Interpretation of Flexible Endoscopy Evaluation of Swallowing (FEES)

It is the position of the New Zealand Speech-language Therapists’ Association (NZSTA) that Flexible Endoscopic Evaluation of Swallowing (FEES) is within the scope of practice for Speech-language Therapists (SLT). FEES should only be carried out by SLTs specifically trained to do so and therefore requires a competency framework and formalised education to provide support to trainers and to ensure trained members perform and interpret FEES safely and accurately. 

FEES is a recognised tool for the assessment of swallowing disorders. It has been carried out by SLTs since its inception and description by Susan Langmore in 1988. There are three key specialised competency components for FEES:

1. Interpretation of FEES recordings
2. Passing a scope safety, comfortably and for maximal visualisation
3. Leading FEES and complex clinical decision making

This e-learning module covers 1 only – Interpretation of FEES recordings. 

This is considered a specialist area of speech-language therapy practice and is not a core requirement of under-graduate programmes in New Zealand or internationally. However, there is no restriction on years of practice prior to gaining interpretation of FEES recordings competency. 

The following associated NZSTA documentation will be useful as you develop you skills in this area (
• NZSTA Flexible Endoscopic Evaluation of Swallowing (FEES) for Adults Practice Standards (2017)
• NZSTA Flexible Endoscopic Evaluation of Swallowing (FEES) for Adults Competency Framework (2017)
• NZSTA Flexible Endoscopic Evaluation of Swallowing (FEES) for Adults – Recommended FEES Procedure (2017)
• NZSTA Flexible Endoscopic Evaluation of Swallowing (FEES) for Adults – Recommended FEES Report (2017)

Learning Objectives:  

The participant will be able to:
1. To have a general understanding of the purpose and scope of FEES in swallowing assessment in comparison to other swallowing assessment such as videofluoroscopy
2. To be able to identify normal and abnormal pharyngolaryngeal anatomy and physiology
3. To be reliable in the use current rating scales for evaluation of penetration/ aspiration, secretion accumulation and residue


Anna Miles PhD
Alexandra Hunting
Mary McFarlane BSc Hons, MSc.
Becca Hammond BSC Hons

You will need:

A Windows or Mac based computer
Broadband Internet connection (DSL, Cable)
A web browser
The ability to listen to the commentary with either headphones &/or speakers

Estimated Course Time:

3 hours

Note: You will have four months from the date of enrollment to complete this course. You may log in and out of the course as many times as you wish during this time.


Prices: All prices listed include GST

Membership LevelPrice
NZSTA Member $160.00
Non-members $250.00

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