Curiosity, Dialogue, and Knowledge
I was interested in finding out if the treatments I was providing to my patients were truly effective. During my clinical fellowship year I began to realize that there was not a lot of evidence for many of the treatment techniques we as SLPs were providing.
The research Steve Leder and I have done on the 3 ounce water swallow test has certainly garnered a lot of interest from our field. I think it has helped many clinicians start to think more about what evidence exists for the screening exams we use to identify people at risk for aspiration.
We need more research on the effectiveness of treatment techniques available for individuals with dysphagia.
Always be open to learning new things. What you think is true today may not be true tomorrow. Be willing to adjust your clinical practice as new information is discovered.
Jeri Logemann, JoAnne Robbins, Barbara Sonies, Bonnie Martin-Harris, Susan Langmore, Jay Rosenbek
I’m not sure. I think we need to have a mechanism by which clinicians can become more specialized in a particular area of practice, for instance, dysphagia. I don’t know if a Clinical Doctorate or specialty recognition is the more appropriate mechanism by which to do this.
Many clinicians cannot afford to quit their day jobs to pursue a Ph.D. We need to think about alternatives to the traditional on-site doctoral program.
There has been a tremendous increase in the amount and quality of research that is being conducted on the assessment and treatment of swallowing. We are developing empirical evidence regarding what works and what doesn’t work so that we can provide better services for the patients we serve.
Langmore, S.E. et al. (1998). Predictors of aspiration pneumonia: How important is dysphagia? Dysphagia, 13, 69-81.