First Bite #135 – February 09, 2021

Pediatric Instrumental Swallow Study: Ready or Not?

(.1 ASHA and AOTA CEUs) For more info, click here.

Course Description

In this episode, Michelle is joined by the talented Leslie Wilfong, MSP CCC-SLP, who works as a speech-language pathologist at a major children’s hospital in South Carolina, serves as a part-time clinical researcher for a well-known university, and provides early intervention home health services with SC BabyNet. At least once in our careers, we have all struggled with the question, “But does this little one need an instrumental swallow evaluation?” Sometimes, we feel that we are over referring for instrumentals, other times, we may feel that we are not sending the patients out frequently enough. Y’all this is a hard question and very case-specific. Lucky for us, the lovely Leslie is here to help answer this question with functional guidelines to help lead us in our evidence-based decision-making process!


By the end of this PodCourse, participants will be able to identify and describe:

  • Clinical indicators, (such as s/s of aspiration and certain etiologies), that would warrant an instrumental swallow evaluation.
  • Clinical indicators that would indicate an instrumental swallow evaluation is not warranted.
  • The role of advanced therapeutic trials and their use for instrumental swallow evaluations.


Leslie Wilfong, MSP CCC-SLP

Leslie Wilfong is a speech language pathologist at a major children’s hospital in the southeast. She also serves her community part-time as a clinical researcher for Northwestern University and provides home health services with SC BabyNet. She specializes in pediatric feeding and swallowing disorders, early childhood language development, pediatric language disorders, and cognitive communication disorders.