Chapters 1, 2 and 21

Week Three Class text: Chapter 22, 23, and 24

Week FourTeresa Lyden, M.A, CCC,

University of Michigan Hospitals, Department of Otolaryngology

Be very familiar with Chapter 23,

“Rehabilitation of the Head and Neck Cancer Patient”

Week FiveRuss Davis, M.A., CCC,

Speech and Language Testing in Medical Facilities

Week SixClass text: Chapters 3, 4, 7, and 9

Dysphagia resources:

Treatment of Dysphagia:

Week SevenClass text: Chapters 25 and 26

Neurogenics: The Whole Brain Atlas

Week EightRev. Clayton L. Thomason, J.D., M.Div.

Class Text: Chapter 24

Week NineData collection/videotaping: VTPL

Week TenLeo V. Deal, Ph.D., Professor Emeritus

Department of Audiology and Speech Sciences

Week Eleven Duane M. Smith, M.D. F.A.C.S, Otolaryngology

Mid Michigan Ear, Nose and Throat

Week Twelve Rachel Fisher, M.D., Genetics

Week ThirteenDebates/Presentations

Week Fourteen Presentations