Does a physician need to be present during endoscopic evaluations of swallowing (also known as FEES)?
According to the “Scope of Practice in Speech-Language Pathology” (2001), the practice of speech-language pathology involves, “using instrumentation (e.g., videofluoroscopy, EMG, nasendoscopy, stroboscopy, computer technology) to observe, collect data, and measure parameters of communication and swallowing, or other upper aerodigestive functions in accordance with the principles of evidence-based practice”. Further, “speech-language pathologists with expertise in dysphagia and specialized training in fiberoptic endoscopy are professionals qualified to use this procedure for the purpose of assessing swallowing function and related functions of structures within the upper aerodigestive tract,” according to the position statement “Roles of the Speech-Language Pathologist and Otolaryngologist in the Performance and Interpretation of Endoscopic Examinations of Swallowing” (1999). It is important, however, to check with your state licensing board, as some states may specifically prohibit SLP
