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Radiological evaluation of the esophagus has the ability to diagnose both structural changes as well as motility disorders. While barium esophagography is performed for the detailed evaluation of the esophagus, a timed barium esophagogram (TBE) is performed specifically to study the esophageal emptying.
The MBSImP approach provides a standardized and evidence-based protocol to interpret and communicate MBS study results in a manner that is specific, consistent, accurate and objective. This self-study, online course includes the MBSImP Standardized Clinical Training and Reliability Testing.
The MBSImP protocol requires administration of a variety of standardized bolus viscosities and volumes (referred to as swallowing tasks) in lateral and anteriorposterior (A-P) viewing planes, including thin ( 15 cps) barium (two trials of 5 ml via teaspoon, one cup sip [20 ml], and sequential swallows from cup [40 ml
If concordance fell below 80%, the MBSImp scale scores were reviewed for areas of disagreement. Based on this review, the MBSImp training continued until the SLPs achieved a minimum of 80% agreement which demonstrated that the training was successful.
MBSImP is an evidence-based, standardization of the MBS study in the adult population. MBSImP provides a standardized protocol to profile physiologic impairment of swallowing function and to communicate MBS study results in a manner that is accurate, specific, consistent, and objective.
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Registered MBSImP Clinicians Learners who complete this training and pass the online Reliability Testing will earn the designation of Registered MBSImP Clinician. A current roster of Registered MBSImP Clinicians may be viewed here.
Most learners require between 20 and 25 hours to work through the MBSImP training and successfully complete the reliability testing.

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