Gap Education
April 20, 2024, Live, Synchronous, 7-Hour Webinar


Advancing Acute Care and ICU Dysphagia Care:
Reflect, Reassess, Recalibrate
Ever feel… stuck? Learn how metacognition and self-reflection can change the way you manage dysphagia in acute care and intensive care settings, optimizing treatment planning and improving patient outcomes. The author presents clinical examples in which self-reflection was required when the initial treatment approaches were not achieving the anticipated results, demonstrating how this process contributed to improved clinical reasoning and more effective outcomes.
Learners will review key concepts in neuroplasticity, motor learning, rehabilitation science, and psychologically safe clinical practice, with emphasis on how these principles inform assessment, intervention selection, and treatment planning. In addition, the course introduces a framework of considerations to support structured self-reflection and demonstrates how it may be applied in complex cases to evaluate current assumptions, reassess treatment response, and refine clinical decision-making.

Sample Course Materials
Target Audience: Intermediate level
CE Credit: 0.15 ASHA CEUs can be awarded to ASHA members. No partial CE credit is provided.
To earn a certificate, and ASHA CEUs if desired, eligible learners must do the following:
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View the entire recorded webinar
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Obtain 80% on a short post assessment (may be retaken as needed).
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Complete required items in a learner survey.
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Learning Objectives:
1. Describe the role of metacognition and self-reflection in healthcare.
2. Explain key principles of neuroplasticity and motor learning as they relate to treatment planning for patients with dysphagia in the acute care and ICU setting.
3. Apply a structured framework of considerations to guide self-reflection during complex dysphagia cases.
4. Evaluate treatment response and revise intervention selection to support improved clinical decision-making and patient outcomes.

Sample Course Materials
Instructor
Nicole Frost, M.A. CCC-SLP, BCS-S

Nicole Frost, M.A. CCC-SLP, BCS-S is a practicing speech-language pathologist with 16 years of experience. She is a Rehabilitation Therapy Manager at The Johns Hopkins Hospital. In this role, she is responsible for the operations of the acute care rehabilitation department including Physical Therapy, Occupational Therapy, and Speech-Language Pathology staff supervision and clinical growth, scheduling, and program development. She has supported and led the development and implementation of enhanced therapy delivery of care models in subpopulations of patients in the acute care setting.
Nicole received her Board Certification in Swallowing and Swallowing Disorders in 2017. She has co-authored publications in the areas of dysphagia and is a regular presenter at national and international conferences. She has served as an adjunct professor, teaching neuroanatomy to undergraduate speech-language pathology students. She is also the co-developer of the Johns Hopkins Advanced ICU SLP fellowship, a fellowship created to provide mentorship and advanced practice experience with a complex patient population in the intensive care unit.
Prior to working at The Johns Hopkins Hospital, Nicole worked in a variety of settings including acute care, acute rehabilitation, outpatient, long term care, and skilled nursing facilities.
Instructor Disclosures
Nicole Frost, M.A. CCC-SLP, BCS-S
Financial Disclosures:
Gap Education: Royalties for recorded course sales
Johns Hopkins Hospital: Salary
Non-financial:
None

Course Schedule
0:00 – 1:10: Introduction and Course Overview
1:10 – 9:20: Self-Reflection as a Clinical Practice
9:20 – 13:20: Neuroplasticity Principles as They Relate to Swallowing
13:20 – 16:50: Motor Learning and Control Principles
16:50 – 19:00: Dosing Considerations in Dysphagia Treatment
19:00 – 32:50: Case 1: Post-Transarterial Chemoembolization (TACE) Patient with Prolonged Critical Illness
32:50 – 44:10: Case 2: Bilateral Subcortical Stroke
44:10 – 56:20: Case 3: Recurrent Colon Cancer with Vocal Cord Pathology
56:20 – 1:14:50: Case 4: Cardiogenic Shock Requiring Extracorporeal Membrane Oxygenation (ECMO)
1:14:50 – 1:25:30: Case 5: Brain Tumor Resection (Insula/Operculum)
1:25:30 – end: Key Takeaways and Closing Remarks
Rates and Registration
$40 - Standard Course Rate
Students: Email for 1/2 off
CFY: Email for 20% off