You are viewing the 1st of the 2 courses UPMC Physician Resources permits you to view without registering. To have full access to our FREE courses on our website, please register or log in now.

In this presentation, moderated by Dr. Jonas Johnson, UPMC’s Dr. Libby Smith discusses dysphagia and reviews the physiology of swallowing, diagnosis, and treatments for the disorder.

Educational objectives: 

Upon completion of this activity, participants should be able to: 

  • Improve the diagnostic skills by knowing what occurs during each phase of swallowing, which will subsequently improve directed appropriate therapy.
  • Improve management of Head & Neck cancer treatment-related toxicities with more informed conversations with patients regarding realistic expectations in regards to swallowing.
  • Improve the outcomes in patients with Parkinson’s Disease by knowing the key features associated with their dysphagia.

Reading Resources:

  1. Troche MS, Okun MS, Rosenbek JC, et al. Aspiration and swallowing in Parkinson disease and rehabilitation with EMST: a randomized trial.  Neurology.  2010 Nov 23;75(21):1912-9.
  2. Gross RD, Atwood CW Jr, Grayhack JP, Shaiman S.  Lung volume effects on pharyngeal swallowing physiology.  J Appl Physiol.  2003 Dec;95(6):2211-7.
  3. Kraaijenga SA, van der Molen L, Jacobi I, Hamming-Vrieze O, Hilgers FJ, van den Brekel MW. Prospective clinical study on long-term swallowing function and voice quality in advanced head and neck cancer patients treated with concurrent chemoradiotherapy and preventive swallowing exercises. Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3521-31.


Dr. Johnston has reported no relevant relationships with any entities producing health care goods or services

Dr. Smith has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Olympus America, Inc.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.125) continuing education units (CEU) which are equivalent to 1.25 contact hour. 

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 5/16/2017 | Last Modified On: 5/16/2017 | Expires: 5/6/2018

This course has been expired.